Category: Nursing

 
Case Scenario

Over the past four decades, approximately 40 new pathogens have been identified. One of which (Legionnaire�s Disease) was identified during a major pneumonia outbreak in members of the American Legion attending the annual meeting in 1976 in Philadelphia. The incidence of Legionnaires� disease in the United States rose from 3.9 cases per million people in 2000 to 11.5 cases per million people in 2009, an increase of 192%. The increase might probably be attributable to increase proportion of elderly population who are more prone to acquiring infectious disease and developing life threatening complications. In addition, improvement in the healthcare in the United States has caused an increase in the number of immune-deficient individuals, such as cancer survivors, transplant patients or people on immune-suppressive medications for long term auto-immune diseases.

The episodes of Legionnaire�s disease showed some seasonal variation; 62% of the cases occurred during the summer and early autumn. The yearly incidence of this disease appeared to also be associated with climate changes, such as increased precipitation. Prior to 2015, only 24% of cases were travel-associated and 4% possible cluster. However, in 2015 clusters of cases, which exceeded all expectations, have occurred in states such as New York, Illinois, and California. The sudden change in the pattern of the Legionnaires� disease occurrence is not so clear to the scientist. Are these changes due to a change in our knowledge about transmission mechanism of Legionella bacteria or should we be worried about this agent being used in bioterrorism events? Or is the change artifactual and unreal?

Please answer the questions below in the order in which they are presented (see format for writing the comp exam). Be careful to align your answer with the case study as presented.
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A. Epidemiology and Biostatistics Section

Assuming you have conducted an investigation of the Legionnaire�s disease in a district in your locale and you have obtained the following data (the data is hypothetical), please use the data to:

i. Generate the descriptive summary statistics of the data.
ii. Draw an epidemic curve
iii. From your epidemic curve and your knowledge of the average and minimum incubation period for Legionnaire�s disease, identify the likely exposure period.

Case # Age Sex Date of Onset Case # Age Sex Date of Onset
1 16 F 8/3/15 33 38 F 9/9/15
2 34 F 8/4/15 34 17 M 9/10/15
3 15 F 8/5/15 35 30 F 9/10/15
4 46 F 8/6/15 36 4 M 9/10/15
5 21 M 9/1/15 37 8 F 9/11/15
6 14 M 9/1/15 38 15 F 9/11/15
7 13 M 9/2/15 39 15 F 9/11/15
8 43 F 9/2/15 40 16 M 9/11/15
9 14 F 9/3/15 41 17 F 9/12/15
10 37 M 9/3/15 42 20 M 9/12/15
11 5 M 9/3/15 43 16 F 9/12/15
12 11 M 9/3/15 44 11 F 9/12/15
13 19 F 9/4/15 45 7 M 9/12/15
14 15 F 9/4/15 46 20 M 9/12/15
15 40 M 9/4/15 47 44 F 9/12/15
16 12 M 9/4/15 48 16 M 9/12/15
17 15 M 9/4/15 49 12 F 9/12/15
18 15 F 9/4/15 50 13 F 9/13/15
19 17 F 9/5/15 51 30 M 9/13/15
20 13 M 9/5/15 52 14 M 9/13/15
21 45 M 9/5/15 53 30 F 9/13/15
22 45 M 9/6/15 54 16 M 9/13/15
23 10 F 9/7/15 55 14 M 9/14/15
24 12 F 9/7/15 56 14 M 9/14/15
25 18 M 9/7/15 57 20 M 9/14/15
26 14 M 9/7/15 58 20 M 9/14/15
27 15 M 9/8/15 59 18 F 9/15/15
28 30 F 9/8/15 60 12 M 9/18/15
29 29 F 9/9/15 61 12 F 9/20/15
30 12 M 9/9/15 62 15 F 9/24/15
31 20 M 9/9/15 63 14 M 9/26/15
32 15 M 9/9/15
iv. Assuming you used a case-control study design to collect the data, describe in detail how you selected both cases and control groups. How would you ensure that your study is free of selection bias and information bias?

On the basis of your case-control studies, assuming you were able to find appropriate 54 controls for 27 of your cases as shown in the table below.

Exposure to Hot Tubs among Cases and Controls, Legionnaire Disease Outbreak
Used Hot Tubs Cases Controls Total
Yes 25 28 53
No 2 26 28
Total 27 54 81
v. Using analytical epidemiology, determine quantitatively whether cases and controls were equally exposed to hot tubs.
Use appropriate statistical techniques to test the significance of your findings in question v

Format Guidelines for Paper

� Double-spaced lines
� Indented paragraphs (do not leave space between paragraphs)
� Header on each page should include last name and date
� Footer on each page should include page numbers
� Times Roman 12 point font
� One inch margins on all sides
� Written and saved in Microsoft Word, any version.

