A nurse at the local Senior Center made the following notation about a client: A 74-year-old female client wearing eyeglasses with bifocal lenses and hearing aid in her left ear. Walks with a shuffling gait, using a cane for support. Wearing house slippers and housedress. States, “My other doctor says I should have my eyes looked at by an expert. It’s been a while, and my eyes seem to be acting up lately. I can’t see so good anymore.” The client states that she takes medication for “sugar” and her blood pressure and has worn glasses for years with the last prescription changed about 3 years ago. “I was a seamstress for many years and quit when I couldn’t see to thread the needles anymore-just in time too. These new materials are too hard to work with!” Denies using any eye drops. Describes vision changes as difficulty seeing well at night, especially if trying to read. Uses a magnifying glass to help when reading. No eye pain or discharge, although eyes sometimes feel “dry and scratchy,” with the left eye being worse than the right. Admits to rubbing eyes but without relief. Develop a Plan of Care for this patient that includes: 2 Nursing Diagnosis 2 goals for each Nursing Diagnosis Interventions with rationales

 
A nurse at the local Senior Center made the following notation about a client: A 74-year-old female client wearing eyeglasses with bifocal lenses and hearing aid in her left ear. Walks with a shuffling gait, using a cane for support. Wearing house slippers and housedress. States, “My other doctor says I should have my eyes looked at by an expert. It’s been a while, and my eyes seem to be acting up lately. I can’t see so good anymore.” The client states that she takes medication for “sugar” and her blood pressure and has worn glasses for years with the last prescription changed about 3 years ago. “I was a seamstress for many years and quit when I couldn’t see to thread the needles anymore-just in time too. These new materials are too hard to work with!” Denies using any eye drops. Describes vision changes as difficulty seeing well at night, especially if trying to read. Uses a magnifying glass to help when reading. No eye pain or discharge, although eyes sometimes feel “dry and scratchy,” with the left eye being worse than the right. Admits to rubbing eyes but without relief.
Develop a Plan of Care for this patient that includes:

2 Nursing Diagnosis
2 goals for each Nursing Diagnosis
Interventions with rationales

The fear as the result of the recent Ebola cases outside of Africa is a security threat to developed countries. Considering the global financial constraints how should this be addressed?

Question: The fear as the result of the recent Ebola cases outside of Africa is a security threat to developed countries. Considering the global financial constraints how should this be addressed?Discussion Requirements: 

The initial post should be written in APA format with a reference list.
You must use the supplied assigned reading sources*
The goal is to read and use all the assigned readings by the end of the week. It is unlikely that you will have time to read all the assigned readings before the initial post-deadline. Choose one or two articles that seem to provide an approach to the topic of the week that is interesting to you. Use those articles as the basis for your initial post and then continue to read the additional articles during the week to contribute to the discussion forum. This should be your strategy in each week since the reading list will become longer and more challenging.
There is a 500-word minimum initial post. Ensure that your substantial initial post provides your classmates with something to consider and comment upon. Demonstrate that you’ve thoroughly read the articles from the reading list that you have chosen and that you understand the basics of the theories you’ve chosen to discuss. Spend some time reading the responses of your peers.
Comment on the postings of your peers and respond with a welcome to each of them 

Who was your favorite psychology instructor in college? What did you like about him or her? Did your favorite psychology instructor present the material in an interesting and exciting way?

Who was your favorite psychology instructor in college? What did you like about him or her? Did your favorite psychology instructor present the material in an interesting and exciting way? Maybe he or she made you feel that you mattered as an individual. Maybe you found the assignments to be engaging and enjoyable. It is likely that you have a variety of reasons for identifying that instructor as your favorite. It is also likely that those reasons describe several characteristics that deem your favorite instructor an effective instructor.  
For this Discussion, review and study this week’s Learning Resources. Search the Walden Library for article(s) on characteristics of effective college instructors and consider why these characteristics contribute to effectiveness. Next, select three of the characteristics researched in the article(s) that you feel are essential for effective psychology instruction. Then search the Walden Library for one article on strategies for developing the characteristics you selected. If you are unable to find an article that describes a strategy for your characteristics, then think of strategies that might be effective in developing those characteristics. Finally, reflect on whether an instructor can be effective without possessing the characteristics you selected. 
With these thoughts in mind:
Post by Day 4 an explanation of the three characteristics you selected, and explain why they are essential for effective psychology instruction. Then explain the strategies that you might employ to develop those characteristics. Finally, explain whether an instructor can be effective without possessing the characteristics you selected. Be sure to reference the article(s) you selected from the Walden Library in your post, if applicable.
Be sure to support your post with specific references to the Learning Resources. If you are using additional articles, be sure to provide full, APA-formatted citations for your references.

