Investigate Development Case: Self-Regulation

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MAKE A DECISION: How would you describe Randy’s problems in his workplace and what is your recommendation in how to address these issues?Other than his temper, Randy is a good employee. As valuable as he is, it’s probably best to encourage Randy to seek counseling and limit his contact with coworkers.It is of concern that Randy does not really think he has a problem. He should be required to complete an anger management program while remaining at work under close supervision.Randy clearly has some serious problems. He should be suspended until he has successfully completed an anger management program and then return to work as a probationary employee.Employers really cannot afford to keep employees who exhibit bad tempers. Randy should be terminated quietly with severance pay and insurance coverage to continue counseling.Think about the factors that influenced your recommendation for Randy. Why did you choose the option that you did? Include these aspects of Randy’s situation in your response:Randy’s personal history with anger and other impulse control issuesThe impact of anger in the workplace, in families, and on society as a wholeThe likelihood that an anger management program will be successfulThe legal and ethical issues posed by the situation and your positions on those issuesplease see attached

 
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MDC 4 Discussion

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You are preparing to work as a nurse in the neurology unit. The preceptor informs you to be prepared to discuss the following topics as they are commonly seen on the unit. In order to prepare, choose one of the following topics of interest as your initial discussion posting. Use this course?s resources and one evidenced-based article to explore the topic of your choice.How do you assess a client when the nurse suspects onset of CVA?Provide discharge information for a client with mild TBI.Discuss surgical management of brain tumors.Describe postoperative complications of a craniotomy.

 
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Weekly Article Summary 6

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Find and read a nursing scholarly article that relates to your clinical practice and is found in a peer-reviewed journal. Follow the instructions for the format and write a 1-page summary.Submission Instructions:Must be a research article.Write a 1-page summary using an outline of the steps of the research process, discuss the study type, purpose, and research question(s).INCLUDE:HOW MANY PARTICIPANTS? WHERE?RESULTS OF THE STUDYRECOMMENDATIONS FROM THE STUDYYOUR OPINION.The summary is to be clear and concise and students will lose points for improper grammar, punctuation and misspelling.The summary should be formatted per current APA and 1 page in length, excluding the title, abstract and references page.Incorporate a minimum of 3 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. NO WEBSITES REFERENCES, JUST ARTICLES PUBLISHED FROM 2017 UP TO NOW. INCLUDE DOI’s, volume, issue, etc.

 
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4412 Discussion Board 6.1: Standardization of Health Care Data

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Step 1:ÿRespond to the following:Discuss various methods of health care data and terminology standardization and the benefits of such for patient care and overall quality of care

 
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Capstone Change Project Outcomes

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After working with your preceptor to assess organizational policies, create a list of measurable outcomes for your capstone project intervention. Write a list of three to five outcomes for your proposed intervention. Below each outcome, provide a one or two sentence rationale.The assignment will be used to develop a written implementation plan.APA style is not required, but solid academic writing is expected.This is based on the change project of after discharge follow up, the facility is Perdue Medical Center a Rehabilitation and long term care. For this class everything is based on the same topic of the change project

 
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The Purnell Model for Cultural Competence

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The PurnellÿModel for Cultural CompetencePlease read chapter 2 of the class textbook and review the attached Power Point Presentation.ÿ Once done answer the following questions;1.ÿ In your own words discuss the empirical framework of the PurnellÿModel and what are the purposes of this model.2.ÿ Please mention and discuss the macro aspects of the model.3.ÿ What is the role of the head of household and genders according to this model?4.ÿ In your own words define the domainÿbioculturalÿecology and discuss one variation of this domain.As indicated in the syllabus the assignment must be presented in an APA format, word document, Arialÿ12 font attached to the forum title “Week 2 discussion questions” in the discussion board.A minimum of 2 evidence based referencesbesides the class textbook no older than 5 years are required.ÿ ÿ Assignment must contained a minimum of 500 words without counting the first and reference page.

 
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ATP WEEK 5 PROJECT

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InstructionsNursing Theory Analysis PaperOverview/Description:The purpose of this assignment is to describe, evaluate and discuss application of a nursing grand or mid-range theory. This assignment also provides the learner an opportunity to connect theory and research to nursing phenomena. Learners will develop an 8-10 page paper (excluding the title page and references) using APA style to address the elements listed below.Theory/Author Name and BackgroundSelect a Grand or Mid-Range Theory that is appropriate to your practice setting.Describe the theorist’s background in detail and discuss how their experiences have impacted the theory development.Examine crucial references for the original and/or current work of the theorist and other authors writing about the selected theory.Identify the phenomenon of concern or problems addressed by the theory.Theory DescriptionExplain whether the theory uses deductive, inductive or retroductive reasoning. Provide evidence to support your conclusion.Describe the major concepts of the theory. How are they defined? (theoretically and/or operationally) Is the author consistent in the use of the concepts and other terms in the theory?Interpret how the concepts are defined. Implicitly or explicitly?Examine the relationships (propositions) among the major concepts.EvaluationIdentify explicit and implicit assumptions (values/beliefs) underlying the theory. On what assumptions does the theory build?Examine if the theory has a description of the four concepts of the nursing metaparadigm. If so, how are they explained in the theory? If the metapardigm is not explained, what elements do you see as relevant to the theory and why?Discuss the clarity of the theory. Did it have lucidness and consistency?ApplicationExamine how the theory would guide nursing actions.Describe specifically how you can use this theory in your area of nursing (Practice, Education, Informatics or Administration).

