Capstone Report FINAL

Capstone Report FINAL

Capstone Report FINAL

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Maximum length: 4000 words (excluding references and appendices)

Marks: 50%

Objective: To demonstrate key learning and skills developed throughout the course by creating a written report addressed to the executives of the company partner on a viable strategy, supported by utilization of appropriate frameworks and in-depth research, to effectively address the business challenge presented at the beginning of the quarter. Capstone Report FINAL

Directions:

  1. Develop a strategic plan for the case company to implement in the next 24 months that meets the challenge, in the form of a written report for the management team.Consistent with the final project rubrics, your report must include at least the following components:
    1. Executive summary;
    2. Internal analysis;
    3. External analysis;
    4. Problem definition;
    5. Strategy development(including alternatives to your final recommendation);
    6. Strategy evaluation and choice; and,
    7. Strategy implementation.
  2. You are encouraged to incorporate, in a holistic manner, the content and more importantly the feedback from Draft #1 and the Group Report.

Important: For Draft 1 and Final Report as well as Group Report:

  • Adopt a company-report style (vs. academic-report style). Incorporate figures and tables within the body of the document, along with the source of information in the graphic/table. Provide a list of references. You may add appendices for supporting materials not critical to the main report.
  • References and appendices are not included in the word limit. Footnotes are the preferred location for in-text references. Include a final list of references cited.
  • Utilizing the Business Communications Team’s draft points before the final submission is highly recommended.

 

 

 

 

Capstone Report DRAFT

Capstone Report DRAFT

Capstone Report DRAFT

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Maximum length: 3000 words (excluding references and appendices)

Marks: 10%

Objective: To formulate a strategy, based on a comprehensive internal and external analysis, to address the challenge.

Directions:

  1. Write the draft of your final report, including as much final content as possible. Some lecture material about evaluating alternatives and implementation will only have been covered recently. We know this. You are encouraged to incorporate, in a holistic manner, the content and more importantly the feedback from the Group Report. Capstone Report DRAFT
  2. Your draft should formulate a strategic plan for the case company to implement in the next 24 months:
  • Evaluate the significant internal and external factors
  • Clearly state the problem or opportunity your strategy addresses. This must be in relation to the challenge posed by the company.
  • Identify and evaluate alternative strategies, then recommend a specific strategy (you may not have fully developed your strategies by Week 7 but you need to show the kinds of alternatives you are considering, based on your analysis, and which seems the more appropriate choice)
  1. Refer to the draft rubrics for assessment guide.
  2. Include the word count on the cover page of your draft (should not be more than 3000 words, excluding references and appendix). So, include a final list of references cited. Footnotes are the preferred location for in-text references.  10% extra word limit is not allowed. Appendix should be only 3-4 pages; include only the most important

 

NOTEDo not simply “cut and paste” your group report into your individual report.  You must edit (delete some sections) and extend your analysis to focus on the issues relevant to the problem you identify and address with your strategy.

IMPORTANT: This assessment is marked to a different rubric than the final report. Thus, a good mark in the draft does not assure the student of a good grade for the final report – it indicates only that the student is on track for the final report 3 weeks away and that 3 more weeks of work is expected for a good grade in the final.

 

 

DNP Reflective Journal Template

DNP Reflective Journal Template

 

DNP Reflective Journal Template

 

 

 

 

The Essentials of Reflective Practice

Student Name

Grand Canyon University

DNP: XXX

 

 

 

The following reflection essay is an attestation of the nurse scholar’s acquisition of the course objectives of Grand Canyon University’s (GCU) Doctor of Nursing Practice (DNP) program for DNP-XXX (Enter the Course #) and the competencies set forth by the American Association of Colleges of Nursing’s (AACN) Essentials of Doctoral Education for Advanced Nursing Practice (American Associations of Colleges of Nursing, 2012).  From scientific underpinnings to project completion, the AACN Essentials provide the core competencies for all nurses seeking a Doctor of Nursing Practice Degree. DNP Reflective Journal Template

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For this reflective journal, analyze your own professional practice/skills/responses to provide a reflective summary that describes how the experiences in this course have personally enabled the DNP student to approach, attempt, or attain these competencies in his or her current course. Provide an introduction paragraph for this reflective essay to organize the essay for the reader. Use a scholarly approach (i.e., third person) in writing the reflective journal. This assignment is designed to help you think deeply about your learning and how you have achieved the competencies established by the AACN Essentials. Share your approach to learning, the resources used, and the strategies explored to achieve your personal learning goals. For more information, see the example Reflective Essay in the Appendix.

