For Teacher Researcher_D *ONLY*
/in Uncategorized /by PeterHealth Care Initiative EvaluationPurpose:The purpose of this Assignment is to demonstrate how the DNP prepared nurse uses advanced levels of clinical judgment to analyze a health care initiative to improve patient populations and health system outcomes.This Assignment will serve as the Course Level Assessment for:Course Outcome 4: Appraise advanced levels of clinical judgment and systems thinking in designing programs to improve patient, population, and health system outcomes.Directions:Before you create this presentation, review these resources in the Writing Center:PowerPoint BasicsAdvanced PowerPointCreating Effective PowerPoint PresentationsFor this Assignment you will create PowerPoint presentation:containing 5 to 10 slides (use the notes pages to clarify your ideas);supported with a minimum of five scholarly, peer review sources external to those assigned in class for this unit;follow the conventions of Standard American English (correct grammar, punctuation, etc.);well ordered, logical, and unified, as well as original and insightful;display superior content, organization, style, and mechanics; and;use APA 6th edition format.Content for the presentation:In your literature review this week, locate a health care initiative designed to improve patient populations or health systems outcomes that demonstrates advanced levels of DNP clinical judgment.Analyze the initiative and develop a PowerPoint presentation to communicate your findings including answers to these questions:Why was the practice initiative developed?Who was the target population?Who were the relevant stakeholders (who influenced and who was influenced by the program)?How would you describe the evidence translated into the practice initiative?How was the practice initiative implemented?How were the outcomes of the practice initiative evaluated?Based on your evaluation, what are your implementation recommendations to add to those already addressed for the practice initiative?To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Home.Assignment Requirements:Before finalizing your work, you should:be sure to read the Assignment description carefully (as displayed above)consult the Grading Rubric (under the Course Home) to make sure you have included everything necessary;utilize spelling and grammar check to minimize errors; andYour PowerPoint Assignment should:Include a title slide, conclusion slide, and references slideInclude notes on each slidefollow the conventions of Standard American English (correct grammar, punctuation, etc.);be well ordered, logical, and unified, as well as original and insightful;display superior content, organization, style, and mechanics; and;use APA 6th edition format as outlined in the APA Progression LadderConsideration for evaluation:A description of why the initiative was developed, the target population, and the relevant stakeholders is thorough, relevant to the topic, and is supported by scholarly peer-reviewed articles.The evidence translated into practice and how the initiative was implemented is presented in a comprehensive, clear, and articulate description.The evaluation method/ process of the outcomes of the initiative is presented in a comprehensive, clear, and articulate description.Recommendations based on evaluation of the implementation of the initiative are comprehensive, insightful and supported by external peer reviewed resources.All graphics are attractive (size and colors) and support the topic of the presentation. Font formats (color, size, bold, italic) enhance readability and content.Text and references page are consistent with APA format. Ideas and information from other sources are cited correctly. Sources are scholarly.Rules of grammar, word usage, and punctuation are followed. Assignment is spellchecked and proofread.Overall style is consistent with that expected of formal, professional work.Part two of assignmentSystems Level Change AssignmentPurpose:The purpose of this Assignment is to evaluate how the DNP prepared nurse is a catalyst for change at the systems level in the clinical practice setting. Based on your new level of knowledge about the role of the DNP prepared nurse you will be better equipped to navigate the complicated terrain of initiating and instilling change by translating evidence into practice.This Assignment will serve as the Course Level Assessment for:Course Outcome 3: Assess how the role of the advanced practice nurse might be used as a catalyst for change in the clinical practice setting.Directions:For this Assignment you will create an document:a minimum of 5 pages in length (excluding title page and references);supported with a minimum of five scholarly, peer review sources external to those assigned in class for this unit;follow the conventions of Standard American English (correct grammar, punctuation, etc.);well ordered, logical, and unified, as well as original and insightful;display superior content, organization, style, and mechanics; and;use APA 6th edition format.Content for this document:Review the health care initiative to translate evidence into practice that you analyzed for your PowerPoint presentation Assignment.Evaluate the change that successfully or unsuccessfully occurred as a result of the health care initiative analyzed in Unit 5 through the lens of:translational sciencecomplexity theory and transdisciplinaryone organizational change theory.Conclude with your personal opinion of the value of organizational change theory, translational science, and complexity theory and transdisciplinary for the development, implementation, evaluation, and dissemination of initiatives in health care.Consideration for evaluation:A review of the initiative to translate evidence into practice for the assignment in Unit 5 is presented in a thorough and comprehensive description that is well developed and articulated.Evaluation of the initiative through the lens of one organizational change theory is comprehensive and articulated well. Comprehension of the theory is demonstrated and the evaluation is well developed.Evaluation of the initiative through the lens of translational science is comprehensive and articulated well. Comprehension of translational science is demonstrated and the evaluation is well developed.Evaluation of the initiative through the lens of transdisciplinarity and complexity theory is comprehensive and articulated well. Comprehension of the theory is demonstrated and the evaluation is well developed.An opinion of the value of organizational change theory, translational science, complexity theory, and transdisciplinarity in the initiative design process is comprehensive and the evaluation is well developed and articulated. All of the concepts are addressed and comprehension of the concepts is demonstrated.Text, title page, and references page are consistent with APA format with no errors.Ideas and information from other sources are cited correctly with no errors. Sources are scholarly.Rules of grammar, word usage, and punctuation are followed with no errors. No misspelled words.Overall style is consistent with that expected of formal, professional work.