The Social Determinants of Health (SDOH) impact health decisions and outcomes of society daily. Explain, using your own words, how SDOH can positively and negatively affect the health of individuals, communities, and families. Can these same social determinants affect learning?  Please discuss how social determinates also impact learning (SDOL) include the positives and negatives

Welcome to week 4. The Social Determinants of Health (SDOH) impact health decisions and outcomes of society daily. Explain, using your own words, how SDOH can positively and negatively affect the health of individuals, communities, and families. Can these same social determinants affect learning?  Please discuss how social determinates also impact learning (SDOL) include the positives and negatives.  Lastly, make the connection between SDOH and SDOL and the impact they have on society (individuals, families, communities). 

Develop a substantial initial post addressing all the points below: Explain the components of a nutritional assessment. What important subjective and objective assessment findings will assist a nurse in developing a nutritional plan? Explain the importance of macronutrients in maintaining nutritional health. Describe the pathophysiology of one disorder that affects the normal metabolism of a macronutrient.

Develop a substantial initial post addressing all the points below:
Explain the components of a nutritional assessment. What important subjective and objective assessment findings will assist a nurse in developing a nutritional plan?
Explain the importance of macronutrients in maintaining nutritional health. Describe the pathophysiology of one disorder that affects the normal metabolism of a macronutrient.

Building rapport with your students is one of the initial steps of effective instructors. Do you recall how your college instructors built rapport with you in the classroom? Maybe your instructors initiated the process of building rapport with class introductions. How might an instructor’s approach differ in the online classroom?

Building rapport with your students is one of the initial steps of effective instructors. Do you recall how your college instructors built rapport with you in the classroom? Maybe your instructors initiated the process of building rapport with class introductions. How might an instructor’s approach differ in the online classroom? How might instructors continue to build rapport while responding to some students’ tendency to share inappropriate information online? Whether online or in-person, these initial interactions are just as helpful to college instructors as they are to students. As the instructor, your first interaction with students sets the tone for your classroom environment. What type of environment do you want to create in your class? Will it be safe and nurturing, formal and professional, or maybe a different description comes to mind for you? How might you honor that environment when responding to students?
Part 1: Building Rapport Through Class Introductions
For Part 1 of this Assignment, review and study this week’s Learning Resources. Consider how your introduction might build rapport with students in your own psychology course. Then think about the value of first impressions and their impact on student perception of instructors, particularly with respect to class introductions. Finally, reflect on how your introduction is one of many strategies for initiating online student engagement. 
Assignment (1–2 pages, APA format where appropriate)
Submit an introduction of yourself to your online psychology class. Your introduction should include the following:

A brief description of your educational/professional background
A brief description of your geographic origin, personal interests, and/or hobbies
A brief explanation of the goals and expectations for the course
A brief statement to encourage students to respond with their own introductions
A brief conclusion to your introduction that includes the following question to your students: What do you think of when you hear the word “psychology”?

In a separate paragraph from your introduction, include the following:

An explanation of the type of environment you are trying to create in your classroom and how your introduction fosters that environment.