Submit your Reflective Journal in the course dropbox, and upload to LDP under the corresponding course section. Learners must submit this deliverable in the classroom and in the LDP. Failure to submit in both locations can result in an Incomplete for the course.

Reflection

Grand Canyon University’s DNP-XXX course prepared this DNP learner to do what? What have you discovered about your professional practice, personal strengths, and weaknesses that surfaced while taking the course, additional resources, and abilities that could have influenced more optimal learning outcomes?

Is there a structure to this Reflective Journal? This journal is an exploration of personal learning experiences as a doctoral learner pursuing life-long learning. Each week describe a situation or experience which can be reflected upon as important or worth writing about. Describe your approach, feelings, or thoughts about the situation or experience. Explain what you have observed in terms of the DNP Essentials and DNP course objectives. What did you expect, learn, or decide about the experience?

Go to the DC Network and look at the DNP Essentials located in the Reflection Journal Template Folder. Reflect on these essentials and discuss at least three domains that align your experience with what you learned in the course and support your claim on how you accomplished them.

Conclusion

The purpose of this DNP-XXX Reflection was to provide exemplars of the methods used to fulfill GCU’s course objectives and achieve the competencies outlined in the AACN’s Essentials by this DNP student. The DNP learner used the weekly required readings and learning activities, supplemental readings, scholarly discussions, and project updates to solidify these competencies and outcomes. Ethical considerations, project implementation, leading collaborative teams using IT, researching the internet for a variety of resources, and creating a project PowerPoint presentation was integral to the achievement of learner competencies.

 

 

References

American Association of College of Nursing. (2012, January 3). The essentials of doctoral education for advanced nursing practice. Retrieved from American Association of College of Nursing: https://www.aacnnursing.org/About-AACN/Who-We-Are/Staff-Directory

 

 

 

Appendix

Example Only

 

 

 

 

 

 

 

 

 

Essential I: Scientific Underpinnings for Practice

Essential III: Clinical Scholarship and Analytical Methods for Evidence-Based Practice

Essential IV. Information Systems/Technology and Patient Care Technology for the Improvement and Transformation of Health Care

Essential V. Health Care Policy for Advocacy in Health Care

Essential VI. Interprofessional Collaboration for Improving Patient and Population Health Outcomes

Essential VII. Clinical Prevention and Population Health for Improving the Nation’s Health

Essential VIII. Advanced Nursing Practice

 

 

Capitalism Essay

Capitalism Essay

What is Capitalism???

 

 

Picture by Tess Martin

 

 

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  1. What is capitalism?

 

  1. Free Market?

 

  1. There have been various types of free markets throughout history, so a free market for the exchange of goods is not historically unique to capitalism. Capitalism Essay

 

  1. But markets have always been considered a means to social ends, whereas with capitalism we see instead an inversion in which society itself has now become a means to producing for market ends.

 

  • What is unique then about capitalism that enabled it to remake society into a means exclusively for market exchange?

 

  1. Private ownership of the social means of production for private profit as opposed to the social ownership of the social means of production for the common good.

 

  1. Private ownership of the social means of production is then the key, and it means society’s common productive means are now owned by private corporations for the sake of their own private profit: this ownership differs from:

 

  1. State “socialism”: State ownership of the means of production – more often this is better referred to as State Monopoly Capitalism rather than socialism proper (which often had more to do with collective democratic ownership rather than centralized state ownership).

 

  1. Worker socialism: closer to socialism proper, socialized/democratized ownership of the means of production by the producers themselves, whether through worker’s councils or some type of cooperative. (USSR tried to operate this way before quickly devolving into State Monopoly Capitalism under Stalin, same thing with China and Mao)

 

  1. Historical Background: How did society’s means of production become privatized by private commercial corporations and reoriented toward the end of private profit? (or in Aristotle’s language: how did the means and ends of production, which were oriented toward satisfying real human needs and social goods, become inverted into the private pursuit of money making as now the end?)

 

  1. For most of human history production was a social project for the sake of the community of producers themselves rather than generating merely exchangeable commodities for the private profit of a few individuals.

 

  1. More importantly the social means for producing society were socially owned in some form, since a wealth of tools, technologies, infrastructure, and resources are always collective products made possible only by many hands and minds working together across generations.

 

  1. In ancient times large empires did not own all the social means of production. There were of course state-owned lands, wealthy landowners and palaces as well as slavery, but the dominant mode of production for producing subsistence for most of society were still rural village communities (often more than 80% of the population) oriented around social use values rather than mere market exchange.

 

  • The rise of Mercantile Capitalism: During the Medieval age in Europe some of the land was owned by various manor lords (feudal landlords) while serfs rented/owned a portion of that land and used their own tools to produce goods both for the landlord and for themselves. Also, various peasant communities still existed outside the manors too.