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Community discussion 2
/in Uncategorized /by PeterThinking About RolesInstructions:1 Please answer the following questions:• Describe how the roles of the community health nurse as research and educator might overlap.• How are the roles of consultant and educator alike? What is the key difference?• Identify examples in your community in which nurses act as: Advocates, case managers, and counselors.Your response should be 50 – 100 words.
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Post1#5
/in Uncategorized /by Peterhcs week2
/in Uncategorized /by PeterComplete the Mental and Behavioral Health portion of the Effects of Disease on the Health Care Industry document.Click the Assignment Files tab to submit your assignment.BE SURE TO COMPLETE THE WORKSHEET FOR TWO DIFFERENT DISEASES IN THE INDICATED CATEGORY (e.g. Mental and Behavioral Health in week 2).Each disease should have 3-5 bullet points in each column.*****DO NOT copy and past material from your sources! Please put it in your own words!*****Please include your references.Faculty MaterialsMaterialsEfEffects of Disease on the Health Care Industry: Mental and Behavioral HealthComplete the table on the following page. Choose 2 diseases or disorders to complete the table.Be sure to properly cite references and sources for any information or facts used.A general example has been provided for you.Example:Disease or DisorderTreatment ModalitiesCultural Beliefs/Practices Affecting this DiseaseEpidemiological StatisticsAvailable Consumer Resources(e.g., financing, information, support)Impact on SocietyAcquired Immunodeficiency Syndrome (AIDS)· Prevention (education, exposure avoidance)· Antiretroviral treatment (required to begin directly after infection)· Antiviral medications sometimes slow disease progression but cannot cure it once contracted.· AIDS is a disease that only affects the LGBT community (myth).· Contracting HIV is an automatic death sentence (myth).· HIV/AIDS is currently incurable (fact).· Education and proper preventive measures are crucial in fighting this disease.· Worldwide, 2.5 million new cases reported in 2011 (CDC)· 635,000 individuals with AIDS have died in the United States to date (CDC).· An estimated 1.1 million people in U.S. were living with AIDS in 2009 (CDC).· Websites:www.cdc.gov/hiv/default.htmlwww.aidshealth.orgwww.aids.gov· Funding for prevention and research from the government and private sector· Educational programs, UNICEF· Considered a worldwide epidemic (Shi, 2014)· In 2012, the U.S. government spent more than $20 billion on HIV/AIDS programs and research.· Has an impact on social lives and sexual practices of all citizens in a given society in one way or another.ReferencesShi, L. (2014). Introduction to Health Policy. Chicago, IL: Health Administration Press. Washington, D.C.: AUPHA Press. Centers for Disease Control and Prevention. (2013). Retrieved from www.cdc.gov/hiv/default.htmlComplete the table below for 2 diseases that you have chosen that affect mental and behavioral health. In each box, you are required to list 3 to 5 bulleted statements regarding the heading of that box.Cite your sources using APA format.This section is due in Week Two.Chosen Mental/Behavioral Disease or DisorderTreatment ModalitiesCultural Beliefs/Practices Affecting this DiseaseEpidemiological StatisticsAvailable Consumer Resources(e.g., financing, information, support)Impact on SocietyList chosen disease here·····Referencesfects of Disease on the Health Care Industry: Mental and Behavioral Health Worksheet
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week 4 discussion answers
/in Uncategorized /by Peterplease respond to each discussion post with apa references for each minimum 6-8 sentences. Thank you!Describe the pathophysiology, clinical manifestations, evaluation, and treatment of two diseases of the posterior pituitary–syndrome of inappropriate antidiuretic hormone secretion (SIADH) and diabetes insipidus (DI).SIADH and DI are two disorders that often get confused, however, they are opposite each other. SIADH is “Soaked Inside” and DI is “Dry Inside”. The one thing these two disorders have in common is the activity of ADH (Schnur, 2021).The pathophysiology of Syndrome of inappropriate antidiuretic hormone secretion (SIADH) is first caused by abnormally increased secretion of antidiuretic hormone (ADH) for no apparent reason. Other times there is a CNS disorder such as cancer, cardiopulmonary disorders, vascular diseases, and myxedema for the increased secretion of ADH. Medications such as antidepressants, antipsychotics, narcotics, and NSAIDS can