an article that discusses a relationship between a microorganism/virus and the health of another animal (

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  • Review global news and find an article that discusses a relationship between a microorganism/virus and the health of another animal (which may include humans! – this may include positive or negative impacts)
  • Review posts already made by your peers. Repeat topics will not count, so make sure that you do not choose a topic your peers have discussed already. ** You may Post  the first 2 steps (One sentence description of the issue and APA citation) to claim  so that someone else does not post a similar topic while you are preparing your post. You can then go to your original post, edit it, and add the remaining parts of your post.
  • Your final discussion post should be numbered or bulleted and include each of these sections in order:
    1. One sentence description of the relationship between the microorganisms/virus and the animal.
    2. APA citation of the article your read
    3. Description of the organism or virus discussed in the article
    4. Summary of the relationship, the organisms that are affected, and the impact of the microorganism/virus
    5. If possible, provide steps taken to mitigate or improve the relationship

Initial

INTERMEDIATE MEDICAL CODING

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1.Dr. Hansen, an orthopedist, is seeing Andrew, a 72 year old established male patient today who has complaints of severe knee pain in both knees and repeated falls over the past 2 months. Dr. Hansen completes a detailed history and exam with medical decision making of moderate complexity, including X-rays of each knee which show worsening osteoarthritis. Because the patient has been experiencing repeated falls, Dr. Hansen provides the patient with an adjustable tripod cane with instructions for safe use. Dr. Hansen recommends the patient begin taking OTC glucosamine chondroitin sulfate, anti-inflammatories for pain as needed, and schedules the patient for a follow up appointment in one month.  E&M code:______________________________

ICD-10-CM code: ________________________

ICD-10-CM code: ________________________

CPT code: ______________________________

HCPCS code: ___________________________

2. Andrew returned for his follow up visit last week with increased pain and edema in his right knee and was scheduled for an arthroscopy. He presents to the surgical center today for a right knee diagnostic arthroscopy with synovial biopsy. Anesthesia is being performed on this 72-year-old male patient by a CRNA with medical supervision by a physician. Other than osteoarthritis, Andrew has essential hypertension, which is well-controlled. Postoperatively the patient was placed in a prefabricated canvas longitudinal knee immobilizer.  CPT:___________________________________

Anesthesia: _____________________________

Concurrent Care Modifier: __________________

Physical Status Modifier: ___________________  HCPCS:_____________________________

Nursing should not ‘borrow’ theories from other disciplines.” Refute this statement by providing specific examples from your current nursing practice

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Part One:

“Nursing should not ‘borrow’ theories from other disciplines.” Refute this statement by providing specific examples from your current nursing practice. (I work on a medical surgical unit) Describe the importance of increased nursing collaboration with other disciplines.

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook.

Part two:

Assignment:

Your assignment this week will be an APA paper to include title page, level headings, and a reference page.

  1. Case Study

The hospice nurse sat with Ann’s husband, Ben. Ann was resting quietly as the increased dosage of IV pain medication gradually reached its therapeutic level. Ben turned his head and slowly turned, looking out the room’s only window. As he glanced up, a small flicker of light caught his breath. It was a shooting star. A tear fell from the corner of his eye and he turned to Ann. The nurse sensed that something significant to Ann and Ben was unfolding. Shuffling to Ann’s bedside, he took her small fragile hand in his. These hands had rocked cradles, burped babies, and groomed the horses she loved to ride. Gently holding her hand, he turned to the nurse. “She would ride like the wind was chasing her.” Looking back to Ann his voice broke; choking back tears “Ann, Ann I saw Jessie…Jessie is calling.” Ben turned “Jessie was our daughter. She died having a baby that was too big. When she died it was a pitch-black night. Cold, so cold, the baby died too, a little boy, named him Abe, Jr. after Jessie’s husband. I took Ann outside so she could cry to God above and there in this dark sky we saw two falling stars…together…just falling. We knew it had to be Jessie and Abe…two angels to light up the night.” Ben turned back as a deep sigh escaped from Ann’s lips. A soft smile remained as she joined Jessie and Abe.

