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Nutritional principles in nursing

Question Description

Your final course project is now due. This paper will include all of the components you have developed over the course, and it should also include changes suggested by your instructor. Proofreading and formatting are essential prior to submission.

The requirements for your Project include the following:

  • Must be 6-8 pages.
  • Must include an introductory paragraph that describes the entire project.
  • The project must have all of the following: identification of the alteration in health (disease), the role nutrition plays in the prevention of this disease, its etiology, progression, treatment, recommended diet, type of nursing assessment and nursing interventions needed with regard to nutrition, outline of what should be included in client education and two strategies to help ensure adherence (overcome barriers) to the recommended diet.
  • Must have a title page and an APA Editorial formatted Reference page with at least three scholarly peer reviewed references. There must also be appropriate APA Editorial formatted in-text citations.

Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.

Save your assignment as a Microsoft Word document. (Mac users, please remember to append the “.docx” extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below:

 

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Discuss the benefits and possible hazards of gene therapy to human health.

NO WORD COUNT BUT ALL QUESTIONS MUST BE ADDRESSED

Gene Therapy and Cloning

Cloning is a major topic of debate and is described in the textbook. Briefly describe the process of cloning in the lab incorporating facts from the textbook.

How is cloning involved in gene therapy?

Give a specific and detailed example of how gene therapy may be used to solve problems associated with genetic disorders. 

Discuss the benefits and possible hazards of gene therapy to human health.

What might be the benefits of cloning? What are potential dangers or threats associated with the widespread use of cloning? 

Discuss the ethics of cloning in its various proposed forms and uses. 

Discuss how cloning is related to GMOs.

 

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The cash flows for the projects

PROBLEMS :

6. You have been offered a unique investment opportunity. If you invest $10,000 today, you will receive $500 one year from now, $1500 two years from now, and $10,000 ten years from now. What is the NPV of the opportunity if the cost of capital is 6% per year? Should you take the opportunity? What is the NPV of the opportunity if the cost of capital is 2% per year? Should you take it now?

14. You are a real estate agent thinking of placing a sign advertising your services at a local bus stop. The sign will cost $5000 and will be posted for one year. You expect that it will generate additional free cash flow of $500 per month. What is the payback period?

28. You are choosing between two projects, but can only take one. The cash flows for the projects are given in the following table: 

0

1

2

3

4

A

-100

25

30

40

50

B

-100

50

40

30

20

What are the IRRs of the two projects? If your discount rate is 5%, what are the NPVs of the two projects? Why do IRR and NPV rank the two projects differently?

1. You buy 100 shares of Tidepool Co. for $40 each and 200 shares of Madfish, Inc., for $15 each. What are the weights in your portfolio?

34. You are analyzing a stock that has a beta of 1.2. The risk-free rate is 5% and you estimate the market risk premium to be 6%. If you expect the stock to have a return of 11% over the next year, should you buy it? Why or why not?


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Analysis With Correlation And Regression

Competency Determine and interpret the linear correlation coefficient, and use linear regression to find a best fit line for a scatter plot of the data and make predictions. Scenario According to the U.S. Geological Survey (USGS), the  probability of a magnitude 6.7 or greater earthquake in the Greater Bay Area is  63%, about 2 out of 3, in the next 30 years. In April 2008, scientists and  engineers released a new earthquake forecast for the State of California called  the Uniform California Earthquake Rupture Forecast (UCERF).As a junior analyst at the USGS, you are tasked to  determine whether there is sufficient evidence to support the claim of a linear  correlation between the magnitudes and depths from the earthquakes. Your  deliverables will be a PowerPoint presentation you will create summarizing your  findings and an excel document to show your work.

Concepts Being Studied 

Correlation and regression Creating scatterplots Constructing and interpreting a Hypothesis Test for Correlation using r as the test statistic You are given a spreadsheet that contains the following information: Magnitude measured on the Richter scale Depth in km Using the spreadsheet, you will answer the problems below in a PowerPoint presentation.

What to Submit

The PowerPoint presentation  should answer and explain the following questions based on the spreadsheet provided  above. Slide 1: Title  slide Slide 2: Introduce your scenario and data set including the variables provided. Slide 3:  Construct a scatterplot of the two variables provided in the spreadsheet. Include a description of what you see in the  scatterplot. Slide 4: Find the value of the linear correlation  coefficient r and the critical value  of r using α = 0.05. Include an explanation on how you found those values. Slide 5: Determine whether there is sufficient  evidence to support the claim of a linear correlation between the magnitudes and the depths from the earthquakes. Explain. Slide 6: Find the regression equation. Let the predictor (x) variable be the magnitude. Identify the slope and the y-intercept within your regression equation. Slide 7: Is the equation a good model? Explain. What would be the best predicted depth of an earthquake with a magnitude of 2.0? Include the correct units. Slide 8: Conclude by recapping your ideas by summarizing the information presented in context of the  scenario. Along  with your PowerPoint presentation, you should include your Excel document which  shows all calculations.

