Archive for June 18th, 2022

Pols

Shared Writing: The Globalization of International Relations

There is a minimum of 140 characters required to post and earn points. If submitted, your response can be viewed by your classmates and instructor, and you can participate in the class discussion.

What do you expect will be the character of the twenty-first century? Peaceful? War-prone? Orderly? Chaotic? Why do you have the expectations you do, and what clues from the unfolding of world events might tell you whether your guesses are correct?

Pols

Shared Writing: The Globalization of International Relations

There is a minimum of 140 characters required to post and earn points. If submitted, your response can be viewed by your classmates and instructor, and you can participate in the class discussion.

What do you expect will be the character of the twenty-first century? Peaceful? War-prone? Orderly? Chaotic? Why do you have the expectations you do, and what clues from the unfolding of world events might tell you whether your guesses are correct?

DQ response 15/1

Samantha Chanel De Vera

Posted Date

Jun 16, 2022, 3:27 PM

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Implementing evidence-based practice (EBP) is essential for ensuring high-quality health care at minimum cost. Although all nurses are responsible for implementing EBP at an individual patient level, nurse practitioners as clinical leaders have additional responsibilities in leading and collaborating with transdisciplinary teams to implement EBP across patient groups and embed practice change into routine care(Clarke et al., 2021). This form of practice is essential for nurses as well as the nursing profession as it offers a wide variety of benefits: It helps nurses to build their own body of knowledge, minimize the gap between nursing education, research, and practice, standardize nursing practices, improve clinical patient outcomes, improve the quality of healthcare, and decrease healthcare costs. Thus, clinical decision-making by nurse practitioners should be based on the best and most up-to-date available research evidence. Evidence-based practice is a clinical decision-making process in which clinicians use theory-derived, research-based knowledge to inform their decisions about care delivery. Consideration of individual needs, preferences, and resources is also included(Steinberg, 2017). Few clinicians have the time to consistently read medical journals, identify relevant new research, and critically appraise new studies to determine if they should be incorporated into ones practice. Push information resources are resources that send content out to their users on a regular basis(Steinberg, 2017). Other ways to integrate evidence-based inquiry are attending conferences or even being part of an organization that has continued education regarding EBP. EBP strategies allow nurse practitioners and other health care providers to translate research findings into clinical practice. With efficient literature-searching skills and applying formal rules of evidence in evaluating research findings, providers can use existing scientific knowledge in their clinical practice for each patient. Hence, this can improve patient experience, improve population health outcomes, and decrease health care costs(Clarke et al., 2021).

References

Clarke, V., Lehane, E., Mulcahy, H., & Cotter, P. (2021). Nurses practitioner implentation of evidence-based practice into routine care: A scoping review. Worldviews on Evidence-Based Nursing18(3), 180189. 

Steinberg, D. I. (2017). Principles of evidence-based medicine and quality of evidence. In S. C. McKean, J. J. Ross, D. D. Dressler, & D. B. Scheurer (Eds.), Principles and practice of hospital medicine (2nd ed., pp. 143159). McGraw-Hill.

Focused SOAP Note for Anxiety, PTSD, and OCD

Develop a Focused SOAP Note, including your differential diagnosis and critical-thinking process to formulate a primary diagnosis. Incorporate the following into your responses in the template:

  • Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life?
  • Objective: What observations did you make during the psychiatric assessment? 
  • Assessment: Discuss the patients mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest priority to lowest priority. Compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what DSM-5-TRcriteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.
  • Plan: What is your plan for psychotherapy? What is your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan. Also incorporate one health promotion activity and one patient education strategy.
  • Reflection notes: What would you do differently with this patient if you could conduct the session again? Discuss what your next intervention would be if you could follow up with this patient.Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion, and disease prevention, taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).
  • Provide at least three evidence-based, peer-reviewed journal articles or evidenced-based guidelines that relate to this case to support your diagnostics and differential diagnoses. Be sure they are current (no more than 5 years old).

bw5

you select must be from 2018 or newer.) Select an article from Business Week,
Forbes, or Wall Street Journal that you think describes implementation of a strategy
for a company. Answer these questions and be specific. 20 pts.
o How might the structure need to change to make this strategy work?
o What type of decision making (centralized or decentralized) would be most
effective in implementation of the strategy? Why?
o Does the company have a strong or weak internal culture and how might this
impact implementation of the strategy?

Ethics

What may be legally permitted is not necessarily ethical. What are your concerns from an ethical standpoint about the pricing of prescription drugs and the new therapies based on precision medicine discovery such as the gene theory?
Pharmaceutical companies must make a profit to stay in business, be accountable to their investors, and be able to continue developing new medications. Imagine you were responsible for drug pricing for a pharmaceutical company. The CEO has test you with setting a price for a newly developed drug that is profitable for the company and shareholders based on the time and resources that were used for production. If you turn a profit, you will receive a bonus as well. How would you handle the price setting in the situation?

4210 cj DB 3

 Police unionism is controversial.  Should police be allowed to unionize?  Should they be allowed to affiliate with other labor unions, such as the Teamsters?  As workers, how can police officers protect their rights except through unionization?  Under what circumstances should police be allowed to go on “strike”?  To engage in work slowdowns?  To conduct “no confidence” votes against their police chiefs? 

3310 HUM MOD 3 ASSN

 

INSTRUCTIONS ATTACHED

3310 HUM MOD 3 DB

 Part 1 (Initial response by Thursday):

  1. Choose two of the assigned short stories ( A & P 163-167, Boys and Girls 152-162, Araby 288-292, and The Lesson 146-151) and:
    • Compare or contrast their plots (and conflicts),
    • Compare or contrast the characterization (including whether the main character changes or stays the same),
    • Compare or contrast the setting (especially if something about a setting, or a change in setting, has some impact on the character),
    • Compare or contrast the use of symbols or figurative language in the story. 

Semaine Trois/SNote

 

  • Subjective: What details did the patient provide regarding her personal and medical history?
  • Objective: What observations did you make during the physical assessment?
  • Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. What was your primary diagnosis and why?
  • Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan.
  • Reflection notes: What would you do differently in a similar patient evaluation?
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