Shadow Health Digital Clinical Experience

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Shadow Health Digital Clinical Experience

Name:

Section:

 

Week 5               

Shadow Health Digital Clinical Experience Focused Exam: Cough Documentation

 

SUBJECTIVE DATA: Include what the patient tells you, but organize the information. Shadow Health Digital Clinical Experience

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Chief Complaint (CC):

History of Present Illness (HPI):

Medications:

Allergies:

Past Medical History (PMH):

Past Surgical History (PSH):

Sexual/Reproductive History:

Personal/Social History:

Immunization History:

Significant Family History (Include history of parents, Grandparents, siblings, and children):

 

Review of Systems: From head-to-toe, include each system that covers the Chief Complaint, History of Present Illness, and History).Remember that the information you include in this section is based on what the patient tells you. You will only need to cover systems pertinent to your CC, HPI (N/A, UNKNOWN is not acceptable, make up the information if you need to). To ensure that you include all essentials in your case, refer to Chapter 2 of the Sullivan text. Shadow Health Digital Clinical Experience

 

General: Include any recent weight changes, weakness, fatigue, or fever, but do not restate HPI data here.

                HEENT:

                Respiratory:

                Cardiovascular/Peripheral Vascular:

               

                Psychiatric:

                Neurological:

                Lymphatics:

               

OBJECTIVE DATA: From head-to-toe, includewhat you see, hear, and feel when doing your physical exam. You only need to examine the systems that are pertinent to the CC, HPI, and History unless you are doing a total H&P. Do not use WNL or normal. You must describe what you see.

 

Physical Exam:

Vital signs:Include vital signs, ht, wt, temperature, and BMI and pulse oximetry

General: Include general state of health, posture, motor activity, and gait. This may also include dress, grooming, hygiene, odors of body or breath, facial expression, manner, level of conscience, and affect and reactions to people and things.

HEENT:

Respiratory: Always include this in your PE.

Cardiology: Always include the heart in your PE.

Lymphatics:

Psychiatric:

 

Diagnostics/Labs (Include any labs, x-rays, or other diagnostics that are needed to develop the               differential diagnoses.)

ASSESSMENT: List your priority diagnosis(es). For each priority diagnosis, list at least 3 differential diagnoses, each of which must be supported with evidence and guidelines.For holistic care, you need to include previous diagnoses and indicate whether these are controlled or not controlled.

 

 

 

Cancer Essay

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Cancer Essay

STUDENT DISCUSSION BUKOLA

Cancer is one of the leading causes of death in the United States and other parts of the world. In the United States, Cancer kills more than 600,000 people yearly. Globally, more than 11 million people die of cancer annually (CDC, 2020). In America, the government spends more than $174 billion on providing services to cancer patients (CDC, 2020). Experts project that the cost of cancer care will grow by about 10 percent in the next two years. Cancer Essay

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The rise in cancer mortality rates can be attributed to factors, including the rise in alcohol and tobacco use, physical inactivity, poor diet, obesity, and overweight. Cigarette smoking was linked to approximately 19 percent of all cases of cancer and roughly 29 percent of cancer deaths (Mendes, 2017). Drinking accounted for 5.6 percent of cancer cases and 4 percent of cancer deaths (Mendes, 2017). Obesity and overweight were linked to 7.8 percent of cases and 6.5 percent of cancer deaths(CDC, 2020). In modern society, many people do not engage in physical activities, thus increasing the risk for cancer. Similarly, people have started eating processed and junky food, which has been found to increase the cancer risk.

As a community health nurse, the primary prevention interventions that I will use include smoke cessation, reducing exposure to carcinogenic factors, increasing physical activity, and changes in diet (NIH, 2020). Because smoking is a major factor that increases the risk for cancer, smoke cessation is essential in preventing the occurrence of cancer. People are also encouraged to engage in physical activities like yoga, acupuncture, jogging, running, swimming, and riding. Early detection, screening, and effective treatment are secondary prevention interventions. Patient education and behavioral therapy are tertiary prevention interventions (CDC, 2020).

