physical assessment

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Module 03 Content

  1. You will perform a history of a musculoskeletal problem that your instructor has provided you or one that you have experienced and perform an assessment of the musculoskeletal system. You will document your subjective and objective findings, identify actual or potential risks, and submit this in a Word document to the drop box provided. Your subjective portion of the documentation should briefly describe your “client”. For example, “This client is a 23-year-old white female complaining of a painful, swollen ankle. States that she stepped ‘funny’ off a step two days ago and thinks she heard a ripping sound. She takes no medications and has no allergies. The client reports pain as 5/10 with sharp twinges when trying to walk, resting and ice decreases pain to 2/10 aching. Pain is primarily in the outer aspect of ankle and foot. Has no prior injury to this area. No significant past medical history.” In terms of your objective findings, remember to only record what you have assessed. Do not make a diagnosis or state the cause of a finding. You are not coming to any conclusions within your documentation. When your documentation is complete, you will note any findings that were abnormal.

     

Week 6 Assignment: Check-Up 3

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

  • Textbook: Chapter 16, 17
  • Lesson
  • Minimum of 2 scholarly sources  (in addition to course text)

Instructions
For this Check-Up, you are acting as a counselor. You will find in your career that often you will need to provide more than medical advice: sometimes you have to provide emotional support as well. In this case, you need to counsel your patient, about what he suspects he is experiencing.

Henok is a 55-year-old male. He was born in Addis Ababa, Ethiopia but has lived in the American South for the last 30 years. He has had a successful life as an industrial engineer, and has made a very lucrative living. Henok got married when he was 45 years old and had twin boys when he was 47. He loves his wife and twin boys, but he is starting to feel restless and anxious and isn’t sure why. He signed up for a skydiving trip with his friends two weeks ago and loved it. Now he wants to buy a motorcycle. He has come to you because he is experiencing chest pains. His EKG is normal, and all his bloodwork is normal. Everything points to him being physically healthy.

You ask a few questions and find out the following information:

  • He hasn’t been sleeping well.
  • He thinks he is a failure.
  • He recently had his black hair bleached blonde,
  • He bought a beach house and hasn’t told his wife yet.
  • He got the phone number of a female coworker to meet for drinks, but he felt guilty and threw it in the trashcan right away.
  • He has found himself missing his late father.

Your job:

  1. Tell Henok what you think is going on (1-2 paragraphs)
  2. Tell Henok how you think he can best overcome these feelings (2-4 paragraphs)
  3. Make a referral for Henok (1 paragraph)
  4. Provide some encouragement for Henok (this is your conclusion)
  5. How did you reach these conclusions? What research helped you arrive at the decisions that you did?

Writing Requirements (APA format)

  • Length: 2.5-3 pages (not including title page or reference page)
  • 1-inch margins
  • Double spaced
  • 12-point Times New Roman font
  • Title page
  • References page (minimum of 2 outside scholarly sources in addition to course text)

examine extremist groups

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The paper will examine extremist groups.  Students will choose an extremist group in the extremist movement and conduct a full analysis.  This analysis will include a full historical, ideological, operational, and outcome-based evaluation.  The analysis will further include a reality-based perspective of the impact of the extremist group on the fabric of contemporary society and the potential for this menace to grow as well as succeed in their stated (and unstated) goals.

Instructions:

he paper must include at least seven full pages of content with normal margins (this does not include a cover, abstract, references or any pictures/charts).  Scores for papers that do not meet the minimum length requirement will be marked down by five points for each half page or portion of a half page short, and ten points for three-quarters of a page short.  Tables, graphs, or charts should be presented in an appendix, but is not counted toward the minimum paper length. 

The paper must have a title page and must follow APA style.  Pages must be numbered.  An abstract is not necessary but may be included.  It does not count towards the required pages. 

