College Nursing Papers

Make sure you completely answer the questions. Most of the questions have 2 or more parts. Responses need to be at LEAST 150-250 words. Please do not just copy the answers directly from the text – I want you to formulate the response in your own words.

1. What are the five developmental tasks of young adulthood, and how can the accomplishing of one influence the accomplishing of any of the remaining four?
2. What is the function of fat in nutritional health besides serving as the body’s primary means of storage for excess calories? What is the basis of our current concern about saturated fats, cholesterol, and trans-fatty acids?
3. Identify those risk factors for cardiovascular disease that cannot be changed. Identify those risk factors that can be changed. Lastly, identify the risk factors that can be contributing factors.
4. What role does Medicare and Medicaid play in meeting the health care needs of the American public? Which portion of Medicare is universal? What elective option does Medicare offer?
5. Examine the effects of nicotine on the body outside of the central nervous system. How does the influence of nicotine resemble that associated with the stress response?

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how many chromosome did you inherit from your father?

a.2

b.23

c.24

d.46

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For this assignment, you will conduct research and write a paper containing three parts: Part I: Analyze diet Part II: Evaluate how the patient’s diet affects: The person’s health (anatomy) The progression of the illness (pathophysiology) Common medications associated with the disease Part III: Create patient SMART goals and an evidence-based plan of care (patient education) Begin by selecting one of the patient profiles (Patient’a for choice will be uploaded) You will use the patient profile to complete Parts I–III of the assignment. Final Research Paper: Disease & Nutrition Part I The Diet Include the following in Part I: • Criterion 1: Determine if the person’s diet is deficient or in excess of CHO, PRO, and fat and explain why. • Criterion 2: Explain in detail how the person’s diet meets or does not meet the RDA for five or more micronutrients. Part II Disease and Nutrition Include the following in Part II: • Criterion 1: Explain how the person’s diet would affect the patient’s disease symptoms and progression. Provide a minimum of three examples of how specific foods affect the disease pathophysiology. Provide examples of foods the person should avoid, and those he/she should consume. • Criterion 2: Explain how food interacts with the medications this patient takes. What are the nutrient-related side effects of the medication? What are the nutrient restrictions and recommendations for the medications? o Example: Iron supplements cause constipation, so people are advised to increase fiber foods; however, if a person is taking fiber with iron, the fiber will reduce the absorption of the iron thus decreasing the effectiveness of the iron. Part III Patient Education Include the following in part III: • Criterion 1: Calculate the following for the patient: BMI, BMR, CHO, PRO, and fat needs and any other relevant calculations that will help you develop a nutritional plan for your patient. • Criterion 2: Develop an evidence-based nutritional education plan with three SMART goals for your patient. Provide specific nursing strategies and examples for the patient, and consider all aspects of the patient’s lifestyle. Paper should: Be 4–5 pages, !not including the title and reference pages! Source(s) should be integrated into the paragraphs. Use in-text citations pointing to evidence in the literature and supporting your ideas. Incorporate a minimum of two pee APA format Getting Started Tips Some common diets in the United States: • Paleo diet • DASH • Diabetic • Hemodialysis • Vegetarian • Atkins A few recommended peer-reviewed journals: • Journal of American Medical Association • Lancet • Journal of American Dietetic Association * You may not use WebMD or any Wiki sources. Check with your instructor or librarian to confirm that your sources are credible and scholarly. Your librarians are here to help you with your research questions! Patient’s info to select and the rubric are submitted.

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• Analyze the functions of an EMR.
• Analyze the limitations of an EMR.
• Analyze the significance of an EMR.
• Analyze the levels of EMR adoption.
• Analyze ethical and legal accessibility issues when sharing EMRs.
• Analyze the need for business systems analysis and the role of project management in health care organizations as they pertain to the evolution of EMRs.

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Critical Appraisal of a Quantitative Study Assignment Guideline and Rubric

 The goals of this assignment are to:

1. Assist students in understanding the basic process of conducting a literature review/critical appraisal.
2. Assist students in understanding the beginning process of conducting an evidence-based practice review.
3. Provide students with the beginnings of scientifically based knowledge on a selected procedure/topic related to nursing research.

Steps of the process:

1. Select a topic with instructor’s approval. Important because some articles that have been shown to me are not research quantitative nor qualitative research studies that have come from refereed journals.  Article can be quantitative or qualitative and preferably from a nursing research journal.   (Please submit article to me by end of the day on Monday because I must critique it in order to be able to evaluate your critique.)

2. Appraise the article critically using the guidelines provided in Chapter 12. This is the information provided in the syllabus..