 

STUDENT CLEMENTINE DISCUSSION

Heart disease entails a wide range of heart conditions. According to CDC, Coronary Artery Disease (CAD), which affects the flow of blood to the heart, is the most common across the world (Centers for Disease Control and Prevention, National Center for Health Statistics). The increasing heart disease mortality rate has been attributed to various factors. Firstly, unhealthy diets lead to a mortality rate of heart disease. Diet is a critical risk factor in most conditions, including heart disease (Virani et al., 2021). For instance, obesity, a diet high in fat saturation, and uncontrolled diabetes are some of the food-related risks for heart diseases. Secondly, lack of physical exercise can lead to heart disease. Fat accumulates in the artery that carries blood to the heart when an individual remains inactive (Virani et al., 2021). Therefore, leading to blood flow restriction, which results in CAD. Thirdly, diabetic conditions contribute to the mortality rate of heart disease as it damages blood vessels due to high blood glucose. Lastly, excessive alcohol consumption for a long time weakens heart muscles, thus reducing its pumping power. Reduced heart-pumping power leads to insufficient blood flow, thus heart disease.

Several factors have led to the change in survival in heart diseases, such as lack of enough physical exercise and excessive use of alcohol, which lead to high blood pressure. Also, taking a poor diet with a high level of cholesterol and fats and smoking tobacco has been associated with a change in survival in heart disease (Virani et al., 2021). There are various risk factors for heart diseases, such as age, family history, and lifestyle. For instance, leading a poor lifestyle characterized by excessive consumption of alcohol, fats, and cholesterol increases the chances of getting heart disease. Though heart disease is a severe ailment affecting many people worldwide, it can be prevented or managed successfully. Primary interventions include living a healthy life by eating a balanced diet, exercising, and not smoking or using alcohol. Secondary intervention includes seeking medication and adhering to healthcare officers’ guidelines and recommendations, while tertiary involves coronary artery bypass grafting. Modifiable factors are a better prevention effort for heart disease as people who lead a healthy lifestyle have a reduced risk of getting heart disease (Virani et al., 2021).

 

 

Nursing Care Essay

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Nursing Care Essay

Ms. Jones has come to the hospital with the primary complaint of blurred vision which is not
amenable to relief by wearing glasses. Her disclosure of being hypertensive as well as diabetic serves to
induce the immediate suspicion of diabetic retinopathy. Ms. Jones is currently taking antihypertensive
medication that include the diuretic, Lasix, an ACE inhibitor Captopril, and the oral hypoglycemic drug
Glucotrol. Ms. Jones states she is a middle aged, 55 year old female, obese, with a family history of early
deaths of her father and brother due to heart attack are suggestive of genetic predisposition to
hypertension and obesity. She has high blood pressure and blood glucose levels upon presentation at the
clinic are suggestive of the chronic nature of her condition. She states that her mother’s diabetic status
also suggests an inherited link for diabetes mellitus. Important healthcare findings about Ms. Jones can be
listed as follows:

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Subjective data. Ms. Jones is a, 55 year old female, with a family history of premature deaths of her
father and brother due to heart attack and that her mother’s had diabetic mellitus with a complaint of blurred
vision without relief with the use of glasses.
Objective data. Ms. Jones is 5ft.’ 2in’ tall hypertensive, diabetic female with obvious obesity
indicated by her currently observable 170 lbs. of body weight. Her history also reveals a positive diagnosis
of hypertension as well as type 2 diabetes mellitus in the past. Ms. Jones is already on an antihypertensive
regimen which includes the diuretic, Lasix, The ACE inhibitor Captopril in addition to the oral
hypoglycemic drug Glucotrol for controlling blood sugar.
Diagnosis (D)/Nursing Diagnosis (Berman et al. 2017)
The primary nursing diagnosis for Ms. Jones is that of “risk for disturbed sensory
perception” due to the immediate vision impairment from present and unstable diabetic state,
which has persisted (North American Nursing Diagnosis Association [NANDA].2017). History
NURSING CARE FOR A PATIENT SCENARIO 3
of long standing hypertension, diabetes and her obese condition are suggestive of this diagnosis.
Further confirmation can be obtained after evaluating the results obtained from retinal
examination and other eye tests if recommended. The major changes in type 2 diabetes are the
development of erratic blood glucose varying from hypo to hyperglycemia, increased
predisposition for infections, peripheral nephropathy/retinopathy sometimes leading to blurred
vision as well as blindness (Berman et al. 2017)
Plan (P)
Mrs., Jones needs to be put on a diet regimen which includes only the recommended
calorific intake and her diabetes needs to be controlled in order to keep her plasma sugar levels
at an optimum level of 80-120 mg/dL(Berman et al. 2017). If any abnormal changes in her
retina are detected, it needs an immediate surgical intervention to prevent further damage. She
needs to follow a more controlled lifestyle after the intervention which should include
appropriate control of diet, incorporation of a light exercise regimen to bring down her weight
and religious intake of antihypertensive and anti diabetic drugs with nursing education and
support.
Long-term goals/desired outcomes. Within the duration of care, Mrs. Jones will be able to:
• Demonstrate interest/behaviors and lifestyle changes to improve her well-being,
glycemic control, nutrition, hypertension, medication regimen and compliance, and
visual impairment.
Implementation/Interventions (I) (Berman et al. 2017)
Nursing care implementation and interventions include:
• Consult a dietician or nutritionist to cater for the client’s nutritional needs.
• Assessing and educating Ms. Jones concerning her diabetic and hypertensive medication
regiment and compliance.
• Assessment of the eye for any abnormal lesions in the retina suggestive of diabetic
NURSING CARE FOR A PATIENT SCENARIO 4
retinopathy and further examination, such as angiography if recommended by her
practitioner.
• Reviewing the comprehensive metabolic panel and fasting plasma glucose level and a
glucose tolerance test to further assess hypertensive and diabetic states.
• Evaluation of her diet habits for investigating the role of high calorie foods.
• Education, referrals, and option for health lifestyle practices to address her obesity and is
risk and health factors and complexities also involving her present diagnosis of diabetes
mellitus.
Evaluation (E)
Ms. Jones will require expert nursing concerning diabetic, hypertensive, and medication
education, as well as nutritional and psychological counseling to ensure compliance with the
health care recommendations and referrals after discharge from the hospital. She will also need
to visit the medical facility periodically for her health assessment to sustain her plan of care and
its effectiveness.
NURSING CARE FOR A PATIENT SCENARIO 5
References
Berman, A., Snyder, S. J., Kozier, B. & Erb, G. (2017). Kozier & Erb’s fundamentals of nursing:
Concepts, process, and practice (11th ed., p. 905 & pp. 1296-1298). Upper Saddle River,
New Jersey: Pearson Prentice Hall.
North American Nursing Diagnosis Association (NANDA) International Staff. (2017). Nursing
diagnoses: Definitions and classification, 2015-17. Hoboken: John Wiley & Sons,
Incorporated.
.

Assessing and Treating Patients with Anxiety Disorders

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Assessing and Treating Patients with Anxiety Disorders

Assignment: Assessing and Treating Patients with Anxiety Disorders

Common symptoms of anxiety disorders include chest pains, shortness of breath, and other physical symptoms that may be mistaken for a heart attack or other physical ailment. These manifestations often prompt patients to seek care from their primary care providers or emergency departments. Once it is determined that there is no organic basis for these symptoms, patients are typically referred to a psychiatric mental health practitioner for anxiolytic therapy. For this Assignment, as you examine the patient case study in this week’s Learning Resources, consider how you might assess and treat patients presenting with anxiety disorders. Assessing and Treating Patients with Anxiety Disorders

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To prepare for this Assignment:

  • Review this week’s Learning Resources, including the Medication Resources indicated for this week.
  • Reflect on the psychopharmacologic treatments you might recommend for the assessment and treatment of patients requiring anxiolytic therapy.

