reference page

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 How soon can I get some assistance with creating a reference page?

Diabetes

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Diabetes

According to the American Diabetes Association (2011), 25.8 million children and adults have been diagnosed with diabetes in the United States. Approximately 2 million more are diagnosed every year, with another 79 million people considered to be in a pre-diabetes state. These millions of people are at risk of several alterations, including heart disease, stroke, kidney failure, neuropathy, and blindness. Since diabetes has a major impact on the health of millions of people around the world, it is essential for nurses to understand the pathophysiology and associated alterations of this disorder. In this Discussion, you compare two types of diabetes—diabetes mellitus and diabetes insipidus.

To Prepare

· Review Chapter 19 in the Huether and McCance text and Chapter 18 in the McPhee and Hammer text. Identify the pathophysiology of diabetes mellitus and diabetes insipidus. Consider the similarities and differences between resulting alterations of hormonal regulation.

· Select two of the following patient factors: genetics, gender, ethnicity, age, or behavior. Think about how the factors you selected might impact the diagnosis and prescription of treatment for these two types of diabetes.

Write

· an explanation of the pathophysiology of diabetes mellitus and diabetes insipidus. (I am looking for an explanation at the cellular or molecular level (whenever possible).

· Describe the differences and similarities between resulting alterations of hormonal regulation. 

· Then explain how the factors you selected might impact the diagnosis and prescription of treatment for these two types of diabetes.

American Diabetes Association. (2011). Diabetes statistics.  Retrieved from http://www.diabetes.org/diabetes-basics/diabetes-statistics/

Points to follow when writing a paper:

Ø Please all bullets points, bold, red and highlighted area must be attended to. 

Ø A clear purpose statement (The purpose of this paper is to…) is required in the introduction of all writings. 

Ø Please review all rubrics.

Ø Check APA format/setting.

Ø Your final paragraph should be a summary of the key points of your paper.

Ø Please personalized where necessary.

Refrain from direct quote

NUR-631-D11Q1

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 This is 3 separate assignment each one is  minimum of 250 words with at least 2 peer review reference in 6th edition apa style. Explain the concept of azotemia (including prerenal, renal, and postrenal), causes, and diagnostic measures used to identify each. Explain the pathophysiological differences between prerenal, intrarenal, and postrenal failure? Provide at least two examples of each scenario. Spinal cord injuries carry a high risk of neurogenic bladder and reflex incontinence.  Explain the mechanisms responsible for these disorders.

One page paper

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I need one page paper in nursing, this is the instruction about this one page paper:

Consider the 4 metaparadigm concepts: nursing; person; environment; and health. Select one and articulate your own beliefs, assumptions, and values related to that concept. Describe a personal experience from clinical practice that demonstrates and reflects the beliefs, assumptions, and values you identified. This is your own, personal philosophy; no references should be used. The table below is provided to serve as an instructional guide for this assignment. You should include the following:Identify 1 metapardigm concept from the following: nursing; person; environment; or healthArticulate your personal beliefs, assumptions, and values related to your selected concept Describe a detailed interaction between you and a client or family that depicts the beliefs, assumptions, and values related to your selected concept

*Philosophical Statement Instruction GuideNote: The questions below are designed to help get ideas flowing and are not the only focus of your statement.Nursing (i.e., nursing actions)

What is your definition of nursing?Is the metaparadigm concept nursing an art, a science, or both? Is it a process or a product (set of tasks)?What is nursing mainly (e.g., caring, therapeutic healing, building relationships)?What is the role reflected in nursing (e.g., doing for, being with [being present with], working with)?Where does ethics fit in?Who or what is the object of nursing’s concern?

HealthWhat is your definition of health (e.g., includes absence of disease, ability to perform social roles)?Is health on a continuum?Can clients have a chronic illness and still be termed healthy in your definition of health?What if the client’s view of health and your view of health are different?

PersonWhat is your definition of person (e.g., set of behavioral systems, biopsychosocial and spiritual being, energy field)?Who is the person being nursed (e.g., client, family, community)?What is your definition of person (e.g., set of behavioral systems, biopsychosocial and spiritual being, energy field)?Who is the person being nursed (e.g., client, family, community)?EnvironmentWhat is it? Where is it found?Are there different components to environment (e.g., emotional, spiritual, social, cultural, mainly physical)?Is environment separate from person?What is the nurse’s role in terms of environment?Are there internal and external environments, or is what is internal to a person part of the person?

