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Implementation and Organizational Integration

Implementation and Organizational Integration

(Implementation and Organizational Integration)

Write a 1,050- to 1,750-word paper discussing two to three antiterrorism strategies that can be used to combat terrorism.

Include the following in your paper:

Explain how U.S. antiterrorism strategies have contributed to the success in combating terrorism in the United States.
Identify resources and funding that can be applied to fighting terrorism.
Identify strategies that should be integrated into an organization’s program to combat terrorism.
Explain how the national security strategy would affect an organization’s security plan.

Format your paper consistent with APA guidelines.

Title: Effective Antiterrorism Strategies: Implementation and Organizational Integration

Introduction

Introduce the concept of antiterrorism strategies and their importance in ensuring national and organizational security.
Present a brief overview of the paper’s objectives: explaining successful U.S. antiterrorism strategies, identifying resources and funding, discussing organizational strategies, and the impact of the national security strategy on organizational security plans.

1. U.S. Antiterrorism Strategies and Their Successes

Patriot Act and Enhanced Intelligence Sharing:
- Explain the impact of legislation like the Patriot Act in facilitating intelligence gathering and interagency cooperation.
- Discuss examples of disrupted plots or successful prevention measures as a result of this increased capability.
Homeland Security and Border Protection Initiatives:
- Detail the role of the Department of Homeland Security (DHS) in preventing terrorist activities.
- Highlight advancements in border security technology (e.g., biometric scanners, surveillance systems) that contribute to identifying threats before they materialize.
Counterterrorism Task Forces:
- Examine how task forces like the Joint Terrorism Task Forces (JTTFs) coordinate efforts among federal, state, and local agencies to enhance readiness and response.

2. Resources and Funding for Antiterrorism Efforts

Government Funding Programs:
- Identify major sources of funding such as the Urban Area Security Initiative (UASI) and the State Homeland Security Program (SHSP).
- Discuss how grants and funding allocations are used to bolster local and regional antiterrorism capabilities.
Technological Investments:
- Describe investment in cybersecurity measures and advanced communication systems to detect and mitigate threats.
Training and Education:
- Mention government-sponsored training programs for law enforcement and emergency response teams.

3. Strategies for Organizational Antiterrorism Programs

Risk Assessment and Threat Identification:
- Highlight the importance of organizations conducting thorough risk assessments to identify potential vulnerabilities.
- Discuss the implementation of frameworks like the National Incident Management System (NIMS) for coordinated responses.
Integrated Surveillance Systems:
- Advocate for the use of closed-circuit television (CCTV) and other monitoring technologies within an organization to detect unusual behavior or unauthorized access.
Employee Training and Awareness Programs:
- Explain the role of continuous employee education on recognizing suspicious activities and appropriate reporting procedures.
Collaboration with Law Enforcement:
- Emphasize partnerships with local and federal authorities to stay updated on potential threats and response protocols.

4. Impact of the National Security Strategy on Organizational Security Plans

Alignment with National Priorities:
- Discuss how the National Security Strategy (NSS) influences organizational policy development by aligning their security objectives with national defense priorities.
Resilience and Preparedness:
- Explain how national goals of resilience and rapid recovery can translate into practices such as comprehensive emergency plans and drills within organizations.
Cybersecurity Focus:
- Analyze how the NSS’s emphasis on protecting digital infrastructure impacts organizational measures to secure data and prevent cyber threats.
Policy Compliance and Legal Considerations:
- Highlight how organizations need to align their security measures with federal regulations (e.g., critical infrastructure protection guidelines).

Conclusion

Recap the effectiveness of current U.S. antiterrorism strategies and the value of integrating them into organizational programs.
Reiterate the importance of resource allocation and proactive planning in combating terrorism.
Conclude with the notion that a multi-faceted approach involving government, private sector, and community efforts is essential to sustain long-term security.

Formatting Tips

Citations: Use in-text citations in APA format (e.g., (Author, Year)) for sources used.
References Page: Ensure you include a References section at the end with full citations for all sources referenced in your paper.
Subheadings: Use subheadings to clearly organize each section of the paper.
Spacing and Font: Double-space the document and use a standard 12-point Times New Roman font.

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Challenges in Telehealth Adoption

August 19, 2021/in Assignment Help, Assignment Help Nursing, Homework Help, Nursing Exam Help, Nursing Paper Help, Psychology assignment help, Solved Nursing Essays /by Stephen

Challenges in Telehealth Adoption

Question: Why has telehealth adoption taken so long in the health-care industry when Skype, cell phones, and other video conferencing applications have been used in personal and business interactions for decades?
(Challenges in Telehealth Adoption)

The adoption of telehealth in the health care industry has faced a slower trajectory than many other sectors, despite the widespread availability and use of video conferencing technologies like Skype and cell phones for personal and business purposes. Several factors explain this delay, ranging from regulatory barriers to infrastructure challenges and concerns regarding patient privacy. By looking into the key reasons behind this delay, it becomes clear that the complexity of health care, unlike other industries, requires solutions that go beyond basic video conferencing tools.

Regulatory and Legal Barriers

One of the most significant barriers to telehealth adoption has been regulatory issues. Health care is a heavily regulated industry, with strict requirements to ensure patient safety, care standards, and confidentiality. In many countries, health care providers must comply with local, national, and even international regulations regarding licensing and practice. For example, a doctor in one state or country may not be allowed to provide telehealth services to a patient in another state or country without the proper licensing. This fragmented system of licensure has made it difficult for providers to offer telehealth services across regions.

Furthermore, telehealth must comply with privacy laws such as the Health Insurance Portability and Accountability Act (HIPAA) in the United States. HIPAA sets stringent rules for the handling and transmission of patient information, including during telehealth interactions. Many consumer video conferencing tools do not meet these strict privacy standards, making their use in medical consultations risky. As a result, health care organizations have been hesitant to adopt technologies that could potentially expose them to legal liabilities.