  • Based on this case study how would the nurse actualize Parse’s theory of Human Becoming?
  • What are characteristics of a human becoming nurse? What are strengths and weaknesses to this theory of nursing?
  • What challenges exist for healthcare institutions to switch to this nursing approach?
  • How might Parse’s understanding of transcendence guide the nurse, as Ann’s death became a reality to Ben?
  • From the nursing theories we have discussed, what additional theory would you apply to this case study? Develop a plan of care to include both nursing theories (be specific and provide reasons)

The APA formatted paper should include 2 outside references and your book. The essay should be between 1250 and 1500 words in length.

how the principles of beneficence, non-maleficence, autonomy, and justice apply to the scenario by doing the following:  

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The purpose of this task is to explore how nursing ethics, self-advocacy, and professional accountability can be applied in clinical practice. Using the provided case scenario, you will be required to think about how ethical concepts can be used to make clinical decisions and explore the differences in personal and professional beliefs. You will develop personalized stress management plans that rely on the use of adaptive coping strategies to ensure personal health and well-being.

SCENARIO You have been working as a nurse in the adult oncology unit for the past year. You have developed a close relationship with many of your patients, but Mr. Newcomb has a special place in your heart. He has been diagnosed with stage 4 pancreatic cancer and has undergone aggressive chemotherapy. Each day his wife has come to the unit to be with her husband. They have been married for over 40 years and share a deep love.  Mr. and Mrs. Newcomb have made the decision to no longer continue with treatment and have decided that hospice care is needed. Over the past few days, you have watched Mr. Newcomb’s health decline, and you can tell from your experience that he does not have much time left to live. Mr. Newcomb has been very open about discussing his death, and you have had the opportunity to learn about his life and the legacy he will leave behind.  While you are completing your rounds, you stop in Mr. Newcomb’s room to see how he is doing. You ask, “Is there anything else I can do for you?” Mr. Newcomb has rarely asked for anything, but today he has one request. Mr. Newcomb states, “Before I die, I would like to see my mistress one more time. Mrs. Newcomb is always here. Do you think you could tell her that I will be busy for a few hours tomorrow so I can make arrangements to see my mistress one more time?”

Reflect on the following questions before you begin working on this task:

•   What would you do in this scenario?

•   How can your knowledge of ethical principles be utilized to determine your response to Mr. Newcomb?

•   How would this affect you as a nurse and direct provider of care for Mr. Newcomb?

REQUIREMENTS Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. An originality report is provided when you submit your task that can be used as a guide.     You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.

A.  Summarize how the principles of beneficence, non-maleficence, autonomy, and justice apply to the scenario by doing the following:

1.  Describe how you would respond to Mr. Newcomb’s request.

2.  Evaluate how you applied the principles of beneficence, non-maleficence, autonomy, and justice to the scenario.

3.  Examine how personal beliefs and values influenced your response to the scenario.

4.  Describe three strategies to promote self-care.

B.  Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized.

C.  Demonstrate professional communication in the content and presentation of your submission.

Attached is the submission of a previous student that was approved, please use this as a guide to the standard being sought.

Big Business (Monopolies) and Exploitation of Workers

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

  • Textbook: Chapter 18, 21, 22
  • Lesson
  • 1 source that corresponds with your selected topic (noted in the topic instructions)
  • Minimum of 3 scholarly sources (in addition to the textbook)

Optional Resources to Explore
Feel free to review the library guide for scholarly sources and videos at the following link:

Introduction
The purposes of each case study assignment include the following:

  • To hone your abilities to research using scholarly sources
  • To advance critical thinking and writing skills
  • To compile a response to the prompts provided
  • To explore a historical topic and make connections to change over time

Instructions
Pick one (1) of the following topics. Then, address the corresponding questions/prompts for your selected topic. Use at least one (1) documented example of the corresponding primary source in your writing.

Option 1: Big Business (Monopolies) and Exploitation of Workers
View the following resource:

Link (video): https://search-alexanderstreet-com.chamberlainuniversity.idm.oclc.org/view/work/bibliographic_entity%7Cvideo_work%7C1790467(27:30)

Browse and read one (1) of the following:

Link (library article): https://eds-a-ebscohost-com.chamberlainuniversity.idm.oclc.org/eds/detail/detail?vid=0&sid=cc04efe2-2fcf-40cd-85b0-15529b48b427%40sessionmgr4007&bdata=JnNpdGU9ZWRzLWxpdmUmc2NvcGU9c2l0ZQ%3d%3d#AN=125077563&db=ehh

Link (library article):https://eds-a-ebscohost-com.chamberlainuniversity.idm.oclc.org/eds/detail/detail?vid=0&sid=a9d4b796-c232-4e23-a952-bd51964e00e5%40sdc-v-sessmgr02&bdata=JnNpdGU9ZWRzLWxpdmUmc2NvcGU9c2l0ZQ%3d%3d#AN=8700110&db=bah

Then, address the following:

  • Explain if big business leaders were “captains of industry,” “shrewd businessmen,” or “robber barons.”
  • Based on one of the resources noted for this option, assess American working conditions and exploitation of workers in the Age of Industry.
  • Analyze the role that government played in reforming American working conditions.
  • Explain the benefits of the Federal Government regulations of monopolies.
  • Analyze which progressive presidents attained economic justice and reform for workers.