A minimum of ten sources must be researched and cited in the paper.  Only sources referenced throughout the paper will be counted towards the ten.  The paper will be partially evaluated on the quality and appropriateness of your sources.  Generally, academic sources, e.g., books, journals, government-sponsored studies and reports, are of better quality than newspapers and magazines.  Web sources, other than government web sites, may not be used, unless it is a NJCU database article.  The course texts may be cited.   

The paper must be typed, double-spaced.  Times Roman font style should be consistent throughout the paper (Italics and boldface are permissible).  A twelve-point font size should be used.  Exceptions to the font requirements may be made for tables and exhibits, or in cases in which the nature of the paper warrants such deviation. 

The paper should be written in a style appropriate to college-level work, that is, proper grammar, syntax, spelling, and appropriate vocabulary are expected.  The paper will be evaluated based on these criteria as well as on content.  Papers that are judged to have not been proofread and grammatically sound will not be graded. Papers are due for submission on the last day of class and MUST be sent via E-MAIL.  Late papers will not be accepted. 

Evidence-Based Teaching Strategies

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An effective nurse educator is aware of evidence-based teaching strategies and how to use them in an educational setting. The purpose of this assignment is to immerse yourself in the literature to determine relevant and current evidence-based teaching strategies.

Using the Topic Materials and your own research on teaching strategies, determine five evidence-based teaching strategies that you plan to utilize in your practicum setting. Use the “Evidence-Based Teaching Strategies” graphic organizer to complete this assignment.

  1. Explain how the nurse educator fosters the development of learners in these three areas: cognitive, psychomotor, and affective domains. 
  2. In-depth description of each teaching strategy and the cognitive, psychomotor, or affective learning domain they address.
  3. Explanation of how each teaching strategy creates effective learning to foster the development of learners.
  4. Explanation of how each teaching strategy aligns to learning styles.
  5. An explanation of how each teaching strategy can be used to implement generational lessons. 
  6. An explanation of how each teaching strategy can be used to implement culturally diverse lessons. 

This assignment requires two or three peer-reviewed/scholarly resources.

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

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

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Course Materials if you need assistance.

Attachments  

Evidence-Based Teaching Strategies

Signature Assignment: Investor Presentation

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Assignment Content

  1. Select a Fortune 500 company or another company you are familiar with. Consider pharmaceuticals, computer hardware, retail, or automotive industries for your selection. If you choose a company that is not in the Fortune 500, ensure that enough financial information and key performance indicator results are available to complete the assignment.

    Imagine your manager has asked you to help with a presentation on the company’s financial performance at the company’s annual meeting. 

    Research financial information and key performance indicators for the company.

    Create a 10-slide presentation for investors to assess the company’s financial growth and sustainability.

    Identify key performance indicators for the company you selected, including the following:

    • The company and its ticker symbol
    • Cash flow from operations
    • Price-to-earnings ratio
    • Stock dividends and the yield, if any
    • Earnings per share ratio
    • Revenue estimates for the next 12 months
    • Revenue from the previous 3 years
    • Statement of cash flows and identify net cash from operating, investing, and financing activities over the past 3 years
    • Average trade volume.
    • Current stock price, 52-week high, and 1-year estimated stock price
    • Analysts’ recommendations for the stock (buy,sell, hold)
    • Market cap for the company
    • Relate the stock price to price-to-earnings ratio.

      Explain the market capitalization and what it means to the investor.

      Evaluate trends in stock price, dividend payout, and total stockholders’ equity. Relate recent events or market conditions to the trends you identified.

      Determine, based on your analysis, whether you think the organization is going to meet its financial goals, the outlook for growth and sustainability, and explain why you recommend this stock for purchase.

      Cite references to support your assignment.

Pathophysiology Project

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Pathophysiology is the study of how a disease progresses in the body. As you can imagine, there are many disorders and diseases that can occur. The purpose of this individual project is to be introduced to these many different diseases or disorders via research. In this project, you will research and report on a specific disease or disorder. The project will span the entire duration of the course and have deliverables due in many modules, with the complete project–a 4- to 5-minute presentation with a written component–due in Module 7. Over the last few modules, you have progressed through the research of your disease. It is now time to put your work into a viewable presentation. In this module, you will turn in a rough draft of your presentation. In the next module, you will create a video of your presentation.

