Client Questions

To Prepare: Review the steps of the Systems Development Life Cycle (SDLC) and reflect on the scenario presented. Consider the benefits and challenges associated with involving a nurse leader on an implementation team for health information technology. The Assignment: (2-3 pages) In preparation of filling this role, develop a 2- to 3-page role description for a graduate-level nurse to guide his/her participation on the implementation team. The role description should be based on the SDLC stages and tasks and should clearly define how this individual will participate in and impact each of the following steps: Planning and requirements definition Analysis Design of the new system Implementation Post-implementation support

For this assignment, you will locate two research studies related to the topic and PICOT questions that you developed in Week 2. The articles must be current (within the last five years), and one article must be quantitative, and one article must be qualitative. (THE TOPIC THAT I CHOSE WAS MEDICAL INDUCED SUICIDE) Article choice is very important, therefore: Articles used for this assignment cannot be used for the other assignments. The selected articles should be original research studies. Review articles, concept analysis, meta-analysis, meta-synthesis, integrative review, and systemic review articles should not be used. Mixed-methods studies should not be used. There are two parts to this assignment. Part 1: Complete a Rapid Critical Appraisal Checklist Select one each: qualitative and quantitative research articles. Create a Rapid Critical Appraisal Checklist for the two research articles (one column per article). Complete with brief, concise, summarized information. Part II: Write a summary (one- to two- pages) Identify differences between quantitative and qualitative designs and research methods. Use current APA Style for your summary paper and to cite your sources. Submit the checklist and summary.

Module 10 Written Assignment – Types of Hazards in Nursing Scoring Rubric: Criteria Points Answer the following in 1-2 pages: Discuss and define each of the three hazards Give examples of each hazard Explain and give specific examples to when, where, why, and how nurses may potentially be exposed to these hazards Give examples in which the patient may be exposed to these hazards — 5 Total Points                                                            5 Nursing staff have direct patient contact and therefore exposed to various health hazards. For example, nurses confront such potential hazards as exposure to infectious diseases and toxic substances, back injuries, radiation exposure and stress. They may also be exposed to cleaners and disinfectants that can cause rashes and eye and throat irritation and to infectious diseases such as hepatitis from hypodermic needles that have not been properly discarded. Despite this diversity of occupations and exposures, healthcare hazards can be divided into three categories: Physical hazards Chemical hazards Biological hazards By being aware of these three categories and following the policies and procedures for the organization, you can prevent injuries and illness. Answer the following in 1-2 pages: Discuss and define each of the three hazards Give examples of each hazard Explain and give specific examples to when, where, why, and how nurses may potentially be exposed to these hazards Give examples in which the patient may be exposed to these hazards 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:

REPLY1 Hi MariaL,            Great job on this week’s discussion! Low-income families or families in a poor financial situation, as you have mentioned, are more likely to have dysfunction in their health patterns. People with lower incomes report poorer health and have a higher risk of disease. According to the Center on Society and Health, the greater one’s income, the lower one’s likelihood of disease and premature death, and poor adults are almost five times as likely to report being in fair or poor health as adults with family incomes at or above 400 percent of the federal poverty level, or FPL (Woolf,2015). Comprehensive family assessment is essential to provide holistic and preventative care to our patients. REPLY2 Hi MariaL, I personally identified with your post, as I have witnessed how each of those familial aspects you cited, have led to poorer health outcomes.  Specifically, after I completed my first degree in Psychology, I worked at a group home, and provided one-on-one therapy to minors that were placed at this facility from the Department of Children and Family Services (DCFS) or the Department of Mental Health (DMH).  I cannot tell you how many of these children exhibited the worst behavioral and psychological behaviors due to an unhealthy family upbringing.  Although there will always be that debate of nurture versus nature, I do always believe that the nurture argument and the social and psychosocial atmosphere one is raised in, holds the most strength in the shaping of an individual and in structuring their future health outcomes as an adult.   We’ve seen so many families due to their low income status raise their children off solely fast food, and offer fast food as a reward to keep their “difficult” children subdued.  Due to this setup, these kids find food as their coping mechanism and would have the most insane breakdowns over missing a snack or being denied a specific dessert.  This psychological dependency on food with a combination of psych medications (which also cause weight gain), left these kids severely obese, which only further hurt their level of self-esteem.  As you also stated, lack of rules, poorer financial situations, and constant emotional disturbances, together are the perfect recipe for future dysfunctional health patterns and truly, that is what I experienced in the population I worked with at this facility.  These children were unable to cope, had poor self esteem, had no perception of rules and boundaries, and were unaware of what true love was; This would only leave them at 18 pregnant, on the streets, and parenting a new generation with the very same unhealthy patterns that they were raised on as well–it was and still is, a truly horrible and unending cycle.