 

  1. Villages were constructed around a “commons” or “greens” as public lands shared by all—often Church and monastery lands contributed to these commons as well.

 

 

  1. Through advances in productive technologies as well as the ability of workers to better politically organize against feudal lords, workers gained a certain amount of independence.

 

  1. This led to the breakdown of feudalism and the short-lived development of worker-owned guilds and cooperatives prior to the rise of capitalism (13th to 16th century).

 

  1. Certain craftsmen became middlemen buying and selling goods from other craftsmen for the market and long-distance trade.

 

  1. Through exploiting their monopolistic controls on buying cheap and selling high, and therein accumulating money for which there was a growing commercialized demand in terms of loans, these middlemen rose from the upper strata of the laboring classes to that of a new class of wealthy merchants, investors and bankers—the bourgeoisie or middle class of high finance: hence, the banking dynasties like the Fuggers.

 

  1. Accumulating capital first took place in exploiting the making of money for its own sake. This was called “usury” which was the exploitative charging of interest on loans.

 

  1. A certain drive begins to develop that no longer aims to produce quality goods according to the purposes of meeting real needs for community building, but to privately maximize monetary profit through exploiting demand, driving down the costs of resources and labor as low as possible in order to increase private gain through market exchange.

 

  1. In turn, profit was used to buy up or capture more capital (productive means) from social ownership.

 

  1. But these early private endeavors were not just the result of cunningly industrious individuals. Instead they relied heavily on a militarized state to colonize foreign lands.

 

  1. Colonization exploded at the beginning of capitalism because it was needed to open up new routes for cheaper resources, labor, and capital, and for controlling foreign mines in order to acquire a monopoly on precious metals to back the rise of monetary accumulation.

 

  1. But colonization is only possible through the use of military power backing certain state-sanctioned enterprises

 

  1. This concentration of wealth also allowed for the private acquisition of more lands at home, also with the help of the state military—the Reformation was not simply about church doctrines, but more so it was about the state commandeering of the “commons” as well as taking lands previously owned by the Catholic church and its monasteries for the market interests of privatization, i.e. “enclosing the commons”, which evicted many workers who were now landless with nothing to sell but their own labor for a wage.

 

  1. As most of the common public lands in Europe were privatized (enclosed, fenced in, etc) this led to a cycle of more expeditions for the continued colonization of new lands and resources.

 

  1. Increasing colonization requires not only a heavy military but also a larger workforce

 

  1. And since private profit is generated by running down the cost of resources, land, capital, and most importantly, labor, the colonization process also led to the largest commercialized slave trade in recorded history—the Transatlantic slave trade (12 to 15 million Africans were exported between 16th–19th century)

 

  1. As private ownership of money, land, and the means of production in the form of slave labor accumulated, the growing pool of landless wage laborers began to lose any negotiating leverage.

 

  1. The price of wage labor was driven down even more so with the institutionalization of the Transatlantic slave trade, which provided early capitalists with a fixed source of cheap labor to help rapidly accumulate capital.

 

  1. The actual history of mercantile capitalism as that initial stage of capital accumulation is therefore fraught with violence and far more complicated than the myths told by economists about some innocent individual merchants who just happened to be more industrious compared to the rest of the supposedly lazy workers.

 

  1. Industrial capitalism:

 

  1. As private capital gained more power through privatizing more lands and resources for large scale industry the state role diminished only somewhat in the form of nationalized economies. But there was still a race to colonize new lands for cheaper resources and labor, and to monopolize markets which continued to rely on state involvement

 

  1. colonization continued well into the 20th century and was driven by a ceaseless desire to accumulate capital—WWII was largely driven by Germany’s attempt to play catch-up in the Western game of colonization

 

  1. Financial capitalism:

 

  1. As a direct result of industrialization which allowed for a mass of enormous corporations to grow, there was a greater drive to expand operations which meant the need for more investors, more financing, more backers to share the risk taking—this also meant more of an intimate interrelation of corporations with banking, stock markets, and shareholders.

 

  1. State welfare capitalism:

 

  1. But this high-risk financialization of expansion also led to a boom and bust cycle from which the Great Depression came.

 

  1. This led to another iteration of capitalism with more government oversight in terms of supplementing the busts, doing the work that businesses should have been doing by taking care of the social welfare of the workforce – social security, workers comp, unemployment insurance, health care, legislation establishing and empowering trade unions, etc. (basically supplementing labor’s wage with a social wage)

 

  1. This “state” phase is really a misnomer, since history shows that capitalism is an inherently unstable system that cannot exist on its own without government intervention and state superintending in some form and at some level, as we already saw since its inception at its mercantilist phase (pace libertarian claims about a self-regulating “free” market that needs no government involvement—there has never been a capitalist “free” market without state involvement).

