Answer the following questions in three well-developed paragraphs (450–500 words) using APA formatting, integrating two evidence-based resources to include clinical practice guidelines as well as the course textbook.

RR is 48-year-old Hispanic woman who comes to see you at the V. A. homeless clinic. The major complaint is a six-day history of worsening cough, productive of green sputum. There have been fever and chills with complaints of pain in the right mid-back with deep breathing or coughing. Further history reveals a history of tobacco use of one pack of cigarettes a day for 30 years. There is an incontainent health history as a result of Post Traumatic Stress Disorder (PTSD) and homelessness. On examination, the skin is warm and clammy, pale; RR appears to not feel well; the temperature is 100.5° F; respiratory rate is 24 breaths per minute; pulse is 98 beats per minute; blood pressure is 120/75 mm Hg; and saturation of oxygen is 96 percent on room air by pulse oximetry.

Auscultation of the lungs reveals rales in the right lower-posterior lung field. The remainder of the examination is within normal limits.

1. What organism(s) do you most suspect and why?
2. What antibiotic would you recommend to treat RR with and why?
3. What is the mechanism of action of this antibiotic? Provide rationale
4. Do you have any counseling points for RR?

USE APA format atleast 2 references 

RUBRIC

iscussion Question Rubric

Note: Scholarly resources are defined as evidence-based practice, peer-reviewed journals; textbook (do not rely solely on your textbook as a reference); and National Standard Guidelines. Review assignment instructions, as this will provide any additional requirements that are not specifically listed on the rubric.

Note: The value of each of the criterion on this rubric represents a point range. (example: 17-0 points)

Discussion Question Rubric – 100 PointsCriteriaExemplary
Exceeds ExpectationsAdvanced
Meets ExpectationsIntermediate
Needs ImprovementNovice
InadequateTotal PointsQuality of Initial PostProvides clear examples supported by course content and references.

Cites three or more references, using at least one new scholarly resource that was not provided in the course materials.

All instruction requirements noted.

40 pointsComponents are accurate and thoroughly represented, with explanations and application of knowledge to include evidence-based practice, ethics, theory, and/or role. Synthesizes course content using course materials and scholarly resources to support importantpoints.

Meets all requirements within the discussion instructions.

Cites two references.

35 pointsComponents are accurate and mostly represented primarily with definitions and summarization. Ideas may be overstated, with minimal contribution to the subject matter. Minimal application to evidence-based practice, theory, or role development. Synthesis of course content is present but missing depth and/or development.

Is missing one component/requirement of the discussion instructions.

Cites one reference, or references do not clearly support content.

Most instruction requirements are noted.

31 pointsAbsent application to evidence-based practice, theory, or role development. Synthesis of course content is superficial.

Demonstrates incomplete understanding of content and/or inadequate preparation.

No references cited.

Missing several instruction requirements.

Submits post late.

27 points40Peer Response PostOffers both supportive and alternative viewpoints to the discussion, using two or more scholarly references per peer post. Post provides additional value to the conversation.

All instruction requirements noted.

40 pointsEvidence of further synthesis of course content. Provides clarification and new information or insight related to the content of the peer’s post.

Response is supported by course content and a minimum of one scholarly reference per each peer post.

All instruction requirements noted.

35 pointsLacks clarification or new information. Scholarly reference supports the content in the peer post without adding new information or insight.

Missing reference from one peer post.

Partially followed instructions regarding number of reply posts.

Most instruction requirements are noted.

31 pointsPost is primarily a summation of peer’s post without further synthesis of course content.

Demonstrates incomplete understanding of content and/or inadequate preparation.

Did not follow instructions regarding number of reply posts.

Missing reference from peer posts.

Missing several instruction requirements.

Submits post late.

27 points40Frequency of DistributionInitial post and peer post(s) made on multiple separate days.

All instruction requirements noted.

10 pointsInitial post and peer post(s) made on multiple separate days.

8 pointsMinimum of two post options (initial and/or peer) made on separate days.

7 pointsAll posts made on same day.

Submission demonstrates inadequate preparation.

No post submitted.

6 points10OrganizationWell-organized content with a clear and complex purpose statement and content argument. Writing is concise with a logical flow of ideas.

5 pointsOrganized content with an informative purpose statement, supportive content, and summary statement. Argument content is developed with minimal issues in content flow.

4 pointsPoor organization and flow of ideas distract from content. Narrative is difficult to follow and frequently causes reader to reread work.

Purpose statement is noted.

3 pointsIllogical flow of ideas. Prose rambles. Purpose statement is unclear or missing.

Demonstrates incomplete understanding of content and/or inadequate preparation.

No purpose statement.

Submits assignment late.

2 points5APA, Grammar, and SpellingCorrect APA formatting with no errors.