1) Minimum 9 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 1 page               Part 6: minimum 1 page               Part 7: minimum 1 page               Part 8: minimum 1 page               Part 9: minimum 1 page Submit 1 document per part 2)¨******APA norms, please use headers           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 5) Identify your answer with the numbers, according to the question. 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: 1. Explain the planning process of community health improvement.  2. Choose one of the models / tools for community health planning discussed in your book and explain it. (Please, mention which model / tool you chose).  (See chapter 1 and 2). Part 2:   1. Mention at least three benefits of massage physical level and explain them 2. Mention at least 3 contraindications of massage and explain them 2. Have you ever had a massage?  a. What type of massage? Please, tell about your experience.  Part 3:     To best understand the concepts of ethics, define the following terms: Utilitarianism Egoism Relativism Absolutism 2.List two of the functions of a gerontological nurse regardless of practice setting. Part 4:   Case Study, Chapter 9, Diversity in the Nursing Workforce A group of nurse educators are having a discussion about the minority student nurses. The nurse educators believe that there are numerous barriers to minority student success in nursing education. The nurse educators want to develop strategies to increase the success rate in graduation of these students. 1. The nurse educators make a list of the barriers that exist for minority student success. What are common barriers for minority student success? 2. The group of nurse educators is acutely aware that different generations are represented in nursing today. These different generations have different attitudes and value systems, which greatly affect the settings in which they work. What are the key characteristics of the four generational groups that are present in today’s workforce? 3. Analyze and describe how the different generations present in nursing today affect nursing care and the nursing workplace.  Part 5: Florida Go to the following website by clicking on the provided link, http://www.countyhealthrankings.org/ , and select a county and a state (this may be the county/state in which you reside, attend school, or plan to live and work as an APRN). After reviewing the website and the health outcomes in the County Health Rankings for the area, answer the following questions in a few short sentences as part of your discussion. Briefly list the general statistics pertaining to a specific health concern that is on the rise in selected the city/county.  How can the creation of a community health center program help to address this public health problem? What can you as a nurse practitioner and/or nurse leader do to influence policy innovation to resolve the problem? Part 6: California Go to the following website by clicking on the provided link, http://www.countyhealthrankings.org/ , and select a county and a state (this may be the county/state in which you reside, attend school, or plan to live and work as an APRN). After reviewing the website and the health outcomes in the County Health Rankings for the area, answer the following questions in a few short sentences as part of your discussion. 1. Briefly list the general statistics pertaining to a specific health concern that is on the rise in selected the city/county.  2. How can the creation of a community health center program help to address this public health problem? 3. What can you as a nurse practitioner and/or nurse leader do to influence policy innovation to resolve the problem? Part 7: Colorado   Go to the following website by clicking on the provided link, http://www.countyhealthrankings.org/ , and select a county and a state (this may be the county/state in which you reside, attend school, or plan to live and work as an APRN). After reviewing the website and the health outcomes in the County Health Rankings for the area, answer the following questions in a few short sentences as part of your discussion. 1. Briefly list the general statistics pertaining to a specific health concern that is on the rise in selected the city/county.  2. How can the creation of a community health center program help to address this public health problem? 3. What can you as a nurse practitioner and/or nurse leader do to influence policy innovation to resolve the problem? Part 8: Issue: Infection Control and Prevention  Topics: Cleaning and disinfection; Standards precaution and Cross-contamination Place:  University Plaza Nursing and Rehabilitation center  After discussion with your preceptor: 1. Name one financial aspect, one quality aspect, and one clinical aspect that need to be taken into account for developing the evidence-based change proposal.  2. Explain how your proposal will directly and indirectly impact each of the aspects. Part 9: Issue: Infection Control and Prevention  Topics: Cleaning and disinfection; Standards precaution and Cross-contamination Place:  University Plaza Nursing and Rehabilitation center   Now that you have completed a series of assignments that have led you into the active project planning and development stage for your project,  1. Briefly describe your proposed solution to address the problem, issue, suggestion, initiative, or educational need  2. how it has changed since you first envisioned it.  3. What led to your current perspective and direction?

