Use APA 6th Edition Format and support your work with at least 3 peer-reviewed references within 5 years of publication. Remember that you need a cover page and a reference page. All paragraphs need to be cited properly. All responses must be in a narrative format and each paragraph must have at least 4 sentences. Lastly, you must have at least 2 pages of content, no greater than 3 pages, excluding cover page and reference page.

Case Study

L.L. is a 67-year-old male who has been diagnosed with BPH. He is having difficulty with urination. He is currently on Cozaar 100 mg for HTN and his BP is well controlled. He is taking no other medications. The doctor has recommended medication for his BPH, but he would like to try a herbal supplement before taking a prescription medication.

1. Would you recommend a herbal supplement in L.L’s case?

2. If so, what herbal supplement would he take?

3. What is the recommended dosage?

4. What are possible side effects of the herbal supplement?

5. What warnings should you give L.L. before he starts the herbal supplement.

 
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The Assignment (3–5 page APA-formatted essay)

  • Describe one example each for effective problem-focused, emotion-focused, and biology-focused coping mechanisms and explain why each is effective.
  • Describe one example each for ineffective problem-focused, emotion-focused, and biology-focused coping mechanisms and explain why each is ineffective.
  • Explain two approaches you might use to address the most common ineffective coping mechanisms for the population you selected in Week 3.

Readings

  • Course Text: Carver, C. S. (2011). Coping. In R. J. Contrada & A. Baum (Eds.), The handbook of stress science: Biology, psychology, and health (pp. 221–229). New York, NY: Springer Publishing Company.Now with an understanding of how individuals experience stress and learn to cope, and the influence of stress on the body in terms of stress-related and non-stress related disease, please review Chapter 17, “Coping” from the perspective of effective coping mechanisms to manage stress within specific populations.
  • Course Text: Rook, K. S., August, K. J., & Sorkin, D. H. (2011). Social network functions and health. In R. J. Contrada & A. Baum (Eds.), The handbook of stress science: Biology, psychology, and health (pp. 123–136). New York, NY: Springer Publishing Company.
  • Book Chapter: Chun, C.-A., Moos, R. H., & Cronkite, R. C. (2005). Culture: A fundamental context for the stress and coping paradigm. In Wong, P. T. P., & Wong, L. C. J. (Eds.), Handbook of multicultural perspectives on stress and coping (pp. 29–53). New York, NY: Springer.
    Handbook of Multicultural Perspectives on Stress and Coping, 1st Edition by Wong, P.; Wong, L. Copyright 2005 by Springer-Verlag New York, Inc. Reprinted by permission of Springer-Verlag New York, Inc. via the Copyright Clearance Center.
  • Article: Bittner, J. G., IV, Khan, Z., Babu, M., & Hamed, O. (2011). Stress, burnout, and maladaptive coping: Strategies for surgeon well-being. Bulletin of the American College of Surgeons, 96(8), 17–22.
    Stress, burnout, and maladaptive coping: Strategies for surgeon well-being by Bittner, J.G., Khan, Z., Babu, M., & Hamed, O., in Bulletin of the American College of Surgeons, Vol. 96/Issue 8. Copyright 2011 by The American College of Surgeons. Reprinted by permission of The American College of Surgeons via the Copyright Clearance Center.
  • Handout: Laureate Education, Inc. (2012). Coping in a social context. Unpublished document.
  • Handout: Laureate Education, Inc. (2012). The focus of coping. Unpublished document.
  • Web Resource: Alzheimer’s Association. (2012). Coping. Retrieved from http://www.alz.org/care/alzheimers-dementia-support-help.asp
  • Web Resource: National Cancer Institute. (n.d.). Coping with cancer: Supportive and palliative care. Retrieved from http://www.cancer.gov/cancertopics/coping
 
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A retired 69-year-old man “Mr. Casey” with a 5-year history of type 2 diabetes. Although he was diagnosed 5 years ago he had symptoms indicating hyperglycemia for 2 years before diagnosis. His fasting blood glucose values of 118–127 mg/dl, which was explained to him as “borderline diabetes.” He also states he has had past episodes of nocturia with large pasta meals and Italian pastries. At the time of diagnosis, he was advised to lose 10 lbs.