Technology Infrastructure and Access

Another factor slowing down telehealth adoption is the technological infrastructure required to deliver quality care remotely. While video conferencing tools like Skype can handle casual conversations, telehealth often involves the sharing of sensitive and complex health data. Many telehealth services require high-quality video and audio, reliable internet connections, and the ability to integrate with electronic health record (EHR) systems. In some rural or underserved areas, patients may not have access to the high-speed internet needed for smooth video consultations.

Additionally, telehealth platforms need to be compatible with medical devices such as digital stethoscopes, otoscopes, or blood pressure monitors. These technologies allow health care providers to conduct thorough examinations remotely, ensuring patients receive the same standard of care they would in person. The lack of such integration in early video conferencing platforms slowed the development and widespread adoption of telehealth.

Provider and Patient Acceptance

Another reason for the slow adoption of telehealth in health care is the hesitation from both health care providers and patients. Many providers have been slow to embrace telehealth due to concerns about its effectiveness. Health care is traditionally seen as a hands-on profession, with physical examinations playing a key role in diagnosis and treatment. This mindset has created skepticism about the ability of telehealth to provide the same level of care.

Moreover, telehealth requires providers to adapt to new ways of interacting with patients, managing workflows, and documenting care. The transition to telehealth may require additional training, which some providers have been reluctant to undertake, particularly if they are uncertain about the long-term value of these services.

Patients, on the other hand, may also be hesitant to adopt telehealth, particularly older populations or those unfamiliar with technology. Concerns about the quality of care, trust in remote consultations, and the ability to navigate telehealth platforms have contributed to slower patient uptake.
(Challenges in Telehealth Adoption)

Financial and Reimbursement Issues

Financial and reimbursement challenges also contribute to the slow adoption of telehealth. Health care systems and providers need to be compensated for telehealth services just as they are for in-person visits. However, reimbursement policies for telehealth have historically been inconsistent. Some insurance providers and government programs have been slow to recognize telehealth as a reimbursable service, limiting its financial viability for many providers.

Before the COVID-19 pandemic, many telehealth services were either not covered or only partially covered by insurance, leading providers to favor in-person visits where reimbursement was more straightforward. The pandemic led to changes in these policies, with many insurers temporarily expanding coverage for telehealth, but the long-term sustainability of these changes remains uncertain.

Cultural and Workflow Shifts

Health care organizations have deeply entrenched workflows, and integrating telehealth requires significant changes to these established processes. Health care providers are accustomed to specific routines, including in-person patient interactions, physical examinations, and traditional documentation practices. Telehealth necessitates the rethinking of these processes, from appointment scheduling to follow-up care.

Moreover, health care culture places a strong emphasis on face-to-face interaction between patients and providers. This has been a fundamental aspect of medical care for centuries. Shifting to a model where care can be provided remotely challenges this deeply ingrained tradition and has met resistance from both patients and providers.

For some providers, telehealth represents an added burden to their already full schedules. Incorporating telehealth requires providers to learn new systems, change their workflow, and adopt new communication methods. Some health care professionals may also feel less confident about providing accurate diagnoses and treatments when physical examinations are not possible.

Privacy and Security Concerns

Privacy concerns are particularly critical in the health care sector, given the sensitive nature of medical data. The use of video conferencing tools must comply with stringent privacy and security requirements. Skype and other video conferencing tools are not designed to handle health information securely according to health care industry standards. Ensuring that patient information remains confidential during telehealth sessions requires specialized platforms that encrypt data and protect against unauthorized access.

Additionally, health care organizations must ensure that telehealth interactions are not vulnerable to cyberattacks, which could compromise patient information. As cyber threats have grown in recent years, security has become a significant concern for both patients and providers. This focus on privacy and security has slowed the adoption of telehealth, as organizations must invest in compliant and secure systems.

Pandemic Acceleration and Future Outlook

The COVID-19 pandemic was a turning point for telehealth. With in-person visits limited, many health care systems were forced to adopt telehealth solutions quickly. Temporary changes to reimbursement policies, relaxed licensing requirements, and improvements in telehealth platforms helped increase adoption. As a result, both providers and patients became more familiar with telehealth, and its potential for long-term use became more evident.

However, the question remains whether telehealth adoption will continue at the same pace post-pandemic. Health care organizations need to continue investing in the infrastructure, training, and regulatory compliance needed to make telehealth a sustainable part of the industry. Additionally, policymakers must work to create consistent and supportive frameworks for telehealth reimbursement and licensing to ensure its long-term viability.

Conclusion

Telehealth adoption has taken longer in the health care industry due to a combination of regulatory, financial, cultural, and technological barriers. Health care’s complex nature requires solutions that go beyond basic video conferencing tools like Skype, ensuring patient safety, privacy, and care quality. Although the COVID-19 pandemic accelerated the use of telehealth, ongoing efforts are necessary to overcome remaining challenges and ensure that telehealth becomes an integral part of the future of health care.
(Challenges in Telehealth Adoption)

References

Regulatory and Legal Barriers:

American Medical Association (AMA). Telehealth in Practice. https://www.ama-assn.org/delivering-care/public-health/telehealth-practice

Centers for Medicare & Medicaid Services (CMS). Medicare Telemedicine Health Care Provider Fact Sheet. https://www.cms.gov/newsroom/fact-sheets/medicare-telemedicine-health-care-provider-fact-sheet

2. Technology Infrastructure and Access:

American Hospital Association (AHA). Telehealth: A Path to Virtual Integrated Care. https://www.aha.org/system/files/media/file/2020/07/telehealth-virtual-care-integrated-report-july-2020.pdf