3. Prepare a presentation to facilitate where a/the group member(s) discuss aspects of the critique. (See guidelines/questions below.) Power point is suggested because it may provide creativity and generate audience interest.

Information to include in the report (see examples on pages 433-442)

Research Problem and Purpose

Why is the problem significant to nursing?

• Will the study problem and purpose generate or refine knowledge for nursing practice?

Literature Review

• How current is the literature review?
• Does the literature review provide rationale and direction for the study?
• Is a clear, concise summary presented of the current empirical and theoretical knowledge in the area of study?

Study Framework

• Is the framework/theoretical basis presented with clarity?
• If a map or model is presented, is it adequate to explain the phenomenon of concern?
• If a proposition from a theory is tested, is the proposition clearly identified and linked to the study hypotheses?

Research Objectives, Questions, or Hypotheses

• Are the objectives, questions, or hypotheses expressed clearly?
• Are the objectives, questions, or hypotheses logically linked to the research purpose and framework?
• Are the research objectives, questions, or hypotheses linked to concepts and relationships from the framework?

Variables

• Do the variables reflect the concepts identified in the framework?
• Are the variables clearly defined?
• Is the conceptual definition of a variable consistent with the operational definition?

Method/Design

.  What type of research is it? Explain.

• How were study subjects selected?
• Are any subjects excluded from the study based on age, socioeconomic status, or race, without a sound rationale?
• If more than one group is used, do the groups appear equivalent?
• Are the rights of human subjects protected?
• Is the setting used in the study typical of clinical settings?

Measurements

What are the instruments that were used to measure variables and if they are scales and questionnaires did the investigator(s) clearly describe them, especially the reliability/validity of the instruments?

If data were collected by observation as in qualitative studies

are the phenomena to be observed clearly identified and defined?

Is interrater and intrarater reliability described?

Are the techniques for recording observations described?

Interviews

Do the interview questions address concerns expressed in the research problem?

Are the interview questions relevant for the research purpose and objectives, questions, or hypotheses?

Physiological Measures

• Are the physiological measures or instruments clearly described?

Are the methods for recording data from the physiological measures clearly described?

Data Collection and Analysis

• Is the data collection process clearly described?
• Is the training of data collectors clearly described and adequate?

Are the results presented in an understandable way?

Interpretation of Findings

• Are findings discussed in relation to each objective, question, or hypothesis?
• Are the findings clinically significant?
• Do you believe that there are limitations that the investigator(s) did not identify?

Evaluation

• What do you determine are the major strengths/weaknesses of the study?
• To what populations can the findings be generalized?
• What questions emerge from the findings, and are these identified by the researcher?
• What future research can be envisioned? Can the study be replicated by other researchers?
• How do findings inform your practice as a nurse?

• When the findings are examined based on previous studies, what is now known and not known about the phenomenon under study? That is, are the findings consistent with those from previous studies?
• Does the author indicate the implication of the findings for practice? What are the implications of the findings for nursing practice?

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Laroya post

Teratogens

Teratogens can be defined as any agent that can be disturb the development of an embryo or fetus. This may cause a birth defect in a child or halt the pregnancy outright. Teratogen are broken into classes that includes: radiation, maternal infections, chemicals and drugs. It tends to harm the prenatal brain, affecting the future child’s intellectual and emotional functioning.

Effects of Teratogens

While all teratogens increase the threat of harm to the development of a child, none always cause damage. The critical impact depends on the complex interchange of numerous factors. These are factors are timing, exposure and genetic variability. Timing is a critical factor doing the pregnancy when teratogen can be exposed to the fetus. Some teratogen cause damage only in a specific days or weeks while others are harmful doing any time of the pregnancy. Exposure is another effect that is harmful to the pregnancy due to the development of organism. Genetic variability is another factor that determines whether a specific teratogen will be harmful is the make-up of developing organism having and not having certain genes may make the developing child more susceptible to teratogens.

Ways to Avoid Teratogens

It’s imperative that pregnant moms educate themselves on teratogens and importance of avoiding things that cause harm to their body. The only safe option of action is to avoid the risk of mothers being exposed to teratogens during pregnancy is to avoid taking any type of medication if possible, being exposed to excessive heat, herbal treatments, children with rashes, fever and runny nose, alcohol, tobacco, lead & radiation.

Resources to be informed about Teratogens

It is essential that all pregnant mothers get all the necessary knowledge on avoiding teratogens. Consulting their primary OBGYN is the number one source of receiving informative information concerning teratogens. Visiting their local health department is another helpful source. If the mother would like to do her own personal research, she can always visit the internet to google any questions or concerns she may have concerning teratogen and how it may affect her pregnancy.