Option 2: Who is A Progressive?
Review the following site: https://www.loc.gov/rr/program/bib/elections/election1912.htmlhttps://www.loc.gov/rr/program/bib/elections/election1912.html

Then, address the following:

  • According to Roosevelt, what are the characteristics of a progressive?
  • Explain and give examples of the characteristics of “anti-progressives.”
  • Trace what types of activities “anti-progressives” engaged in?
  • Analyze the goals of progressivism.
  • Explain what areas of society progressives addressed?
  • Analyze the progressive achievements Roosevelt highlights in his speech?

Option 3: World War I
Review the following resources:

Then, address the following:

  • Trace the origins of World War I, and assess if the world war was inevitable in 1914?
  • Explain if it was possible for the United States to maintain neutrality in World War I. If yes, explain how. If no, explain why not.
  • Analyze if the United States should have entered World War I to make the world safe for democracy.
  • Analyze if the Treaty of Versailles was a fair and effective settlement for lasting world peace.
  • Explain if the United States Senate should have approved of the Treaty of Versailles.

Writing Requirements (APA format)

  • Length: 3-4 pages (not including title page or references page)
  • 1-inch margins
  • Double spaced
  • 12-point Times New Roman font
  • Title page
  • References page
  • In-text citations that correspond with your end references

References

Dyer, J. (Director), & Dyer, J. (Producer). (2005). A war to end all wars: Part 2 [Video file]. Dallas County Community College District. Retrieved from Academic Video Online: Premium database.

Farmer, B. (2018). The Treaty of Versailles and the Rise of Nazism. New American (08856540), 34(21), 33–38. Retrieved from https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=132888411&site=eds-live&scope=site

The Library of Congress. (2018, October 23). Presidential election of 1912: A resource guide. Retrieved from https://www.loc.gov/rr/program/bib/elections/election1912.html

McNatt, E. B. (1944). The Pullman strike (Book). American Economic Review, 34(1), 184–186. Retrieved from https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=bah&AN=8700110&site=eds-live&scope=site

Media Rich Communications (Producer). (2004). The progressive era [Video file]. Retrieved from Academic Video Online: Premium database.

Smith, P. (2017). The Triangle disaster: How a fire a century ago at a New York clothing factory changed U.S. labor laws. New York Times Upfront, 150(1), 11. Retrieved from https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ehh&AN=125077563&site=eds-live&scope=site

Structure and Function of the Musculoskeletal System

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Case Study: Topic

Case Study Posting Requirements

  • Make sure all of the topics in the case study have been addressed.
  • Cite at least three sources—journal articles, textbooks or evidenced-based websites to support the content.
  • All sources must be within five years.
  • Do not use .com, Wikipedia, or up-to-date, etc., for your sources.

Case Study 1

Structure and Function of the Musculoskeletal System

Jennifer belongs to a women’s rugby team. At 23 years old, she has been playing for five years and trains daily to keep up her strength and stamina. During one game, she was injured. Unable to walk, she was carried off the field supported by her coach and an athletic therapist. At the hospital, after an examination and MRI of her right knee, she was given her diagnosis. Jennifer suffered what is often termed the “O’Donoghue triad”: a ruptured medial collateral ligament, a ruptured anterior cruciate ligament, and tear of the medial meniscus.

  1. Jennifer’s injury involved the complete tearing of two ligaments. What are the similarities and differences between the anatomy and function of ligaments and tendons?
  2. Jennifer’s rehabilitation will include techniques that will increase her joint proprioception. What is proprioception, and what will occur if this neural function is not restored?
  3. The knee joint exemplifies a diarthrodial joint. What are the anatomy of the synovial membrane and the importance of synovial fluid in such a joint?

Case Study 2

Disorders of Musculoskeletal Function: Trauma, Infection, Neoplasms

Marvin is a healthy, active 36-year-old who belongs to a martial arts club. Once a week he takes lessons in Judo, and on the weekends, he participates in local competitions. At his last competition, Marvin was paired with a skilled participant from another club. His rival threw him to the mats, and as Marvin struggled, came down hard to pin him down. Marvin heard a snap, followed by instant pain in his left forearm. Radiographs at the local hospital confirmed he suffered a transverse fracture of the distal aspect of his left ulna.

