week5 586

Discussion Prompt

Discuss the essential components of a financial projection for your start-up business for inclusion in your business plan. Speculate on potential financial resources to fund your proposed business start-up.

Expectations

Initial Post:

  • Due: Thursday, 11:59 pm PT
  • Length: A minimum of 250 words, not including references
  • Citations: At least one high-level scholarly reference in APA from within the last 5 years

use business plan and cost from assignment labeled business logo. 

PRACTICUM EXPERIENCE PLAN (PEP)

TO PREPARE

  • Review your Clinical Skills Self-Assessment Form you submitted last week and think about areas for which you would like to gain application-level experience and/or continued growth as an advanced practice nurse. How can your experiences in the practicum help you achieve these aims?  
  • Review the information related to developing objectives provided in this week’s Learning Resources. Your practicum learning objectives that you want to achieve during your practicum experience must be: 
    • Specific  
    • Measurable  
    • Attainable  
    • Results-focused  
    • Time-bound
    • Reflective of the higher-order domains of Bloom’s taxonomy (i.e., application level and above)  

Note: Please make sure your objectives are individualized and outlined in your Practicum Experience Plan (PEP). While you may add previous objectives to continue to work toward. You must have 3 new objectives for each class, each quarter. 

  • Discuss your professional aims and your proposed practicum objectives with your Preceptor to ascertain if the necessary resources are available at your practicum site.  
  • Select one nursing theory and one counseling/psychotherapy theory to best guide your clinical practice. Explain why you selected these theories. Support your approach with evidence-based literature.
  • Create a timeline of practicum activities that demonstrates how you plan to meet these goals and objectives based on your practicum requirements.

ASSIGNMENT

Record the required information in each area of the Practicum Experience Plan template, including 3–4 measurable practicum learning objectives you will use to facilitate your learning during the practicum experience. 

***** I will complete part 1 

EVIDENCE-BASED PROJECT, PART 3: CRITICAL APPRAISAL OF RESEARCH

EVIDENCE-BASED PROJECT, PART 3: CRITICAL APPRAISAL OF RESEARCH

Realtors rely on detailed property appraisals—conducted using appraisal tools—to assign market values to houses and other properties. These values are then presented to buyers and sellers to set prices and initiate offers.

Research appraisal is not that different. The critical appraisal process utilizes formal appraisal tools to assess the results of research to determine value to the context at hand. Evidence-based practitioners often present these findings to make the case for specific courses of action.

In this Assignment, you will use an appraisal tool to conduct a critical appraisal of published research. You will then present the results of your efforts.

To Prepare:

· Reflect on the four peer-reviewed articles you selected in Module 2 and the four systematic reviews (or other filtered high- level evidence) you selected in Module 3.

· Reflect on the four peer-reviewed articles you selected in Module 2 and analyzed in Module 3.

· Review and download the Critical Appraisal Tool Worksheet Template provided in the Resources.

The Assignment (Evidence-Based Project)

Part 3A: Critical Appraisal of Research

Conduct a critical appraisal of the four peer-reviewed articles you selected by completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template. Choose a total of four peer- reviewed articles that you selected related to your clinical topic of interest in Module 2 and Module 3.

Note: You can choose any combination of articles from Modules 2 and 3 for your Critical Appraisal. For example, you may choose two unfiltered research articles from Module 2 and two filtered research articles (systematic reviews) from Module 3 or one article from Module 2 and three articles from Module 3. You can choose any combination of articles from the prior Module Assignments as long as both modules and types of studies are represented.

Part 3B: Critical Appraisal of Research

Based on your appraisal, in a 1-2-page critical appraisal, suggest a best practice that emerges from the research you reviewed. Briefly explain the best practice, justifying your proposal with APA citations of the research.

LEARNING RESOURCES


Required Readings

· Melnyk, B. M., & Fineout-Overholt, E. (2023). 
Evidence-based practice in nursing & healthcare: A guide to best practice (5th ed.). Wolters Kluwer.

· Chapter 6, “Critically Appraising Quantitative Evidence for Clinical Decision Making” (pp. 189–228)

· Fineout-Overholt, E., Melnyk, B. M., Stillwell, S. B., & Williamson, K. M. (2010). Evidence-based practice step by step: Critical appraisal of the evidence: Part I. 


American Journal of Nursing

Links to an external site.
, 110(7), 47–52. doi:10.1097/01.NAJ.0000383935.22721.9c

· Fineout-Overhold, E., Melnyk, B.M., Stillwell, S.B., & Williamson, K.M. (2010). Evidence-based practice step-by-step: Critical appraisal of the evidence: Part II. 