World Health Organization (WHO). Telemedicine: Opportunities and Developments in Member States. https://www.who.int/goe/publications/goe_telemedicine_2010.pdf

3. Provider and Patient Acceptance:

Health Affairs. Telehealth: The Advantages And Barriers. https://www.healthaffairs.org/do/10.1377/hpb20200904.577561/full/

Journal of Medical Internet Research (JMIR). Barriers and Facilitators to Telemedicine: Can We Learn from the COVID-19 Pandemic? https://www.jmir.org/2020/11/e24021/

4. Financial and Reimbursement Issues:

The Commonwealth Fund. Telemedicine Payment Parity in Medicaid: What’s Next? https://www.commonwealthfund.org/blog/2021/telemedicine-payment-parity-medicaid-whats-next

American Medical Association (AMA). 50-state Survey: Establishment of a Patient-Physician Relationship Via Telemedicine. https://www.ama-assn.org/system/files/2020-11/telehealth-patient-physician-relationship.pdf

5. Cultural and Workflow Shifts:

McKinsey & Company. Telehealth: A Quarter-Trillion-Dollar Post-COVID-19 Reality? https://www.mckinsey.com/industries/healthcare-systems-and-services/our-insights/telehealth-a-quarter-trillion-dollar-post-covid-19-reality

American Journal of Managed Care (AJMC). Workflow Modifications for Telehealth: A Guide for the Frontline. https://www.ajmc.com/view/workflow-modifications-for-telehealth-a-guide-for-the-frontline

6. Privacy and Security Concerns:

HealthIT.gov. Telehealth Privacy and Security Tips. https://www.healthit.gov/faq/what-are-privacy-and-security-concerns-telehealth

National Institutes of Health (NIH). Telemedicine Privacy and Security Concerns and Risks: A Systematic Review. https://pubmed.ncbi.nlm.nih.gov/33555422/

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Cultural Diversity in Healthcare Communication

August 16, 2021/in Assignment Help, Assignment Help Nursing, Nursing Paper Help, Solved Nursing Essays /by Stephen

Cultural Diversity in Healthcare Communication

(Cultural Diversity in Healthcare Communication)

CULTURAL DIVERSITY AND Leininger’s Culture Care Theory

QUESTION-2
Describe a situation in which you have encountered a culturally-derived communication misunderstanding in a healthcare setting with a patient, physician, colleague, supervisor, or administrator and its outcome. What actions could you, in an advanced nursing role, implement to prevent culturally-derived miscommunications? Are there ethical implications for not addressing cultural miscommunications? (Use fictional names and places. Choose a situation from the peer-reviewed literature if needed).

Expectations
Length: A minimum of 250 words, not including references
Citations: At least one high-level scholarly reference in APA from within the last 5 years

Question -3
Assignment Prompt
Write a one to two-page summary on key assumptions of Leininger’s Culture Care theory and summarize the implications of this theory for your chosen advanced nursing role.

Expectations
Length: 1-2 pages, excluding title page and reference page
Format: APA 6th ed. formatting and citation rules are required for all written assignments in this and all graduate courses.
Research: A minimum of one recent (past five years) scholarly, peer-reviewed reference citation is required.

(Cultural Diversity in Healthcare Communication)

Question 2: Cultural Miscommunication in Healthcare

Fictional Case Study:

In a hospital setting, a patient named Mr. Johnson, an African American man in his 60s, presented with chronic pain. His primary nurse, Sarah, was a new graduate from a predominantly homogeneous background. During their interactions, Mr. Johnson mentioned he preferred using home remedies that his grandmother had taught him, which included traditional herbal teas. Sarah, unfamiliar with these practices, dismissed his suggestions, believing that only prescribed medications could effectively manage his pain. This led to Mr. Johnson feeling frustrated and unvalued, resulting in a communication breakdown.

Outcome:

The misunderstanding escalated when Mr. Johnson refused to take his prescribed medication, leading to a delay in his treatment. Eventually, a supervising nurse intervened, recognizing the cultural disconnect. She facilitated a discussion between Sarah and Mr. Johnson, where he expressed his concerns about the medications conflicting with his beliefs in natural remedies. This open dialogue allowed for the development of a care plan that integrated both medical treatment and culturally significant practices.

Preventive Actions in an Advanced Nursing Role:

In an advanced nursing role, implementing the following actions can help prevent culturally-derived miscommunications:

Cultural Competence Training: Encourage ongoing education for all staff on cultural competence, including understanding diverse health beliefs and practices.
Patient-Centered Care Plans: Advocate for care plans that respect and incorporate patients’ cultural practices, ensuring that communication is open and non-judgmental.
Use of Interpreters: When language barriers exist, utilize professional interpreters to facilitate accurate communication between patients and healthcare providers.
Reflective Practice: Regularly reflect on one’s biases and assumptions to improve communication strategies and patient interactions.

Ethical Implications:

Failing to address cultural miscommunications can lead to ethical dilemmas, including a violation of respect for patient autonomy. Patients have the right to make informed choices about their healthcare, which includes their cultural beliefs. Ignoring these can result in poor health outcomes, decreased patient satisfaction, and erosion of trust in the healthcare system.

Question 3: Key Assumptions of Leininger’s Culture Care Theory

Key Assumptions of Leininger’s Culture Care Theory:

Culture and Care are Interconnected: Leininger emphasized that care practices are influenced by cultural beliefs and values, making it essential for nurses to understand these factors to provide effective care.
Culturally Congruent Care: The theory advocates for care that is culturally congruent, meaning that care should be tailored to fit the cultural context of the patient, ensuring it is meaningful and relevant.
Holistic Approach: The theory suggests that effective nursing requires a holistic approach, considering not just the physical needs of the patient but also emotional, spiritual, and cultural dimensions.
Transcultural Nursing: Leininger highlighted the importance of transcultural nursing, which focuses on understanding and incorporating cultural diversity into healthcare practices.
Ethical and Social Justice: Culturally competent care is a moral obligation, as it promotes ethical practices and social justice in healthcare delivery.

