Nursing homework help

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Nursing homework help

Cancer is the uncontrollable growth of abnormal cells in the human body. It is defined by a malfunction in cellular mechanisms that control cell growth. Cells evade checkpoint controls and begin growing uncontrollably which resulting in an increase in abnormal cells, cancer cells. These cancer cells form a mass tissue known as a tumor. In the United States of America, cancer has been determined to be among the leading causes of mortality rates after cardiovascular conditions, where one in every four deaths is caused by cancer. The most common types of cancer include prostate cancer, lung cancer, and breast cancer. Risk factors for cancer include excess smoking, radiation exposure, genetics, and environmental pollution. Colon cancer, or colorectal cancer, affects the distal third of the large intestine, the colon, as well as the rectum, chamber in which feces is stored for elimination. Colorectal cancer is the third leading cause of death in cancer-related issues in the United States in both males and females (Beadnell et al., 2018). This essay explores the physiology and pathophysiology of colon cancer. Nursing homework help

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Polyps are tissue growths that generally look like small, flat bumps and are generally less than half an inch wide. They are generally non-cancerous growths that can develop with age on the inner wall of the colon or rectum. There are several types of polyps, such as hyperplastic. They are common and have a low risk of turning cancerous. Hyperplastic polyps found in the colon will be removed and biopsied. Pseudo polyps also referred to as inflammatory polyps, usually occur in people suffering from inflammatory bowel disease and are unlike other polyps. This type of polyp occurs due to chronic inflammation as seen in Crohn’s disease and ulcerative colitis. However, a polyp cells which can turn out to be malignant. Villous adenoma or tubulovillous adenoma polyps carry a high risk of turning cancerous. They are sessile and develop flat on the tissue lining the organs. They might blend within the organ, making polyps not easily identifiable and difficult to locate for treatment. Adenomatous or tubular adenoma polyps have a high chance of being cancerous. When a polyp is found, it must be biopsied, and then will regular screenings and polyp removal will follow.

An adenocarcinoma is a cancer formed in a gland that lines an organ.  This cancer impacts the epithelial cells, which are spread throughout the human body. Adenocarcinomas of the colon and rectum make up ninety-five percent of all colon cancers (Chang, 2020). Colon adenocarcinomas usually begin in the mucous lining the spread to different layers. Two subtypes of adenocarcinomas are mucinous adenocarcinoma and signet ring cells. Mucinous adenocarcinomas contain about sixty percent mucus which can cause cancer cells to spread faster and become more hostile than typical adenocarcinomas. Signet ring cell adenocarcinoma is responsible for less than one percent of all colon cancer. It is given this name because of how it appears under a microscope. These cells are aggressive and are more challenging to treat. The symptoms of colorectal adenocarcinoma are abdominal pain, blood in stool, constipation or diarrhea, and weight loss. The standard treatment for colorectal adenocarcinomas is chemotherapy, surgery, targeted therapy, and radiation.

Gastrointestinal carcinoid tumors are another type of cancer that affects the rectum. These cells grow in nerve cells known as neuroendocrine cells which help in regulating hormonal production. Carcinoid tumor cells grow slowly and can also develop in the lungs and other parts of the gastrointestinal tract. They cause about one percent of all colon cancers and half of cancer found in the small intestines. Symptoms are different depending on the growth location of the tumor (Falanga et al., 2019). A tumor in the appendix usually has no symptoms unless it starts to obstruct the path from the appendix to the intestines, causing appendicitis symptoms such as fever, vomiting, and nausea. Carcinoid tumors sometimes make hormones that might lead to a variety of symptoms that are dependent on produced hormones. Patients suffering from these tumors can experience flushing in the face, wheezing, quick heartbeats, and diarrhea. Tumors in the colon can cause weight loss, tiredness, stomach cramps, and pain. Gastrointestinal carcinoid tumor treatment options are similar to those of the aforementioned treatments.

Anorectal melanoma is a rare cancer that starts in the anus or rectum. This cancer can develop anywhere in the large intestines or rectum and spread aggressively. Melanomas are estimated to affect less than two percent of colon cancer. It rarely occurs; however, it is very aggressive and challenging to treat. This type of cancer can be easily missed during initial and follow-up diagnoses because it is rarely seen.