Part 2: Responding to Student Disclosure
For Part 2 of this Assignment, review and study this week’s Learning Resources. Imagine you are an online instructor of an introductory psychology class, and your students had two assignments this week: (1) to introduce themselves in the informal classroom meeting area and (2) to describe what they think when they hear the word “psychology.” Then read the message one of your students, Carlos James, posted, introducing himself to the class, which is shown below. Reflect on how you might respond to the introduction.  
Carlos: Hi everyone, my name is Carlos James and I live in Chicago, Illinois. I am a psychology major and this is my first class. I am so excited! I was diagnosed as bipolar several years ago and spent some time in a mental hospital, but now it is under control with meds and I feel great! I have always wanted to study more about psychology and understand myself better. My wife, Elena, and I have 3 children (Marcos, Marta, and Carlos, Jr.) and are really happy together, she is a wonderful wife, mother, and lover! I am looking forward to talking to you all!
When I think of psychology, I remember my time in the hospital. I was in so much pain, I kept going from bouncing off the walls to a deep dark depression and the psychologist really helped me. When I was in the hospital, my wife left me and took the kids, it was months before they returned home. I think of psychology as a way to help people in mental pain. I remember once, before I started on my meds when I was arrested for running around my neighborhood naked. Now, I am embarrassed about that time but then it seemed like a logical thing to do. Now I am doing better and I can't wait to get off the meds!
Assignment (2 pages, APA-format where appropriate)
Beginning on a separate page within the same Word document as Part 1 of this Assignment, indicate whether your response to Carlos is a private e-mail or a group reply to his original post; if you choose to respond to Carlos by e-mail, include a response that you would post in the discussion that the rest of the class would see. Be sure to copy Carlos’s post into your paper when responding to it and address the following:

Provide examples for anything you feel is inappropriate, and provide a rationale for your examples.
How might you respond to Carlos’ inappropriate remarks without destroying any rapport you have built?

Discuss How you canmove a policy forward? What strategies need to be implemented, evidence compiled, or resources utilized? What is the plan for the legislative process? 

 
How can you move a policy forward? What strategies need to be implemented, evidence compiled, or resources utilized? What is the plan for the legislative process? 
For this Assignment, you will create a Personal Legislative Agenda in which you will detail your strategy for moving your policy through the legislative process. 
 

Review the Personal Legislative Agenda and Action Plan Exemplar to demonstrate how you will construct your Personal Legislative Agenda for the state and federal proposed legislation.  
Review the Personal Legislative Agenda and Action Plan Exemplar to determine which approach might work best for advancing your policy initiatives at various stages of the legislative process. 

 
Submit a Personal Legislative Agenda detailing your strategy for moving your policy through the legislative process, using the Personal Legislative and Agenda and Action Plan Exemplar as your template. 
In your Personal Legislative Agenda, choose from the strategies provided in Advocacy Toolkit resource that best suite moving your policies forward.

Read the following case study and answer the posed questions: Mr. Les Brown has been diagnosed with COPD 10 years ago. He has been increasingly shortness of breath doing activities of daily living, needing to rest more frequently and feels he is coughing more often. 1. Explain the pathophysiology behind the signs and symptoms of COPD 2. What relationship do you see with Mr. Brown’s vital signs – 26 RR, 91% oxygen saturation, temp: 37.8, HR: 93 BP: 150/70 3. Describe the goals of care for Mr Brown. Make sure to use the COPD gold standards of care( https://goldcopd.org/wp-content/uploads/2018/02/WMS-GOLD-2018-Feb-Final-to-print-v2.pdf Links to an external site.) for your plan.

  
Unit 2-Discussion- COPD. 1300w. due 1-13-23. 4 references. 
Using the attached book CHAPTER 22 Chronic Obstructive Pulmonary Disease 137 complete the following. 
Read the following case study and answer the posed questions:
Mr. Les Brown has been diagnosed with COPD 10 years ago. He has been increasingly shortness of breath doing activities of daily living, needing to rest more frequently and feels he is coughing more often.
1. Explain the pathophysiology behind the signs and symptoms of COPD
2. What relationship do you see with Mr. Brown’s vital signs – 26 RR, 91% oxygen saturation, temp: 37.8, HR: 93 BP: 150/70
3. Describe the goals of care for Mr Brown. Make sure to use the COPD gold standards of care( https://goldcopd.org/wp-content/uploads/2018/02/WMS-GOLD-2018-Feb-Final-to-print-v2.pdf Links to an external site.) for your plan.
4. How would you follow up on your proposed plan of care?
5. What are preventative measures and treatment options for patients with COPD?
6. What are non-pharmacological for COPD patients. 
7. What impact does COPD have on patients with mental illnesses? 
Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer reviewed journal evidence to support the student’s position.
Please be sure to validate your opinions and ideas with citations and references in APA format.
Please review the rubric to ensure that your response meets the criteria.

