Describe how this new knowledge will impact your nursing practice.
Directions:
Initial Post
Describe how you achieved each course competency including at least one example of new knowledge gained related to that competency.
Describe how this new knowledge will impact your nursing practice.
Course Competencies
Select appropriate nursing interventions for clients experiencing disorders that affect cell growth and replication.
Identify disorders that influence fluid and electrolyte balance.
Differentiate factors that affect acid-base balance.
Explain care for clients with upper gastrointestinal diseases and disorders.
Explain care for clients with lower gastrointestinal diseases and disorders.
Describe nursing care for the client with endocrine disorders.
Discuss the role nurse plays in COVID vaccination mandate, telemedicine, and prescription drug pricing as advocates in the healthcare system.
Nurses are well positioned for reforming health care in ways that promote a healthier public and reduce healthcare cost. Discuss the role nurse plays in COVID vaccination mandate, telemedicine, and prescription drug pricing as advocates in the healthcare system.
May use examples from your nursing practice
150 words minimum (excluding the reference)
Minimum of two references in APA format within the last five years published
How important are stories to how humans live in the world? Why do you say so?
[WRITING IS A RESOURCE]—Writing is a resource people use to do things, be things, and make things in the world.
After reading “What Is Story?” and “You’ll Never Believe What Happened” , answer all of the following in a post of 300 or more words.
Respond and reflect upon “What Is Story?” by answering the following:
- How important are stories to how humans live in the world? Why do you say so? Has reading this piece changed your understanding on the question?
- Is it easy or difficult for you to see how story has helped you ascribe meaning to things in your experience? Consider many different aspects of life ranging from history to politics to religion to popular culture to personal relationships and beyond. How and why are stories told in that context? Consider stories you tell yourself as well as stories you have been told.
- What are your thoughts on the notion of identity as “the story I tell myself about what happens to me”?
- Add any other thoughts or questions you have on the piece.
Respond and reflect upon “You’ll Never Believe What Happened” by answering the following:
- What do you think Newkirk means when he says we “compose” ourselves? Can you think of an example from your own life where either you or someone you know did this?
- Note Ron’s analysis of his story about getting a flat tire and how he explains the unconscious strategies he used to craft the story to make it more dramatic and interesting. Do you recognize such strategies in your own speech when you describe events in your life? What about the speech of others, be they family or friends, coworkers or teachers, celebrities or politicians? Why do we craft our stories using these strategies, both consciously and unconsciously?
- What are your thoughts about how our values shape the stories we tell and other ways we use language? At the same time, how do the stories we tell shape our values?
- Add any other thoughts or questions you have on the piece.
Provide at least three evidence-based peer-reviewed journal articles or evidenced-based guidelines, which relate to this case to support your diagnostics and differentials diagnoses.
Complete the Focused SOAP Note Template provided for the patient in the case study. Be sure to address the following:
· Subjective: What was the patient’s subjective complaint? What details did the patient provide regarding their history of present illness and personal and medical history? Include a list of prescription and over-the-counter drugs the patient is currently taking. Compare this list to the American Geriatrics Society Beers Criteria®, and consider alternative drugs if appropriate. Provide a review of systems.
· Objective: What observations did you note from the physical assessment? What were the lab, imaging, or functional assessments results? How would you interpret and address the results of the Mini-Mental State Examination (MMSE)?
· Assessment: Provide a minimum of three differential diagnoses. List them from top priority to least priority. Compare the diagnostic criteria for each, and explain what rules each differential in or out. Explain you critical thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.
· Plan: Provide a detailed treatment plan for the patient that addresses each diagnosis, as applicable. Include documentation of diagnostic studies that will be obtained, referrals to other healthcare providers, therapeutic interventions, education, disposition of the patient, caregiver support, and any planned follow-up visits. Provide a discussion of health promotion and disease prevention for the patient, taking into consideration patient factors, past medical history (PMH), and other risk factors. Finally, include a reflection statement on the case that describes insights or lessons learned.