Familial adenomatous polyposis (FAP) accounts for almost one percent of all cancers in the rectum or colon. FAP is an inherited disorder distinguished from colon cancer, but some people can develop the abnormal gene that leads to this condition. People having this syndrome can create a lot of polyps in the colon as early as their teenage age. The patient’s colon has to be removed to stop the polyps from becoming cancerous. People with familial adenomatous polyposis keep increasing as they age because hundreds or thousands of polyps can grow in the colon as they age (Freidman et al., 2020). Patients with it may not have any symptoms at the early stages of the disease until it is in the advanced settings. The symptoms of familial adenomatous polyposis are abdominal cramps, unexpected weight loss, cysts of the skin, and lamps on the bones of the legs, arms, skull, and jaw. Treatment for this cancer can be the removal of the colon to curb the spread of the polyps which can cause cancer.

 

 

 

 

Pathophysiology of Colorectal Cancer

Pathophysiology is the combination of pathology and physiology. The study of the disordered physiological process associated with an injury or disease. Pathophysiology aims to explain the functional differences occurring within a person because of being sick. Colorectal Cancer or CRC can be sporadic, hereditary, or inflammatory bowel disease.

Sporadic colorectal cancer develops from the colorectum without known contribution from germline causes. Different mutations occur, which lead to CRC. Sporadic CRC is a somatic cell mutation that is a natural developmental process in the immune system. A bodily genetic disease might be caused by the local colonic environment and a person’s background genetic makeup (Ju et al., 2019). Two-thirds of all colon cancers are this type and are primarily seen in clinical practice. In sporadic CRC, we have mutations such as microsatellite instability or mutator pathway dysfunction. Microsatellite instability or MSI is a hypermutable phenotype resulting from DNA mismatch repair activity loss. MSI is found in about fifteen percent of colon cancers. Twelve percent are associated with sporadic and the other three percent with Lynch syndrome. This instability is caused by germline mutations in mismatch repair or MMR genes. MMR system proofreads as DNA is formed when it identifies an abnormality in sequence repairs to the DNA are made. MMR gene dysfunction allows DNA to increase at high speed. These mutations confer a selective advantage on the cells, leading to the cancer spreading. CpG Island Methylator Phenotype or CIMP is another mutation that happens. CpG Island Methylator Phenotype is brought by DNA methyltransferases that support hypomethylation in promoter-associated CpG enough regions with tumor suppressor genes turned off. The switching off the CIMP pathway, abnormal cells can develop, and malignant cells develop, which leads to the spread of colon cancer in the body.

Hereditary is another war cancer is spread. It is an inherited disorder with a high chance of contracting some cancers. Changes or mutations bring about hereditary cancer symptoms in specific genes passed from parents to children. In this case, similar cancers might be seen in the same family members who are close such as a father, son, and brother having the same cancer and developing it from early stages. Hereditary cancer includes Lynch Syndrome or LS. LS is an inherited disorder that increases the chance of contracting particular colon cancer. Patients with Lynch syndrome have a high probability of having stomach, brain, and skin cancer. There is an attempt to repair defective cells in the body. They form mismatch repair genes as these genes continue to accumulate errors. As the abnormal cells increase, this can lead to abnormal growth of cells and possibly cancer. Familial Adenomatous Polyposis or FAP is also caused by Adenomatous Polyposis Coli or APC gene mutation. APC gene issues instructions for developing APC protein. These mutations cause the production of abnormally short non-function APC proteins. The fast APC protein cannot prevent the cellular overgrowth that causes the formation of polyps in the large intestines which can become cancerous. People who have inherited FAP have a lot of polyps in their colons, and all those with this genetic disorder will have colorectal cancer. The patients must undergo early examination because the number of polyps in their colons might increase, and they have a high chance of getting cancer.

Inflammatory Bowel Disease or IBD is a common term given to describe disorders that involve chronic inflammation of the digestive tract. Types of IDs include ulcerative colitis, inflammation, and sores or ulcers along the superficial lining of the large intestines. Crohn’s disease is identified by inflammation of the lining in the digestive tract, including the deeper layers of the digestive tract (Szekanecz et al., 2019). Chronic inflation is caused by cytokines and chemokines. These are secreted proteins with development and activation functions that control and decide the nature of immune response and control immune cell trafficking at the cellular arrangement of immune organs. Patients suffering from IDB have a high chance of contracting colon cancer if they have contracted an IBD liver complication known as primary sclerosing cholangitis. Before sclerosing cholangitis inflammation that causes scars within the bile ducts, the spots make the ducts hard and narrow, causing severe liver damage.