also cause SIADH. The unusually high release of ADH will cause water retention, dilutional hyponatremia, and hypo-osmolarity (McCance & Huether 2014).Clinical manifestations of SIADH include dilutional hyponatremia. Depending on how fast and severe the sodium levels are dropping will determine the extent of clinical manifestations. Increased thirst, dyspnea on exertion, and fatigue can manifest with sodium levels between 140-130 mEq/l. GI upset with vomiting and abdominal cramps are seen with sodium levels of 130-120 mEq/l. Sodium levels below 115 mEq/l will result in severe sometimes irreversible neurological changes (McCance & Huether, 2014).Evaluation and Treatment need immediate attention once clinical manifestations are present. A diagnosis of SIADH requires urine and serum lab values to be obtained. Serum osmolality of less than 280 mOsm/kg and hyponatremia of less than 135 mEq/l. Urine hyperosmolarity, and urine sodium excretion match sodium intake.Treatment includes correcting the cause of SIADH. The priority is to correct severe hyponatremia first with 3% hypertonic saline. Hyponatremia needs to be corrected slowly because too quick of a correction can cause an additional neurological problem called central pontine myelinolysis. Fluid restriction of 800-1000ml/day is also implemented. Continued monitoring of urine and serum lab values to monitor the hyponatremia and frequent neurological assessments to detect any neurological changes. Monitoring of vital signs and I & O’s are also included in the treatment plan (McCance & Huether, 2014)Diabetes Insipidus (DI) is a decrease of ADH resulting in polyuria and polydipsia. Due to insufficient amounts of ADH being produced, there are three forms of DI with neurogenic (hypothalamic), which are the most common. Tumors, lesions, infection, and immunologic disorders disrupt the synthesis, transport, or release of ADH (McCance & Huether, 2014).Clinical manifestations include polydipsia, and polyuria, with urine output of as much as 8-12L/day. Polydipsia with a continued thirst for cold drinks. Serum laboratory values will show hypernatremia. Urine lab values will be consistent with a low urine specific gravity because of the body’s inability to reabsorb water (McCance & Huether, 2014).Evaluation and Treatment-It must first be confirmed that the problem is DI and not Diabetes Mellitus. A diagnosis of DI will reveal polydipsia, polyuria, low specific urine gravity, low urine osmolality, hypernatremia, and high serum osmolality. A water deprivation test will also rule out DI if the urine volume decreases with the decrease in water intake. Treatment will include treating the underlying causes and medication administration such as DDAVP (McCance & Huether, 2014)McCance, K.L. & Huether, S.E. (Eds.). (2014). Pathophysiology: The biologic basis for diseasein adults and children. (7th. ed.). Elsevier Mosby. https://online.vitalsource.com/books/9780323088541Links to an external site.Schnur, M. B. (2021, October 21). Siadh versus di: What’s the difference? NursingCenter. Retrieved November 21, 2022, from https://www.nursingcenter.com/ncblog/october-2021/siadh-vs-di2nd discussion postAn expansion of the prostate gland is referred to as benign prostatic hypertrophy (BPH), sometimes known as benign prostatic hypertrophy (Ng, 2022). Lower urinary tract symptoms frequently occur as a result of the prostatic tissue pushing down on the urethra when it travels through the prostate. Typically, males 60 years of age and older exhibit this. BPH and enlargement are linked to aging and androgens in the blood. The need to pass urine, a delay in beginning to urinate, and a weaker urine stream are the typical symptoms. Chronic cases result in prolonged urine retention and overflow incontinence (Huether & McCance, 2014).A medical history, physical examination, and laboratory testing, such as a urinalysis, are used to make the diagnosis. Drugs have been used successfully to treat BPH. Smooth muscle in the bladder and prostate is relaxed using 1-adrenergic blockers (tamsulosin and prazosin). Antiandrogen medications, including finasteride (Proscar), specifically inhibit androgens at the cellular level of the prostate and cause the prostate gland to constrict (Huether & McCance, 2014).ReferencesHuether, S., McCance, K. (2014). Pathophysiology: The Biologic Basis for Disease in Adults and Children (7th ed.). Elsevier Health Sciences (US). https://online.vitalsource.com/books/9780323088541Ng M, Baradhi KM. Benign Prostatic Hyperplasia. [Updated 2022 Aug 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK558920/
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sign recognition using c+ opencv