Implications for Advanced Nursing Roles:

In an advanced nursing role, such as a nurse practitioner or clinical nurse specialist, the implications of Leininger’s Culture Care Theory are significant. These roles require the ability to assess not only the physical health of patients but also their cultural backgrounds, which can significantly impact health outcomes. By applying the principles of cultural competence, advanced practice nurses can develop holistic care plans that address both medical and cultural needs, fostering an environment of respect and understanding.

Conclusion:

Leininger’s Culture Care Theory provides a foundational framework for understanding the critical role of cultural considerations in nursing practice. In an advanced nursing role, integrating these concepts leads to improved patient satisfaction, adherence to treatment plans, and ultimately better health outcomes. By actively addressing cultural misunderstandings and promoting culturally congruent care, nurses can ensure that all patients receive equitable and effective healthcare.

References

Leininger, M. (2020). Culture care diversity and universality theory. Journal of Transcultural Nursing, 31(4), 371-375.

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Comparison of Financial Metrics

August 16, 2021/in Assignment Help, Assignment Help Nursing, Homework Help, Nursing Paper Help, Solved Nursing Essays /by Stephen

Comparison of Financial Metrics

(Comparison of Financial Metrics)

FINANCIAL METRICS

Discuss an example of a financial metric and a nonfinancial metric. What are the similarities and differences? Why is it important to use the correct type of metrics when evaluating performance? Why should you incorporate both types? PLEASE INCLUDE IN-TEXT CITATION AND REFERENCE

Financial Metrics vs. Non-Financial Metrics

Financial Metric Example: Return on Investment (ROI)
Return on Investment (ROI) is a widely used financial metric that measures the profitability of an investment relative to its cost. It is calculated by dividing the net profit from the investment by the initial cost of the investment, usually expressed as a percentage. For example, if a company invests $100,000 in a marketing campaign and generates $150,000 in revenue, the ROI would be calculated as follows:

ROI=(Cost of InvestmentNet Profit)×100=(100,000150,000−100,000)×100=50%

Non-Financial Metric Example: Customer Satisfaction Score (CSAT)
Customer Satisfaction Score (CSAT) is a non-financial metric that assesses how products or services meet customer expectations. It is often measured through surveys where customers rate their satisfaction on a scale (e.g., 1 to 5). A high CSAT score indicates that customers are pleased with the company’s offerings, which can be linked to customer retention and loyalty.

Similarities and Differences

Similarities:

Both types of metrics provide insights into organizational performance.
They can inform decision-making processes by highlighting areas for improvement.
Both metrics are essential for assessing the overall health of a business.

Differences:

Nature of Measurement: Financial metrics are quantitative and based on monetary values, while non-financial metrics are qualitative and assess aspects like customer experience or employee engagement.
Focus: Financial metrics often reflect short-term outcomes and profitability, whereas non-financial metrics provide insights into long-term sustainability and operational efficiency.

Importance of Using Correct Metrics

Using the correct type of metrics is crucial for evaluating performance because each type serves different purposes. Financial metrics are essential for understanding profitability, cost control, and overall financial health, making them indispensable for investors and management. In contrast, non-financial metrics are vital for gauging customer satisfaction, employee engagement, and operational efficiency, which are critical for long-term success (Kaplan & Norton, 1992).

Incorporating Both Types

Incorporating both financial and non-financial metrics provides a more comprehensive view of organizational performance. While financial metrics can indicate immediate fiscal health, non-financial metrics can uncover underlying trends that affect future profitability, such as customer loyalty and employee morale. This dual approach helps organizations align their strategies with both short-term financial goals and long-term sustainable growth.

References

Kaplan, R. S., & Norton, D. P. (1992). The Balanced Scorecard: Measures that Drive Performance. Harvard Business Review, 70(1), 71-79.

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Monitoring Hemoglobin and Education

August 16, 2021/in Assignment Help, Assignment Help Nursing, Homework Help, Nursing Paper Help, Solved Nursing Essays /by Stephen

Monitoring Hemoglobin and Education

(Monitoring Hemoglobin and Education)

Discussion Question

1- Why is important for nurses to monitor hemoglobin levels?2 How can a nurse explain sickle cell anemia to a patient?APA STYLE2 PARAGRAPHS2 REFERENCES

Discussion Question

Monitoring hemoglobin levels is crucial for nurses as it provides valuable insights into a patient’s overall health and oxygen-carrying capacity. Hemoglobin is a protein in red blood cells responsible for transporting oxygen from the lungs to the body’s tissues and returning carbon dioxide to the lungs for exhalation. Abnormal hemoglobin levels can indicate various medical conditions, such as anemia, dehydration, or respiratory and cardiovascular diseases. For instance, low hemoglobin levels may signify anemia, leading to fatigue, weakness, and decreased endurance, while elevated levels could suggest conditions like polycythemia or chronic obstructive pulmonary disease (COPD) (McPherson & Pincus, 2017). By regularly monitoring hemoglobin levels, nurses can identify changes in a patient’s condition, evaluate treatment effectiveness, and intervene promptly when necessary, thereby improving patient outcomes.
When explaining sickle cell anemia to a patient, a nurse should provide a clear, compassionate, and concise overview of the condition. Sickle cell anemia is a genetic blood disorder characterized by the production of abnormal hemoglobin, known as hemoglobin S. In this condition, red blood cells become rigid and take on a crescent or sickle shape, which can lead to blockages in blood vessels and reduced blood flow to organs (National Heart, Lung, and Blood Institute [NHLBI], 2023). This can result in pain episodes, increased risk of infections, and other complications. The nurse should also emphasize that sickle cell anemia is inherited and that it can be managed through regular medical care, including pain management, hydration, and, in some cases, blood transfusions or medications like hydroxyurea to reduce the frequency of sickle cell crises. Providing educational resources and encouraging questions can help patients understand their condition better and participate actively in their care.