 
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Rapid Critical Appraisal checklists (UTI & CAUTIs)

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This week, you are to complete a critical appraisal of one of your “keeper” articles as your discussion posting. Please be sure to include your Instructor-approved PICOT question to start the discussion.Rapid Critical Appraisal checklists consisting of a set of simple but important questions. Below are sample questions developed for use with quantitative studies that are applicable to most appraisal situations (it?s important to note that qualitative evidence, if it?s relevant to the clinical question, should not be dismissed):Why was the study done? Make sure the study is directly relevant to the clinical question.What is the sample size? Size can and should vary according to the nature of the study. Since determining a valid minimum sample size in a single study can be difficult, taking into account multiple studies is beneficial.The answer to this question alone should not remove a study from the appraisal process.Are instruments of the variables in the study clearly defined and reliable? Make sure the variables were consistently applied throughout the study and that they measured what the researchers said they were going to measure.How was the data analyzed?Make sure that any statistics are relevant to the clinical question.Were there any unusual events during the study? If the sample size changed, for example, determine whether that has ramifications if you wish to replicate the study.How do the results fit in with previous research in this area? Make sure the study builds on other studies of a similar nature.What are the implications of the research for clinical practice? Ask whether the study addresses a relevant and important clinical issue.

 
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Medical Coding

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Assign CPT code(s) and appropriate modifiers to each statement.1)ÿÿÿÿÿ After performing an emergency cesarean section, the physician noticed that the appendix was distended, resulting in medical necessity for an appendectomy performed during the same operative session.2)ÿÿÿÿÿ The physician freed intestinal adhesions.3)ÿÿÿÿÿ The physician resected two segments of small intestine and performed an anastomosis between the remaining intestinal ends. An open approach was used for this surgery.4)ÿÿÿÿÿ The physician repaired a defect in the mesentery with sutures.5)ÿÿÿÿÿ The physician performed a laparoscopic partial colectomy with end colostomy and closure of the distal segment.6)ÿÿÿÿÿ The physician drained a pelvic abscess through the rectum.7)ÿÿÿÿÿ The physician removed a portion of the rectum through combined abdominal and transsacral approaches.8)ÿÿÿÿÿ The physician performed rigid proctosigmoidoscopy and obtained brushings.9)ÿÿÿÿÿ The physician performed a flexible sigmoidoscopy and removed a polyp. The physician inserted the sigmoidoscope through the anus and advanced the scope into the sigmoid colon. The lumen of the sigmoid colon and rectum were well visualized, and the polyp was identified and removed with hot biopsy forceps. The sigmoidoscope was withdrawn upon completion of the procedure.10)ÿ The physician inserted a colonscope through the anus and advanced the scope past the splenic flexure. Two polps were identified and removed by hot biopsy forceps.1)ÿÿÿÿÿ Hepatotomy for open drainage of abscess or cyst, 1 stage.2)ÿÿÿÿÿ Surgeon removed segments II, III, and IV (the whole left lobe) of the liver from a living donor.3)ÿÿÿÿÿ The physician performed radiofrequency ablation of a liver tumor via open laparotomy.4)ÿÿÿÿÿ The physician removed the gallbladder and performed a common bile duct exploration through the laparoscope.5)ÿÿÿÿÿ The physician performed a cholecystostomy with removal of calculus.6)ÿÿÿÿÿ Subsequent to previous peritoneocentesis (performed at a different operative session), the physician withdrew fluid and performed infusion and drainage of fluid from the abdominal cavity (peritoneal lavage).7)ÿÿÿÿÿ The physician reopened a recent laparotomy incision, before the incision had fully healed, to drain a postoperative infection.8)ÿÿÿÿÿ The physician performed laparoscopic repair of an initial inguinal hernia.9)ÿÿÿÿÿ The physician performed a reducible ventral hernia (initial) repair and inserted mesh implantation.10)ÿ The physician repaired an initial reducible, inguinal hernia with hydrocelectomy in a 5 month old infant.1)ÿÿÿÿÿ Physician made an open incision and inserted multiple drain tubes to drain an infection (abscess) from the kidney.2)ÿÿÿÿÿ The physician pulverized a kidney stone (renal calculus) by directing shock waves through a water cushion that was placed against the left side of the patient?s body at the location of the kidney stone.3)ÿÿÿÿÿ The physician removed a kidney stone (calculus) by making an incision in the right kidney.4)ÿÿÿÿÿ The interventional radiologist inserted a percutaneous nephrostomy catheter into the right renal pelvis for drainage. Fluoroscopic guidance was provided.5)ÿÿÿÿÿ The physician performed a laparoscopic ablation of a solid mass from the posterior hilum of the left kidney.6)ÿÿÿÿÿ The physician made an incision in the left ureter through the abdominal wall for examination of the ureter and insertion of a catheter for drainage.7)ÿÿÿÿÿ The physician examined the patient?s right and left renal and ureteral structures with an endoscope, which passed through an established opening between the skin and the ureter (ureterostomy). He also inserted a catheter into the ureter.8)ÿÿÿÿÿ The physician revised a surgical opening between the skin and the right ureter.9)ÿÿÿÿÿ The physician injected contrast agent through an opening between the skin and the left ureter (ureterostomy) for ureterography (study of renal collecting system).10)ÿ The physician made an incision in the left ureter (ureterotomy) to insert a catheter (stent) into the ureter.11)ÿ ÿThe physician performed a transurethral resection of a postoperative bladder neck contracture using a resectoscope.12)ÿ The physician inserted a special instrument through the cystourethroscope to fragment a calculus in the ureter using electrohydraulics.13)ÿ ÿThe physician inserted a cystourethroscope through the urethra to drain an abscess on the prostate.14)ÿ The physician made an incision through the abdominal wall into the urinary bladder and inserted a suprapubic catheter to withdraw urine.15)ÿ The physician performed a cystourethroscopy with fulguration of the bladder neck and then removed a calculus from the ureter.16)ÿ The physician performed a sling procedure using synthetic material to treat a male patient?s urinary incontinence.17)ÿ The physician made an initial attempt to treat a male patient?s urethral stricture using a dilator.18)ÿ The physician, in the first two stages to reconstruct the urethra identified the area of stricture by urethrography and marked it with ink.19)ÿ The physician performed a transurethral destruction of the prostate using microwave therapy.The physician excised a specimen of tis