Include a �works cited� bibliography at the end to reference the sources of information collected. Sources from Wikipedia, blogs, and other non-peer-reviewed sites are not allowed. Citations within the text and the works cited bibliography should be in APA style (American Psychological Association).

 

I am a PhD Nursing student seeking your help in flowing points:
1-I need you to do for me the study protocol;
I have done my dissertation proposal (see attachment ) and I have the university study protocol exemplar( see attachment) that I need you to do the same way to my study protocol
And help me to complete my ethical form as my supervisor give me some comment ( In the document )I need you to fix it out to be sharp as he said for the committee
2- in the attachment you will find 3 questionnaires , but I need the questionnaires that I am proposing to use to have reliability and validity scores for these as demonstrated by the original authors and agreement from the authors to use them .I have an agreement for one only (The Measure of Job Satisfaction) I need the other 2 which they are( Autonomy Scale) and (Self-Efficacy Scale)
3-I need to get a view from a statistician on the sample seize in conjunction with the questionnaires to get a view of how many people make the questionnaires viable data collection instruments and also on what statistical analysis I will be able to carry out.

 
Please flow the provided file precisely, please focus on
-tcr binding modes autoimmunity.
-Who do T cells fail at times?
-The Conventional Topology of TCR Binding to Peptide/MHC Complexes

Please use the links that i have uploaded, as i have already used them in my Annotated bibliography which is part of this dissertation.
Please could you also provide the flowing as urgent?

1) the question/topic you will address in the paper: the subject matter,
2) the objectives of the paper: the question/s you will attempt to answer and/or the gap/s
in knowledge you aim to fill, and
3) the way in which you intend to address the objectives: the arguments you intend to
make and the evidence you will use to support these.

 
Clinical Application of Explanatory Theories
Categories Possible
Points
Points
Received
Feedback
A: Client Facts
Key
Information
Problem
Identification
Possible points 11
Received 0 points
Introduction: Relevant History:
Defines Problem:
Describes Symptoms:
Diversity issues noted:
Makes links to references:
B.
Theoretical
Perspective
Modern
Attachment
Theory
Applied
Possible points 17.5
Received 0 points
Summary of attachment theory:
Summary of client’s likely attachment
experience in early childhood:
Client’s symptoms related to
Attachment theory:
Client’s affect regulation described:
Issues related to stress and capacity to
use supports based on type of
attachments
Explains what has shaped client’s
brain from attachment?
Makes links to references:
C.
Neurobiology
Applied
Linkage to
Case
Possible points 17.5
Received points 0
Description of overall neurobiology:
o Right brain development:
o Description of brain processes:
Ability to link specifics of
neurobiology in explaining symptoms
for client:

Stress explained in physiological
terms:
Makes links to references:
D.
Self-Psychology
Applied
Kohut
Stress Impact
on Client
Possible points 30
Received 0 points
Summary of Self Psychology theory:
Client’s symptoms related to Self
Object theory:
Summary of client’s likely self-object
relationships or experiences in early
childhood:
Idealizing:
Grandiose:
Twinship:
Summary of client’s likely self-object
experiences in later development:
Client’s Self-object needs linked to
treatment:
Makes links to references:
E.
Professional
Presentation
Format
Presentation
Clarity of
Concepts
Reference
APA
10 Scholarly
References
Page length 6-
10 pages
Possible points 25
Received 0 points
Formatted appropriately:
Proofed for typos and spelling:
References & Pages:
Minimum 10:
APA formatted:
Length 6—10 Pages:
Overall presentation of concepts:
Ethical presentation of client:
Total 100 0
General Feedback: Juan,
I am returning this rubric to you without
assigning points because it is lacking the
section on Self Psychology as well as
some greater elaboration and examples of
the concepts. I hope you will consider
rewriting it to achieve a grade in the B
range.
The Self-Psychology section alone is
worth 30 out of 100 points so this paper is
already below a C—a failing grade—and
there are other issues with your paper that
will also have point reductions. For
example, you need a greater elaboration
on the specifics of the neurophysiology
and more examples of how your client’s
attachment and self-issues are
manifested—e.g. what does your client do
when engaged in social interactions
(including therapy) that show his
attachment or self issues? How does he
regulate his affect and impulses? This
paper needs more specificity around the
concepts.
You can use the grading rubric above as a
guideline to help you notice what you
have and where you need to elaborate.
Your writing style is very interested and
creative, but an academic paper ultimately
is looking for the rational and facts to
support the rational.