The writer correctly identifies reading audience, as demonstrated by appropriate language (avoids jargon and simplifies complex concepts appropriately).

Writing is concise, in active voice, and avoids awkward transitions and overuse of conjunctions.

There are no spelling, punctuation, or word-usage errors.

5 pointsCorrect and consistent APA formatting of references and cites all references used. No more than two unique APA errors.

The writer demonstrates correct usage of formal English language in sentence construction. Variation in sentence structure and word usage promotes readability.

There are minimal to no grammar, punctuation, or word-usage errors.

4 pointsThree to four unique APA formatting errors.

The writer occasionally uses awkward sentence construction or overuses/inappropriately uses complex sentence structure. Problems with word usage (evidence of incorrect use of thesaurus) and punctuation persist, often causing some difficulties with grammar. Some words, transitional phrases, and conjunctions are overused.

Multiple grammar, punctuation, or word usage errors.

3 pointsFive or more unique formatting errors or no attempt to format in APA.

The writer demonstrates limited understanding of formal written language use; writing is colloquial (conforms to spoken language).

The writer struggles with limited vocabulary and has difficulty conveying meaning such that only the broadest, most general messages are presented.

Grammar and punctuation are consistently incorrect. Spelling errors are numerous.

Submits assignment late.

2 points5Total Points100 

Reply to this discussion post…

One professional journal I would opt in dissemination of my EBP in preventing urinary tract infection is Nursing Research Practice journal. This is a peer-reviewed Journal aimed at exploring the novel strategies in the field of patient care and Nursing. The Journal provides a complete overview of the topics in this field on an Open access platform. Also, journal covers different spectrum of subjects in the nursing including the health of the patients, quality of nursing care, nurse research training, etc. The journal is open and covers a large audience addressing a vast majority of problems experienced in healthcare today. That is especially important in addressing the impact of UTIs among inpatients and adult patients.

The healthcare conference I would consider in dissemination is the World Nursing and Health Care Conference. According to WorldNurse (2018), “this international conference provides a forum for nursing and clinicians, researchers and educators to share and celebrate experiences and achievements in nursing.” The conference would offer me a good opportunity to present my project—on prevention of urinary tract infection, at the universal scale and in front of the experts.

I need response tomorrow, 10/05/2020 

A research critique demonstrates your ability to critically read an investigative study. For this assignment, choose a research article related to nursing or medicine to critique.

• Articles used for one assignment can’t be used for the other assignments (students should find new research articles for each assignment).
• The selected articles should be original research articles. Review articles, meta-analysis, meta-synthesis, and systemic review should not be used.
• Mixed-methods studies should not be used.

Your critique should include the following:

Research Problem/Purpose

• State the problem clearly as it is presented in the report.
• Have the investigators placed the study problem within the context of existing knowledge?
• Will the study solve a problem relevant to nursing?
• State the purpose of the research.

Review of the Literature

• Identify the concepts explored in the literature review.
• Were the references current? If not, what do you think the reasons are?

Theoretical Framework

• Are the theoretical concepts defined and related to the research?
• Does the research draw solely on nursing theory or does it draw on theory from other disciplines?
• Is a theoretical framework stated in this research piece?
• If not, suggest one that might be suitable for the study.

Variables/Hypotheses/Questions/Assumptions

• What are the independent and dependent variables in this study?
• Are the operational definitions of the variables given? If so, are they concrete and measurable?
• Is the research question or the hypothesis stated? What is it?

Methodology

• What type of design (quantitative, qualitative, and type) was used in this study?
• Was inductive or deductive reasoning used in this study?
• State the sample size and study population, sampling method, and study setting.
• Did the investigator choose a probability or non-probability sample?
• State the type of reliability and the validity of the measurement tools.
• Were ethical considerations addressed?

Data Analysis

• What data analysis tool was used?
• How were the results presented in the study?
• Identify at least one (1) finding.

Summary/Conclusions, Implications, and Recommendations

• What are the strengths and limitations of the study?
• In terms of the findings, can the researcher generalize to other populations? Explain.
• Evaluate the findings and conclusions as to their significance for nursing.

The body of your paper should be 4–6 double-spaced pages plus a cover page and a reference page. The critique must be attached to the article and follow APA guidelines.

*** Rubric is attached ***

Nutrition plays a vital role in a person’s overall health and well-being. Not getting enough of the recommended nutrients over the long-term can lead to malnutrition which often results in disease and illness.