The Assignment: 5 pages

Examine Case Study: A Middle-Aged Caucasian Man With Anxiety. You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes.

At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.

Introduction to the case (1 page)

  • Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient. Assessing and Treating Patients with Anxiety Disorders

Decision #1 (1 page)

  • Which decision did you select?
  • Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
  • Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #2 (1 page)

  • Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
  • Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #3 (1 page)

  • Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
  • Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Conclusion (1 page)

  • Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.

Note: Support your rationale with a minimum of five academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement. You should be utilizing the primary and secondary literature.

 

BACKGROUND INFORMATION

The client is a 46-year-old white male who works as a welder at a local steel fabrication factory. He presents today after being referred by his PCP after a trip to the emergency room in which he felt he was having a heart attack. He stated that he felt chest tightness, shortness of breath, and feeling of impending doom. He does have some mild hypertension (which is treated with low sodium diet) and is about 15 lbs. overweight. He had his tonsils removed when he was 8 years old, but his medical history since that time has been unremarkable. Myocardial infarction was ruled out in the ER and his EKG was normal. Remainder of physical exam was WNL.

He admits that he still has problems with tightness in the chest and episodes of shortness of breath- he now terms these “anxiety attacks.” He will also report occasional feelings of impending doom, and the need to “run” or “escape” from wherever he is at.

In your office, he confesses to occasional use of ETOH to combat worries about work. He admits to consuming about 3-4 beers/night. Although he is single, he is attempting to care for aging parents in his home. He reports that the management at his place of employment is harsh, and he fears for his job. You administer the HAM-A, which yields a score of 26.

Client has never been on any type of psychotropic medication.

 

MENTAL STATUS EXAM

The client is alert, oriented to person, place, time, and event. He is appropriately dressed. Speech is clear, coherent, and goal-directed. Client’s self-reported mood is “bleh” and he does endorse feeling “nervous”. Affect is somewhat blunted, but does brighten several times throughout the clinical interview. Affect broad. Client denies visual or auditory hallucinations, no overt delusional or paranoid thought processes readily apparent. Judgment is grossly intact, as is insight. He denies suicidal or homicidal ideation.

You administer the Hamilton Anxiety Rating Scale (HAM-A) which yields a score of 26.

Diagnosis: Generalized anxiety disorder

 

RESOURCES

  • Hamilton, M. (1959). Hamilton Anxiety Rating Scale. Psyctests, doi:10.1037/t02824-0

 

Decision Point One

Select what you should do:

Begin Paxil 10 mg po daily-–-I will select this one

Begin Imipramine 25 mg po BID

Begin Buspirone 10 mg po BID

RESULTS OF DECISION POINT ONE

  •  Client returns to clinic in four weeks
  •  Client informs you that he has no tightness in chest, or shortness of breath
  •  Client states that he noticed decreased worries about work over the past 4 or 5 days
  •  HAM-A score has decreased to 18 (partial response)

 

 

Decision Point Two

Select what you should do next:

Increase dose to 20 mg po daily-I will choose this one

Increase dose to 40 mg po daily

No change in drug/dose at this time

 

RESULTS OF DECISION POINT TWO

Client returns to clinic in four weeks

Client reports an even further reduction in his symptoms

HAM-A score has now decreased to 10. At this point- continue current dose (61% reduction in symptoms)

 

Decision Point Three

Select what you should do next:

Maintain current dose—I will choose this one

Increase to 30 mg po daily

Add augmentation agent such as BuSpar (buspirone)

Guidance to Student
At this point, it may be appropriate to continue client at the current dose. It is clear that the client is having a good response (as evidenced by greater than a 50% reduction in symptoms) and the client is currently not experiencing any side effects, the current dose can be maintained for 12 weeks to evaluate full effect of drug. Increasing drug at this point may yield a further decrease in symptoms, but may also increase the risk of side effects. This is a decision that you should discuss with the client. Nothing in the client’s case tells us that we should consider adding an augmentation agent at this point as the client is demonstrating response to the drug. Avoid polypharmacy unless symptoms cannot be managed by a single drug.