The disorder I have selected is Marfan Syndrome.

Marfan syndrome is an inherited disorder that affects connective tissue — the fibers that support and anchor your organs and other structures in your body. Marfan syndrome most commonly affects the heart, eyes, blood vessels, and skeleton. People with Marfan syndrome are usually tall and thin with unusually long arms, legs, fingers, and toes. The damage caused by Marfan syndrome can be mild or severe. If your aorta is affected, the condition can become life-threatening. Treatment usually includes medications to keep your blood pressure low to reduce the strain on your aorta. Regular monitoring to check for damage progression is vital. Many people with Marfan syndrome eventually require preventive surgery to repair the aorta.

Part 1:

  1. Find three additional citations that could be used for your presentation topic. Include the citations in full APA 7th edition format in the same Microsoft Word document you used in Module 2.
  2. Annotate each of these citations with a separate 5-sentence paragraph, including the following information:
  • Description of the source and author: Are they reliable and valid? [1 sentence]
  • Description of findings that may be important to your project. [2–3 sentences]
  • Include the reason why you chose the source. How will it support your project? [1 sentence]
  • In one short paragraph, discuss the formatting for the project and reasons for this format. This will be your project format proposal. You will be required to present your project in Module 6 with a 4-5 minute presentation; however, the format of the project is up to you. Use the Pathophysiology Project Rubric and Guide to help you figure out which format you would like to use. Here are some options:
  1. PowerPoint presentation
  2. Infographic – Example Templates (Links to an external site.)
  3. Topic Pamphlet or Brochure – Example Templates (in Microsoft Word) (Links to an external site.)
  4. Interactive Presentations – Examples (Links to an external site.)
  5. Choice of Your Own – Do you have another interesting way to present the information? Please discuss and include an example in your proposal.
  6. Please refer to the template download provided for this assignment.

PART 2 Instructions

  1. Include the following information in whichever format you requested in Module 4:
  • Title of Presentation: Your Name and the name of your disease, and include pictures
  • Etiology of disease
  • Prevalence or statistics of disease: How many people have it in the U.S.? World?
  • Pathophysiology of disease
  • Clinical presentation of disease
  • Risk factors for disease
  • General assessment of disease
  • General treatment for disease
  • Sources: You must use at least five of the six sources that you researched in Modules 2 and 4
  • Complete project using APA 7th edition guidelines, including APA in-text citations. Please look at feedback in the previous modules to make sure that your APA formatting is correct.

Write a reply of 200 words for the post below

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Chapter 3

Q1.  The significance of a having a team is to ensure that there is the efficient operation of the company. In a bid to reach the set goals by the organization, then it calls for the team to reorganize themselves well and ensure that there is proper coordination. Besides, organization structure is vital in understanding the link between the management as well as the workers in an organization. At the same time, it assists the organization to segregate individual employees in different sectors. On the other hand, organization structure assists in the strengthening of the hierarchy alongside the execution scheme at an organization (Daft, 2016).

Q6. Since rational coordination is the communication, which is usually, conducted regularly at the required period with the aim of sharing goals and knowledge to coordinate certain task. As a manager, I will provide liberty to all workers so that they can express themselves freely by giving their opinion whenever the company is facedwith any problem and give suggestions whenever it called for.

Q7. The conditions that should be present before an organization adopts a matrix structure include. The pressure to allocate the required resources that are limited and scars, the pressurewithin the environment and lastly pressure on dual authority (Daft, 2016).

Q9. An organization that applies horizontal structure promotes the workers to freely share the knowledge as well as the critical decision in a horizontal means. On the other hand, with the design, the information is not restricted to the hierarchy system, but it moves or flows throughdifferent routes. Besides, horizontal, the structure allows employees to discharge their duties in a team and encourage creativity. Thus, the system helps in supervision rates and enhance productivity.