/in Uncategorized /by Peter1) The goal of the program you are going to write is to classify street signs, in particular stop signs and speed limit signs. There are four images that you will use to test your program; speedsign3.jpg – a 40km speed sign, speedsign12.jpg – an 80km speed sign, speedsign4.jpg – a 100km speed sign and finally stop4.jpg – a stop sign. I have given you a program called classify_sign_template.cpp, which you should change to do the classification. The result will be a copy of the input image with the appropriate label (a stop sign, speed limit 40, speed limit 80, or no match) for each of these three input images. There are two parts to the program, the first decides on which type of sign you are looking at (stop sign or speed limit). To do this you will use the routines Canny, findContours, and approxPolyDP. To help you I am giving you some information on the parameters of these routines. First of all, Canny(, , canny_thresh, canny_thresh*2, 3) where canny_thresh is defined in the program I have given to you. Also, findContours(, , , RETR_EXTERNAL, CHAIN_APPROX_NONE, Point(0, 0)), and approxPolyDP(, , contours[i].size()*.02, true). These are the parameter values which worked for me, you can use them if you want, but you do not need to use them. The second part of the program will use the routines getPerspectiveTransform, and warpPerspective along with images speed_40.bmp, and speed_80.bmp to tell the type of speed limit sign, but only once you have determined that your are indeed looking at a speed limit sign. Hand in the source code, and tell me the version of OpenCV that you are using. You should also include the four output files that you have produced, one for each of the four test cases.
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Theory and Nursing Practice – 400 words
/in Uncategorized /by PeterDescribe the relationship between theory and nursing practice and how one could implement theory into nursing practice.Describe why nursing theory is important to today’s nursing practice.How would someone select and introduce a nursing theory or model into nursing practice?
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Community & Public Health due today
/in Uncategorized /by Peter10 Essential Services of Public HealthPublic health services are divided into four major categories and 10 specific services.Complete the worksheet, to access, click here:Describe the four major categories and 10 essential services of public health and find a real-life example of each service.Provide a definition for each of the four categories and 10 essential services of public health listed on the worksheet. (The definition should be approximately three to four sentences each, written in your own words.)Identify via an internet search a real-life example of each of the 10 essential services. (The example may be a program, initiative, or service of a government agency, community service agency, non-profit organization, or community action group.)Provide a description and brief discussion of how each example relates to the definition of the essential service.Include a link to the website where you found information about each example.Add a title page with the following:Title of assignmentStudent’s nameCourse name and numberInstructor’s nameDate submittedInclude a reference page formatted according to APA style as outlined in the Ashford Writing Center.NOTE: For the four categories of services, you only need to include a definition; you do not need to provide an example of the categories. All information you include on the worksheet must be in your own words and cited appropriately in APA style as outlined by the Ashford Writing Center. No quotes or copy-pasted material will be accepted.
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Discussion question only .. no intro or conclusion just question and answer
/in Uncategorized /by Peter“Reform of Healthcare Market and Regulation and Antitrust Policy in Health Care” Please respond to the following:From theUnited States Department of Health and Human Resources, synthesize the primary ways in which consumer and provider incentives work together to achieve cost reduction under the Affordable Care Act (ACA). Provide at least one (1) example of such synthesis to support your response.Defend or critique the key provisions of antitrust legislation in the United States. Analyze the major ways in which quality issues in health care affect antirust healthcare policy. Provide at least one (1) example of antitrust laws in action to support your response.
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