 

  • Globalized capitalism (aka: Neoliberalism):

 

  1. The rise of multinational corporations also still relies on certain world powers to regulate and police the expansion of the global market. (e.g., think of how much capital benefits from its freedom of movement compared to workers being bound by national borders).

 

  1. But in our present neoliberal moment we have shifted from having a market to becoming more fully a market-ruled society, with private capital not simply relying on state help but more directly controlling the very existence of the state. Hence since the 1970s there has a been a vast shift toward greater forms of:

 

  1. Privatization of not only the economy, but also of social and health services, public services, and even political goods (hence, the current battle to take back healthcare and childcare as a public service).

 

  1. Deregulation of the economy insofar as it serves the interests of private corporations. (e.g. deregulated the commercial use of natural resources; deregulated labor organizing, disempowering unions; deregulated the financial industry leading to bigger banks and more predatory lending).

 

  1. Consumerism and the debt economy: citizens come to view themselves as mainly consumers who are empowered through credit which means the increase in debt.

 

 

  1. What are the key Features of Capitalism?

 

  1. Companies: the privatization of the social means of production turns into its own type of society—a new social entity—but in an abstract way divorced from the actual producers and the public good.

 

  1. As Shaw notes, more than “church or state”, within capitalism it is now the company that has possibly become the most important organization in the world. (the new oligarchies?)

 

  1. Profit Motive: This is the driving force and end goal for economic activity, the very reason of existence for companies as privatizing the social means of production: from C-M-C to M-C-M’

 

  1. Shaw quotes Heilbroner: “the profit motive, as we understand it, is a very recent phenomenon. It was foreign to the lower and middle classes of Egyptian, Greek, Roman, and medieval cultures, only scattered throughout the Renaissance times, and largely absent in most Eastern civilizations.”

 

  1. Throughout much of history, the selfish pursuit of private monetary gain was either looked down upon as dishonorable or merely tolerated. But now it has become a celebrated goal for life. (precisely the opposite of what Aristotle said is natural to being human)

 

  • What does it say about us that we tend to think everyone, for all times and places, has always been driven by a profit motive? (is this to naively and falsely project from our own contingent experience within our Western capitalist societies?)

 

  1. Competition: the supposed salve to monopolies forming and that which supposedly regulates the profit motive from getting out of control.

 

  1. Competition tends not to be an answer to monopolies so much as a continual reshuffling of them

 

  1. Is it a coincidence that British political economists in the 19th century were celebrating this idea of competition as a kind of natural selection in the marketplace while Darwin and other biologists began describing in nature a violent process of competitive struggle for existence through the survival of the fittest?

 

  1. Didn’t Aristotle and Kant say, in their own different ways, that what makes us human is precisely our ability to transcend an animalistic fight for the survival of the fittest by living in solidarity together around higher ideals beyond violent competition?

 

  1. Private Property: It is important to note that the right to private property is not simply about an individual’s personal possessions, which other societies prior to capitalism had, and since socialist societies can have personal possessions too.

 

  1. Private property here means the private ownership of the social means of production and distribution – the right to take up land as exclusively one’s own to use for private profit.

 

  1. The heart of capitalism is about using money to make more money by investing in private accumulation of the productive means and other related assets.

 

  1. What are some classical moral justifications?

 

  1. As Shaw states: “rarely are we presented with fundamental criticisms of, or possible alternatives to, our socioeconomic order. It is not surprising, then, that most of us blithely assume, without ever bothering to question, that our capitalist economic system is a morally justifiable one.” This is obviously a major question that we need to ask!

 

  1. The two dominant responses:

 

  1. The right to private property:

 

  1. John Locke was one of the original founders of this idea, which he used to justify the private colonial appropriation of Native American “wastelands” as he called them. But he relied on a naïve sense of individual labor:

 

  1. Basically, he claimed that if you’re the first one to sink your shovel into something, it is yours (which of course colonizers neglected to consider the fact that indigenous people had worked this land well before their own shovels entered it).

 

  1. But this fails to account for the inherently social nature of labor—it assumes that prior to social formations we lived as private asocial individuals who labored alone only for private gain (e.g. the hypothetical idea of the “state of nature” in Hobbes and Locke):

 

  1. But can one clear a field alone, build a home or a society alone, or make a complex machine alone, let alone do anything of minimal skill without some form of socialization? Not only is labor social, but it relies on past forms of social labor that have made one’s own labor possible in the first place (nurturing upbringing and education etc).