Providing Care to Patients in a Holistic Manner

The provision of care in a holistic manner means providing care to patients who are majored in a mutual understanding of their physical, psychological, emotional, and spiritual dimensions. Nursers are in charge of health promotion. Nurses working with colorectal cancer or CRC patients can promote health by mobilizing patients to take screening for colon cancer. Nurses should have a bond with patients, which will help them communicate about screening and its importance. The patients who connect with the nurses can also be taught ways to prevent them from getting CRC and symptoms of the disease. A nurse should be compassionate to patients, understand their problems, and be present. CRC can be contracted because of a patient’s background. You have to ask them about their background, what they eat, and their overall lifestyle (Verkhratsky & Nedergaard, 2018). CRCs can also be inherited through genes asking patients if any conditions exist in their families to help find if that is the problem. There are rapid changes in health care, allowing nurses to identify patients likely to have CRC. Advancements have shown that CRC appears when a person is aging. It will help nurses talk to patients encouraging them to take screening to check if they have CRC. A holistic manner can work well if a nurse creates a good rapport with the patients and communicates effectively.

Cancer is spreading and becoming a significant health issue in society. Awareness has to be raised on cancer and how it affects people, the patients, and those close to them. There are many causes of cancer, such as pollution or exposition to radiation. These issues have to be looked into to help in reducing the spread of cancer. Colon cancer can be inherited genetically to avoid further spread, screening has to be done, and those having it undergo treatment with their children. To ensure that someone can grow without being worried about contracting cancer. Screening of people over forty years old should be started as some of these colon cancers start turning into cancerous tumors. It will help control the number of people affected with cancer and help them to get treatment before their condition becomes worse. Nurses should also be able to communicate with patients with colon cancers and form a good rapport with them to help each other out. Nursers should also figure out a colon cancer patient’s background, diet, and activities to help diagnose the patient. Nurses play a vital role in helping patients who have colon cancer.

 

 

References

Alahmad, M. (2020). Strengths and Weaknesses of Cognitive Theory. Budapest International Research and Critics Institute (BIRCI-Journal): Humanities and Social Sciences, 3(3), 1584-1593.

Beadnell, T., Scheid, A., Vivian, C., & Welch, D. (2018). Roles of the mitochondrial genetics in cancer metastasis: not to be ignored any longer. Cancer And Metastasis Reviews, 37(4), 615-632. https://doi.org/10.1007/s10555-018-9772-7

Chang, J. (2020). Pathophysiology of Inflammatory Bowel Diseases. New England Journal Of Medicine, 383(27), 2652-2664. https://doi.org/10.1056/nejmra2002697

Falanga, A., Schieppati, F., & Russo, L. (2019). Pathophysiology 1. Mechanisms of Thrombosis in Cancer Patients. Thrombosis And Hemostasis In Cancer, 11-36. https://doi.org/10.1007/978-3-030-20315-3_2

Freidman, N., Chen, I., Wu, Q., Briot, C., Holst, J., & Font, J. et al. (2020). Amino Acid Transporters and Exchangers from the SLC1A Family: Structure, Mechanism, and Roles in Physiology and Cancer. Neurochemical Research, 45(6), 1268-1286. https://doi.org/10.1007/s11064-019-02934-x

Ju, H., Zhao, Q., Wang, F., Lan, P., Wang, Z., & Zuo, Z. et al. (2019). A circRNA signature predicts postoperative recurrence in stage II/III colon cancer. EMBO Molecular Medicine, 11(10). https://doi.org/10.15252/emmm.201810168

Kaplan, D. E. (2018). Piagetian Theory in Online Teacher Education. Creative Education, 9(6), 831-837.

Moheghi, M., Ghorbanzadeh, M., & Abedi, J. (2020). The Investigation and Criticism Moral Development Ideas of Kohlberg, Piaget, and Gilligan. International Journal of Multicultural and Multireligious Understanding, 7(2), 362-374.

Szekanecz, Z., Raterman, H., Pethő, Z., & Lems, W. (2019). Common mechanisms and holistic care in atherosclerosis and osteoporosis. Arthritis Research &Amp; Therapy, 21(1). https://doi.org/10.1186/s13075-018-1805-7

Verkhratsky, A., & Nedergaard, M. (2018). Physiology of Astroglia. Physiological Reviews, 98(1), 239-389. https://doi.org/10.1152/physrev.00042.2016

Connection Between Our Culture and the News Media

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Connection Between Our Culture and the News Media

Week 2 Discussion: Connection Between Our Culture and the News Media

44 unread replies.44 replies.

