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  • Mrs. Davis, a 58-year-old female with a history of hypertension and diabetes, is admitted to the medical-surgical unit with acute kidney injury (AKI)

    Week 2 Discussion

    Mrs. Davis, a 58-year-old female with a history of hypertension and diabetes, is admitted to the medical-surgical unit with acute kidney injury (AKI). She presents with decreased urine output, elevated serum creatinine, and electrolyte imbalances. The healthcare team prescribes a fluid and electrolyte management plan to address Mrs. Davis’s renal failure.

    The nursing team is responsible for implementing the prescribed interventions, closely monitoring Mrs. Davis’s fluid and electrolyte balance, and providing patient education to ensure optimal outcomes.

    1. Assessment of Fluid Balance:
      • How would you assess Mrs. Davis’s fluid status, considering factors such as vital signs, urine output, and clinical manifestations of fluid overload or deficit?
    2. Electrolyte Imbalance Recognition:
      • Given Mrs. Davis’s renal failure, what electrolyte imbalances might be anticipated, and how would you monitor for signs and symptoms of abnormalities in sodium, potassium, calcium, and phosphorus levels?
    3. Fluid Restriction and Management:
      • The healthcare team prescribes a fluid restriction for Mrs. Davis. How would you implement and monitor her fluid intake, and what strategies might be employed to manage thirst and maintain patient compliance?
    4. Dietary Considerations:
      • Mrs. Davis has dietary restrictions related to her renal failure. How would you educate her about dietary modifications to manage electrolyte imbalances, especially potassium and phosphorus?
    5. Medication Administration and Monitoring:
      • Mrs. Davis is prescribed medications to address electrolyte imbalances. How would you administer and monitor the effects of medications such as loop diuretics, phosphate binders, and potassium-lowering agents?

    Submission Instructions:
     

    • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
    • You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
    • All replies must be constructive and use literature where possible.
    • Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.
    • You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date. 
       

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  • The Week 3 Assignment is part of a scaffolded assignment and serves as the basis for creation of the Week 5 Assignment

     

    The Week 3 Assignment is part of a scaffolded assignment and serves as the basis for creation of the Week 5 Assignment.  

    For the Week 3 Assignment: Nursing Grand Rounds Presentation Part 1: Holistic Assessment, you will meet with and assess a selected participant and complete the accompanying Holistic Assessment Form.  In Week 5, you will complete the Nursing Grand Rounds Part 2: Presentation, which is a teaching presentation.

    For the Week 5 Assignment, you will use the data collected in the Week 3 Assignment to create a PowerPoint presentation designed to educate your selected participant about an identified medical condition they are experiencing. The Week 3 Assignment data will be used as a foundation for creating the patient-centered teaching presentation due in Week 5.

    Assignment Directions: 

    • Identify an participant known to you who has a current medical health condition. The participant must be 18 years or older and legally capable of consenting to participate in this activity. The participant CANNOT be a family member or a client you have cared for in your professional nursing practice. Using a client or patient who was assigned to receive care from you by an employer, agency, facility, or any organization will result in earning a score of zero (0) points for the assignment.
    • Be sure the participant is diagnosed with a medical health condition that meets the assignment requirements. The participantmedical health condition cannot be congenital (i.e., present at birth). Instead, the medical health condition must have a pathophysiology. The medical condition also must be a primary health alteration (e.g., cyclic vomiting syndrome), and not simply a sign or symptom that is a manifestation of a primary medical disorder (e.g., hyponatremia, dehydration, nausea, vomiting, etc.).
    • Complete the Holistic Assessment Form Download Holistic Assessment FormOpen this document with ReadSpeaker docReaderfor the selected participant, then upload the completed form to the Dropbox by the end of Week 3. The form should be typed. The course faculty will review and grade the form for completion and accuracy and will approve the participant/medical condition you have selected as the focus for the Week 5 Assignment. Be sure you have approval from course faculty before you begin working on the Week 5 Assignment: Nursing Grand Rounds Part 2: Presentation.
    • After successfully completing the Week 3 Assignment and obtaining faculty approval of the selected participant/medical condition, follow the instructions for completing the Week 5 Assignment: Nursing Grand Rounds Part 2: Presentation.