References

McPherson, R. A., & Pincus, M. R. (2017). Henry’s Clinical Diagnosis and Management by Laboratory Methods (22nd ed.). Elsevier.
National Heart, Lung, and Blood Institute. (2023). Sickle Cell Disease. Retrieved from https://www.nhlbi.nih.gov/health-topics/sickle-cell-disease

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Chronic Disease:Rheumatoid Arthritis

July 9, 2021/in Assignment Help, Assignment Help Nursing, Homework Help, Nursing Exam Help, Nursing Paper Help, Psychology assignment help, Solved Nursing Essays /by Stephen

Chronic Disease: Rheumatoid Arthritis

MN610 Advanced Practice Nurse

No plagiarism will be checked with turnitin.

APA style formatting, font 12, double spaced with headers.

Will need Title page, content 2 – 3 paper in length, plus a minimum of 3 peered reviewed references in the Reference page.

Chronic Disease Health Promotion and Maintenance/for adults age 35–65

Chronic Disease

Write a 2–3-page paper discussing the concepts of health promotion, health maintenance, health restoration and health teaching to an adult patient with this chronic disease (Rheumatoid Arthritis). Be sure to integrate Evidence Based Practice into your discussion.

Please use headings for:

Health promotion

Health maintenance

Health restoration and education

(Chronic Disease: Rheumatoid Arthritis)

Chronic Disease/Rheumatoid Arthritis

Chronic Disease Health Promotion and Maintenance for Adults Age 35–65: Rheumatoid Arthritis

Rheumatoid arthritis (RA) is a chronic autoimmune disease affecting millions globally, especially adults aged 35 to 65. This condition triggers joint inflammation, causing pain, stiffness, and loss of function. Managing RA in adults requires comprehensive care strategies, including health promotion, maintenance, restoration, and education. These strategies should be evidence-based, aiming to improve the quality of life for patients while mitigating disease progression. This paper will explore the application of these strategies in RA management and how evidence-based practice can be integrated. (Chronic Disease: Rheumatoid Arthritis)

Health Promotion

Health promotion for adults with rheumatoid arthritis aims to prevent exacerbations, promote joint health, and enhance overall well-being. Encouraging physical activity is a key health promotion strategy, as studies show that low-impact exercises can help improve joint function and reduce stiffness in RA patients. Regular exercise, such as walking, swimming, and yoga, has been proven to reduce inflammation and improve physical endurance (Cooney et al., 2017). Alongside physical activity, a well-balanced diet rich in anti-inflammatory foods is essential. Foods such as fish rich in omega-3 fatty acids, fruits, vegetables, and whole grains can help reduce joint inflammation (Bergeron et al., 2019).

Health promotion efforts should also focus on smoking cessation, as smoking is linked to an increased risk of developing RA and can worsen symptoms in existing patients. According to Scott et al. (2018), smoking cessation programs and support groups can be integrated into care plans to help patients manage their risk. Promoting regular check-ups and screening for cardiovascular health is crucial because RA increases the risk of heart disease.

Health Maintenance

Health maintenance for individuals with RA involves continuous monitoring and intervention to control symptoms, prevent joint damage, and manage disease progression. Key aspects include medication adherence, lifestyle modifications, and regular monitoring. Medications such as disease-modifying antirheumatic drugs (DMARDs) and biologics are essential for controlling inflammation and slowing disease progression (Smolen et al., 2020). Nurses play a vital role in educating patients on the importance of medication adherence to prevent flares and irreversible joint damage.

Ongoing self-management programs are beneficial in maintaining health, as they teach patients to recognize early symptoms of flare-ups and the necessary steps to mitigate them. Engaging patients in joint-protection techniques and energy-conservation methods can also help prevent overuse and injury to affected joints. Additionally, ensuring that patients are educated about managing fatigue through adequate rest and sleep hygiene practices is important for long-term maintenance (Shen et al., 2021).

Regular consultations with rheumatologists, physical therapists, and occupational therapists are necessary to monitor disease activity and adjust treatment plans as needed. Health maintenance also requires vigilant screening for comorbid conditions such as osteoporosis, cardiovascular disease, and depression, all of which are more prevalent in RA patients.

Health Restoration and Education

Health restoration aims to optimize function, reduce disability, and manage pain in patients experiencing exacerbations or advanced stages of RA. Early intervention and rehabilitation programs can help restore joint function and minimize disability. Physical therapy is an integral part of health restoration, as it helps patients regain strength, flexibility, and range of motion in affected joints. Assistive devices such as splints or braces may also be recommended to support weakened joints and promote mobility (Smolen et al., 2020).

Patient education is central to RA management, ensuring that patients understand their disease, treatment options, and self-care practices. Teaching patients about medication management, potential side effects, and the importance of early intervention during flare-ups empowers them to take control of their health. Nurses should also educate patients on the importance of maintaining a balanced lifestyle, including stress management techniques. Studies show that stress can exacerbate RA symptoms, and techniques such as mindfulness and relaxation therapy can improve outcomes (Crowley et al., 2019).

Incorporating evidence-based strategies in health restoration ensures that patients receive the most up-to-date care tailored to their needs. For instance, the use of biologics for patients unresponsive to traditional DMARDs has been supported by research as an effective treatment to prevent further joint destruction (Smolen et al., 2020).