Required Resources
Read/review the following resources for this activity:

  • Textbook: Chapter 5, 6
  • Lesson: Read this Week’s Lesson which is located in the Modules tab
  • Initial Post: minimum of 2 scholarly sources (must include your textbook for one of the sources). Follow-Up Post: minimum of 1 scholarly source for your Follow-Up Post.

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Initial Post Instructions

For the initial post, respond to one of the following options, and label the beginning of your post indicating either Option 1 or Option 2:

Option 1: The framers of the Constitution were concerned that everyday citizens would not be able to understand or comprehend the makings of our government. They felt that everyday citizens were uninformed and did not care what was going on in our government. Even today we see where citizens are interested in government affairs seemingly only if our country is in turmoil such as unemployment, recessions, civil unrest, etc. Do you agree with this assessment? Are we uninformed? Do we wait till a crisis happens to voice our opinions?

Option 2: Many experts see the media as biased and more like infotainment. In fact, many people have turned to social networks as an outlet for news instead of CBS, NBC, FOX, CNN and other news stations. Do you see this as an issue? Do you see the news as biased or unbiased? Should there be more restrictions on the news stations?

Be sure to make connections between your ideas and conclusions and the research, concepts, terms, and theory we are discussing this week.

 

 

 

 

 

 

 

 

 

 Student Example

Option 2

As we learned in week two’s lesson, news media has a “huge impact of public opinion and political behavior” (Chamberlain, 2022). I do agree with the experts and feel that the news can be biased. This is an issue because the people deserve to get the story without things being left out or without options. When the news does this it is called sharing politics. They leave out parts or explain something in a way that leans towards their political side.  Everyone had their own options and working at a certain station could have their own politics involved as to what view they want to have on a piece of news. Mastrine gives a great example, “Our team noted that NPR does not give lots of coverage to current hot-button issues frequently seen in coverage on the Right — such as free speech, abortion, or the Second Amendment — and in that same vein, does not give lots of coverage to hot-button issues often covered by the Left — economic inequality, climate change, or social justice initiatives” (year page). This example is what I feel we all already know. Different media outlets have different approaches and views on how they feel about things. I think the news should be given with as many facts as possible leaving out opinions or have two opposing views review the same story. A lot of times when I am interested in a story, I go to different news outlets to hear different views on the same topic. I do not know about the restrictions that can be enforced with news, but I think people generally know which station has what political view, so they listen or watch the stations they agree with more. To have a well-rounded knowledge base when something interests me, I look at the story from as many different sources that I can find to help get a rounded view. I am then able to decipher through the opinions and facts to have my own view. It would be nice to have a news station that reports the same story with different views back-to-back so you do not have to rewatch the same news story just to try and figure out fact verse opinion and make sure nothing was left out of one news story compared to the other.

References

Chamberlain University (2022). POLI330 Political Science: Week 2 lesson. Downers Grove, IL: Online Publication.

Mastrine, J. (2019). Taking a Closer Look at the NPR News Media Bias Rating. AllSides Perspectives Blog. https://chamberlainuniversity.idm.oclc.org/login?qurl=https%3A%2F%2Fwww.proquest.com%2Fblogs-podcasts-websites%2Ftaking-closer-look-at-npr-news-media-bias-rating%2Fdocview%2F2260147142%2Fse-2%3Faccountid%3D147674

 

 

CONTROVERSY ASSOCIATED WITH DISSOCIATIVE DISORDERS

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CONTROVERSY ASSOCIATED WITH DISSOCIATIVE DISORDERS

 

WK 11 PRAC 6665

Assignment: Journal Entry

Photo Credit: Image by Free-Photos from Pixabay

Critical reflection of your growth and development during your practicum experience in a clinical setting has the benefit of helping you to identify opportunities for improvement in your clinical skills, while also recognizing your strengths and successes.

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Use this Journal to reflect on your clinical strengths and opportunities for improvement, the progress you made, and what insights you will carry forward into your next practicum. 