 

  1. Also, it assumes that nature is just a dead mechanism there to be privately possessed rather than a living dynamism to be creatively shared.

 

  1. Moreover, as Shaw rightly notes, capitalism as the making of money off money through legalized usury as interest, takes leave of Locke’s paradigm since gaining interest on money is now an acquisition of profit and a certain kind of property that one did not directly produce through their own labors.

 

  1. The invisible hand: this has been the more influential attempt throughout the history of capitalism: It is essentially a justification for promoting the selfishness of the profit motive. As the early British political economist, Bernard Mandeville said—the market somehow is responsible for turning private vices into public benefits.

 

  1. But how does the market magically/miraculously turn unintended consequences from private self-interest into public benefits for all?

 

  1. Supposedly through the laws of supply and demand and competition.

 

  1. But as we already discussed above, the history of capitalism has shown that the market is unstable and anarchic, leading to ruin, rather than miracles, without government force. Thus, the hands organizing the market are hardly invisible or law-like.

 

 

  1. What are some fundamental criticisms of capitalism?

 

  1. It is an inherently unstable economic system that continually generates widespread inequality and poverty the more wealth it produces, since it generates abundance by simultaneously running down the cost of, and thus depleting, labor and land.

 

  1. It is not government intervention that causes these things as if the market would self-correct if we took an absolute laissez faire approach.

 

  1. The history of capitalism has shown that government intervention is needed to keep the market from collapsing under its own internal crises—hence the history of military and police intervention, expanding colonization to supplement markets, debt bondage, and continual bailouts to failing corporations (not to mention all the needed extra public services and welfare to care for a society in a way that the market cannot).

 

  1. Moreover, the current trend toward government deregulation and increasing privatization has now led to the widest inequality gaps within recent history, with more private wealth consolidated into the hands of a smaller few over against the rest (hence the rhetoric around the 1% and the 99%)

 

  1. The “all boats are rising” argument tends to set up a diversionary straw man by pointing to some past or alternative society in order to show how better off we are despite the inequality.

 

  1. But this fails to see the real problem, which is the fact that the more wealth is produced the more inequality is generated, which should be the opposite trend in a system that is able to create so much social surplus.

 

  1. g., recent tax cuts for corporations by the Trump administration were justified by a “trickle down” argument claiming they would allow companies to create more jobs and invest in their employees; yet records show that companies used the tax cuts to buy back more of their own stocks in order to boost stockholder value.

 

  1. It has a lowly view of human nature that is also uncritically accepted as unchangeable (which always helps those who want to say this is the best we can do).

 

  1. It denies that humans are inherently social, cooperative, creative and rationally purposeful, driven by higher ends beyond mere commerce for private profit.

 

  1. Capitalism not just assumes, but habituates, promotes, fosters, ensures, and demands that we see ourselves as inherently selfish individuals. It has no patience for higher ideals about what it means to be human since this would mean challenging its sovereign rule of the profit motive.

 

  1. It is no coincidence that early defenders of capitalism who justified its hidden hand as the only way to regulate the chaos of unchangeably selfish individuals were also people who accepted a religious doctrine of the inherent sinfulness of humans as selfish animals who cannot change their own nature but must instead rely on the hidden hand of a god for salvation (market providence).

 

  1. This is why the notion that Shaw mentions of “market fundamentalism” is apt here: many thinkers have noted the religious quality of capitalism and its defenders since they rely on a blind acceptance that humans are fated to be selfish and cannot do anything about it except faithfully participate in the dictates of a god-like market (resign yourself to the matrix).

 

  1. But its assumption that human nature cannot change itself denies the socially evolving history of humanity in which, through many ups and downs, humans have creatively transformed their nature to a degree beyond mere survival and violent competition.

 

  1. It assumes that we only find well-being through ever greater access to material consumption—we are primarily consumers. But then this leads to people working more, in order to gain more purchasing power in order to consume more, rather than working less in order to have more leisure time in pursuing higher ideals and relationships rather than consumption.

 

  1. Social psychologists have found that populations of industrialized nations who have more money and consume more are often unhappier than those in other “less developed” societies.

 

  1. Its privatizing drive and profit motive tends toward oligarchical consolidations of power both economically and socio-politically. Moreover, competition isn’t the salve to this problem but often fosters the divisive drive even more so.

 

  1. Speaking of competition—the evidence is still not very clear as to whether competition is the great driver of innovation. How creative can we be if we’re competing within a cutthroat survival-of-the-fittest.

 

  1. Market competition might not be the engine of innovation that capitalists often claim it is: most of the great innovations throughout history have come from either non-market sources (artistic, religious, scientific/educational, or political communities) or from productive communities cooperating together, or from institutions sheltered from market competition:

 

  1. Producing for exchange value in order to make money often does not encourage taking the necessary long-term risks to be innovative since the aim is not to socially benefit humankind or solve its major plights, but rather the short term aim of making money through proven commercial means according to whatever the market demands.