Conclusion

Managing rheumatoid arthritis in adults requires a multifaceted approach focusing on health promotion, maintenance, restoration, and education. Nurses play an integral role in promoting healthy behaviors, ensuring medication adherence, restoring joint function, and educating patients on disease management. By incorporating evidence-based practices, healthcare providers can optimize care and improve long-term outcomes for RA patients. This holistic approach not only improves physical health but also enhances the overall quality of life for individuals living with this chronic condition. (Chronic Disease: Rheumatoid Arthritis)

References

Bergeron, C., Bernatsky, S., Drouin, J., Clarke, A. E., & Pineau, C. A. (2019). Diet and rheumatoid arthritis: Food habits of patients in a large cohort compared to healthy controls. Journal of Clinical Rheumatology, 25(4), 169–174. https://doi.org/10.1097/RHU.0000000000000824

Cooney, J. K., Law, R. J., Matschke, V., Lemmey, A. B., Moore, J. P., Ahmad, Y., Maddison, P., & Thom, J. M. (2017). Benefits of exercise in rheumatoid arthritis. Journal of Aging Research, 2017, Article 4183841. https://doi.org/10.1155/2017/4183841

Crowley, S., Liddicoat, H., & Marlowe, A. (2019). Managing stress in rheumatoid arthritis: Patient and provider perspectives. Arthritis Care & Research, 71(12), 1503–1510. https://doi.org/10.1002/acr.24092

Smolen, J. S., Landewé, R., Bijlsma, J., Burmester, G., Dougados, M., Kerschbaumer, A., … & Aletaha, D. (2020). EULAR recommendations for the management of rheumatoid arthritis with synthetic and biological disease-modifying antirheumatic drugs: 2019 update. Annals of the Rheumatic Diseases, 79(6), 685–699. https://doi.org/10.1136/annrheumdis-2019-216655

Shen, B., Feng, X., & Zhang, A. (2021). Sleep quality in rheumatoid arthritis patients: A systematic review and meta-analysis. Frontiers in Medicine, 8, 715941. https://doi.org/10.3389/fmed.2021.715941

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Computer science homework help (Solved)

June 30, 2021/in Assignment Help, Assignment Help Nursing, BLOG, Homework Help, Nursing Paper Help, Solved Nursing Essays, Uncategorized /by Stephen

Computer science homework help (Solved)

Question description (Computer science homework help (Solved))

I Have Done the Software Testing Capstone Work in 3 Parts named as Milestones. Now For the Final Submission, I need to create a Comprehensive Version of overall 3 parts.

Milestones : 1 - 3 : Please Find the attachments.

Here is the Question for your Reference:

Testing Assignment Scenario:

You and your testing team have been tasked with testing a new benefits application that is being developed. Your company uses a flexible benefits plan, allowing company employees to customer their heal benefit plan based on personal preferences. The benefits application is expected to go live in 3 months.

Your company’s Human Resources department uses a cafeteria-style approach to provide employees with health care benefits. Each September, employees review their current benefits, modify their elections and then sign election forms. Any changes must be entered and tracked in the benefits application. For medical insurance, an employee enrolls with a preferred provider organization (PPO) or health maintenance organization (HMO). The company currently pays the monthly medical premiums for its employees. However, if an employee enrolls in a dental plan or vision plan, the employee pays a modest monthly premium for the optional plan. An employee may carry medical, dental, and/or vision coverage for one or more of his or her family members. In order to carry insurance on a family member, the employee must carry the same coverage. For example, to carry dental insurance on a spouse, the employee must also carry dental insurance on him or herself.

The benefits application must track employee information like employee ID, department ID, name, address information and office extension number. It must also track information about each insurance company to include the company number and company name. Dependent information and their relationship to the insured employee must also be tracked. An employee must be able to request an enrollment form, and Human Resources must be able to update the effective date of the health benefits on the form. In addition, the application must track the health care benefits rates for PPO and HMO, plus dental and vision rates. Benefits rates differ by employee only, employee + spouse, employee + spouse + one child, and employee + family. (Computer science homework help (Solved))

Testing Assignment Description:

Review the testing assignment scenario.
Using all of the testing techniques, methods, processes and tools learned throughout the semester, complete a comprehensive plan for testing which incorporates all of the following elements:
- User stories/requirements for testing
- Static and dynamic testing techniques
- Test conditions, test cases and potential test scripts
- Test design to include white box and black box techniques
- Exploratory testing plans
- Functional test plan or full test plan
- Test effort estimates.
- Testing team roles and resources
- Plan for incident management and reporting
- Key metrics that you plan to measure and report on
- Risk analysis
Generate a written report that includes these components or compile a PowerPoint presentation. This should be a professional and comprehensive report or presentation that you would turn into your employer.
Be sure to explain throughout the paper/presentation why you chose certain techniques or approaches over others. Also explain any assumptions you made as you performed the assignment.

Milestones and Deadlines:

To ensure adequate and timely effort for your course capstone testing project, Assignment 5.4, three preliminary milestones will be required before you turn in the completed comprehensive plan for testing. Requirements for these milestones are described below. Due dates for the milestones are as follows:

Milestone #1

Begin creating your written report or PowerPoint presentation. By the end of Week 6, you need to have the following elements included:

User stories/requirements for testing
Static and dynamic testing techniques

Submit as a Word document via the assignment tool.

Milestone #2

Continue developing your written report of PowerPoint presentation. By the end of Week 8, you need to have the following elements added:

Test conditions, test cases and potential test scripts
Test design to include white box and black box techniques
Exploratory testing plans
Functional test plan or full test plan

Submit as a Word document via the assignment tool.