To Prepare

  • Refer to the “Population-Focused Nurse Practitioner Competencies” found in the Week 1 Learning Resources, and consider the quality measures or indicators advanced nursing practice nurses must possess in your specialty of interest.
  • Refer to your Clinical Skills Self-Assessment Form you submitted in Week 1, and consider your strengths and opportunities for improvement.
  • Refer to your Patient Log in Meditrek, and consider the patient activities you have experienced in your practicum experience and reflect on your observations and experiences.

Journal Entry (450–500 words)

Learning From Experiences

  • Revisit the goals and objectives from your Practicum Experience Plan. Explain the degree to which you achieved each during the practicum experience.
  • Reflect on the three (3) most challenging patients you encountered during the practicum experience. What was most challenging about each?
  • What did you learn from this experience?
  • What resources were available?
  • What evidence-based practice did you use for the patients?
  • What would you do differently?
  • How are you managing patient flow and volume?
  • How can you apply your growing skillset to be a social change agent within your community?

Communicating and Feedback

  • Reflect on how you might improve your skills and knowledge, and communicate those efforts to your Preceptor.
  • Answer the questions: How am I doing? What is missing?
  • Reflect on the formal and informal feedback you received from your Preceptor.

 

 

Rubric Detail

 

Select Grid View or List View to change the rubric’s layout.

Name: PRAC_6665_Week11_Assignment_Rubric

  • Grid View
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 Show Descriptions

Assimilation and Synthesis: Content Reflection–

Excellent 45 (45%) – 50 (50%)

Good 40 (40%) – 44 (44%)

Fair 35 (35%) – 39 (39%)

Poor 0 (0%) – 34 (34%)

Assimilation and Synthesis: Personal Growth–

Excellent 27 (27%) – 30 (30%)

Good 24 (24%) – 26 (26%)

Fair 21 (21%) – 23 (23%)

Poor 0 (0%) – 20 (20%)

Written Expression and Formatting–

Excellent 14 (14%) – 15 (15%)

Good 12 (12%) – 13 (13%)

Fair 11 (11%) – 11 (11%)

Poor 0 (0%) – 10 (10%)

APA–

Excellent 5 (5%) – 5 (5%)

Good 4 (4%) – 4 (4%)

Fair 3.5 (3.5%) – 3.5 (3.5%)

Poor 0 (0%) – 3 (3%)

Total Points: 100

Name: PRAC_6665_Week11_Assignment_Rubric

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Interdisciplinary Plan Proposal

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Interdisciplinary Plan Proposal

Interdisciplinary Plan Proposal

            Write a brief introduction (2 to 3 sentences) to your proposal that outlines the issue you are attempting to solve, the part of the organization in which the plan would be carried out, and the desired outcome. This will set the stage for the sections below.

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Objective

Describe what your plan will do and what you hope it will accomplish in one or two succinct sentences. Also, comment on how the objective, if achieved, will improve organizational or patient outcomes. For example:

Test a double-loop feedback model for evaluating new product risk with a small group of project managers with the goal of reducing the number of new products that fail to launch. This objective is aligned to the broader organizational goal of becoming more efficient taking products to market and, if successful, should improve outcomes by reducing waste.

Questions and Predictions

For this section ask yourself 3 to 5 questions about your objective and your overall plan. Make a prediction for each question by answering the question you posed. This helps you to define the important aspects of your plan as well as limit the scope and check its ability to be implemented.

For example:

  1. How much time will using a double-loop feedback model add to a project manager’s workload?
    1. At first, it will likely increase their workloads by 5 to 10 percent. However, as the process is refined and project managers become more familiar and efficient, that percentage will decrease.

Change Theories and Leadership Strategies

For this section, you may wish to draw upon the research you did regarding change theories and leadership for the Interview and Interdisciplinary Issue Identification assessment. The focus of this section is how those best practices will create buy-in for the project from an interdisciplinary team, improve their collaboration, and/or foster the team’s ability to implement the plan. Be sure that you are including at least one change theory and at least one leadership strategy in your explanation. Always remember to cite your sources; direct quotes require quotation marks and a page or paragraph number to be included in the citation.

Another way to approach your explanations in this section is to think through the following:

  • What is the theory or strategy?
  • How will it likely help an interdisciplinary team to collaborate, implement, and/or buy in to the project plan?
    • Make sure to frame this explanation within the organizational context of the proposed plan, that is, your interviewee’s organization.