American Journal of Nursing

Links to an external site.
, 110(7), 47-52

· Fineout-Overholt, E., Melnyk, B., Stillwell, S., & Williamson, K. (2010). Critical appraisal of the evidence: Part III the process of synthesis: Seeing similarities and differences across the body of evidence.

American Journal of NursingLinks to an external site.
, 110(11), 43-51. doi:10.1097/01.NAJ.0000390523.99066.b5

· Williamson, K. M. (2009). Evidence-based practice: Critical appraisal of qualitative evidence. 

Journal of the American Psychiatric Nurses AssociationLinks to an external site.
, 15(3), 202–207. doi:10.1177/1078390309338733

·

Document: Critical Appraisal Tool Worksheet Template (Word document)

Peer responses

Respond to two of your colleagues’ posts by offering suggestions/strategies for working with this database from your own experience, or offering ideas for using alternative resources.

See attachments for peer responses 

Individual Rights & Vaccination Policy

 School board trustees are requesting public comment before they vote on a vaccination policy for all children in a local school district. 

The Role of Supply and Demand in the Healthcare Economy 2

 During the COVID-19 pandemic, people saw major disruptions to supply lines throughout the country. Nowhere was this more evident than in the healthcare industry. Among the biggest impact was the disruption in supply lines related to personal protective equipment (PPE) and patient care needs (e.g., beds, ventilators, and medications). Use your text as a resource to complete the following assignment as well as one other resource from the library. Please cite your sources.

  • Describe the concept of supply and demand and how it relates to the provision of healthcare.
  • Once the concept of supply and demand has been explained as it relates to healthcare explain how the pandemic contributed to major shortages of needed supplies and equipment.
  • Imagine yourself as a leader of a provider group of some type (e.g., surgery center, orthopedic group, general practitioner’s office). Indicate some of the supply shortages that your group may see in a similar scenario in the future. How can these be offset or averted?
  • Identify, evaluate, and present a strategy that healthcare leaders can implement to avoid real-world supply chain disruption in the future.

Clinical practice questions

Please see the attachment for instruction 

disscusion 6 diversity

 

After studying Module 6: Lecture Materials & Resources, discuss the following:

Hyde Pfiefer, a retired 70-year-old German American, has lived in the United States for the last 50 years. A widower of 5 years, Mr. Pfiefer prepares his own meals following his wife’s recipes from the old country. Nine months ago, Mr. Pfiefer was told that his cholesterol is elevated, and he was instructed about a low-fat diet. His most recent test results show his values to be unchanged.

  1. Discuss the meaning of food in the German culture.
  2. Using the predominant health beliefs of people of German ancestry, how might you help Mr. Pfiefer reduce his cholesterol level?

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.  Your initial post is worth 8 points.
  • You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.) 
  • All replies must be constructive and use literature where possible.
  • Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.
  • You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date. 

English 101

Assignment Guide: The Personal Narrative

Assignment Prompt

For this assignment, you will be writing a personal narrative–a story–illustrating an event or experience exemplifying gratitude. In other words, share a colorful story about an experience or event for which–either during or after the event– you feel or felt thankful.  

An example might be writing about your experience as a senior in high school and the teacher who  helped you to achieve your goal of graduating and attending college.  Another example might be writing a story about your experience growing up in a rural community, acknowledging that it was this small, but mighty, community that made you who you are today, and for this, you are thankful.  Sharing a story about a loved one whose influence has been meaningful to you in some way, and thus, you feel so very thankful for their role in your life, or in that particular experience, would also be an example. FInally, 
drafting a story about any experience in your life for which you are thankful it occured would be a great topic to explore for this narrative assignment. 

Assignment-Specific Requirements:

Length: This assignment should be at least 550 words. 


Thesis

Underline your descriptive 
thesis statement or the point of your story.

Sources/

Evidence

 Needed:  No outside/
secondary sources are needed.

Page Formatting: See 
Appendix C – Formatting and Submitting Your Work


MLA

 Requirements: See 
Formatting your Essay: MLA 8th Edition

Rhetorical Mode

A personal narrative is a story about you. Narrative, from the Latin 
narrare, means to narrate a tale or a story. The narrative you will write will be a “personal” narrative.  Thus, the story will be written by you, about you, and in a lot of ways, for you. What makes a personal narrative so interesting is that it’s a story with a point or purpose.   In other words, a personal narrative is detailed, descriptive, 
dialogue-driven, and determined to make a point. 