Description and ExamplesThis whole philosophical statement is a statement of beliefs. However, for the purpose of teasing out and articulating your beliefs, these beliefs are divided into three types: definitions and description, assumptions, and values. Each of these should be written in separate paragraphs to ensure clarity and comprehensiveness.Beliefs: This should be a succinct definition (one or two sentences), followed by a broader description. For example, if part of your definition of person was the person is a biopsychosocial and spiritual being, then each of the component parts (e.g., spiritual being) would be described more fully.Assumptions: A given, something that you take for granted that it is true. Examples are: Humans are rational beings. Individuals desire to work collaboratively with their nurses.Values: Something you consider good (i.e., desirable, worthy, or of esteem). Examples are: All persons are of value and are worthy of respect. Clients should be treated with dignity. Confidentiality and privacy are essential throughout all interactions with clients. Persons should be given choice in their treatment regimens.*adapted from Table 1 in Hernandez, C. A. (2009). Student Articulation of a Nursing Philosophical Statement: An Assignment to Enhance Critical Thinking Skills and Promote Learning. Journal of Nursing Education, 48(6), 343-349.Submission Instructions:Post your content by clicking the “Create Thread” button in the Metaparadigm Concepts: Personal Philosophy Forum. It is recommended that you compose (and spellcheck) your post in Microsoft Word, then copy and paste it into the ‘message’ field. Enter a descriptive title that reflects the ideas of your post In the ‘subject’ field. When replying to your classmates’ posts, be sure you click the “Reply” button below the message to which you intend to reply

I put 4 comment here because in this class the teacher ask for (4 comments only) no 6 as in the previous class. You can write 75 words in each and if you know about the theme or comment and you have substantive answer like your own comment you can write w

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comment1

Understanding the health care system at the local level is important when planning an EBP implementation because the health care systems may differ depending on the location. One must take into account the demographics, such as region, population, access to resources, etc. One must also take into account the socioeconomic status of the population being treated. For example, some places may have more access to resources to other places, such as urban areas compared to rural areas. In regards to population one must take into account the age groups, their ethnicity, culture and spiritual beliefs, and values. All of those factors play a significant role in determining if the EBP implementation is effective or not.

comment2

Health care systems in various countries have different accountabilities. One cannot just bring change by implementing any Evidence-Based Research Project directly without having understood the implications of the health care system. It is imperative to carry thorough studies to gain knowledge about the extent to which health care systems have developed and what level of changes and advancements that are needed in this regard. For proper implementation of evidence-based practice, it is essential to examine care related to individuals and how the local staff is performing from monetary and technological resources provided to the organization (Stokke, 2017). The flow of information at the hospital also has to be analyzed depending upon which are a more considerable part of the practical implementation. The medical caretakers have the heavy responsibility of implementing and devising strategies to eliminate healthcare-associated risks, answer the clinical inquiries and work on them if they are needed for the betterment of the healthcare system. One should focus on giving knowledge on the importance of EBP to the whole staff and make them aware of evidence-based practices. All individuals including medical attendants should be taught to take an essential role in the implementation.

comment3

The two most essential change theories, in my opinion, are Lewin’s model and Social Learning theory. Lewin’s model has remained very useful in explaining the role of power in advancement or no advancement and implication of change. Change can only take place if the joined quality of one constraint becomes noteworthy than the consolidated quality of the restricting arrangement of powers. The social cognitive theory which was initially known as social learning theory considers that the change in behavior has been primarily impacted by individual variables and some properties of behavior. In comparison to both models, Lewin is more valid and reasonable. It disregards all components related to individuals that affect change. In contrast to this, the social cognitive theory is more influenced by what flows are drawn naturally and focuses on individual components. Lewin model is also more preferred because it takes into consideration, the outer and inner ecological conditions (Moses, 2015).

comment4

The two most commonly recognized change theories are Lewin’s and  Lippitt’s change models. The two are both very similar to one another in that they both look to evaluate when change in needed, initiated, and ultimately evaluated. The differences with each  are  how the creator ultimately expands further with these three stages.  