Chapter 5

Q3.  As a manager of the small firm ,I would take actions to succeed and be able to survive without being dependent on other company ensuring that: I maintain the long term contract with labors in order to minimize the dependency looking for other workers to do the job, it’s important to create a good working relationship with labor and lastly, maintain good relationships with the larger firm. From the point of a large firm, I would make some agreements with other organization, join a trade association to enhance coordination and maintain a strong relationship with other companies.

Q4. I think it is very vital for an organization to develop a strong relationship with everyone it works with. This is because it is equally significant for a company to initiate their confidence as well as a trust to enable them to achieve the win-win scenario.  On the other hand, it becomes so easy to operate with partnership business since it is easy to hand and operate it.  I believe that through adversarial links it will enable short-term contracts as well as partnerships, which always have long-term contracts (Daft, 2016).

Q7. The process of innovation usually takes place in the following ways

Variation:  this is the emergence of new companies in an organization set up

Selection:  it is vital for an organization to makea selection in some of the most appropriate choices available in the event it is up to some serious innovation.

Retention: is very significant for any company that wants to innovate.

Q8. Yes, I believe that legitimacy motivates a huge chunk of an organization, this is because it installs a lot of confidence to the workers and that makes them believe that they are discharging their mandate correctly. I believe that legitimacy leads to a good reputation as well as the success of the organization. The company which has a good reputation will 

surely succeed.

References 

Daft,  L. (2016). Organization Theory and Design, 12th Edition. [BryteWave]. Retrieved from https://shelf.brytewave.com/#/books/9780176721824/

Introduction to Nursing research

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Please use the PICOT question below and accompanying articles. Critique 2 quantitative and 2 qualitative articles. 

Write a critical appraisal that demonstrates comprehension of two quantitative research studies. Use the “Research Critique Guidelines – Part II” document to organize your essay. Successful completion of this assignment requires that you provide a rationale, include examples, and reference content from the study in your responses.

Use the practice problem and two quantitative, peer-reviewed research articles you identified in the Topic 1 assignment to complete this assignment.

A.  In a 1,000–1,250 word essay, summarize two quantitative studies, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study.

Research Critiques and PICOT Statement Final Draft

Prepare this assignment as a 1,500-1,750 word paper using the instructor feedback from the previous course assignments and the guidelines below.

PICOT Question 

Revise the PICOT question you wrote in the Topic 1 assignment using the feedback you received from your instructor.

The final PICOT question will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).

Research Critiques

In the Topic 2 and Topic 3 assignments, you completed a qualitative and quantitative research critique on two articles for each type of study (4 articles total). Use the feedback you received from your instructor on these assignments to finalize the critical analysis of each study by making appropriate revisions.

The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT question.

Refer to “Research Critiques and PICOT Guidelines – Final Draft.” Questions under each heading should be addressed as a narrative in the structure of a formal paper.

Proposed Evidence-Based Practice Change

Discuss the link between the PICOT question, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanation and use that information to propose evidence-based practice changes.

General Requirements

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

Picot Question: Will educating nurses to avoid distractions while administering medications compared to no education reduce medication errors?

Literature Search 

1. Gorgich, E., Barfroshan, S., Ghoreishi, G. & Yaghoobi, M. (2016). Investigating the Causes of Medication Errors and Strategies to Prevention of Them from Nurses and Nursing Student Viewpoint. Global Journal of Health Science, 8(8), 220-227. doi: 10.5539/gjhs.v8n8p220 

Gorgich and his associates (2016 study is associated with my PICOT question since it investigates the causes of medication errors and techniques to prevent them from nurses and the nursing student viewpoint. It is quantitative study since it involves a cross sectional descriptive study. The study was conducted on the nursing staff of Khatam-al-anbia hsipital and the midwifery school of Zahedan. Based on the study the medical errors can be reduced through the use of medications cards.