 

  1. Hence, a recent business magazine asked “is pursuing a cure for cancer really a viable business pursuit?”

 

  1. Think more recently about major innovations that led to various advances in medical technologies, cures, vaccines, telecommunications, computers, the internet, etc.

 

  1. The possibilities for these innovations were driven not by the profit motive and market cost/benefit analysis, but by being fostered and developed within non-market institutions such as government labs, hospitals, military institutions, NASA, non-profit organizations, universities and research institutions, etc. – they required long hours of cooperative work pursuing real social needs.

 

  1. Its privatized mode of production for commodity exchange inherently exploits and alienates the laborer.

 

  1. All of the above could be boiled down to this problem:

 

  1. If the production process by which a society is able to subsist, and progress, is itself inherently social, then privatizing this social process so that its surplus is now privately consumed by the owners, is inherently backwards, using our social capacities, not as ends in themselves, but as means for benefitting a few.

 

  1. This is a deeper criticism than merely pointing out that there is poverty, or there are income inequalities, or that ideologically there is a quasi-religious notion of a depraved humanity dependent on a magical invisible hand:

 

  1. rather it gets to the heart of how and why the very structures of the capitalist production process, which produces for exchange value rather than use value, necessarily generates these material inequalities and false self-perceptions in the first place.

 

 

 

 

 

 

Nursing homework help

Nursing homework help

Week 1 Discussion 1

 

After participating in the Pathways to Safer Opioid Use simulation exercise, reflect on the following.

Have you empowered a patient to believe they could make needed lifestyle modifications irrespective of the barriers that exist in their environment? Please provide examples. If so, you were engaged in health promotion activities as part of your nursing role. Nursing homework help

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Were there any strategies used in this simulation exercise that you use to improve patient health literacy? Are there any that you use that were not mentioned here? In your experience, how effective are these strategies?

What are some of the biggest challenges you encounter when trying to improve health literacy? What solutions can you offer to manage these challenges?

https://canvas.westcoastuniversity.edu/courses/16512/pages/week-1-pathways-to-safer-opioid-use

use link

 

 

 

 

 

 

Week 1 Discussion 2

Choose two emerging populations, such as Latino/Hispanic Americans, Asian Americans/Pacific Islanders, or Black/African Americans. How do health issues differ between the two populations?

 

 

  1. Compose at least 2-3 paragraphs all in APA format for each with proper references
  2. use links provided with account info below

 

https://online.vitalsource.com/reader/books/978-0-323-09141-1/epubcfi/6/2[idloc_000.xhtml-itemref]!/4[eid1]/2[eid2]%4050:3

Module 06 Assignment

Module 06 Assignment

Module 06 Assignment

Multidimensional Care IV

 

Instructions

Submit your completed assignment by following the directions below. You must include 2-3 refences from scholarly sources and a reference list in APA format at the end of this document. Remember that all references should have accompanying in-text citations in the body of your work. Each answer should be appropriately cited, written in full sentences, and double-spaced per APA format.

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Please Include there:

  1. Compromised Airway
  2. Medication Administration
  • Nutritional Requirements
  1. Prevention of Infection

Scenario

You are working the night shift on a medical-surgical unit. Your assignment includes a 19-year-old woman admitted early this morning. She has sustained burns over 30% of her body surface area, with partial-thickness burns on her legs and back.

 

Questions

Discuss the following using instructions and case study outlined on page 1:

  1. The staff are following the Parkland Formula for fluid resuscitation. The client arrived at 0200 and was admitted at 0400. She weighs 110 pounds. Calculate her fluid requirement, using the 4 ml Parkland formula. Explain the time intervals and amounts for each.
  1. Calculate Parkland formula amounts and rates:
Total fluid replacement for 1st 24 hours:  
1st half of fluid replacement (1st 8 hours): Total volume:
Rate per hour:
2nd half of fluid replacement (next 16 hours): Total volume:
Rate per hour:
  1. Why is this time interval important for rescue of the burn victim?

 

  1. The client was sleeping when the fire started and managed to make her way out of the house through thick smoke. You are concerned about possible smoke inhalation. What assessment finding would corroborate this concern?

 

  1. The client is in severe pain. What are the drugs of choice for pain relief? How and when should they be given? Are there any risks associated with these medications?

 

  1. As the client progresses through the stages of burn injury, the focus will begin to shift to nutrition and replenishment. What nutritional requirements are necessary for the client’s burns to heal? What is the goal of nutrition therapy in post-burn care?