Referred by his family physician to the diabetes clinic, Mr. Casey presented with recent weight gain, suboptimal diabetes control, and foot pain. He has been trying to lose weight and increase his exercise for the past 6 months without success. He had been started on glyburide (Diabeta), 2.5 mg every morning, but had stopped taking it because of dizziness, often accompanied by sweating and a feeling of mild agitation, in the late afternoon.

Mr. Casey also takes atorvastatin (Lipitor), 10 mg daily, for hypercholesterolemia. He has tolerated this medication and adheres to the daily schedule. During the past 6 months, he has also taken OTC medications to try to control his diabetes. He stopped these supplements when he did not see any positive results.

He does not test his blood glucose levels at home and expresses doubt that this procedure would help him improve his diabetes control.

Mr. Casey states that he has “never been sick a day in his life.” He is retired and volunteers locally. He lives with his wife of 48 years and has two married children. Although both his mother and father had type 2 diabetes, Mr. Casey has limited knowledge regarding diabetes self-care management and states that he does not understand why he has diabetes since he never eats sugar. In the past, his wife has encouraged him to treat his diabetes with herbal remedies and weight-loss supplements, and she frequently scans the Internet for the latest diabetes remedies.

During the past year, Mr. Casey has gained 22 lb. Since retiring, he has been more physically active, playing golf once a week and gardening, but he has been unable to lose more than 2–3 lb. He has never seen a dietitian and has not been instructed in self-monitoring of blood glucose.

Mr. Casey’s diet history reveals excessive carbohydrate intake in the form of bread and pasta. His normal dinners consist of 2 cups of cooked pasta with homemade sauce and three to four slices of Italian bread. During the day, he often has “a slice or two” of bread with butter or olive oil. He also eats eight to ten pieces of fresh fruit per day at meals and as snacks. He prefers chicken and fish, but it is usually served with a tomato or cream sauce accompanied by pasta. His wife has offered to make him plain grilled meats, but he finds them “tasteless.” He drinks 8 oz. of red wine with dinner each evening. He stopped smoking more than 10 years ago.

The medical documents that Mr. Casey brings to his appointment indicate that his hemoglobin A1c(A1C) has never been <8%. His blood pressure has been measured at 150/70, 148/92, and 166/88 mmHg on separate occasions during the past year at the local senior center screening clinic. Although he was told that his blood pressure was “up a little,” he was not aware of the need to keep his blood pressure ≤130/80 mmHg for both cardiovascular and renal health.

Mr. Casey has never had a foot exam as part of his primary care exams, nor has he been instructed in preventive foot care. However, his medical records also indicate that he has had no surgeries or hospitalizations, his immunizations are up to date, and, in general, he has been remarkably healthy for many years.

Physical Exam

A physical examination reveals the following:

  • Weight: 178 lb; height: 5′2″; body mass index (BMI): 32.6 kg/m2
  • Fasting capillary glucose: 166 mg/dl
  • Blood pressure: lying, right arm 154/96 mmHg; sitting, right arm 140/90 mmHg
  • Pulse: 88 bpm; respirations 20 per minute
  • Eyes: corrective lenses, pupils equal and reactive to light and accommodation, Fundi-clear, no arteriolovenous nicking, no retinopathy
  • Thyroid: nonpalpable
  • Lungs: clear to auscultation
  • Heart: Rate and rhythm regular, no murmurs or gallops
  • Vascular assessment: no carotid bruits; femoral, popliteal, and dorsalis pedis pulses 2+ bilaterally
  • Neurological assessment: diminished vibratory sense to the forefoot, absent ankle reflexes, monofilament (5.07 Semmes-Weinstein) felt only above the ankle

Lab Results

Results of laboratory tests (drawn 5 days before the office visit) are as follows:

  • Glucose (fasting): 178 mg/dl (normal range: 65–109 mg/dl)
  • Creatinine: 1.0 mg/dl (normal range: 0.5–1.4 mg/dl)
  • Blood urea nitrogen: 18 mg/dl (normal range: 7–30 mg/dl)
  • Sodium: 141 mg/dl (normal range: 135–146 mg/dl)
  • Potassium: 4.3 mg/dl (normal range: 3.5–5.3 mg/dl)
  • Lipid panel
    • Total cholesterol: 162 mg/dl (normal: <200 mg/dl)
    • HDL cholesterol: 43 mg/dl (normal: ≥40 mg/dl)
    • LDL cholesterol (calculated): 84 mg/dl (normal: <100 mg/dl)
    • Triglycerides: 177 mg/dl (normal: <150 mg/dl)
    • Cholesterol-to-HDL ratio: 3.8 (normal: <5.0)
  • AST: 14 IU/l (normal: 0–40 IU/l)
  • ALT: 19 IU/l (normal: 5–40 IU/l)
  • Alkaline phosphotase: 56 IU/l (normal: 35–125 IU/l)
  • A1C: 8.1% (normal: 4–6%)
  • Urine microalbumin: 45 mg (normal: <30 mg)

Please use the attached Care Plan outline for this assignment and post in the “Drop Box” under “Instructional”.

Credit of care study toGeralyn Spollett, MSN, C-ANP, CDE

Reference:

American Diabetes Association. (2003, January 1). Case Study: A Patient With Uncontrolled Type 2 Diabetes and Complex Comorbidities Whose Diabetes Care Is Managed by an Advanced Practice Nurse. Retrieved from http://spectrum.diabetesjournals.org/content/16/1/32

 
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This assignment will be at least 1500 words or more

This week you will reflect upon the effects of the nursing shortage to answer the following questions:

  • What steps can we take to address the nursing shortage?
  • Briefly define the series of events that led to the nursing shortage.
  • Reflect on your future role as a nurse or healthcare employee in the midst of a nursing shortage crisis.
  • How do you see the role of legislature contributing to safe staffing during a shortage?
 
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The state workers’ compensation board that governs workers’ compensation for the state that your company resides and performs all of its business in, has decided to reject the four exceptions to the governing classification and single enterprise rule in your state.

Understanding this is a very big issue, your company’s legal team has elicited your help to write an argumentative paper that will be presented to the workers’ compensation board during the public hearings scheduled for next week.

Compose a paper that defends the following list:

  • the Standard Exception classifications,
  • the Interchange of Labor rules,
  • the General Exclusion classes, and
  • the use of the Multiple Enterprise rule.

The legal department is depending on you to ensure that to help the board understand why the rejection of these exceptions would be so detrimental to your business. Make sure you argue your points based on a company with 8,000-plus employees, within seven different manufacturing sites and two major administrative buildings that are separated geographically from the plants. Your EMR for the trailing 36-month period is 0.94 and the gross revenue for your company is $1.3 billion.

Your paper must be a minimum of three pages (not including the title and reference page) and include at least two academic resources. All information from outside resources should be cited in APA format. Please include an abstract that summarizes the key points of your defense and/or argument.

 
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Select an issue for Community Empowerment that you have observed in your clinical setting and that you have discussed with your preceptor.  This might be a chronic health condition, a recent crisis or disaster in the community, a health-related legislative concern or something else!

Then, answer all of the following questions:

  • Describe the issue comprehensively.  Is the issue simply and easily explained by community members?
  • Will the issue unite community members and involve them in the problem resolution or divide them?
  • Is the issue consistent with the long-range goals of the community or clinical setting?
  • How does the issue affect community or organizational resources (financial, personnel, supplies, etc)?
  • Does the issue have the potential for creating new community partnerships?  Or new adversaries?  Why?
  • What is your prediction for the final outcome of the issue?

Every ? must be answered.

At least one page long.

All APA.

Must include at least one peer reviewed nursing journal article from 2015-2020

 
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1 . The control process assumes that
________.
A. employees require clear directions from managementB. employees are underqualified and require trainingC. specific goals for performance were already created
during the planning processD. employee monitoring costs are part and parcel of
doing business
2 . An example of control criteria
that can be used in any situation is ________.
A. number of calls taken per dayB. employee satisfactionC. average time to process paperworkD. client requests completed per houCorrect :

3 . In reviewing the result of the
control process, managers could choose to avoid taking action when ________.
A. an employee fails to attain the standard because of
internal problemsB. the variance between actual performance and the
standard is acceptableC. performance standards are acceptable, though the
employees have not attained itD. the variance observed from the expected performance
is caused due to unrealistic standards
4 . Which of the following types of
control prevents problems because it takes place prior to the actual activity?
A. Feedforward controlB. Concurrent controlC. Feedback controlD. Management control
5 . Management by walking around is
what type of control?
A. Feedforward controlB. Concurrent controlC. Feedback controlD. Reactive control