  1. What are the typical signs and symptoms of a fracture? Why shortly after the injury does the pain temporarily subside?
  2. How does a hematoma form, and what function does it serve in the process of healing a fracture?
  3. Marvin was told he would be seeing a physiotherapist as his healing progressed. What are the muscular and joint changes that occur during immobilization and the ways Marvin and his physiotherapist can work to address these changes?

Case Study 3

Disorders of Musculoskeletal Function: Developmental and Metabolic Disorders

Mandy is a 16-year-old competitive figure skater who practices several hours a day with her coach at the skating arena. Because of her extremely active lifestyle and restricted diet to maintain her athletic physique, she experiences ongoing amenorrhea. One day during practice, she landed a jump and fell to the ice in pain. Her left foot swelled up almost immediately, making it difficult for her coach to remove the skate. At the hospital, radiographs revealed a fracture of the fifth metatarsal bone and general radiolucency of all the bones in her foot. A follow-up DXA revealed a bone mass of 2.7 standard deviations below mean.

  1. What is the etiology of Mandy’s premature osteoporosis, and how her condition is thought to contribute to a decrease in bone density?
  2. Knowing what you do about bone mineralization, why does a deficiency of estrogen in women lead to osteoporotic change?
  3. Osteoporosis and osteomalacia both involve abnormal bone mineralization. What are the general macroscopic differences of these two conditions?

Case Study 4

Disorders of Musculoskeletal Function: Rheumatic Disorders

Rick is a 27-year-old who works in an accounting firm. He had started to experience lower back pain and stiffness that he thought were a result of the long hours he spent at his desk. More recently, however, he began to have sleep difficulties. He found that he often woke up during the night feeling hot and sometimes sweaty. Furthermore, his back pain disrupted his sleep, particularly when it radiated around his pelvis and into his thighs. When his lack of sleep began to interfere with his work, he went to an osteopath to see what was wrong. She listened to his case history carefully. Upon physical examination, she noted a slight decrease in his lumbar lordosis and a reduced range of movement in his lumbar spine. His blood tests revealed the presence of HLA-B27, an elevated ESR, and absence of RH. His radiograph showed evidence of sacroiliitis.

  1. What is the likely diagnosis Rick received? What are the common clinical presentation and manifestations of the disease?
  2. Why is osteoarthritis of the hips a potential secondary complication of this disease? What are the structural changes that occur in the articular cartilage of an osteoarthritic joint?
  3. What is the effect of advanced ankylosing spondylitis on lung function?

Case Study 5

Structure and Function of the Skin

Yael is an 18-year-old college student who is bothered by excessive perspiration. She knew she sweat a lot under her arms and kept antiperspirant in her schoolbag to use throughout the day. Yael’s problem was not limited to under her arms, however. Her hands and feet also perspired heavily, and it embarrassed her. She did not like holding her boyfriend’s hand if her hands were particularly sweaty, and she had problems grasping her pen while in class because her palm became slippery. Yael suffered from a condition called primary focal hyperhidrosis, a condition involving hyperactive sweat glands in certain areas of the body.

  1. What are the anatomical and functional differences between eccrine and apocrine glands?
  2. What autonomic nervous system controls the function of thermoregulation of the skin? How do goosebumpsgoose bumps contribute to heat conservation?
  3. Describe the location of the blood plexuses in the skin. How is blood circulation to the skin involved in thermoregulation?

Case Study 6

Disorders of Skin Integrity and Function

Leonard works in the agriculture industry and raises beef cattle. At 60 years of age, he has spent most of his life working outdoors harvesting hay and tending to his herds. His wife was the first to notice a change in his skin. One day, after taking off his shirt, she noticed a significant change in the mole he had on his right shoulder. It not only was darker but was moist and appeared to have been bleeding at one point. Surrounding the mole, his skin was red. His wife remembered hearing stories of Leonard working on his father’s farm, spending long hours out in the hot sun even though his father had gone into the barn to work during the hottest part of the day. She insisted him go to the family physician to have it examined.

  1. Leonard’s physician performed a biopsy on the lesion and told Leonard he suspected the growth may be malignant melanoma. What cells are affected in this form of skin cancer? How might his childhood exposures to the sun predispose him to this form of cancer?
  2. How do UVA and UVB rays contribute to the process of oncogenesis in skin cells?
  3. The mole on Leonard’s shoulder was a nevocellular nevus. What are the cellular composition and appearance of this type of mole before it underwent malignant change?

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Home.

 

a solution to a specific ethical dilemma faced by a health care professional by applying ethical principles.