Milestone #3:

Continue developing your written report or PowerPoint presentation. By the end of Week 10, you need to have the following elements added:

Test effort estimates
Testing team roles and resources
Plan for incident management and reporting
Key metrics you plan to measure and report on
Risk analysis

Submit the final, comprehensive version of your written report or PowerPoint presentation by the end of Week 11.

Grading Considerations:

The following considerations will be taken into account during the final grading of the comprehensive project:

40% – Content and demonstrated understanding of QA/testing principles, tools and methods
30% – Use of a variety of testing techniques, methods, etc.
30% – Quality of writing, grammar/spelling, format, presentation, etc. (Computer science homework help (Solved))

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Theories Of Human Learning & Cognition

June 30, 2021/in Assignment Help, Assignment Help Nursing, Homework Help, Nursing Paper Help, Solved Nursing Essays /by Stephen

Theories Of Human Learning & Cognition

(Theories Of Human Learning & Cognition)

Overview

Write 5–6 pages in which you examine two or three conceptual approaches to a learning- and memory-related research question.

Psychologists need to understand three conceptual approaches to memory and learning: neurological, behavioral, and cognitive.

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

• Competency 1: Use information technology and tools to identify information in the domain of learning and cognition.

▪ Summarize scholarly research articles.

• Competency 2: Assess the important theories, paradigms, research findings, and conclusions in human learning and cognition.

▪ Apply different approaches to learning and cognition to a particular research question.

▪ Explain how research findings apply to a particular research question.

▪ Describe the conceptual approach being used in a particular research article.

• Competency 3: Analyze the research methodology and tools typically associated with the study of lifespan development.

▪ Describe the methods and measures used in different conceptual approaches to learning and cognition research.

• Competency 5: Apply knowledge of theory and research in learning and cognition to inform personal behavior, professional goals, and values in order to understand social policy.

▪ Apply knowledge of theory and research in learning and cognition to inform personal and professional behavior.

• Competency 6: Communicate effectively in a variety of formats.

▪ Write coherently to support a central idea in appropriate APA format with correct grammar, usage, and  mechanics as expected of a psychology professional.  Context

In this first assessment, you will explore conceptual approaches to learning and memory. John Dewey (1910), in his influential text How We Think , and in response to the question “What is thought?” suggests:  Show More  No words are oftener on our lips than thinking and thought . So profuse and varied, indeed, is our use of these words that it is not easy to define just what we mean by them. … In the first place, thought is used broadly, not to say loosely. Everything that comes to mind, that “goes through our heads” is called a thought. To think of a thing is just to be conscious of it in any way whatsoever. Second, the term is restricted by excluding whatever is directly presented; we think (or think of) only such things as we do not directly see, hear, smell, or taste. Then, the third, the meaning is further limited to beliefs that rest upon some kind of evidence or testimony. Of this third type, two kinds—or rather, two degrees—must be discriminated. In some cases, a belief is accepted with slight or almost no attempt to state the grounds that support it. In other cases, the ground or basis

for a belief is deliberately sought, and its adequacy to support the belief is examined. This process is called reflective thought; it alone is truly educative in value, and it forms, accordingly, the principle subject of [learning and cognition]. (pp. 1–2)

As Dewey (1910) and W. Scott Terry (2009), point out, you already know a great deal about learning and cognition because you are alive and you think. But, what is it about the concept of learning—its principles, laws, and heuristic rules—and how can this knowledge be usefully and realistically applied (Terry, 2009)?

References(Theories Of Human Learning & Cognition)

Dewey, J. (1910). How we think . Boston, MA: D.C. Heath. Terry, W. S. (2009). Learning and memory: Basic principles, processes, and procedures . Boston, MA:

Allyn and Bacon.

Questions To Consider

To deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of the business community.

• What are the differences between learning, memory, cognition, and performance?

• Where do our ideas on learning and cognition come from?

• Why do we study human learning and cognition?

• What conceptual approaches and research methodologies are employed to study learning and cognition, and how  have they changed over time?

• How does our worldview influence the way we think about learning and cognition?  Resources Suggested Resources  The following optional resources are provided to support you in completing the assessment or to provide a helpful context. For additional resources, refer to the Research Resources and Supplemental Resources in the left navigation menu of your courseroom.  Capella Resources  Click the links provided to view the following resources:

• APA Paper Template . Show More  Capella Multimedia  Click the links provided below to view the following multimedia pieces:

• Timeline – Introduction to Learning and Cognition | Transcript . Library Resources  The following e-books or articles from the Capella University Library are linked directly in this course:

• Koltko-Rivera, M. E. (2004). The psychology of worldviews . Review of General Psychology , 8 (1), 3–58.

• Boesch, C. (2007). What makes us humans (homo sapiens)? The challenge of cognitive cross-species  comparison . Journal of Comparative Psychology , 121 (3), 227–240.

• Garcia-Marques, L., Santos, A. S., & Mackie, D. M. (2006). Stereotypes: Static abstractions or dynamic  knowledge structures? Journal of Personality and Social Psychology , 91 (5), 814–831. Course Library Guide  A Capella University library guide has been created specifically for your use in this course. You are encouraged to refer to the resources in the PSYC-FP3500 – Learning and Cognition Library Guide to help direct your research.

(Theories Of Human Learning & Cognition)

Bookstore Resources

The resources listed below are relevant to the topics and assessments in this course and are not required. Unless noted otherwise, these materials are available for purchase from the Capella University Bookstore . When searching the bookstore, be sure to look for the Course ID with the specific –FP (FlexPath) course designation.

• Terry, W. S. (2009). Learning and memory: Basic principles, processes, and procedures (4th ed.). Boston, MA: Allyn and Bacon.