 

 

  1. Infection prevention and wound care are necessary to allow for healing of the injured tissue.
  1. What measures are taken with the client suffering from burn injuries to prevent infection?

 

  1. What dressings may be used to prevent infection? Be sure to list and describe at least 3 types of dressings.

 

 

 

 

References

 

 

 

 

Rubric:

The rubric for the assignment can be viewed within Blackboard once you click the assignment.

 

 

Therapy for Clients With Personality Disorders

Therapy for Clients With Personality Disorders

Assignment: Therapy for Clients With Personality Disorders

Individuals with personality disorders often find it difficult to overcome the enduring patterns of thought and behavior that they have thus far experienced and functioned with in daily life. Even when patients are aware that personality-related issues are causing significant distress and functional impairment and are open to counseling, treatment can be challenging for both the patient and the therapist. For this Assignment, you examine specific personality disorders and consider therapeutic approaches you might use with clients. Therapy for Clients With Personality Disorders

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To prepare:

  • Review this week’s Learning Resources and reflect on the insights they provide about treating clients with personality disorders.
  • Select one of the personality disorders from the DSM-5(e.g., paranoid, antisocial, narcissistic). Then, select a therapy modality (individual, family, or group) that you might use to treat a client with the disorder you selected.

 

The Assignment:

Succinctly, in 1–2 pages, address the following:

  • Briefly describe the personality disorder you selected, including the DSM-5diagnostic criteria.
  • Explain a therapeutic approach and a modality you might use to treat a client presenting with this disorder. Explain why you selected the approach and modality, justifying their appropriateness.
  • Next, briefly explain what a therapeutic relationship is in psychiatry. Explain how you would share your diagnosis of this disorder with the client in order to avoid damaging the therapeutic relationship. Compare the differences in how you would share your diagnosis with an individual, a family, and in a group session.

Support your response with specific examples from this week’s Learning Resources and at least three peer-reviewed, evidence-based sources. Explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources.

 

 

Also attach and submit PDFs of the sources you used.

 

 

 

 

 

 

 

 

 

References

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596

 

 

Paris, J. (2015). Psychotherapies. In A concise guide to personality disorders (pp. 119–135). American Psychological Association.

 

Wheeler, K. (Ed.). (2020). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (3rd ed.). Springer Publishing.

Chapter 18, “Dialectical Behavior Therapy for Complex Trauma”

 

 

REQUIRED MEDIA

 

Symptom Media. (2020). Antisocial personality disorder ASPD online CNE CEU courses for nurses [Video]. YouTube. https://www.youtube.com/watch?v=ewBFri65Quw

 

Symptom Media. (2020). Histrionic disorder NP mental health continuing education [Video].

 

Symptom Media. (2020). Narcissistic personality disorder online LPN CE credit CEU unit classes [Video]. YouTube. https://www.youtube.com/watch?v=knfVjj3P9es

 

 

 

 

Nursing homework help

Nursing homework help

REQUIRED READING

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Harris, D. M. (2014). Using the law to promote our policy goals and ethical principles. In Contemporary Issues in Healthcare Law & Ethics (pp. 3-10). Chicago, IL: Health Administration Press. Retrieved from the Trident Online Library. Nursing homework help

Jahn, W. G. (2011). The 4 basic ethical principles that apply to forensic activities are respect for autonomy, beneficence, nonmaleficence, and justice. Journal of Chiropractic Medicine, 10(3), 225-226. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4863255/

Martin, G. (2021). Public health ethics. Thinking about bioethics, human rights, justice and moral responsibility [Video]. YouTube. https://youtu.be/G1IOf7Hd69g

Ruger, J. P., Ruger, T. W., & Annas, G. J. (2015). The elusive right to health care under U.S. law. The New England Journal of Medicine, 372(26), 2558-2563. Retrieved from the Trident Online Library.

Showalter, J. S. (2020). A brief history of law and medicine. In The Law of Healthcare Administration (9th Ed., pp. 1-37). Chicago: Health Administration Press. Retrieved from the Trident Online Library.

Showalter, J. S. (2020). Access to healthcare: Rights and responsibilities. In The Law of Healthcare Administration (9th Ed., pp. 39-79). Chicago, IL: Health Administration Press. Retrieved from the Trident Online Library.

Simkins v. Moses H. Cone Memorial Hospital, 323 F. 2d 959 (1963). Retrieved from https://www.leagle.com/decision/19631282323f2d95911029

 

  1. For additional information on reliability of sources, review the following source:
    Georgetown University Library. (n.d.). Evaluating internet resources. Retrieved from https://www.library.georgetown.edu/tutorials/research-guides/evaluating-internet-content
  2. This assignment will be graded based on the content in the rubric.