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Develop a solution to a specific ethical dilemma faced by a health care professional by applying ethical principles. Describe the issues and a possible solution in a 3-5 page paper.

Apply academic peer-reviewed journal articles relevant to an ethical problem or issue as evidence to support an analysis of the case.

Discuss the effectiveness of the approach used by a professional to deal with problems or issues involving ethical practice in a case study.

Discuss the effectiveness of the communication approaches present in a case study.

Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.Write following APA style for in-text citations, quotes, and references.

For this assessment, you will develop a solution to a specific ethical dilemma faced by a health care professional. In your assessment:

Access the Ethical Case Studies media piece linked in the Resources to review the case studies you may use for this assessment and select the case most closely related to your area of interest and use that case study to complete the assessment.

Note: The case study may not supply all of the information you may need. In such cases, you should consider a variety of possibilities and infer potential conclusions. However, please be sure to identify any assumptions or speculations you make.

Identify which case study you selected, briefly summarize the facts surrounding the case study, and identify the problem or issue in the case study that presents an ethical dilemma or challenge and describe that dilemma or challenge.

Use the three components of the ethical decision-making model (moral awareness, moral judgment, and ethical behavior) found in the Ethical Decision-Making Model media piece in the Resources to analyze the ethical issues.

Analyze the factors that contributed to the problem or issue.

Identify who is involved or affected by the problem or issue.

Describe the factors that contributed to the problem or issue and explain how they contributed.

Cite and apply the journal article as evidence to support your critical thinking and analysis of the case.

Assess the credibility of the information source.

Assess the relevance of the information source.

Discuss the effectiveness of the communication approaches present in the case study.

Describe how the health care professional communicated with others.

Describe the communication and communication strategies that were applied, both in creating and in resolving the problems or issues presented.

Assess instances where the professional communicated effectively or ineffectively.

Discuss the effectiveness of the approach used by the professional related to any problems or issues involving ethical practice in the case.

Describe the actions taken in response to the ethical dilemma or challenge presented in the case study.

Summarize how well the professional managed professional responsibilities and priorities to resolve the problem or issue in the case.

Discuss the key lessons this case provides for health care professionals.

Apply ethical principles to a possible solution to the proposed problem or issue from the case study.

Describe the proposed solution.

Discuss how the approach makes this professional more effective or less effective in building relationships across disciplines within his or her organization.

Discuss how likely it is the proposed solution will foster professional collaboration.

Needs to be original; no plagiarism

King’s Conceptual System Theory. 

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Assignment:

This week you will be writing an APA paper to include a title page, level headings, and a reference page

  1. Discuss and explain King’s Conceptual System Theory.
    1. First explain the 3 systems and provide examples of each system
    2. Explain how the systems influence goal attainment
    3. How could King’s theory help define a clinical quality problem?
    4. Apply this theory to a potential practice quality improvement initiative within your clinical practice.
    5. How could a quality committee align outcomes with King’s Conceptual System Theory?
    6. What additional nursing theory from our readings could also align with an improved quality of practice initiative?

This paper should include 2 outside references and the textbook. This paper should be 1250 to 1500 words in length.

Compare the physical assessment of a child to that of an adult.

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Compare the physical assessment of a child to that of an adult. In addition to describing the similar/different aspects of the physical assessment, explain how the nurse would offer instruction during the assessment, how communication would be adapted to offer explanations, and what strategies the nurse would use to encourage engagement.

common signs and symptoms of dehydration

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      SCENARIO OVERVIEW

Jesus Garcia is a 28 years who was directly admitted to the medical unit on Tuesday evening with a diagnosis of dehydration. Fifteen days ago, Jesus underwent a partial colectomy with creation of a transverse colostomy. Jesus’ girlfriend Virginia has been taking care of him since discharge and reports that Jesus has resisted participation in colostomy care. Virginia needs to return to her full-time job and is concerned with how Jesus will manage without her at his side

REVIEW PRIOR TO SIMULATION

In order to prepare for the simulation, you are required to complete the pre-briefing questions below and submit to the faculty facilitating the simulation prior to the start of pre-briefing. If you do not complete the pre-briefing questions below and submit to faculty facilitating the simulation prior to the start of pre-briefing, you will not be permitted to participate in the simulation.

Please keep in mind you will also be required to recognize a variety of signs and symptoms linked to abnormalities in these skills.

Questions

1. What are common signs and symptoms of dehydration?

2. What are complications you may see as a result of poor nutrition?

3. Describe nursing care and interventions for a client with a colostomy

PLEASE USE APA FORMAT AND INCLUDE REFERENCES LESS THAN 5 YEARS OLD