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  • Develop a Focused SOAP Note, including your differential diagnosis and critical-thinking process to formulate a primary diagnosis

     

    • Review the video, Case Study: Petunia Park.
    • https://waldenu.instructure.com You will use this case as the basis of this Assignment. In this video, a Walden faculty member is assessing a mock patient. The patient will be represented onscreen as an avatar.
    • Consider what history would be necessary to collect from this patient.
    • Consider what interview questions you would need to ask this patient.
    • Consider patient diagnostics missing from the video: Provider Review outside of interview:
      Temp 98.2  Pulse  90 Respiration 18  B/P  138/88
      Laboratory Data Available: Urine drug and alcohol screen negative.  CBC within normal ranges, CMP within normal ranges. Lipid panel within normal ranges. Prolactin Level 8; TSH 6.3 (H)

    The Assignment

    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 symptomatology 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 patientmental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest to lowest priority. Compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria 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: Reflect on this case. Discuss what you learned and what you might do differently. Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), social determinates of health, health promotion, and disease prevention that takes into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).

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  • LAS432 is the capstone course for the General Education program embedded in every student’s overall academic journey

    LAS432 is the capstone course for the General Education program embedded in every student’s overall academic journey. The capstone course is a final opportunity to develop the General Education Common Learning Outcomes (GECLOs) and assess how well you’ve mastered them. The GECLOs represent personal skills essential for success in every career field. Self-assessment is a valuable way to identify opportunities for continued growth in any personal and professional development endeavor. Completing this assignment will also help you prepare for the Week 8 assignment.

    General Education Common Learning Outcomes

    Communication: Select and implement effective communication strategies.

    Critical Thinking: Integrate principles, concepts, and methodologies to analyze and solve complex problems, including applied mathematics and logical reasoning.

    Information Literacy: Conduct research and develop information synthesis skills.

    Technology Literacy: Leverage current and discipline-specific technologies.

    Cultural Competence: Engage and collaborate with diverse perspectives.

    Global Awareness and Civic Engagement: Engage and respond to civil, social, cultural, and global issues.

    For this assignment, please assess how well you believe you have mastered each of these outcomes using this scale:

    4–Excellent
    3–Good
    2–Average
    1–Poor

    For each of the six outcomes, provide a numerical rating and justification for that rating. Support your self-assessment with specific examples of things you learned in General Education courses or how you applied that skill development. As a reminder, any course with an ENGL, HUMN, SPCH, SOCS, ETHC, CARD, COLL, or LEAD prefix is part of the General Education curriculum. 

    In each paragraph, or as a final paragraph, write about your opportunities and plans to continue developing these essential personal and professional skills.

    Additional Requirements:

    • Length: 300-500 words
    • Format: Include a title page in APA 7th edition style
    • Research: No external research is expected. Your writing is based purely on your own educational experiences. However, you may wish to review your transcript and course descriptions in the DeVry academic catalogLinks to an external site. to remind you what each course was about. The academic catalog also provides a detailed description of the GECLOs on the University General Education Common Core page.
    • External tools: No external tools are allowed, including ChatGPT, Grammarly, Microsoft Co-Pilot, Google Translate, or any other tool that generates, changes, or rearranges your work

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  • A walk through the Business section of any bookstore or a quick Internet search on the topic will reveal a seemingly endless supply of writings on leadership

    A walk through the Business section of any bookstore or a quick Internet search on the topic will reveal a seemingly endless supply of writings on leadership. Formal research literature is also teeming with volumes on the subject.

    However, your own observation and experiences may suggest these theories are not always so easily found in practice. Not that the potential isn’t there; current evidence suggests that leadership factors such as emotional intelligence and transformational leadership behaviors, for example, can be highly effective for leading nurses and organizations.