· Provide at least three evidence-based peer-reviewed journal articles or evidenced-based guidelines, which relate to this case to support your diagnostics and differentials diagnoses. Be sure they are current (no more than 5 years old) and support the treatment plan in following current standards of care. Follow APA 7th edition formatting.
Case Study 1:
HPI: Ms. Peters is a 70-year-old female who is brought to your office by her son with reports of acute confusion (more than usual) and some agitation and restlessness. She has a known history of dementia, managed with Aricept 10 mg. daily. Her son, Jared, reports that 2 days ago she began to become more confused than usual and very easily agitated. He reports that yesterday, she couldn’t remember where she was in her own home. She had a doctor’s appointment 3 days ago and her HCTZ (hydrochlorothiazide) was increased to 50 mg. due to increased bp’s.
Ms. Peter’s last Mini-Mental State Exam (MMSE) score was 18/30. The assessment was repeated, and the score remained unchanged.
Ms. Peters and her son denies her having any falls or contributing traumas recently. She denies any changes in diet or routine regimens. No reported dysuria, no fever, nausea, or vomiting.
Note: Be sure to review the MMSE and how to interpret results ( Mental State Assessment Tests ). Make sure you document the patient’s score in your SOAP note document. Also review the Geriatric Depression Assessment ( Geriatric Depression Scale [GDS]).
Ms. Peters is a 70-year-old female who is alert but easily distracted, at times, during today’s clinical interview. Her eye contact is fair. Speech is clear and coherent but tangential at times. She makes no unusual motor movements and demonstrates no tics. She denies any visual or auditory hallucinations. She denies any suicidal thoughts or ideations. She is alert but disoriented to place and time. She denies any falls, denies any pain. Her son does say she has had some “stumbling” and balance issues but no reported falls.
All other Review of System and Physical Exam findings are negative other than stated.
Vital Signs: 98.1 120/64 HR-72 20
PMH: Hypertension, Diabetes, Osteoporosis, Chronic Allergic Rhinitis
Allergies: Atorvastatin
Medications:
· Multivitamin daily
· Losartan 50mg daily
· HCTZ 50mg daily
· Fish Oil 1 tablet daily
· Glyburide 5mg daily
· Metformin 500mg BID
· Donepezil 10mg daily
· Alendronate 70mg orally once a week
Social History: As stated in Case Study
ROS: As stated in Case study
Diagnostics/Assessments done:
1. CXR—no cardiopulmonary findings. WNL
2. CT head—diffuse Cerebral Atrophy
3. MMSE—Ms. Peters scored 18 out of 30 with primary deficits in orientation, registration, attention and calculation, and recall at a previous visit. At today’s visit, there is no change. The score suggests moderate dementia.
Which layer of the atmosphere is the location where almost all weather occurs?
Pre-Lab Questions
- What gas is the primary component of the Earth’s atmosphere?
- Which layer of the atmosphere is the location where almost all weather occurs?
- Air is a poor conductor of heat, so heat moves through the atmosphere mainly through the process of _.
a. Convection
b. Conduction
c. Radiation
d. Transpiration
- List the components of the hydrologic cycle that include the atmosphere.
- As elevation increases, atmospheric pressure _.
- The Saffir-Simpson Scale categorizes hurricanes based on their _.
a. Surface wind speed
b. Atmospheric pressure
c. Size
d. Storm surge
Weather and the Atmosphere.
Do you think those changes are for the better, worse, or make no difference? Explain your position
Assignment
Historically, how has society and the criminal justice system responded to sexual assault victims? Are there any changes occurring today compared to the past? What are those changes? Do you think those changes are for the better, worse, or make no difference? Explain your position.
Submission Requirements
- One (1) page
- Name, class, and date should be at the top of the page
- 12 point font
- Times New Roman or Arial
- Use in-text citations
- List all references on separate page (APA)
What are the differences between sexual harassment and sexual assault? What are the similarities?
Topic
Sexual Assault vs. Sexual Harassment
What are the differences between sexual harassment and sexual assault? What are the similarities?
Watch this training video from the U.S. Army as a secondary resource:
Source: https://www.youtube.com/watch?v=fhx6TDiB9eU
Submission Requirements
One to two pages.