 
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nursing assessment

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WEEK1/ANSWER TO PROFESSOR/ DICUSSIONfirst part is my discussionPhysical ExaminationPhysical examination is the evaluation of anatomic findings by using observation, percussion, palpation, and auscultation to obtain information about the patient. Many people who visit healthcare providers follow their instructions but wonder what they are doing or what they are looking for. During a physical examination, a healthcare practitioner is gathering cues to be able to diagnose. When a physical examination is thoughtfully integrated with the information that they provide, history, and path physiology, they should yield at least 20% data that is necessary for diagnosis and management of the patient (Sawyer, 2012). An examination of a 12-year-old child to find the likely cause of the symptoms portrayed would assist in diagnosing the child.You are admitting a 12-year-old child to your unit. The mother states that the child has a history of unexplained blackout episodes, headaches, sleep disturbances, and is presently exhibiting tremors. What is the most likely cause of these symptoms? What actions would you take during the interview process? Explain.I have chosen the 12 year old patient for this discussion.When conducting a physical assessment on children it is imperative to start the collaboration relationship process between the patient and their family members and myself, as the nurse with effective communication strategies. I would first introduce myself to the patient and mother of the patient and explain to the both of them the purpose of the assessment being performed and how the information that they provide will be utilize appropriately. One important aspect to explain to both of them is that the information that they provide to me is protected by HIPAA.I would then use open-ended questions (i.e. what brings you in today) to direct the interview to gain the patient?s history from either the child or from the mother. If more information is needed then I would utilize closed-ended questions or direct statements (i.e. how long has these symptoms been going on) to clarify any additional information.Next, I would take the patient?s vitals and a complete head-to-toe assessment with an emphasis on the neurological system exam, all while explaining to the patient and the mother the reason for me having to do this. By me explaining step-by-step what I am doing will help me to better build a rapport with them as well as giving the patient and the mother a sense of being aware of what is going on, so that if they have any questions I will be able to answer these for them.It would be pretty apparent that with the symptoms that the patient is experiencing may be due to some type of neurological condition. Patient would then need to be referred to a neurologist for further testing to confirm a proper diagnosis.Reference:Assessment Technologies Institute. (n.d.). Physical assessment (child). Retrieved fromhttp://www.atitesting.com/ati_next_gen/skillsmodules/content/physical-assessment-child/viewing/Neurological-a.htmlSawyer, S. (2012).ÿPediatric physical examination & health assessment. Sudbury, MA: Jones & Bartlett Learning.Professor question/ needs to be answer.Strong work.ÿ When we thinking about our 1st pt-Considering all aspects of the patient medical history, including the history of close family members, is important to ensure the complete clinical picture is evident. Asking if family members have a history of depression is an importantÿpointÿwe mustÿraise during a history assessment ofÿour firstÿpatient. Would you agree?

 
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