    Yet, how well are these theories put to practice? In this Discussion, you will examine formal leadership theories. You will compare these theories to behaviors you have observed firsthand and discuss their effectiveness in impacting your organization.

    To Prepare:

    • Review the Resources and examine the leadership theories and behaviors introduced.
    • Identify two to three scholarly resources, in addition to this Modulereadings, that evaluate the impact of leadership behaviors in creating healthy work environments.
    • Reflect on the leadership behaviors presented in the three resources that you selected for review.

     

    Directions:

    Post two key insights you had from the scholarly resources you selected. Describe a leader you have seen use such behaviors and skills, or a situation where you have seen these behaviors and skills used in practice. Be specific and provide examples. Then, explain to what extent these skills were effective and how their practice impacted the workplace.

     

    required readings:

     

    • Broome, M., & Marshall, E. S. (2021). Transformational leadership in nursing: From expert clinician to influential leader (3rd ed.). New York, NY: Springer.
      • Chapter 1, Frameworks for Becoming a Transformational Leader(pp. 2–19 ONLY)
      • Chapter 6, Shaping Your Own Leadership Journey(pp. 182-211)
    • Chan, R. J., Knowles, R., Hunter, S., Conroy, T., Tieu, M., & Kitson, A. (2023). From evidence-based practice to knowledge translation: What is the difference? What are the roles of nurse leaders?Links to an external site. Seminars in Oncology Nursing39(1). https://doi.org/10.1016/j.soncn.2022.151363

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  • To initiate research on a Spanish-speaking region and practice introductory speaking skills

     This is two-part question.  

    1. Objective: To initiate research on a Spanish-speaking region and practice introductory speaking skills.

    For this mini-task, you must first decide on a region from the list below:

    1. Europa | España
    2. El Caribe | Puerto Rico, República Dominicana y Cuba
    3. Centro América | México, Guatemala, El Salvador, Honduras, Nicaragua y Costa Rica
    4. Gran Colombia | Panamá, Colombia, Venezuela y Ecuador
    5. Zona Andina | Perú, Bolivia y Paraguay
    6. Cono Sur | Uruguay, Argentina y Chile

    Note: Once students have selected a region, they are required to maintain continuity with this selection throughout all subsequent mini-tasks and their final project. Changing the selected region after mini-task 1 is strictly prohibited. Any deviation from the initial selection will result in penalties during the final project phase. 

    • A. English Component
    • B. Spanish Component

    A. English Component ✍

    Write a brief paragraph (100-125 words) explaining your choice of region and your initial impressions or interests about it. This encourages you to start thinking critically about your choice and its significance. Find a region that interests you and make sure to include why it interests you in this description.   

    2. Objective: To compare and contrast two different programs in your region.

    For this mini-task, you must research two Study Abroad programs that the University of Memphis offers in your region. To gather information, visit the official UofM study abroad website: Study Abroad

    Note: Once students have selected a region, they are required to maintain continuity with this selection throughout all subsequent mini-tasks and their final project. Changing the selected region after mini-task 1 is strictly prohibited. Any deviation from the initial selection will result in penalties during the final project phase. 

    • A. English Component
    • B. Spanish Component

    A. English Component ✍

    Create a comparison chart or table and list the information for each program side by side. Include categories such as “program name,” “institution,” “tuition,” “duration,” “accommodation,” “travel expenses,” “transportation,” “food.” etc. Then choose one of the two options and summarize in a short paragraph (100-120 words) why that is the better option. 