2. Ahmed, Z., Saada, M., Jones, A., & Al-Hamid, A. (2019). Medical errors: Healthcare professionals’ perspective at a tertiary hospital in Kuwait. Plos One. https://doi.org/10.1371/journal.pone.0217023 

The question related to our research questions since it researches on medical errors and identifies about the perspective of medical errors in a health care facility. This is a quantitative study since it involves a cross sectional study methods. This study aims at aims at exploring medical errors, their causes as well as preventive techniques in health care. The study mainly 4 involved questionnaire and mainly involves pharmacists, surgeons, nutritionists, physicians and dentists from tertiary hospital in Kuwait. According to the research the main cause of medical errors are high workload, lack of support systems, stress, and medical negligence. 

3. Gaffney, T., Hatcher, B., Miligan, R., & Trickey, A. (2016). Enhancing Patient Safety: Factors Influencing Medical Error Recovery Among Medical-Surgical Nurses. The online Journal of Issues in Nursing, 21(3). https://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodic als/OJIN/TableofContents/Vol-21-2016/No3-Sept-2016/Enhancing-PatientSafety.html 

This article is related to my study since it majors on identifying ways of enhancing patient safety. It is a quantitative study since it is a descriptive cross sectional correlational study. The study was a cross sectional correlational study conducted in a sample of 184 nurses. It majored on the cause of errors in hospitals and their recovery means. Based on the nurses, creating a safe healthcare system will rely on the capability of the nurses to entirely use their education, expertise as well as the role to identity. 

4. Duthie, E., Favreau, B., Ruperto, A., Mannion, J., Flink, E., & Leslie, R. (2005). Quantitative and Qualitative Analysis of Medication Errors: The New York Experience. Advances in Patient Safety: From Research to implementation. https://www.ncbi.nlm.nih.gov/books/NBK20445/ 5 

This study is effective for my study since it majors on studying about medical errors. This study is majorly a qualitative study since it makes use of narrative data which provides major sources for system fixes. The researchers reviewed 53 RCAs provided for lessons which could be shared with the larger community in order to enhance safety. The study aims at identifying the various forms of medical errors and the way to manage them. Based on this study, sharing information in health care facilities enhances learning on patient safety initiatives. 

5. Salar, A., Kiani, F., & Rezaee, N. (2020). Preventing the medication errors in hospitals: A qualitative study. International Journal of Africa Nursing Sciences, 13. https://doi.org/10.1016/j.ijans.2020.100235 

This study relates to my study in regard to the fact that it majors on how to prevent medical errors in health care. It is a qualitative study since it majors on purposive sampling method through the use of semi structured interviewed. The study aimed at identifying the techniques in which to avoid medical errors in the hospital wards in Iran. The study was carried out on 16 nurses and one physician from August 2019 to March 2020 from educational hospital of Zahedan University of Medical Sciences. Based on this study, nurses tend to commit medical error though by acting professionally toward the control systems they have a chance of decreasing the chance of medication errors through developing technical ways. 

6. Mankaka, C., Waeber, G., & Gachoud, D. (2014). Female residents experiencing medical errors in general internal medicine: a qualitative study. BMC Medical Education, 14(140). https://doi.org/10.1186/1472-6920-14-140 6 

This study is associated with my study since it conducts a study on medical errors, its causes, consequences, and ways to prevent them. This is a qualitative study since it involves semi structured interviews. This main aim was to identify the coping mechanisms that are displayed after a medical error. The semi structured interviews were carried out with eight female residents in the general internal medicine. Based on this study it was identified that gender has an impact on the experience with errors involving the form of coping methods displayed.

Trait Behavior and Influence

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One of the first systematic attempts to study leadership is the Trait Approach.  Trait behavior is positively correlated to ‘influence.’  According to Rendall (2006), Influence with others are the most basic element of leadership.  The Trait Approach focuses on identifying innate qualities and characteristics possessed by great social, political and military leaders. The Trait Approach also includes traits to either ‘possess’ or ‘cultivate’ if one seeks to be perceived by others as a leader (i.e. Intelligence, Self-Confidence or Determination). 