Respond on to  two different days who selected different immune disorders and/or factors than you, in the following ways: Share insights on how the factor you selected impacts the pathophysiology of the immune disorder your colleague selected. Expand on your colleague’s posting by providing additional insights or contrasting perspectives based on readings and evidence.                                                        Main Post   Maladaptive Responses to Immune Disorders       For this week’s discussion post, we will discuss the maladaptive and physiological responses of HIV and Lupus.  We will first discuss the pathophysiology of each and then further break the disorders down.  We will review how the gender factor might impact the pathophysiology of the disease. Pathophysiology of HIV      Human Immunodeficiency Virus (HIV) is the viral infection that leads to Acquired Immune Deficiency Syndrome (AIDS).    HIV is a blood-borne pathogen.  Modes of transmission for HIV are IV drug abuse, blood product transfusion or transmission, maternal-child transmission, and both homosexual and heterosexual populations can be affected.  HIV seeks and destroys the CD-4+ Th cells.  CD-4+ cells are essential or the cytotoxic T cell and plasma cell development.  Because of the CD-4+ destruction, there is a suppressed immune response which leads to AIDS (Huether & McCance, 2017).  Maladaptive Response and the Female Factor      Maladaptive responses to HIV are anxiety, disturbed thought processes, imbalanced nutrition, infective coping, social isolation, this is just a few.  Women make up more than half the cases worldwide.  Approximately 50,000 new cases of HIV present each year in the United States, 25% of these new cases are from heterosexual relationships with two-thirds of that percentage being women, highest among black women (Huether & McCance, 2017). Pathophysiology of Lupus      Autoantibodies target specific self-antigens known as the initiation phase.  Environmental factors, such as sunlight, may be the cause for these triggers or viral infections like Epstein-Barr. SLE has long been thought to have an active genetic link.  In an average individual, apoptotic cells self destruct but for individuals with systemic lupus erythema (SLE) effectively immunize themselves with bad cells from their tissue.  The body fights itself instead of excreting the bad cells.  Propagation is the second phase of SLE; this phase involves the inflammatory response and tissue damage and can affect the heart, kidneys, brain, skin, and joints.  Thirdly is the flare stage and includes a quicker and more vigorous immune response; this stage may provoke disease flares (Hammer & McPhee, 2019). Maladaptive Response and the Female Factor      Maladaptive responses to SLE might be altered image issues, fatigue related to chronic inflammation, and impaired skin integrity related to skin rash.  Women are ten times more likely to develop SLE than men.  African Americans have the highest risk, followed by Hispanics, Asian Americans, and Native Americans.  The primary age to develop SLE is between 20-40 years old (the childbearing years) with the most prevalent age being around 30 (Lewis, Bucher, Heitkemper, & Harding, 2017). References Hammer, G. D., & McPhee, S. J. (2019). Pathophysiology of disease: An introduction to clinical medicine (8th  ed.). New York, NY: McGraw-Hill Education. Huether, S. E., & McCance, K. L. (2017). Understanding  pathophysiology (6th ed.). St. Louis, MO: Mosby. Lewis, S.L., Bucher, L., Heitkemper, M.M., & Harding, M.M.  (2017) Medical-surgical nuring assessment and management of clinical problems (10th ed.).  St. Louis, MO:  Elsevier

Consider the following patient scenario: A mother comes in with 9-month-old girl. The infant is 68.5cm in length (25th percentile per CDC growth chart), weighs 6.75kg (5th percentile per CDC growth chart), and has a head circumference of 43cm (25th percentile per CDC growth chart).  Describe the developmental markers a nurse should assess for a 9-month-old female infant. Discuss the recommendations you would give the mother. Explain why these recommendations are based on evidence-based practice.