 

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detailed description of four ways that oceans are important to you and a concluding paragraph that summarizes what you learned.

You will want to have an introductory paragraph, detailed description of four ways that oceans are important to you and a concluding paragraph that summarizes what you learned.  For example, you may consider economic, educational, ecological, climate and/or entertainment aspects of ocean habitats and/or inhabitants.  The essay should be one page typed with excellent spelling and grammar.

 

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Write a 3-4 page evidence-based health care delivery plan for one component of a heart failure clinic

Overview

Write a 3-4 page evidence-based health care delivery plan for one component of a heart failure clinic.

Nursing within an organization is a critical component of health care delivery and is an essential ingredient in patient outcomes (Kelly & Tazbir, 2014). The concern for quality care that flows from evidence-based practice generates a desired outcome. Without these factors, a nurse cannot be an effective leader. It is important to lead not only from this position but from knowledge and expertise.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

· Competency 2: Explain the accountability of the nurse leader for decisions that affect health care delivery and patient outcomes. 

. Describe accountability tools and procedures used to measure effectiveness.

· Competency 3: Apply management strategies and best practices for health care finance, human resources, and materials allocation decisions to improve health care delivery and patient outcomes. 

. Develop an evidence-based plan for health care delivery.

· Competency 4: Apply professional standards of moral, ethical, and legal conduct in professional practice. 

. Apply professional and legal standards in support of a care plan.

· Competency 5: Communicate in manner that is consistent with the expectations of a nursing professional. 

. Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.

. Correctly format citations and references using current APA style.

Assessment Instructions

Preparation

Refer to the Capella library and the Internet for supplemental resources to help you complete this assessment.

Instructions

Deliverable: Develop an evidence-based plan for health care delivery.

Scenario:

The hospital where you work has an issue with increased readmissions within 30 days of discharge. After examining the core measures, it was found that heart failure was the most common core measure disease process experiencing the highest rate of readmissions. The leadership team has given your team the charge of developing a nurse-run outpatient heart failure clinic. The purpose of this clinic is to ensure that discharge education is presented to the patient in an orderly, consistent manner and complies with evidence-based practice protocols. Since these patients may be discharged from a variety of areas in the facility, having the heart failure clinic staff take ownership of the process will improve both consistency and compliance. There are cardiologists that interact with the staff and patients, but the day-to-day operations of the clinic are designed and supported by the nurses as they interact with appropriate members of the other health care team disciplines promoting the best care for the heart failure patients.

As a member of the nurse team, you have been asked to develop one component of the clinic.

The hospital leadership established these objectives for the clinic services:

· Evaluate and maximize proper medication therapy.

· Conduct regular diet, exercise, and stress management classes for the patients.

· Monitor physiological indicators for the patients (lab work, weights, vital signs, ECGs).

· Provide a case management system for patients in the program post-discharge.

The overall goals for the heart failure clinic are to:

· Enroll greater than 90 percent of the patients with a primary or secondary diagnosis of HF prior to discharge.

· Facilitate discharge planning to achieve 100 percent compliance with patient education prior to discharge (discharge planning).

· Decrease readmission rates in this population by 5 percent over the next year.

The leadership team has asked you to provide them with an evidence-based plan for one of the components of the clinic. You may use any combination of documents (for example, a spreadsheet or a table) in addition to explanatory information to convey information clearly and succinctly.

Develop one: an Orientation Course Plan, a Discharge Education Plan, or a Care Coordination Plan.

An Orientation Course Plan:

· Develop an evidence-based plan for health care delivery.

· Include a comprehensive schedule of topics, objectives, key points, and patient resources for the orientation course. 

. What are the components of an evidence-based education plan?

. How will you know that patients will understand what to do?

. What modalities will you use to deliver information?

. How will you adapt the plan to meet the needs of patients from diverse cultural and language backgrounds?

. Identify specialized and supplementary material needs.

· Apply professional and legal standards in support of a care plan. 

. Explain the alignment to the most recent Heart Failure Guidelines and specific professional standards.

. Describe the accountability tools and procedures used to measure effectiveness.

. How will you know if the patient education plan is successful?

. What are the indicators of success or effectiveness?

A Discharge Education Plan:

· Develop an evidence-based plan for health care delivery. 

. Develop a discharge plan with objectives and resources, and tools for patients to monitor their progress.

. How will you know that patients understand what to do?

. What modalities will you use to deliver information?

. How will you adapt the plan to meet the needs of patients from diverse cultural and language backgrounds?

· Apply professional and legal standards in support of a care plan. 

. Explain the alignment to the most recent Heart Failure Guidelines and specific professional standards.