Team Collaboration Strategy

In this section, begin by further defining the responsibilities and actions that represent the implementation of the plan. One strategy to defining this is to take a “who, what, where, and when” approach for each team member.

For example:

  • Project Manager A will apply the double-loop feedback model on one new product project for a single quarter.
  • Project Manager B will apply the double-loop feedback model on all new product projects for a quarter.

Vice President A will review the workloads of project managers using the double-loop feedback model every Thursday for one quarter.

After you have roughly outlined the roles and responsibilities of team members, you will explain one or more collaborative approaches that will enable the team to work efficiently to achieve the plan’s objective. As with the change theories and leadership strategies, you may draw on the research you conducted for the Interview and Interdisciplinary Issue Identification assessment. However, you are being asked to give a more in-depth explanation of the collaboration approaches and look at how they will help the theoretical interdisciplinary team in your plan proposal.

Another way to approach your explanations in this section is to think through the following:

  • What is the collaboration approach?
  • What types of collaboration and teamwork will best help the interdisciplinary team be successful?
  • How is the collaboration approach relevant to the team’s needs and will it help drive success?
    • Make sure to frame this explanation in terms of the subject of the plan proposal; that is, your interviewee’s organization.

Required Organizational Resources

For this section, you will be making rough estimates of the resources needed for your plan proposal to be successful. This section does not have to be exact but the estimates should be realistic for the chosen organization.

Items you should include or address in this section:

  • What are the staffing needs for your plan proposal?
  • What equipment or supplies are needed for your plan proposal?
    • Does the organization already have these?
      • If so, what is the cost associated with using these resources?
      • If not, what is the cost of acquiring these resources?
    • What access (to patients, departments, and so forth) is needed?
      • Are there any costs associated with these?
    • What is the overall financial budget request for the plan proposal?
      • Staff time, resource use, resource acquisition, and access charged?
        • Remember to include a specific dollar amount in your request.

After you have detailed your budget, make sure that you explain any impacts on organizational resources that could happen if your plan is not undertaken and successful. In other words, if the issue you are try to solve through your plan proposal persists or gets worse, what will be the potential costs to the organization?

 

 

References

Case Study: Healing and Autonomy

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Case Study: Healing and Autonomy

Case Study: Healing and Autonomy

Mike and Joanne are the parents of James and Samuel, identical twins born 8 years ago. James is currently suffering from acute glomerulonephritis, kidney failure. James was originally brought into the hospital for complications associated with a strep throat infection. The spread of the A streptococcus infection led to the subsequent kidney failure. James’s condition was acute enough to warrant immediate treatment. Usually cases of acute glomerulonephritis caused by strep infection tend to improve on their own or with an antibiotic. However, James also had elevated blood pressure and enough fluid buildup that required temporary dialysis to relieve.

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The attending physician suggested immediate dialysis. After some time of discussion with Joanne, Mike informs the physician that they are going to forego the dialysis and place their faith in God. Mike and Joanne had been moved by a sermon their pastor had given a week ago, and also had witnessed a close friend regain mobility when she was prayed over at a healing service after a serious stroke. They thought it more prudent to take James immediately to a faith healing service instead of putting James through multiple rounds of dialysis. Yet, Mike and Joanne agreed to return to the hospital after the faith healing services later in the week, and in hopes that James would be healed by then.

Two days later the family returned and was forced to place James on dialysis, as his condition had deteriorated. Mike felt perplexed and tormented by his decision to not treat James earlier. Had he not enough faith? Was God punishing him or James? To make matters worse, James’s kidneys had deteriorated such that his dialysis was now not a temporary matter and was in need of a kidney transplant. Crushed and desperate, Mike and Joanne immediately offered to donate one of their own kidneys to James, but they were not compatible donors. Over the next few weeks, amidst daily rounds of dialysis, some of their close friends and church members also offered to donate a kidney to James. However, none of them were tissue matches.

James’s nephrologist called to schedule a private appointment with Mike and Joanne. James was stable, given the regular dialysis, but would require a kidney transplant within the year. Given the desperate situation, the nephrologist informed Mike and Joanne of a donor that was an ideal tissue match, but as of yet had not been considered—James’s brother Samuel.

Mike vacillates and struggles to decide whether he should have his other son Samuel lose a kidney or perhaps wait for God to do a miracle this time around. Perhaps this is where the real testing of his faith will come in? Mike reasons, “This time around it is a matter of life and death. What could require greater faith than that?”