Electrolyte imbalances, particularly involving potassium, are a common concern when prescribing diuretics. Discuss the strategies that a Nurse Practitioner can employ to monitor and manage the risk of electrolyte imbalances in patients receiving diuretic therapy. How can a thorough patient assessment and periodic laboratory monitoring help prevent complications related to electrolyte disturbances, and how might these strategies differ based on the type of diuretic being used?

Electrolyte imbalances, particularly involving potassium, are a common concern when prescribing diuretics. Discuss the strategies that a Nurse Practitioner can employ to monitor and manage the risk of electrolyte imbalances in patients receiving diuretic therapy. How can a thorough patient assessment and periodic laboratory monitoring help prevent complications related to electrolyte disturbances, and how might these strategies differ based on the type of diuretic being used? 

List of Two (2) companies to investigate and analyse: ü TC Energy Corp. (TRP)ü Pembina Pipeline Corp. (PBA)2. Find the Financial Statements (Income Statement and Balance Sheet) for both companies, for three consecutive years (the same three years for each company)

 1. List of Two (2) companies to investigate and analyse: ü TC Energy Corp. (TRP)ü Pembina Pipeline Corp. (PBA)2. Find the Financial Statements (Income Statement and Balance Sheet) for both companies, for three consecutive years (the same three years for each company)

Note: Statements can be        found online at Toronto Stock Exchange TSX  www.tsx.com website, or New York        Stock Exchange www.nyse.com, or NASDAQ http://www.nasdaq.com; or the specific company’s        website. 

3. With reference to our class and Learning Materials discussions, perform a ratio analysis by calculating the Current Ratio and the Debt Ratio for both companies for each of the three consecutive years.  ü Use Excel to calculate your selected ratios, and clearly show the formulas being used, and the data/numbers your are using from the Financial Statements.  ü Do not do more ratio calculations than this.4. Submission Content:a. Use ONE paragraph each to introduce each company and its main business activity(s) and scope. In these introductions, include information that may provide a useful context when comparing the two companies (business comparison, size, products, revenue source differences if relevant. b. Include a well organized summary table of all ratios calculated, by year and for each company. Clearly show the formula used for each ratio, and the calculated value for each year. (Actual calculation details need only be shown in the appended excel files). This should be organized to clearly show the trends and comparisons between the two companies.c. Research the meaning and use of the ratios you have calculated, and comment on what the results of your calculations and trends are saying with respect each company’s business trend year-over-year. This means more than simply saying they have increased or decreased or are larger or smaller.d. Research and comment on how these two companies each compare to the respective average ratio  for their “industry”.  (ensure industry ratio references are provided in your report). See the information in our class on Financial Analysis for examples of some sources for Industry Ratios. e. Research and provide some referenced explanations/comments on the underlying business reasons that have contributed to the trends you have identified. Why exactly are these trends are occurring, what are the underlying business environment or strategic/management reasons that may be causing the company performances to be different or similar, and whether they are strengths or concerns. You can look for additional relevant analysis commentary on the web, and/or within each company’s financial reports and management comments therein. Such information can be found in financial news, company press releases, or the MD&A (management discussion and analysis) in the annual reports. f. Be sure to provide clear source references for any independent analysis or financial report comments you have used to support your explanations. 

All references must be in proper APA format.  Mark deductions apply. 
This core written report must be concise, focused, well organized, and very well written. It must must include a summary results table of your ratio calculations and all required core report information referenced above. 

Excel file showing the detailed ratio      calculations work
Financial Statements: copies (scanned or PDF      format) of the Financial Statement information that you have used for your      ratio calculations, for each of the three respective years. 

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