 

Homework Discussion

The Importance of Understanding the Law for Health Administrators

 

  • Why is it important for a health care administrator to be able to read and understand the various types of laws?

This should not be opinion, but an analysis, supported by the readings and your own research.

 

Position Statement Activity

 

Position Statement Activity

TOPIC
 

Patient Safety

 

PRO
 

Summary:

A nurse’s first and foremost duty to a patient is to safeguard their safety. Every nurse must prioritize patient care.

Following directions may not free nurses and other non-physicians of accountability when they fall short of the required standard of care. On the other hand, nurses are taught to evaluate medical advice and judge whether it is harmful to the patient. For example, when a physician fails to assess or treat a patient properly, a nurse must follow the “chain of command” method to safeguard the patient by either withholding or finding appropriate care and treatment for the patient. Position Statement Activity

To implement a “chain of command” system, every hospital and healthcare facility must have written protocols detailing a step-by-step approach. When a patient is injured, a nurse’s failure to follow the “chain of command” protocol may be considered malpractice.

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Source:  The Nurse Attorney. (2022). A nurse’s independent duty to the patient. The Nurse Attorney, P.A. https://thenurseattorney.com/resources/a-nurses-independent-duty-to-the-patient/

 

CON
 

Summary:

In research done by the researchers of “Patient Safety and Quality: An Evidence-Based Handbook for nurses,” the focus was on the major injury and safety issues for working nurses. According to the research, Others remain unexplored and unsolved, despite considerable evidence-based findings for epidemiology and prevention. Even though many risk factors for nursing injury remain neglected, there is much room for improvement. Increasing nurse safety has many advantages, including maintaining existing nurses and attracting new ones. Too much work can harm a nurse’s health, resulting in poor patient care. These resources must be leveraged to promote staff safety as well. In the long run, these changes will help patients by making nurses healthier and more productive.

Source: Trinkoff, A. M., Geiger-Brown, J. M., Caruso, C. C., Lipscomb, J. A., Johantgen, M., Nelson, A. L., … & Selby, V. L. (2008). Personal safety for nurses. Patient safety and quality: An evidence-based handbook for nurses.

NEUTRAL
 

Summary:

 

The link between nurse-to-patient ratios and patient outcomes is likely due to increased effort, stress, and potential nursing burnout. Nurses are at risk of making errors due to their high-intensity work. Human factors engineering principles mandate that when performing a complex operation, such as providing medication to a hospitalized patient, the work environment be as favorable as possible. However, operational concerns such as disruptions or equipment malfunctions may limit nurses’ ability to conduct their work safely and effectively. These interruptions have been associated with a higher risk of medication mistakes. However, the association between interruptions and errors shows how flaws in a nurse’s regular work environment undermine patient safety.

Source: Phillips, J., Malliaris, A., MSN, & Bakerjian, D. (2021). Nursing and patient safety. PSNet. https://psnet.ahrq.gov/primer/nursing-and-patient-safety

POSITION STATEMENT
 

Nurses owe a duty to care for their patients, so they should put their patient’s safety before their own.

 

 

 

Practicum Project Plan/Proposal

Practicum Project Plan/Proposal

Practicum Project Plan/Proposal

 

The setting for my practicum project is within the Wound Care Department at my current employer, which has been scoring poorly when it comes to communication. I will be working with the department director Ms. Sylvia Coleman, and the project aim is to promote excellent communication within the department in order to provide an improvement on patient satisfaction ratings for the hospital. We need to give people a reason to care in order to promote a more pleasant and less stressful place to work we needed to work on the communication process amongst staff members and patients (Mazhisham et al., 2021). I found that a lot of the unsatisfactory comments regarding care were coming from the communication process within the department.  Practicum Project Plan/Proposal

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The tools I used were the different tools that the hospital uses which were the discharged patient surveys as well as inpatient score cards. I will be using the information given to decipher the problems in communication that are most common from each of the surveys collected within the last 3 months and compare them with the patient surveys prior to the change of ownership. Ongoing inpatient surveys using score cards will be used, along with discharge patient surveys to obtain the sustainability of this project. I chose to work with the Wound Care Department because I conducted some brief research and found that there were a lot of comments regarding gaps in communication in the patient surveys that were collected from their specific patients. Coincidently, these comments increased after the hospital went through a change of ownership. In order to gain a better rating from patients receiving wound care I will have to put in quite a bit of work on revamping the communication tools used for them. The current tool appeared very confusing to me, and by improving this tool it will help reconcile individual patient wound care orders, improve patient satisfaction, and increase the quality of care.