In a 3-page paper, written in APA format using proper spelling/grammar, address the following:

1. Define malnutrition and identify a specific disease that can result from it.
2. Perform library research about the selected disease, and explain its physiological effects on a person’s body. 
3. Describe the relationship between specific foods/nutrients and the disease. Use the questions below to guide your response.
   1. Does research indicate that a lack of specific foods/nutrients increase a person’s chance of contracting the disease?
   2. Are there specific foods/nutrients that should be avoided by an individual afflicted with the disease?
   3. How do specific foods/nutrients work physiologically within the body to help combat the disease?
4. Evaluate nutritional recommendations to help combat the disease.
5. Cite at least 3 credible references and present the resources in APA format on the References page.For information about the impact of diseases on body systems and assessing the credibility of resources, consult the resources below.

200 words…

Pick a topic regarding injuries and violence

Examples are poisoning, child drowning, prescription drug overdose, suicide, homicide, rape, domestic violence or any other topic we have reviewed

Are there health disparities?

Research your topic on CDC, HealthyPeople, WHO, or similar

What can we do to prevent your topic?

Find a PSA or infographic on the topic and answer the following:

Was the issue clearly portrayed?

Is there a call to action?

What are they asking you to do?

HH is a 68 yr M who has been admitted to the medical ward with community-acquired pneumonia for the past 3 days. His PMH is significant for COPD, HTN, hyperlipidemia, and diabetes. He remains on empiric antibiotics, which include ceftriaxone 1 g IV qday (day 3) and azithromycin 500 mg IV qday (day 3). Since admission, his clinical status has improved, with decreased oxygen requirements. He is not tolerating a diet at this time with complaints of nausea and vomiting.

Ht: 5’8” Wt: 89 kg

Allergies: Penicillin (rash)

Give brief description of your patient’s health needs. Be specific. Then, explain the type of treatment regimen you would recommend for treating your patient, including the choice or pharmacotherapeutics you would recommend and explain why. Be sure to justify your response. Explain a patient education strategy you might recommend for assisting your patient with the management of their health needs. Be specific and provide examples.

1) Minimum 8 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

              Part 1: Minimum 1 page

              Part 2: minimum 1 page

              Part 3: minimum 1 page

             Part 4: minimum 1 page

             Part 5: minimum 3 pages 

             Part 6: minimum 1 page

Submit 1 document per part

2)¨******APA norms

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

         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 3 references per part not older than 5 years

Part 5: Minimum 5 references per part not older than 5 years

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc 

__________________________________________________________________________________

Part 1: Community Nursing

The hospice nurse has a unique role in the provision of end of life services. 

1. Mention 3 important roles of the nurse while providing quality end -of-life care to seriously ill persons and their families. 

2. Explain their impact in community nursing.

Part 2: Nurding and aging

Skin Health: 

1. Discuss the signs and nursing care for the diagnoses of two (2) of the following skin conditions of the older adults; pruritus, and seborrheic keratosis

Cancer: 

A 75-year-old woman with breast cancer is at risk for complications. Following a left-sided mastectomy, the woman is to receive chemotherapy followed by tamoxifen. 

2. List, and discuss two (2) normal aging changes may increase her risk for complications?

Part 3: Physiology 1

1. Describe the pathophysiology of acute rheumatic fever, and rheumatic heart disease 

2. Discuss the pathophysiology, clinical manifestations, evaluation (include the revised Jones Criteria), and treatment of rheumatic fever.

Part 4: Physiology 2

1. Describe childhood acute lymphocytic leukemia (ALL) and G6PD deficiency 

2. Describe the incidence, pathophysiology, clinical manifestations, evaluation, and treatment of each.

Part 5: Physiology 3

Topic: iron deficiency

1. A discussion of the pathophysiology of the disease, including signs and symptoms.

2. An explanation of diagnostic testing and rationales for each.

3. A review of different evidence-based treatment modalities for the disorder obtained from guideline.gov or a professional organization.

4. How does the information in this case inform the practice of a master’s prepared nurse?

5. How should the master’s prepared nurse use this information to design a patient education session for someone with this condition?

6. What was the most important information presented in this case?

7. What was the most confusing or challenging information presented in this case?

8. Discuss a patient safety issue that can be addressed for a patient with the condition presented in this case.

Part 6: Pharmacology 

1. Discuss medications to treat seizures. 

2. What specifically should patients be taught about seizure medications to prevent adverse side effects?

Part 5: Recommending an Evidence-Based Practice Change Create an 8- to 9-slide PowerPoint presentation in which you do the following: · Briefly describe your healthcare organization, including its culture and readiness for change. · Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.

– Society has changed over the past decade, from style to language and even our environmental resources. Give an example of how social change has effected physical environment, population, innovation, diffusion, and mass media.

– The information revolution was, and still is, an important perspective in social change. In your opinion, how has it changes society and how do you feel it will change society in the future?

– How has modernization changed many underdeveloped nations?

– What are the types of social movements that have occurred in history? When and why did they occur?