Lewin’s Model consists of three stages: unfreezing, moving, and refreezing. The unfreezing stage ultimately looks at status quo, and increase driving forces for change; moving stage is the action stage in which the changes are implemented and involve people; and the final stage refreezing establishes the change as the new way of doing things with the reward of desired outcomes (Mitchell, 2013). Though Lewin’s model is simple and straight forward, as we all know now, change does not just happen as simple,  st raight  to the point stages. This is where Lippitt’s change model may work better not only for changes but changes to be done within the nursing field.  

Lippitt’s model directly reflects change in a way  nurses  already know how. This is true because the language used to establish the model mimics that of the nursing process (Mitchell, 2013). Lippitt’s model is broken down into 7 phases, as follows: diagnose the problem (phase 1), a ssess motivation and capacity for  change ( phase 2), assess change agent’s motivation and resources (phase 3), select progressive change objective (phase 4), choose appropriate role of the change agent (phase 5), maintain change (phase 6), and terminate the helping relationship (phase 7) (Mitchell, 2013). Use of Lippitt’s model though it may not be as direct can help create a  clearer  and outlined  way of implementing change within the health care system. This is primarily why I would more likely use Lippitt’s model because  it  acknowledges more specific areas where change can either be a halted because oversight.  

Symbolism and Metaphor

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Symbolism and Metaphor

Post your response of at least 150-200 words.

Choose a NEW poem to analyze from the assigned reading list. 

Title your post with the poem’s title. Do not use the poem you analyzed in Week 1’s discussion or essay assignment. Review the Closed List in the thread starters to make sure the poem is still available. Read the thread starters before getting started.

You may use the following questions to develop a paragraph response to your new poem, or you may discuss another more appropriate literary element (e.g., imagery, characterization, theme) as best fits your selection: What are some of the key symbols and/or metaphors in the poem, and how are they used?  What are some of the meanings they convey to readers? How do these elements enrich the poem and deepen your understanding of its themes?

Tips

Remember to provide evidence for your claims in the form of quoted passages from the poem. Quotations, paraphrases, and summaries should be cited according to APA rules of style, including in-text and reference citations. Quoted material should not exceed 25% of the document. Check grammar and spelling before posting.

Example APA Reference from the eBook

Blake, W. (2016). The chimney sweeper. In L.G. Kirszner & S.R. Mandell (Eds.), Compact Literature: Reading, Reacting, Writing [VitalSource digital version] (p. 959). Boston: Cengage.

Individual Project! Capital Budgeting and Projections! 6 Pages and NO PLAGIARISM PROFESSOR USES SAFEASSIGN!

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Perform an internet search for a current health care organization of your choice (preferably publicly traded for-profit organizations because these organizations must report all financial data and make it available to the public). In your search, select and evaluate the report of the financial information from the past 4 quarters or more. Complete the following for this assignment: Predict the effect of changes in all financial metrics to changes in a proposed strategic plan in your chosen organization for the following 3 scenarios: Payer mix changes from 50% Medicare and 5% Medicaid patients to 70% Medicare and 10% Medicaid patients in 1 year. Professional turnover goes from 5% annually to 10% annually. Demand for services increases 20% in 1 year Search course materials including your text and the Internet for assistance in completing applicable financial calculations for this assignment. Using the statements that you located, provide a financial plan that will do the following: Create projected financial statements to analyze effects of alternate operating assumptions on the firm’s financial condition Determine the projected financial requirements that will be needed to support each of the 3 sets of alternate operating instructions Forecast the financial sources that might be needed to support your alternative assumptions Assess the projected results using a financial condition analysis to the forecasted data Provide appropriate spreadsheets such as Projected Income Statement and Projected Balance Sheets to validate your projected assumptions. Consider the effect of the following factors to justify the changes that may be needed to the strategic plan as a result of your analysis: Validity of data in the decision-making process Revenue growth rate Capacity Rate of turnover

The body of the resultant paper should be 6 pages and should include at least 5 relevant academic or professional references published in the past 5 years.

For a resource guide on using the online library to search for references, click here.

Please submit your assignment.

Your assignment will be graded in accordance with the following criteria. Click here to view the grading rubric.

response to d4

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please, provide a response to the following discussion in one or two paragraphs.