Discuss the differences between non-parametric and parametric tests. Provide an example of each and discuss when it is appropriate to use the test. Next, discuss the assumptions that must be met by the investigator to run the test

Case Study 1 & 2 Lyme Disease and Peripheral Vascular Disease  The answers must be in your own words with reference to journal or book where you found the evidence to your answer. Do not copy paste or use a past students work as all files submitted in this course are registered and saved in turn it in program. Answers must be scholarly and be 3-4 sentences in length with rationale and explanation. No Straight forward / Simple answer will be accepted.   Turn it in Score must be less than 50% or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 50%.  All answers to case studies must have reference cited in text for each answer and minimum of 2 Scholarly References (Journals, books) (No websites)  per case Study

Part One of the Assignment. Purpose To create a Patient Teaching Plan aimed at educating a specific patient population about a specific health topic. This plan will be used to develop a Visual Teaching Tool in a future assignment. Course Outcomes This assignment enables the student to meet the following course outcomes. CO 2: Recognize the influence that developmental stages have on physical, psychosocial, cultural, and spiritual functioning. (PO #1) CO 4: Identify teaching/learning needs from the health history of an individual. (PO #2) This assignment is worth 125 points. Background Information NR305 focuses on nursing assessment, and the identification of opportunities to prevent disease and improve health of patients. An important professional role for nurses is to provide teaching to patients based on knowledge deficits identified during assessment. Prior to beginning this assignment, follow the link to read the article below. The information related to adult learning and barriers to understanding will be helpful when planning how to best educate your selected population. Beagley, L. (2011). Educating patients: Understanding barriers, learning styles, and teaching techniques. Journal of Paranesthesia Nursing, 26(5), 331-337. permalink (Links to an external site.)Links to an external site. Directions Please read all directions carefully before you begin. Click to download the Patient Teaching Plan Form (Links to an external site.)Links to an external site.. Type your answers directly into this Word document and submit. The use of correct terminology, grammar, and spelling is important! Any references and citations used should be written in APA format. Please utilize in-text citations when appropriate, and list all references in the space provided at the end of the worksheet. You are required to complete the form using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx” format. Do NOT save as Word Pad. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading from the student portal at http://my.chamberlain.edu (Links to an external site.)Links to an external site.. Click on the envelope at the top of the page. Health Topic: Decide WHAT you would like to teach. Describe in detail why this is an important topic for patient education. Use evidence from the textbook, lesson or an outside scholarly source to support your rationale.Select from the following health topics to complete your Patient Teaching Project:   Stress and Time Management Self-Care (can choose a specific self-care activity) Prevention of Hazards at Work Bicycle Safety Ergonomics (related to work, posture) Skin Cancer Prevention Healthy Eating Exercise/Physical Activity Suicide Human Trafficking Eating Disorders Substance Abuse (Opioid, Alcohol, Nicotine) Depression Palliative Care/Hospice Care Population and Setting: Once you have selected a topic, you must decide WHOyou will be teaching and WHERE the education will take place. (i.e., teaching a classroom of middle school students; teaching community members at a local health fair) Learning Barriers: Refer to the assigned article: Educating patients: Understanding barriers, learning styles, and teaching techniques for information related to learning barriers and other teaching considerations. Barriers might be cultural, physical, educational, or environmental. You may also want to consider the developmental stages of your selected population.Example:   The population in this community is known to have a low-literacy level, therefore clear pictures and graphics will be utilized to assist with understanding. Learning Objectives: Write three specific learning objectives your Visual Teaching Tool will address. Begin each objective with “At the end of this education, the learner will …” Use an action verb to finish the sentence (i.e., list, demonstrate, describe, define, identify).Example:   At the end of this education, the learner will be able to demonstrate the proper way to wear a bike helmet. At the end of this education, the learner will be able to describe how to perform a breast self-exam. At the end of this education, the learner will be able to list three benefits of regular physical activity. Evaluation: Write a paragraph describing how you could evaluate whether your visual teaching tool was successful and met the learning objectives. Consider the population’s abilities and the setting.  NOTE: The Patient Teaching Plan Form and the Article are the attachment below. You can use additional Article. Please let the patient population be on Middle school  children.