Grading Criteria
APA Citation must be included
identify the impacts if an investigator does not ‘get it right’
Crime Scene Management
Discussion: Chapter 9, Topic 3 “Evidence Management” includes several very important topics. Pick ONE of the following topics for your discussion: (1) Contamination of Evidence; (2) Loss of Continuity (aka Chain of Custody); or (3) Originating Stages of Evidence (Pre Crime, Criminal Event, and Post Crime). For the topic you select in your initial post you should:
- describe/define that topic for the reader and include citation/source information
- explain the importance of your topic in the overall investigation process
- identify the impacts if an investigator does not ‘get it right’
For example, in discussing contamination of evidence, you need to define what that means, how it occurs, what challenges there are to minimizing it, and what outcomes can occur if it isn’t done right. Is it loss of evidence? Potential identification of the wrong suspect?, etc.
Requirements:
Your initial post should be a minimum of 250 words.
- All initial posts should reference the textbook or at least one outside source. All sources must be cited using APA guidelines. Posts received after 11:59 p.m. ET Sunday of the discussion week, will be deducted points
Textbook:
Course Resources
.
Brown, Thomas. (2019), “Criminal Investigation”. Virginia Wesleyan University. OERCommons. eBook.
Viewed from: https://www.oercommons.org/courses/criminal-investigation/view#
Lewandowski, Carla and Jeff Bumgarner. (2021) “Criminal Justice in America: The Encyclopedia of Crime,
Law Enforcement, Courts and Corrections”, Santa Barbara, CA: ABC-CLIO, Volumes 1 and 2: Available
Online via EGCC Gale EBooks at: Gale eBooks,
link.gale.com/apps/pub/69TZ/GVRL?u=steu43952&sid=bookmark-GVRL
Which areas of the value chain do you think should be included in calculating product costs? Why?
Accounting/discussion 1
The value chain includes costs associated with research, product design, production, marketing, sales, distribution, and customer support after the sale.
Which areas of the value chain do you think should be included in calculating product costs? Why? Where would the other costs be reported (if at all)? What is the cost behavior based on the variability of cost variances and revenue volatility?
Embed course material concepts, principles, and theories (which requires supporting citations) along with at least two scholarly, peer-reviewed references supporting your answer.
· Text book: Chapter 1 in Managerial Accounting
explain how that type of forensic evidence can be applied in an investigative (what types of crimes it is associated with, how does it move an investigation forward)
Forensic Evidence
Discussion: Pick ONE of the Forensic Evidence Topics from Chapter 10 to discuss. In your initial post
- describe and define the topic you have selected (including citation and source information)
- explain how that type of forensic evidence can be applied in an investigative (what types of crimes it is associated with, how does it move an investigation forward)
- discuss any strengths or weaknesses in that type of forensic evidence (is it hard to collect? how difficult is it to get analyzed? how conclusive is it?)
For example, if you have multiple shooting incidents where casings are recovered ballistic evidence can be useful in connecting crime scenes together, but without a recovered firearm, eyewitnesses accounts video of the crime, etc – how useful is that ballistic information? Plus, how easy is it to get that evidence to the right location to get it analyzed and compared? etc.
Requirements:
- Your initial post should be a minimum of 270 words. .
- Failure to do so will result in a deduction in points.
- All initial posts should reference the textbook or at least one outside source. All sources must be cited using APA guidelines.
Course Resources/Textbooks:
Course readings imbedded into the course.
Brown, Thomas. (2019), “Criminal Investigation”. Virginia Wesleyan University. OERCommons. eBook.
Viewed from: https://www.oercommons.org/courses/criminal-investigation/view#
Lewandowski, Carla and Jeff Bumgarner. (2021) “Criminal Justice in America: The Encyclopedia of Crime,
Law Enforcement, Courts and Corrections”, Santa Barbara, CA: ABC-CLIO, Volumes 1 and 2: Available
Online via EGCC Gale EBooks at: Gale eBooks,
link.gale.com/apps/pub/69TZ/GVRL?u=steu43952&sid=bookmark-GVRL
Accessed 14 June 2022.