. Describe accountability tools and procedures used to measure effectiveness.

. How will you know if the discharge plan is successful?

. What are the indicators of success or effectiveness?

Care Coordination Plan:

· Develop an evidence-based plan for health care delivery. 

. Develop a procedure for coordinating services. 

. Consider the needs of “outliers.” For example, someone with lung disease may need extra resources.

. Who should be on the team?

. When would the team be activated?

. How would it be activated?

. What is the time frame required to coordinate services?

. How would the intervention plan be monitored for effectiveness?

· Apply professional standards in support of a care plan. 

· Explain the alignment to the most recent heart failure guidelines and specific professional standards.

· Describe accountability tools and procedures used to measure effectiveness. 

. How will you know if the care coordination plan is successful?

. What are the indicators of success or effectiveness?

. How will information be collected or communicated?

Additional Requirements

· Written communication: Written communication should be free of errors that detract from the overall message.

· APA formatting: Resources and in-text citations should be formatted according to current APA style and formatting.

· Length: The report should be 3-4 pages in content length, double-spaced.

· Font and font size: Times New Roman, 12 point.

· Number of resources: Support your plan with a minimum of three peer-reviewed resources, in addition to professional standards.

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Our focus this week is to identify a problem specific to your role option that is amenable to an innovative solution.

developing a research proposal. Our focus this week is to identify a problem specific to your role option that is amenable to an innovative solution.
Based on your specialty role option (i.e., Nurse Practitioner, Nurse Educator, Nurse Informaticist, Nurse Administrator), identify a potential problem (topic) that you would like to investigate through nursing research. Begin by reading the American Association of Colleges of Nursing’s (AACN) position statement on nursing research (http://www.aacn.nche.edu/publications/position/nursing-research).
Next explore South’s Online Library and conduct a search to locate a minimum of three nursing research articles that have addressed the problem you have identified. The literature may not be older than 5 years. After reading the literature respond to the following:
Note your role specialization and briefly describe the problem you are interested in researching and why this is of interest to you.
Discuss your library search strategies and briefly summarize the literature you reviewed. Focus your discussion on the “problem” and how the literature you identified provides evidence of the existence of the problem.
Include in your discussion a potential innovation that you might consider as a solution to the problem identified.
Include citations/references in APA style format, using citations where appropriate.

 

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Advanced Nursing Philosophy

Question Description

Directions

In this Assignment, you will develop of your personal philosophy of advanced practice nursing.

A philosophical statement includes these elements:

  • An introduction that presents your thought processes used to articulate a philosophy of advanced practice nursing. Note that APA does not use a heading for the introduction, because it is assumed that the first few paragraphs of a manuscript are the introduction.
  • Valued personal concepts, such as:
    • Metaparadigm concepts such as person/client, nursing, health, and environment
    • Additional concepts you may find valuable to advanced practice, such as IOM Future of Nursing, accountability, interprofessional collaborative practice, social justice, and professionalism
    • Definition of each concept selected
    • Relationships between and among concepts within your personal philosophy as applied to your current practice. A diagram with should be used to graphically depict these interrelationships.
    • Demonstrates substantial integration of course materials and/or use of upper level thinking
    • Diagram provided depicting relationship.
    • The author was able to make succinct and precise conclusions

 

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Describe four cardiovascular conditions that may lead to heart failure

Use the following Case Scenario, Subjective Data, and Objective Data to answer the Critical Thinking Questions.

Case Scenario

Mrs. J. is a 63-year-old woman who has a history of hypertension, chronic heart failure, and sleep apnea. She has been smoking two packs of cigarettes a day for 40 years and has refused to quit. Three days ago, she had an onset of flu with fever, pharyngitis, and malaise. She has not taken her antihypertensive medications or her medications to control her heart failure for 4 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure.

Subjective Data

  1. Is very anxious and asks whether she is going to die.
  2. Denies pain but says she feels like she cannot get enough air.
  3. Says her heart feels like it is “running away.”
  4. Reports that she is so exhausted she cannot eat or drink by herself.

Objective Data

  1. Height 175 cm; Weight 95.5 kg
  2. Vital signs: T 37.6 C, HR 118 and irregular, RR 34, BP 90/58
  3. Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint; all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation
  4. Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%
  5. Gastrointestinal: BS present: hepatomegaly 4 cm below costal margin

Critical Thinking Questions

What nursing interventions are appropriate for Mrs. J. at the time of her admission? Drug therapy is started for Mrs. J. to control her symptoms. What is the rationale for the administration of each of the following medications?

  1. IV furosemide (Lasix)
  2. Enalapril (Vasotec)
  3. Metoprolol (Lopressor)
  4. IV morphine sulphate (Morphine)

Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.

Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide rationale for each of the interventions you recommend.

 

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