 

Leadership Journal Template

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Leadership Journal Template

Leadership Journal Template

Name:

 

 

Practicum Activities Reflection:

Discuss some of your activities with your preceptor/mentor, what projects you are working on, and what observations about leadership you have made during the past two weeks. This does not need to be a step by step diary.  Instead, this is a place to reflect on how your observations and activities have compared to what you have learned in your courses thus far.

 

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Application of Leadership:

 Each Leadership Journal assignment will include specific questions for you to answer.

 

 

 

 

Practicum Project Preparation:

Each Leadership Journal assignment will include specific questions for you to answer.

 

 

Leadership Video Reflection:

Each Leadership Journal assignment will include specific questions for you to answer.

 

 

References

(Please make sure all references are in APA format.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

                                                            

Organizational Performance Management Table

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Organizational Performance Management Table

Organizational Performance Management Table

Choose a health care organization and research it to complete this table, and then share it with your learning team as you collaborate to complete your presentation. Include your tables as appendices in your presentation. 

  1. Provide a name of or link to a specific health care organization. Summarize the key products or services provided by the organization and identify the primary customers it serves.

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Organization Overview
 
  1. Outline the overall content of the major regulations, accreditation requirements, and other standards that affect the organization. Provide the title, section, parts, or subparts, or the numbering system, etc. of the specific regulations or accreditation requirements. Responses should be at least 100 words.

For example: Use of electronic signatures in electronic medical records is equivalent to handwritten signatures on paper; FDA regulation; Title 21 CFR Part 11, Subpart C, § 11.200 Electronic Signature

Organization Regulations, Accreditation, and Standards
 
  1. Highlight the effect the organization’s regulations, accreditation requirements, and other standards have on risk management functions and activities. Responses should be at least 100 words.
Effects on Risk Management
 
  1. Identify specific components of performance-management systems—policies and procedures, self-audits, benchmarking, complaint management, corrective or preventive action, education and training, communication, and other mechanisms—to be used by the organization. Responses should be at least 100 words.
Organizational Performance Management Systems
 
  1. Provide several links to relevant sources that will be useful as your learning team completes the paper.
Additional Links
 

 

Case Studies

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Case Studies

Case Studies

Patient 1: Lisa

Age: 44

Condition: Newly diagnosed multiple sclerosis

Details: Lisa lives alone and doesn’t have many close friends. Her family is out of state and cannot travel to help with her care or support her. She is quite concerned about how the progression of this disease will impact her ability to care for herself and to work.  She is concerned about her future and what will happen to her.  What resources might be helpful for her related to her disease? 

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Patient 2: Lewis

Age: 21

Condition: Crohn’s disease

Details: Lewis is a recent college graduate who still lives at home. He is anxious about how the condition will affect his future and wants to know how he can cope with this disease. What information would you give Lewis about his condition? What are strategies he can use to manage his disease? 

Patient 3: Lionel

Age: 68

Condition: Memory problems  

Details: Lionel retired from an executive sales position with a large paper company three years ago.  Since his retirement, he has joined a gym and attends classes twice per week. Recently, his wife noticed that she is having to remind him to take his medications and that he is misbuttoning his shirts, which leaves him looking disheveled. She is worried that he might be developing dementia, and wonders what she should do. How can you help her? What information and resources might she benefit from?  

NR00NP Foundational Concepts and Advanced Practice Roles

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NR00NP Foundational Concepts and Advanced Practice Roles

(No Running head needed per 7th edition for student papers)

All pages must have a page number as on the template.

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Title of Paper

 

Student Name

 

Chamberlain University: Nurse Practitioner Track

NR00NP Foundational Concepts and Advanced Practice Roles

Instructor

Date (e.g. July 1, 2021)

 

 

 

 

Do not change font size. Font size stays the same throughout the APA paper

                  Double space only throughout the entire APA paper, including references

 

 

Visit the writing center for help with your paper. Can locate in course resources as well:

https://mychamberlain.sharepoint.com/sites/StudentResourceCenter/WC

 

 

 

 

 

Title of Paper  

(Centered and Bolded – should be the same as title on page 1 – title page)

Four APN Roles

(Level 1 Heading: Centered, Bold, Title Case Heading)

            Discuss in detail the four APN roles (CNP, CNS, CRNA & CNM). Use at least one scholarly source and include an intext citation for that source.  Paraphrase the content you are using from your resource and cite correctly. Include a description, the education preparedness and work environment of each role.  