 

You are required to tour a nursing home in your community and record details about the physical setting, the social interactions of the residents, the activities of the staff, and other basic information. There are different checklists provided in class as a guideline for you to use. Feel free to use the checklists provided or modify them to your specifications. Please make sure that you call the facility in advance and speak to someone in admissions so you can set up a tour date. You should be able to schedule a tour within the week. After your tour, I encourage you to ask permission if you can interact with one of the residents. Simply sitting and talking or playing cards with a resident will make their day.

**If you are deployed, please contact me immediately so we can make other arrangements.**

When writing your paper about the nursing home facility you toured, include the following information:
1. The name of the facility, date, and time you visited.
2. Your recorded details of the facility (look at checklist examples provided).
3. Would you like to work or live in this place? Why or why not?
4. Research the advantages and disadvantages of nursing home care by using the textbook or other credible sources.
5. Factors that affect the ability to perform activities of daily life (ADLs) and instrumental activities of daily life (IADLs).

*This paper must be typed, double spaced, 4-6 pages in length, contain at least 2 references, and a Microsoft Word document. Additionally, the paper will contain a title page at the beginning and a reference page at the end, which are not included in the 4-6 page paper. APA format is required, margins have to be set at 1 inch, and font must be 12 points

 

PURPOSE:

It is important to understand how research can help you in your everyday environment as a nurse. In this assignment, you will identify a practical problem that emerges from the evidence in the extant literature or professional practice.

DIRECTIONS:

Chose a problem that you are encountering in your practice or about which you have read in the current literature.

Write a paper (250 to 500 words) that describes a practical problem that emerges from the evidence in the extant literature or professional practice. The paper should do the following:

Clearly describe the problem.
Provide a rationale for the significance of this problem. The rationale must be supported by the current or seminal literature.
Prepare this assignment according to APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to Turnitin.

Each question has 4 answers what I need from you is pic up the right answer and write the rational why is right and support it with references and talk about other choose answer why they are not correct and support it with references. This requirement for both two questions. I will upload you the questions. I will be happy if you can pic up the answers from some nursing books not less than 5 years ago.
Mrs Grace 64 years old, is admitted with congestive cardiac failure. It is planned that Frusemide( Lasix ) and Digoxin will be prescribed for her treatment:

1- On night, Mrs Grace awakens extremely breathing and coughing up pink mucoid sputum, which position should the nurse place her immediately:

A- Upright, with her feet lowered.
B- Semi- recumbent, with her feet elevated
C- Upright, leaning over the bed- table.
D- Recumbent, without any pillows.
2- The doctor arrived and prescribed Frusmide( Lasix ) 20mg IV statin, This drug promotes diuresis by:

A- Inhibiting the action of aldosterone.
B- Increasing renal execration of sodium
C- Influencing the action of antidiuretic hormone
D- Blocking the reabsorption of sodium and water

 

Explain all three leadership styles: Democratic, laissez-faire and Authoritarian.
Examine Democratic leadership style and its application in response to workplace challenges, change management and conflict resolution.
Consider leadership resilience and resiliency development strategies in the workplace in your response.
DO NOT WRITE AN INTRODUCTION OR CONCLUSION – JUST WRITE THE BODY CONTAINING THE ABOVE INFORMATION

This assessment is an individual written assessment that expands on the priorities identified in Assessment One. This assessment requires a detailed discussion of the priorities as well as identifying nursing strategies and the identification of how these strategies can be evaluated in supporting a patient’s level of safety, level of function and level of independence. The writer has to forces on the nursing priorities and the concept map which i have attached. follow the marking rubric as well introduction and collusion is needed. think about Nursing interventions. i will attach all what is needed . Use reference from 2005 -2015

.

PART A
You must complete at least two separate online CPD activities, the activities involve a minimum of six hours of self directed work in total. These CPD activities will comprise your portfolio for submission, together with the reflection in part B..
In your portfolio you must:
Outline your objectives for completing each online CPD activity using the SMART format for documenting each objective.
A SMART goal must be SPECIFIC e.g. specific illness, measurable, attainable, realistic and timely.
Choose Online CPD activities developed for health professionals not those directed at community education. You must also show that you have accessed a range of activities from different website
You need to include evidence of successful completion (an email of registration for a webinar does not constitute evidence of completion of the CPD activity). For example:
Please screen shot of successful completion of the CPD activity
Certificate of completion
Other appropriate verification
PART B
Submit a 1200 word critical reflection on the process of completing PART A. You need to address the following the following questions in your response:
Why did you select the specific CPD activities?
How has completing these activities contributed to your ongoing learning about mental health for practice
How can apply this learning to your work as a newly registered RN
What ongoing learning needs have you identified as a result of completing this activity?
What strategies will you utilise address these ongoing learning needs?

You must use a minimum of five academic references to support your discussion in Part B. Appropriate use of first person is acceptable in the critical reflection.