Cultural Activity-Spanish

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Cultural Activity-Spanish

read the TIME magazine article and
view the film. Then answer the questions below.
TIME article: http://time.com/5478382/roma-movie-mexican-history/
Accessible on Netflix: Roma
1. What surprised you about the living situation/set-up of Cleo and the family she helped
care for? How is it different than what you would see in the U.S.?
2. How would you explain the contrasts and/or connections between the different
socioeconomic statuses represented in the film? Do you see a connection with race and
socioeconomic status? Cultural Activity-Spanish
3. Review the article about domestic workers
a. https://remezcla.com/features/film/latin-american-movies-domestic-workers/
b. https://www.rappler.com/entertainment/movies/223946-roma-casts-
spotlight-latin-america-domestic-workers
c. What are Latin American films lacking in how they portray domestic
workers? Where do they get it wrong? How is Roma unique in this area?
What is it missing? How would you evaluate Hollywood films in this area?
4. The TIME article states, “the Institutional Revolutionary Party (PRI) dominated the
country’s government, as it had done since its founding in 1929, using a combination of
political patronage, repression and electoral fraud to maintain its hold on power.” What
impact does that truth have on the citizens of Mexico?
5. What aspects of history presented in the article are important to understanding Mexico?
6. How do the issues presented in the “racial divide” section compare to those in the U.S.?
7. How do the characters behave or think that compares or contrasts to that of the culture
you identify with? Was anything said or done that you would not typically do or see in
your culture? Cultural Activity-Spanish
8. What are your “takeaways” from this assignment?

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CRITERIA:

  • For your report: This is NOT a summary. It’s a reflection and analysis. It’s more than saying, “I learned a lot about culture”. What did you learn? What does it mean? Why is the information presented important to the culture? What does it say about who they are, how they live, or what they value? Do you know anything about its origin or how long it has survived? What does it mean to you? What impact would it have if YOU practiced that tradition(s) or had that value(s)? NOTE: Don’t tell me superficial information. Tell me your ANALYSIS about the significance of what you learned and REFLECT on the impact it would have for those who partake and share the value of the celebratiosn/traditions.
  • Length: If you are using Times New Roman 12 font, double spaced with 1 inch margins, the report should be a minimum of 1.5 pages of specifics of what you learned, what it means, why its important, what it says about the culture represented, and your analysis and reflection of what impact it has on you.

(5 points)

  • Minimum of 1.5 pages double spaced (excluding heading listing event); 1 inch margins
  • 12 point font; Times New Roman

(25 points)

  • INTERACT: Show evidence you interacted, asked questions, dug deeper
  • ANALYZE: What does it all mean? Why is it significant?
  • REFLECT: What would it be like to have that value, tradition, etc.?
  • COMPARE: How does it compare to your own traditions, values, etc.?
  • Any information given is followed with an explanation of its importance, comparison, analysis or reflection
  • Your paper should NOT be about surface information. Review video for details.

 

Nurse Advocacy

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Nurse Advocacy

Patient or nurse advocacy is one of the professional nursing care practices that nursing organizations all over the globe promote as being important. Along with demonstrating the professional capacity of nursing, it contributes to the provision of excellent nursing care. Patient advocacy has expanded to include a broader variety of activities nowadays. For example, defending patients against immoral and unlawful behaviors was just a small component of the overall patient advocacy effort in the past (Ware, et al., 2011). Supporting and empowering patients is a primary objective, but this approach will not eliminate the larger challenges of patient advocacy, and the patient’s advocate should focus on the systemic issues of treatment and administrative institutions. Protecting patients’ rights and well-being in clinical trials, assisting organ donors, and protecting their basic freedoms are all included in this category (Davoodvand, et al., 2016). Nurse Advocacy

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                Making improvements to the general health and well-being of the workers is a critical demand in the medical industry. Improved working conditions and a culture of self-advocacy among healthcare workers may reduce burnout and turnover among nurses and other allied health professionals, which will ultimately result in improved patient care as a result (Kerley, et al., 2021). Despite the fact that nurses in the United States expect future advantages as a consequence of healthcare system reform, the stress of today’s workplace rests primarily on the shoulders of nurses who provide treatment at the point of service. Nurses must fight for the profession’s intended future if they are to realize the rewards of the present. The involvement of all nurses in the development of processes in their different work environments is critical if they are to advocate for realistic improvements that satisfy the requirements of both patients and staff (Tomajan, 2012).