Rhetorical Considerations

Purpose:

There needs to be a reason, not only for writing the narrative, but also for why the 
reader should read it. The purpose of the personal narrative is to share a meaningful experience and the lesson learned from the experience. Specifically, the purpose of this essay is to share a story about a time you experienced gratitude.

Audience:

In many ways, we write a personal narrative for ourselves to reflect upon an experience, to grow from an event. However, we want you to imagine that your 
audience is not only you but someone else. The writer needs to know who their 
audience is and how their needs will affect the way the narrative is composed and presented. For example, in addition to writing this story as an opportunity for personal reflection, you may also choose a family member or friend group as your real or imagined 
audience.  Selecting a real or imagined 
audience will help you develop your essay with the right 
tone. The 
tone for a personal narrative can be formal or informal; it really depends on your chosen 
audience

Form:

This piece of writing will be presented using a story format.  It will have a beginning, middle, and end.  The story will be written with a clear 
introduction paragraph, a body of 
story-development paragraphs, and a concluding paragraph. While a personal narrative is less “formal” than traditional academic writing, your story should have a 
thesis statement. Thus allowing the 
reader to truly understand the point of your story.

Six Features of a Personal Narrative

1.
Essay 

Organization

: The Personal Narrative is organized with a clear beginning, middle, and end. It should read like a story–with an 
exposition, a 
rise action, a 
climax, a 
falling action and a 
resolution or denouement.  While the Personal Narrative is certainly less formal than other academic essays, the point or moral of the story (i.e. the 
thesis) should be very clear to the 
reader.

2.

Transition

s: The Personal Narrative utilizes 
paragraph breaks and 
transitional words and phrases that help the 
audience (or 
reader) flow in and around the story. Read more about paragraph 
transitions in Appendix A. 

3.
Character 

Description

:  Develop the 
characters in the story so that the 
reader has a clear understanding of the people in the story–even if the one person in the story is YOU. Help your 
reader learn about the 
characters both by what they say and by what they do.

4.
Sensory Details: Develop a sense of 
imagery within the story using sensory-driven details. In other words, create a vivid story by helping the 
reader to see, hear, taste and touch just as the 
characters in your story do. Sensory details bring your readers into the story–into the experience you are sharing with them.

5.

Dialogue

Use internal and/or external 
dialogue to connect the 
characters and help propel the story forward. 
Dialogue helps the writer to “show” rather than “tell” the story to the 
reader.  Tips for formatting 
dialogue can be found in Appendix C. 

6.
The 

Thesis
 (the message driving your story): Your story’s point or purpose should be structured as a 
thesis statement. And this statement should be underlined.  As the direction of your story must be made clear to the 
reader, it would naturally make sense that the point of your story or 
thesis appear somewhere within the first paragraph.   

Last modified: Friday, February 25, 2022, 1:58 PM

Patho week 4 Case study

 Scenario: 76-year-old female patient complains of weight gain, shortness of breath, peripheral edema, and abdominal swelling. She has a history of congestive heart failure and admits to not taking her diuretic, as it makes her “have to get up every couple hours to go to the bathroom.” She now must sleep on two pillows to get enough air. 

Resources to use:

  • Cance, K. L. & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier.
    • Chapter 32: Structure and Function of the Cardiovascular and Lymphatic Systems; Summary Review
    • Chapter 33: Alterations of Cardiovascular Function (stop at Dysrhythmias); Summary Review
    • Chapter 35: Structure and Function of the Pulmonary System; Summary Review 
    • Chapter 36: Alterations of Pulmonary Function (stop at Disorders of the chest wall and pleura); (obstructive pulmonary diseases) (stop at Pulmonary artery  hypertension); Summary Review
  • Inamdar, A. A. & Inamdar, A. C. (2016). Heart failure: Diagnosis, management, and utilizationLinks to an external site., 5(7). doi:10.3390/jcm507006

Pneumonia

In your Case Study Analysis related to the scenario provided, explain the following:

  1. The cardiovascular and cardiopulmonary pathophysiologic processes result in the patient presenting these symptoms.
  2. Any racial/ethnic variables that may impact physiological functioning.
  3. How these processes interact to affect the patient.

A paragraph or two per question asked in the scenario and at least three current primary references are needed to support your points (peer-reviewed current articles, classroom textbook)