Wilder post

Some expecting mothers aren’t aware of Teratogens, what they are and how they may affect prenatal and infant development.  Teratogens is a term used to refer to any environmental agent that causes damage during the prenatal period. (Berk & Meyers, 2016). Such as alcohol, tobacco, prescribed medication, drugs, or even a hereditary disease from the mother now can cause the unborn baby to be born with defects like spontaneous abortions, preterm labor or miscarriage.

The teratogen I would discuss is alcohol. Alcohol is one of the popular teratogen. Women who use or abuse alcohol is at risk for fetal alcohol spectrum disorder (FASD), a term that encompasses a range of physical, mental, and behavioral outcomes caused by prenatal alcohol exposure. This disorder can cause facial abnormalities such as thin upper lips and short eyelid openings. It can also cause brain injuries that can impair three areas of function like language, attention span, social skills and memory.  The effects of damaged cause by the teratogen depends on the fetus age, poor nutrition and lack of care. Another factor is dosage larger doses over longer time periods usually have more negative effects.

Alcohol disrupts the neurotransmitters so messages are unable to get from one area to another. Because there is no safe amount of alcohol to consume, Fetal Alcohol Syndrome can be prevented by not consuming any alcohol during pregnancy (Streissguth, n.d.).

To better assist and educate women who aren’t aware of teratogens and how to avoid them and their effects I would provide resources such as articles “Alcohol Abuse in Pregnant Women Effects on the Fetus and Newborn, Mode of Action and Maternal Treatment” where they can read up on the information. (Ornoy, A., & Ergaz, Z. (2010). Alcohol Abuse in Pregnant Women: Effects on the Fetus and Newborn, Mode of Action and Maternal Treatment. International Journal of Environmental Research and Public Health, 7(2), 364–379. http://doi.org/10.3390/ijerph7020364). As well as provide centers that will support the women needs like National Institute: Alcohol Abuse and Alcoholism https://pubs.niaaa.nih.gov/publications/brochurewomen/women.htm

Respond to two other learners. Do you agree with each learner’s comments about nature versus nurture? Why or why not? What else can you add to the discussion?

Lisa post

Nature versus nurture was always taught to be the way a child grows and develops throughout childhood. Even though twins maybe from the same wound it states that they can become very different. The way they are raised doesn’t always make them have the same personalities. After hearing cast on “Twins Data Reshaping Nature Versus Nurture Debate” and reading “Multiple Offspring” in Chapter 2, one has come to the understanding that twin are just normal people. The only difference is they have the same genetic makeup and shared the same space at one time. No matter how they were raised they may have some of the same characteristics and be very different.

The most interesting part of the conversation was when Miller mentioned the twin boys which one had autism and the other was a genius. This was amazing because one thought that if one had autism then the other one would have it also. Some things are so fascinating because it was like one of the twins compensated for the other one. Miller also mentioned that autism is a developmental syndrome and it was thought to be genetic or inherited. So, how could this be when this happens? This is amazing because when you think scientist has found the answer to something then, something more amazing happens to baffle them.

Social and cultural environments impact newborns by lack of medical care and poor nourishment. The text it states some cultural differences can impact a newborn’s behavior by the way mothers care for their babies. I have noticed that some children who are raised in a different cultural background are very different from others. For example, I was raised in a different culture where you are supposed to breastfeed and keep the baby close to you at all times. We did this for the first three months and then placed the baby in their own bed. I never had any problems with them crying or screaming other than when they were dirty, hungry or sick. After these were taken care of they just laid around or went to sleep.

Berk, L. E., Meyers, A. B. (2015-03-01). Infants, Children, and Adolescents, 8th Edition. [Bookshelf Online]. Retrieved from https://online.vitalsource.com/#/books/9781323243565/

Conan, N. (2012-02-01). Twins Data Reshaping Nature Versus Nurture Debate.

https://www.npr.org/templates/transcript/transcript.php?storyId=144583977

Stacia post

Nature versus Nurture.

Nature is defined as hereditary and evident at the point of conception while nurture is ultimately shaped by a combination of forces like society in conjunction with our biological makeup and experiences after birth.  The reading outlined how nature and nurture work together to shape development.  I found it interesting that the reading posed a question of how scientist could be sure that heredity and environment had such a substantial impact on development when they work in many ways.  The podcast inadvertently proposed this point through the many examples given through experiences of twins.  Neither source denied that heredity and environment did not shape development in some form.  However, the podcast, in my opinion, defied what would be the “scientific explanation” for the way that twins live their lives.  A good example of this would be the story of the gay twin.

Social and cultural environments.