It is an exciting moment to be a nurse in today’s society. Healthcare is evolving, and the function and practice of the professional nurse is transforming together with it.  Taking up advocacy tasks is becoming more crucial in today’s rapidly evolving society. There are several opportunities for nurses to advocate on behalf of patients as well as for the profession. In order to maintain their public perception of nursing as the most trusted profession, nurses must communicate their contributions to healthcare and society, as well as advocate for a more truthful portrayal of their role in the profession. It is also crucial for nurses to advocate for the themselves in order to enhance the profession as a whole. The ability to have a good influence on the profession exists for every nurse in every environment, and it is achieved via advocating on a daily basis for their patients and the nursing profession in general (Tomajan, 2012).  Nurse Advocacy

Health Care Delivery Models

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Health Care Delivery Models

Take a moment to review the details of this assignment below and gather any necessary files. Once you’re ready to submit your assignment, move on to Step 2.Assessment Description

Examine changes introduced to reform or restructure the U.S. health care delivery system. In a 1,000-1,250  discuss action taken for reform and restructuring and the role of the nurse within this changing environment. Health Care Delivery Models

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Include the following:

  1. Outline a current or emerging health care law or federal regulation introduced to reform or restructure some aspect of the health care delivery system. Describe the effect of this on nursing practice and the nurse’s role and responsibility.
  2. Discuss how quality measures and pay for performance affect patient outcomes. Explain how these affect nursing practice and describe the expectations and responsibilities of the nursing role in these situations.
  3. Discuss professional nursing leadership and management roles that have arisen and how they are important in responding to emerging trends and in the promotion of patient safety and quality care in diverse health care settings.
  4. Research emerging trends. Predict two ways in which the practice of nursing and nursing roles will grow or transform within the next five years to respond to upcoming trends or predicted issues in health care. Health Care Delivery Models

You are required to cite a minimum of three sources to complete this. Sources must be published within the last 5 years, appropriate for the  criteria, and relevant to nursing practice.

Prepare this according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Nursing homework help

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Nursing homework help

Background

Amazing Inc. is a large organization with a senior leadership team that is passionate about giving back to the community. In fact, taking care of people within and outside of the organization is one of their founding principles. By building and instilling a culture of giving, Amazing Inc.’s executive Board and their +10,000 employees make a positive difference in their communities.  

To make it easy for their employees to support charitable causes, Amazing Inc. wants to create a site that facilitates and promotes charitable giving. They want the site to enable both formal campaigns and one-off donations through automatic payroll deductions.  This will make it easy for employees to donate to selected campaigns and Amazing Inc. hopes to motivate them by matchingthe employee contributions. Nursing homework help

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A Scrum Master has been assigned to the Project. To launch the project, a one-page project charter must be completed.

The assumption is that to complete the following steps, the project charter has already been completed/approved (I have faith in your team😊). With direction from the Scrum Product Owner and Scrum Development Team (past tense)a session is held with Stakeholders to collect a set of ideas and requirements needed to complete the project. An example of idea collected from the business is included below:

 

Assume the following scope considerations:

  • Legal needs to provide Terms and Conditions (T&C) to complete the user confirmation page.
  • The Login Page (part of the last sprint) has an issue accepting emails that end on @domain.net. This needs to be fixed as part of the next sprint.

 

The initial ideas have been converted into user stories. Now, the team needs to estimate and prioritize each story to determine the level of effort needed for each requirement.