6 . What type of control gives
employees information on how well they performed, and therefore, can increase
motivation?
A. Feedforward controlB. Concurrent controlC. Feedback controlD. Proactive control

7 . The current ratio and acid test
are two examples of what type of ratio?
A. ActivityB. LiquidityC. LeverageD. Profitability

8 . Which of the following ratios
measures an organizations ability to meet financial obligations (debt) and
allow someone to understand the companys use of different methods of financing
to pay interest?
A. Liquidity ratiosB. Leverage ratiosC. ProfitabilityD. Activity ratios

9 . If a firm wants to measure items
related to sales and turnover, it should use what type of ratio?
A. LiquidityB. LeverageC. ProfitabilityD. Activity

10 . Which of the following is a
performance measurement tool that looks at four areas that can help a company
succeed?
A. Market value methodB. Economic value methodC. Balanced scorecard approachD. Information control approach

11 . Suzys Packing Supplies is an
organization that prides itself on keeping its employees happy. In fact, most
of Suzys performance measures are based around the firms workers. If Suzy
chooses to measure the organizations performance using the balanced scorecard
tool, which one of the four factors will she focus on the most?
A. FinancialB. CustomerC. Internal processesD. People/innovation/growth strategies

12 . Which of the following options
listed would be an example of a measurement in the internal processes area of a
balanced scorecard?
A. Employee satisfactionB. Customer satisfactionC. Quarterly profitsD. Duplicate activities across functions

13 . Which of the four areas of a
balanced scorecard can help a firm best answer the question, how do we look to
shareholders?
A. CustomerB. Internal processesC. People/innovation/growth assetsD. Financial

14 . ________ is a method through
which organizations compare themselves to other firms to improve their
processes and products.
A. Factor analysisB. Total quality managementC. Market positioningD. Benchmarking

15 . Firms can benchmark their
performance against competitors, but they can also benchmark against
themselves. This is known as _____.
A. self-analysisB. planningC. intra-organizational benchmarkingD. internal benchmarking

16 . Amys Waffle Hut is not
performing well in inventory turnover (products are sitting unused for too
long, and some are spoiling). To correct this, Amy walks across the street to
speak to Sue, owner of Sues Cinnamon Rolls, to see how she handles her inventory.
Amy is engaged in what process?
A. Competitor sabotageB. NetworkingC. Competitor analysisD. Benchmarking
17 . If a manager rationalizes that
he does not have time to investigate the source of a problem and instead
resorts to putting out fires, the manager is missing the use of ________.
A. bureaucratic controlB. immediate corrective actionC. basic corrective actionD. concurrent control
1 . The control process assumes that
________.
2 . An example of control criteria
that can be used in any situation is ________.3 . In reviewing the result of the
control process, managers could choose to avoid taking action when ________.4 . Which of the following types of
control prevents problems because it takes place prior to the actual activity?5 . Management by walking around is
what type of control?6 . What type of control gives
employees information on how well they performed, and therefore, can increase
motivation?7 . The current ratio and acid test
are two examples of what type of ratio?8 . Which of the following ratios
measures an organizations ability to meet financial obligations (debt) and
allow someone to understand the companys use of different methods of financing
to pay interest?9 . If a firm wants to measure items
related to sales and turnover, it should use what type of ratio?10 . Which of the following is a
performance measurement tool that looks at four areas that can help a company
succeed?11 . Suzys Packing Supplies is an
organization that prides itself on keeping its employees happy. In fact, most
of Suzys performance measures are based around the firms workers. If Suzy
chooses to measure the organizations performance using the balanced scorecard
tool, which one of the four factors will she focus on the most?12 . Which of the following options
listed would be an example of a measurement in the internal processes area of a
balanced scorecard?13 . Which of the four areas of a
balanced scorecard can help a firm best answer the question, how do we look to
shareholders?14 . ________ is a method through
which organizations compare themselves to other firms to improve their
processes and products.15 . Firms can benchmark their
performance against competitors, but they can also benchmark against
themselves. This is known as _____.16 . Amys Waffle Hut is not
performing well in inventory turnover (products are sitting unused for too
long, and some are spoiling). To correct this, Amy walks across the street to
speak to Sue, owner of Sues Cinnamon Rolls, to see how she handles her inventory.
Amy is engaged in what process?17 . If a manager rationalizes that
he does not have time to investigate the source of a problem and instead
resorts to putting out fires, the manager is missing the use of ________.