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  • Mr. W. is brought to the emergency department by his neighbor, Mr. C., who lives across the hall from him in a high-rise apartment building for low-income senior citizens. Mr. C. proceeds to explain that Mr. W. has become increasingly confused, paranoid,

    Week 2 Discussion

    Mr. W. is brought to the emergency department by his neighbor, Mr. C., who lives across the hall from him in a high-rise apartment building for low-income senior citizens. Mr. C. proceeds to explain that Mr. W. has become increasingly confused, paranoid, and secretive. He has stopped participating in social activities where he lives, no longer has a telephone, and won’t allow anyone into his apartment. It has been 4 months since Mr. C. last saw Mr. W. and says, he looks bad. Helost weight and is too thin. He wouldn’t talk to me when I tried to start a conversation and he only opened his door a couple of inches. The smell coming from his apartment was awful. I can sometimes hear people yelling in the apartment, and I only ever see his older son stop by occasionally to check on him. And, today, I find him like this. I had to do something because I can’t just stand by and let this happen to him!Mr. C. points to Mr. W. who has a black eye, swollen upper lip, and dried blood on his beard and clothing.

    Mr. W. is sitting in a chair and avoids eye contact. He is wearing thread-bare clothing, which is dirty, and his body odor is unhygienic.

    Question 1

    How should you proceed to interview Mr. W.?

    Question 2

    What would be specific questions to screen for older adult abuse?

    Question 3

    What are possible indications of neglect in Mr. W.?

    Question 4

    What are possible reasons for Mr. W. failure to seek assistance?

    Question 5

    How will you document Mr. W.case of suspected older adult mistreatment?

    Question 6

    In a case of suspected older adult abuse, what baseline laboratory tests should be ordered?

    **Please be sure to include 2 references  in APA format within the last 5 years and respond to at least 2 participating classmates, with a substantial descriptive answer.**

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  • Business & Finance – Marketing Case Study assignment: Ulta Beauty: Where the Experience is Beautiful

    Case Study:  Ulta Beauty: Where the Experience is Beautiful (Appendix 1, Company Case # 11, pp. 563-564)

    Each case study is attached to a chapter in your textbook. Ulta Beauty is attached to chapter eleven. This case study is attached to Chapter 11 in the Armstrong and Kotler text book. Read the case study and answer questions 1-4 at the end of the case. You must support your answers to the questions with material from Chapter 11 of the Armstrong & Kotler, 2022 text and details from the case study.  Part of the grading rubric is to cite in in APA format (Armstrong & Kotler, 2022) from the course material  a minimum of 3-4 times and reference the textbook once at the end of the case study analysis:  Armstrong, G. & Kotler, P. (2022) Marketing An Introduction (15th Ed.). Pearson. to receive the maximum 20 points in the grading rubric for citations and references and 10 points for Spelling, grammar, and APA format. Remember, any idea, concept, or information that is not yours must be cited in your analysis and referenced at the end of your analysis of all questions

     Also please number each of your answers. This is very important so that I understand which questions you are responding to. 

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  • You are the nurse caring for a 48-year Leslie Collins, retired army officer for the United States military

     Myocardial Infarction (MI) (USLOs 1, 2, 3, 4)

    You are the nurse caring for a 48-year Leslie Collins, retired army officer for the United States military, He arrives to the emergency department after experiencing chest pain and shortness of breath.  His EKG indicated he had a myocardial infarction (MI). He has a history of hypertension and high cholesterol. He states he used to smoke about 15 years ago, he has no other reported risk factors.

    Based on this information, your prior knowledge of this client (refer to medical card from the Collins-Kim family tree interactive), and your knowledge of the pathophysiology of myocardial infarction (MI), respond to the following prompts:

    1. Thoroughly explain the pathophysiology of myocardial infarction (MI). Use a scholarly or authoritative source to support your answer.
    2. Examine each of the following three factors related to this disease process. Support all three with a scholarly source.
      cultural
      financial
      environmental implications
    3. Identify 3-5 priority nursing interventions for the client while in the emergency department.
    4. Describe labs and diagnostic testing you would want to include in clientplan of care and why. What are critical indicators? Support with a scholarly source.
    5. What members of the interdisciplinary team need to be included for holistic patient-centered care? Provide a rationale and support with a scholarly source.

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