Assignment:

  1. Select the following roles from your group:
    • Scrum Master
    • Scrum Product Owner Nursing homework help
    • Development team
  2. Input the Project backlog into Monday.com
    • “One” individual from each group will need to create a Free account in Monday.com.

2.2. From Main Workspace (1), Click on _Add_New Blank Board (Name: Sprint Planning)_Create

 

 

 

 

  • Ensure the following columns are included on the board – Name, Owner, Status (To Do/In Progress/Done), Priority (High/Med/Low), Story Type (Bug/Feature/Chore), Estimated SP, and Epic
  • Once the template is created, invite your team and instructor to your Workspace (Use the icon on the black pane on the left side of the screen).

REQUIRED: Copy the link and include in your Canvas submission.

  • Enter the user stories contained in Table 1 into Monday.com [Stories > Backlog Section].

[Tip: You can copy (from Word) and Paste directly into Monday.com]

  1. Using the Product Backlog Section, conduct a Backlog refinement session (backlog grooming) with your team to Prioritize and Estimate all User Stories.
    • Go over each story and assign the following:
      • Priority (HML)
      • Story Type (Feature/Chore/Bug)
      • Epic – Assign all user stories to the same epic…Charity Site MVP
      • Estimated Story Point (Scale: 1 to 6)

As a team, define the Level of Effort (LOE) for each Story Point

[i.e. 1 SP is equivalent of 2-4 hours of work; 5 Story Points arethe equivalent of 3 days effort]

  • Export the Product Backlog to Excel

[Note: this will be part of the “assignment deliverables” – see C below]

  1. Conduct a Planning session. Please note that the team’s current velocity is 10 Story Points/Sprint. Setup 4 Sprints on the template (Sprint 1 through Sprint 4). Assign user stories to the net 4 Sprints.  Assume the backlog represents approximately 40 story points in total.

Assignment Deliverables

  1. Project Charter: Use the template provided
  2. Team Composition: Briefly describethe roles associated with your agile team (Scrum Master, Product Owner, Development team member). Briefly explain how your team determined roles/team composition).
  3. Product Backlog – Include excel attachment (see Assignment 3.2 above).
  4. Backlog Refinement Process:
    1. What is the reasoning behind the prioritization process? How did your team reach a consensus? What was the rationale? How did team roles effect the process during this meeting?
  5. Sprint Planning Session:
    1. Explanation: What are Sprints? Explain the reasoning/importance of assigning a certain number of story points to each Sprint. What will be the importance of a Daily Scrum meeting during the Sprints?
  6. Upload the link of the Board created for the project to Canvas.

Note: Deliverables B,D, & E can be submitted as a single document (2-3 pages Word doc, single spaced, 12 Times New Roman Font). Make sure to include a reference page if outside sources are used.

 

Table 1:

Product Backlog for a Site to support charitable donations
Task ID User Stories
1 As a User, I want to see all my Year-to-date donations
2 As an Admin, I want to view the total amount of money collected, broken down by employee donations and company match
3 As an Admin, I want to see a dashboard with relevant information
4 As and Admin, I want to choose a preferred language, come up with an official name, and add a description and image
5 As an Admin, I want to create a new charitable campaign
6 As an Admin, I want to access the details of all campaigns, including active, scheduled, and past
7 As a User, I want to see how much was contributed for the campaign
8 As an Admin, I want to preview the campaign to ensure everything is correct before sending to employees.
9 As an Admin, I want to be able to fill in many details of the campaign to help employees better understand the importance of contributing to new campaigns.
10 As an Admin, I want to choose how would receive the campaign, whether it’s to a specific group of employees, or to the entire organization
11 As a User, I want to select the amount I want to donate
12 As a User, I want to submit tickets when I’m having technical difficulties with the site
13 As a User, I want to login to the charitable campaign site via my phone or tablet
14 As a User, I want to scroll through the active campaigns and select the one I want to contribute to.
15 As an Admin, I want to set up the donation options by entering preset amounts, company-match percentage, campaign goal amount, and the deduction code.
16 As a user, I need a to review and accept to the T&C before submitting the donation.