  

The response requires one reference from a peer-reviewed NURSING journal less than 5 y/o.  (not from the internet but from Database).Professional, governmental, or educational organizations (.org, .gov, or .edu) may be used as supplemental references.

APA format required. 

Money rules everything is one of the quotes that some companies stand by.  There is evidence to suggest that money does change decisions, and lots of money does alter the future for these companies. However, companies try to incorporate decisions not only using money but also using customer feedback. Some of that customer feedback can ultimately aid in gaming more money. Companies’ goals are to try to make money to provide more for the customers and pay employees. In the healthcare system hospitals, doctors offices, and pharmacies all have to make money to pay employees and keep providing customers/ patient with excellent service. Some of these institutions are for-profit and some are nonprofit. These institutions still need to have some sort of cash flow in order to work. The biggest economic impact on these healthcare institutions are insurance companies. Insurance companies are the driving force of how these institutions get paid for the most part. However, with insurances there is a huge disparity on who has insurance and who can afford insurance. That is why universal healthcare is at the forefront of all economic conversations specifically here in the United States of America. Universal healthcare can allow all citizens of the US to be seen by a doctor and thus maintaining or bettering their health. Nevertheless, universal healthcare comes at a great economic cost. With the longer life span of Americans and the constant spending on health promoting products the United States spends almost 3 trillion dollars yearly on healthcare (Blais & Hayes, 2015). If universal healthcare were to be provided then the United States economy would be affected. That is why it is such hot and heavy economic and social issue. Most healthcare workers take oath to providing some sort of betterment two societies health overall. It is important that healthcare be delivered to everyone no matter the circumstances so that the oath can be upheld. With this in mind economics cannot be separated. Currently almost half of healthcare spending is used to just treat 5% of the population in the United States (Boudreau, 2017). In addition, healthcare costs are rising almost 2% every year (Boudreau, 2017).  All things considered, it is important to start planned out the future of healthcare and healthcare economics. Universal Health Care is definitely an option on the table that can allow the US population and its citizens to receive healthcare no matter what. A plan however needs to be in place so that economic disaster does not overwhelmed the country. Additionally to the economics of universal healthcare, the delivery of healthcare to all the newfound people is another hurdle (Blais & Hayes, 2015). Hospitals and other facilities need to be prepared to deal with the vast influx of people seeking healthcare treatment once universal healthcare is adapted. By hundreds of thousands of people gaining healthcare and them coming into the system it can bombard and potentially crippled the healthcare system. Regardless of the new influx of individuals within the system the type of health received should always be universal. No matter what economic factors might come into play the delivery of the services should never be questioned. Every patient should get the same attention, treatment and procedures no matter what is in place.

For Essays Guru – Unit 5 DQ- Case and Discussion: Headache

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A 35-year-old woman comes to your office to discuss her “bad headaches,” which started after having her first child 2 years ago. The headaches sometimes awaken her from sleep and at times can be disabling and occasionally require her to take Tylenol and rest in a dark room. Sometimes she vomits during an attack. Over the past 6 months, her headaches have become more severe and frequent, prompting her visit today. What additional questions would you ask to learn more about her headaches? How do you classify headaches? How can you determine if this is an old headache or a new headache/s? Is this a chronic or episodic condition? Can you make a definite diagnosis through an open-ended history followed by focused questions? How can you use the patient history to distinguish between benign headaches and serious ones that require urgent attention? What diagnostic tests do you want to include to help you with your diagnosis? Minimum 250 words

Discussion Board #6

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WEEK 9

1-Reflect on the current roles of advanced practice nurses in healthcare as the care providers at the front line of disease management and health promotion in primary care and many other specialty settings.

2- What do you think are some effective tactics for APN strategic positioning regarding pay equality? 

3Should APNs position themselves as lower-cost providers who provide better care or push for comparable worth, same service and same pay?

Below is an article that provides great practical information that highlights how provider productivity is calculated in the clinical setting, which is important to know as future nurse practitioners.

Calculating Your Worth: Understanding Productivity and Value- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4093517/ 

 all discussion posts must be minimum 250 words, references must be cited in APA format, and must include minimum of 2 scholarly resources published within the past 5-7 years.