 

 
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Instructions

Religion in Sixteenth- and Seventeenth-Century European Art

Whether artists were working under the patronage of a Catholic Pope, endorsing a Counter-Reformation agenda, or producing art influenced by the Protestant Reformation, religion had an undeniable impact on the creation of art in the High Renaissance and Baroque periods in Europe.

Carefully examine the following works, and read about each one in your textbook, course and video lectures, and through reliable internet resources:

  • Michelangelo, Sistine Chapel Ceiling, 1508-12
  • Grünewald, Isenheim Altarpiece, 1510-15
  • Durer, Four Apostles, 1526
  • Caravaggio, The Calling of St. Matthew, 1599-1600
  • Rubens, Elevation of the Cross, 1610

In an essay of 5-7 well-developed paragraphs, address each of the following questions, making specific references to the five paintings listed above:

  1. How does each painting reflect the religious context in which it was created? What is the religious context or influence apparent in each painting?
  2. What additional historical events may have influenced the creation of each painting?
  3. What, if any, was the influence of the patron of each painting?
  4. Explain how the style and specific visual characteristics of each painting contributed to or reflected its overall religious context or meaning, especially for contemporary audiences.

Include specific details about the visual characteristics and content of each painting in your response.

Provide proper citations for any information from outside sources included in your essay.

 
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Part 1 please cite in text appropriately in APA use at least two sources for both questions

1. an explanation of at least two opportunities that exist for RNs and APRNs to actively participate in policy-making. Explain some of the challenges that these opportunities may present and describe how you might overcome these challenges. Finally, recommend two strategies you might make to better advocate for or communicate the existence of these opportunities to participate in policy-making. Be specific and provide examples.

2. an explanation of at least two opportunities that currently exist for RNs and APRNs to actively participate in policy review. Explain some of the challenges that these opportunities may present and describe how you might overcome these challenges. Finally, recommend two strategies you might make to better advocate for or communicate the existence of these opportunities. Be specific and provide examples

Part 2

preparation

Select a healthcare program which in this case  (psychiatric nurse practitioner) and consider the design and implementation of this program.

Reflect on advocacy efforts and the role of the nurse in relation to healthcare program (psychiatric nurse practitioner) design and implementation.

The Assignment: (3 pages)

In 3-page paper, create an interview transcript of your responses to the following interview questions:

· Tell us about a healthcare program (Psychiatric nurse practitioner)within your practice. What are the costs and projected outcomes of this program?

· Who is your target population?

· What is the role of the psychiatric nurse practitioner nurse in providing input for the design of this healthcare program? Can you provide examples?

· What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design?

· What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples?

· Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why?

 
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Assignment:

The Future of Healthcare Informatics

Write an essay addressing each of the following points/questions. Be sure to completely answer all the questions for each number item. There should be three sections, one for each item number below, as well the introduction (heading is the title of the essay) and conclusion paragraphs. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least three (3) citations in your essay. Make sure to reference the citations using the APA writing style for the essay. The cover page and reference page do not count towards the minimum word amount. Review the rubric criteria for this assignment.

  1. Identify the current role of the informatics nurse and predict the future role of the informatics nurse, based on scholarly sources.
  2. Explain what is meant by connected health. Provide three examples of connected health in today’s healthcare environment. Explain the benefits and drawbacks of each.
  3. In what ways has informatics impacted public health – please provide at least three examples.

Assignment Expectations:

Length: 500 words per essay prompt/section (1500 total for this assignment)

Structure: Include a title page and reference page in APA style. These do not count towards the minimal word amount for this assignment. All APA Papers should include an introduction and conclusion.

References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources to support your claims.

Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.

Format: Save your assignment as a Microsoft Word document (.doc or .docx) or a PDF document (.pdf)

File name: Name your saved file according to your first initial, last name, and the module number (for example, “RHall Module 1.docx”)

 
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