Former NBA player, Michael Jordan is known as the GOAT (greatest of all times).  According to Michael Jordan, 

One day, you might look up and see me playing the game at 50. Don’t laugh. Never say never, because limits, like fears, are often just an illusion.Some people want it to happen, some wish it would happen, others make it happen.I can accept failure, but I can’t accept not trying.Click the link below and view Michael Jordan’s commercial, “Maybe,” on YouTube. 

  1.  What is the main message of the commercial? 
  2. What do the supporting images tell viewers about Jordan’s extraordinary career?  Recall specific examples.
  3. What traits of Jordan’s are suggested by this commercial?
  4. What traits were demonstrated to positively influence the follower? 
  5. In way ways might thee traits of an excellent leader be demotivating to a follower? 

Use the video https://youtu.be/9zSVu76AX3I

last assignment- organization

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Organizational Change and Workforce Management

Saudi Hospital System (SHS, a fictitious organization) has been facing many serious issues including leadership problems, staffing deficiencies, and financial hardship. Challenges include:

  • High staff turnover, which doubled to 20% in the past two years, is expected to rise.
  • SHS is in the process of implementing complex and expensive multi-year healthcare information systems such as Electronic Health Record and other critical-need clinical information systems.
  • SHS is facing significant competition from other local healthcare facilities.

Last year, a new Chief Executive Officer (CEO) was hired. He identified the current organizational culture as apathetic, leaderless, and resistant to change. He also noted that the staff was under stress, resisting teamwork, accepting mediocrity, and compromising patient safety values and industry best practices. The CEO noted that critical human resources functions were broken and that financial performance was suffering. He attributed this to a variety of process issues as well as to the lack of focus on the core business of patient care.

In response, he decided to implement the following strategies:

  • change the organizational culture
  • improve human resources and workforce practices and outcomes
  • ensure the organization’s solvency and financial viability in the long run
  • cut costs across the board, including implementing a labor-reduction strategy (salary and benefits), with an aggressive timeline to turn around the financial bottom line.

Within a few months after these strategies were implemented, the SHS started to show less of a financial loss and seemed to stabilize financially. The morale of the staff, however, took a significant hit in the wrong direction. Staff turnover increased as the sense of job security decreased and as an increasing number of valued and critical staff in all areas left. Soon, SHS experienced an increase in patient complaints and lowered customer service, with signs of impact on clinical patient outcomes.

Now the CEO wants to create a dynamic long-term organization and human resources strategic plan to put SHS on the right track. To formulate and implement this plan, the CEO hired a well-known consultant who is tasked with performing a system-wide organization and human resources assessment.

Within the scope of this assessment is the development and formulation of a multilevel strategic program. This new program is to be implemented system-wide with the goal of helping SHS leaders to understand the link among finances, employee morale, human resources functions, and patient satisfaction. The end goal of this assessment is to create a culture of accountability; to shift the culture to one of services after two years; to attract, hire, and retain quality staff; and to implement best practices in workforce management. 

Assume that you are the consultant whom the CEO hired to do this assessment project. Your main task is to identify the key components involved in changing the organizational culture and to identify the steps needed to generate sustainable change. Here are the deliverables that the CEO wants to see from you:

  1. Develop a comprehensive organization and human resources strategic plan. The plan has two major sections: Organization Development and Human Resources.  The CEO expects you to create your plan using benchmarking and by integrating human resources and organization development best practices from other healthcare organizations, as well as from other industries.
  2. The Organization Development section will address the following items:
    • Workplace communication
    • Motivation
    • Conflict Management.
  3. The Human Resources section will address the following items:
    • Organizational and human resources systems that need to be in place to effect positive organizational outcomes
    • Performance management system
    • Process of training and development and the contribution to the organization’s bottom line
    • Key action steps required to develop the plan.

Your well-written paper should meet the following requirements:

  • Be 6-8 pages in length, not including the required cover and reference pages.
  • Formatted according to  APA writing guidelines.
  • Provide support for your statements with in-text citations from a minimum of six scholarly articles from peer-reviewed journal articles.