 

Appraising the Literature

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Appraising the Literature

Week 3: Discussion Question – Appraising the Literature

Discussion Topic

 

Top of Form

 

Discussion Prompt

Once you have selected a PICOT question discuss your strategies for conducting a systematic search/review of the literature in order to answer your question.  Explain how you will critically appraise the literature you have selected to determine the best evidence for this assignment.

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Expectations

Initial Post:

APA format with intext citations

Word count minimum of 250

References: 2 high-level scholarly references within the last 5 years in APA format.

Plagiarism free. Appraising the Literature

Turnitin receipt.

 

 

Discussion Question – PICOT Question

“Will it assist lower blood pressure if Asian Americans over the age of 40 who have hypertension adhere to their meds, diet, and exercise regimen?”

Population: Adult Asian Americans over the age of 40 years old

Intervention: Drug compliance, as well as the implementation of a diet and exercise program to regulate blood pressure

Comparison: Noncompliance with medicine, exercise, and nutrition regimens among Asian-American adults.

Outcome: Bring down your blood pressure to a normal level of less than 120 at the systolic level and 80 at the diastolic level.

Time: At least a six-month time frame is required.

In those with high blood pressure, the blood’s constant pressure on the artery walls is so great that it increases the risk of health issues, including heart disease, in the long term (Mayo Clinic Staff, 2018). During my time working in the telemetry unit, I’ve seen several Asian seniors who were admitted to my floor due to a hypertension emergency. As far as I’m aware, a large proportion of the Asian population still rejects Western medicine in favor of traditional herbal cures. It’s not uncommon for people to worry that their medication will do more damage than good. Because of my ethnicity, I want to educate the Asian community about how medicine and a healthy diet may help people regulate their blood pressure. To protect patients from developing cardiovascular disease, blood pressure medicine has a favorable impact. Educate them on how to control their blood pressure by making dietary changes and engaging in 30 minutes of moderate to vigorous exercise three times daily. According to Lu et al. (2019), cardiovascular disease (CVD) may be exacerbated by hypertension.

Reference

Lu, X., Juon, H.-S., He, X., Dallal, C. M., Wang, M. Q., & Lee, S. (2019). The Association Between Perceived Stress and Hypertension Among Asian Americans: Does Social Support and Social Network Make a Difference? Journal of Community Health, 44(3), 451–462. https://doi.org/10.1007/s10900-018-00612-7

 

 

 

Nursing homework help

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Nursing homework help

Study daily 15

Directions

Create a presentation using a PowerPoint that enables you to present your ideas effectively and meets the requirements. Your presentation will bring together the conceptual framework/grand nursing theory, theoretical model, and middle or practice theory that best fits your concept of advanced nursing practice related to your role as an FNP after graduation. Nursing homework help

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Details:

Follow this format for your presentation:

Your title slide will identify you and the title of your presentation.

The introduction slide should include brief information about you and your program track. The slide should also explain to the audience the purpose of the presentation.

The next two (2) slides should describe a conceptual framework / grand nursing theory and focus on how the conceptual framework/grand nursing theory aligns to your nursing philosophy, worldviews, and applies to your advanced nursing role.

The next two (2) slides should describe your chosen theoretical model with identification of important characteristics of the model that apply to your future advanced nursing role.

The next three (3) slides should describe your chosen middle range or practice level theory, the key concepts of the theory, and how it has been used in research. You will also apply this theory to your advanced nursing role.

The next slide will contain a graphical representation of how your chosen conceptual framework/grand nursing theory, theoretical model, and the middle range or practice level theory work together to inform your future advanced nursing role.

The final content slide will be your concluding slide in which you bring it all together as you summarize the most important points and make connections to demonstrate how nursing theory will advance your practice and allow you to provide high quality nursing care.

The last slide will be your reference slide using APA format.

Requirements:

The minimal slide requirement is 10 slides of content (maximum 15 slides) not including the title and reference

Five (5) credible sources of support are required.