The identity issue of nature versus nurture that is not taken into consideration according to the podcast is that differences do not necessarily yield an issue with nurture but the assertion of identity.  It was also mentioned that only twins understand the pressure that society puts on twins.  In my experiences with twins, society often views twins as “the twins” as mentioned in the podcast.  It is difficult for twins to break away from that and be viewed as individuals.  Social and cultural environments impact newborn through exposure and stimulation.  While the responsiveness can vary, studies show that highly enriched environment produce higher intelligence scores.

Interesting points.

I found it interesting how twins coming from different sides of the embryo have different genes that are turned off and are no longer the same after the split.  Splitting embryos at day five results in two completely different people even though they are sharing DNA.  It was also interesting to hear stories of “twin telepathy”.  I would be interested on learning the scientific explanation behind twin telepathy.

Professional experiences

I have taught two sets of twins in my professional career.  One set was girls and the other a girl and boy.  In both cases, each set of twins had very different personalities and character traits.  I do believe nature versus nurture had an impact based on my observations.  The twins of opposite sex had challenges opposite of the same sex twins.  The opposite sex twins often struggled with the issue of who was the oldest and biggest.  Ironically, the girl is the oldest and tallest by almost six inches.  However, they score similar across all developmental domains which I equate to heredity.  In my experience with the same sex, it was often a competition of who was the better twin.  I am not sure if this occurred because they were girls but it was detrimental to both because they could not focus without trying to “one up” the other twin which I equate to environment.  The podcast was insightful and has opened my mind to nature versus nurture in a way that is not contained to infant development.

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As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals.
Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics.
Share your presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics, and medical homes.
In 800-1,000 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform.
A minimum of three scholarly references are required for this assignment.
While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

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Digestive disorders are nothing new. As long as humans have consumed food, there have been problems with digestion. Now think about how human nutrition has changed over time and across geographical locations. TASK: Identify a digestive disorder that is closely linked to a particular time or place. For example, a lower incidence of colorectal cancer has been documented in parts of the world where the local diet consists primarily of fresh fruits and vegetables with low consumption of cooked red meat. (Note: colorectal cancer is an example—please do not use this disorder in your discussion.) CONTENT: Discuss the causes and symptoms of your chosen disorder and possible treatment options. Include information on the role of diet in mitigating or treating symptoms of the disorder. Cite at least two sources in your response.

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There are several chronic health problems with genetic/genomic components that plague the population. These health problems are very difficult and challenging diseases to manage. Evidenced-based nursing practice must include genetic and genomic information when planning patient care. Nurses, through their knowledge and support, play an important role in positive patient outcomes when managing the challenges of these genetically linked diseases.

For this Discussion, you will consider applications of various topics to genetics and genomics. Review the Resources focusing on the application of genetics and genomics to nursing

Choose one of the following subtopics:

• Pharmacogenomics and chronic illnesses
• Genomics in patient assessment
• Genetically competent care for those with chronic illnesses

Note: A different subtopic relating to genetics and genomics may be chosen with Instructor approval.

Locate at least one scholarly journal article that discusses your subtopic.

By Day 3

Respond to the following:

• Identify your subtopic and provide a brief summary of your journal article on how this topic relates to nursing practice.

• What is the nurse’s role in providing care in relation to your subtopic and the overarching theme of advocacy?

• What ethical implications should be considered with regard to genetics and genomics for nursing practice? Why?

Support your response with references from the professional nursing literature.

Note Initial Post: A 3-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually ≤ 5 years old).

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There is no page requirement for the assignment. Just make sure all sections are covered and the paper includes a cover page, introduction, body, conclusion, and reference section (double-spaced with 12 point font). Assignment: Choose one of the following You are to direct a new community nutrition program for a non-profit community based organization -You are to direct a new childhood obesity counseling program in your local hospital -You are to direct the opening of a new casual/quick service salad concept -You are to direct the opening of a cafeteria in a new ambulatory care center As a new and small operation, you have been given limited resources to promote and market your new business. Please develop a marketing plan to introduce your offering, raise awareness and interest, and generate enough traffic so that the business can become a success. You need to use journal articles, books, trade and popular media, interviews with administrators/operators currently engaged in a like or similar endeavor, etc. to develop the plan. Please include a section on the each of the 4 P’s of marketing and a section on one of the 5 perspectives of marketing. Please use at least two properly formatted APA citations and references.

Once you choose the business that you will be writing about, you will need to choose a perspective of marketing that you would use to market the product or service. You will also need to include a section on the 4 P’s of marketing (price, product, promotion, place). Think about how much you will sell the product/service for, where you will sell it, and how you will promote it. Please remember that an introduction and conclusion is needed. The introduction can be a combination of talking about the business and the importance of marketing. Also please remember that a title page and two references are needed. Let me know if this answers your questions or if I can be of more assistance.

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