CNP (Level 2 heading: Flush left, Bold, Uppercase and Lowercase Heading, no other punctuation)

Start paragraph under heading and indented. Description, educational preparedness, and work environment

CNS (Level 2 heading: Flush left, Bold, Uppercase and Lowercase Heading)

CRNA (Level 2 heading: Flush left, Bold, Uppercase and Lowercase Heading)

CNM (Level 2 heading: Flush left, Bold, Uppercase and Lowercase Heading)

Rationale for Choosing CNP Role (Level 1 Heading)

            Discuss in detail your rationale for choosing the CNP advanced practice role versus one of the other roles.  Avoid using “I” in scholarly writing. 

Plans for Clinical Practice (Level 1 Heading)

            Discuss in detail your plans for clinical practice after graduation.  Explain how your understanding of NP practice has changed after researching the four ANP roles.      

Role Transition (Level 1 Heading)

            Discuss your transition from the RN role to the NP role.  Describe two factors that may impact your transition.  Discuss two strategies you will use to support a successful transition from the RN to NP role.  Provide reference support from at least one scholarly source.  The textbook is not a scholarly source.

Conclusion (Level 1 Heading)

            Provide a conclusion, including a brief summary of what you discussed in the paper.  Do not introduce new information into your conclusion paper. A good rule of thumb is to have a sentence for each main idea/criteria you discussed in the paper.  

 

 

 

 

 

 

 

          References

Please make sure you to review the 7th edition APA book to cite your references here. Please note: you do not list a reference unless you cited the reference in your paper.

References are double spaced. References have a hanging indent and are in alphabetical order.

 

Resource:

https://owl.purdue.edu/owl/research_and_citation/apa_style/apa_formatting_and_style_guide/reference_list_basic_rules.html

 

 

CAS 321 Advanced Study of Infant and Toddler Development Research

/in /by

CAS 321 Advanced Study of Infant and Toddler Development Research

CAS 321 Advanced Study of Infant and Toddler Development Research Paper Guideline and Scoring Rubric (70 points possible)

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The purpose of this research paper assignment is to summarize and synthesize findings from at least six scholarly resources. For this assignment, there are three steps involved: 1) write a proposal (10 points), 2) submit a Reference Page (10 points), and 3) complete your final paper (50 points). You will write a 7-page APA style research paper on a topic related to child development from conception through age three, worth a maximum of 50 points. A minimum of six scholarly references (4 peer–review journal articles) is required for your resources. Course lecture notes may not be cited. You may not use popular sources such as Wikipedia and your book are not to be the sole source of your information. The sources of all information should be documented using APA style citations (7th edition).

 

The lengths of the research paper will be seven pages (doubled-spaced). Your paper should include three major sections: The Title Page, Main Body (5 pages), and References (one page). No Direct Quotes are allowed for your paper. See below for the scoring rubric. The project must be submitted in Microsoft Word format.

 

You need to submit your paper to Turnitin.com via course website. All papers must have an originality score of 25% or less (meaning that 75% or more of the content is original to the author). This score includes references and quotes. You must review your originality report after submitting your paper to ensure that your score is appropriate. I recommend submitting a draft in advance to confirm that your score will be acceptable.

 

If your score is too high, you will need to revise and resubmit the paper. Please contact me immediately if your paper has a score above 25%. Papers with a score above 25% will not be graded (will receive a zero) unless they are revised and resubmitted.

 

Scoring Rubric (50 points possible)

Content (40 points)

Introductory paragraph (5 points)

Introduce general idea

Explains why this topic is important

Define the age range that you will focus on

Explains what the paper will cover

Specific developmental characteristics/trends related to topic

and age/life phase are discussed (7 points)

Content is accurate, comprehensive, relevant to developmental

phase overall (7 points)

Major points are stated clearly, supported by specific details,

examples, and analysis (7 points)

Integration and synthesizing of research findings, background reading is

appropriate, supports rationale (information from at least 6 high

quality sources is included) (7 points)

Recommendations/implications for developmentally appropriate

practice are logical, follow from discussion (7 points)

 

Organization (10 points)

        Meets minimum page requirement (1 point)                                                                                                          Clarity of expression (1 point)

Grammar (3 points)

Conciseness (2 points)

APA-style (3 points)