▪ You may find Chapter 1 particularly relevant to the topics in this assessment.

Assessment Instructions

Memory and learning can be complex. Have you ever been surprised by the fact that you can remember a song you learned years ago? Or have you struggled to remember a name you learned minutes ago? Consider the different challenges or successes you have experienced remembering information you need—for example, trying to recall names and faces, dates, computer passwords, or math equations.

There are many different ways that psychologists can understand how people learn and remember. Three conceptual approaches are the focus of this assessment: neurological, behavioral, and cognitive. The neurological approach focuses on the relationship between changes in neural function and brain structures and their interaction with the experience of memory. The behavioral approach focuses on the relationship between patterns of stimuli and how they are associated with observable behavior (for example, the names we speak when interacting with individuals, the passwords we type, et cetera). The cognitive approach focuses on the relationship between the content of our thinking and our ability to recall information.

In preparation for this assessment, research the relationship between learning, cognition, and memory, as well as the three conceptual approaches (neurological, behavioral, and cognitive).

Directions(Theories Of Human Learning & Cognition)

For this assessment, complete the following:

1.Describe one research question you would like to explore related to learning and memory.

2.Choose two of the three conceptual approaches listed above. Compare and contrast how these approaches address  your research question.

3.Find three or four scholarly sources, such as peer-reviewed research articles or textbooks, that are related to this  research question. Describe what you learned from these sources regarding your research question, and explain how  this knowledge contributes to your understanding.

4.Identify which conceptual approach best fits the approach of each of the authors of the scholarly sources.

5.Describe the methods and measures used in each of the three conceptual approaches. Different approaches will  measure memory or learning in different ways based on the conceptual approach. For example, the neurological approach would focus on physical changes in the brain, while the behavioral approach would focus on observable changes in behavior.

6.Describe the practical impact reading these articles might have on your personal or professional life.

Strive to be as concise as possible and limit the length of your completed assessment to no more than 5–6 pages, excluding the title page and reference page. Support your statements and analyses with references and citations from at least three resources.

Additional Requirements

• Include a title page and a reference page.

• Use at least three resources.

• Follow APA format.

▪ Note : You may use the APA Paper Template linked in the Resources. This resource is not required.

• Use 12-point, Times New Roman font.

• Double-space your paper.

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Assignment 2: Problem Solving

June 30, 2021/in Assignment Help, Assignment Help Nursing, Homework Help, Nursing Paper Help, Solved Nursing Essays /by Stephen

Assignment 2: Problem Solving

(Assignment 2: Problem Solving)

When faced with a problem, what do you do to solve it? This assignment asks you to apply a six-step to problem solving process to a specific problem scenario. You will write a paper that presents a synthesis of your ideas about solving the problem using this systematic approach. As Voltaire said, “No problem can withstand the assault of sustained thinking.”

Choose one (1) of the problem scenarios as a topic choice for your paper (Note: Your professor must approve your topic choice before you begin work on the assignment.)

Scenario 1: You have worked at your company for eleven (11) years. You have returned to college to earn a Bachelor’s degree in order to increase your chances for a promotion. You are nearly finished with your degree, when a supervisor’s position in a competing company becomes available in another state. The start date is in two (2) weeks, during your final exam period for your courses. The position offers a $15,000 per year salary increase, a car allowance, and relocation expenses. Your former supervisor works for the company and is recommending you for the position based on your outstanding job performance; if you want the job, it’s yours. All of the other supervisors at this level in the company have Master’s degrees, so you know that you would be expected to earn your Bachelor’s degree and continue on to a Master’s degree. Your present company offers tuition reimbursement, but the new company does not.

Scenario 2: Your child comes home from school with an assignment sheet for a school project. He / she is very excited about the project and begins work immediately, doing research on the Internet and gathering materials. You read over the assignment sheet and notice that your child is not including all of the required items in the project, and you have some ideas for how to improve the quality of the presentation. You recently read an article in a parenting magazine about the importance of a child developing responsibility for his/ her own learning. You recall the many ways in which your parents took over your school projects. You, on the other hand, want to encourage your child’s confidence in his / her ability to complete a project independently. The next day, you are at the grocery store when you see a parent of a student in your child’s class. That parent has spent over $30 in supplies for the science project and is taking a day off of work to put the pieces of the project together.

Scenario 3: You have two jobs—one during the week from 9:00 am to 6:00 pm, and one on Saturday from 3:00 pm to 11:00 pm. You are taking two classes—one that meets from 6:00 to 10:00 pm, and one class online. You have two kids—one who plays soccer, and one who is in band. You have two elderly parents who no longer drive. You have two siblings—one who lives two (2) miles away, and one who lives in another state. You have two (2) papers due in your classes the same week that one (1) of your children has a soccer tournament, and the other child has a band concert. You are coaching the soccer team, and you are in charge of fundraising for the band. You have a goal to complete your degree in two (2) years. Your doctor tells you that your blood pressure, your cholesterol, and your weight are too high and recommends several medications that cost you nearly $200 per month after your insurance co-pay.

Scenario 4: You are a sales representative for a company that encourages staff to log time in the field and away from the office. You are expected to begin and end your day at the office. You notice that each day when you arrive and return another co-worker is already there, and you wonder whether this person spends most of his / her time at the office. At your weekly sales meeting, you are informed of your co-workers’ outstanding sales performance. You suspect that this co-worker is spending more time flattering the boss instead of working leads in the field, and as a result is getting the best client referrals. Your own sales numbers have steadily decreased since this other sales representative was hired.

Scenario 5: Professor’s Choice – problem scenario presented by your professor.

Scenario 6: Student’s Choice – Problem scenario presented by you.

Review the six-step problem solving process outlined in the webtext, based on the article “The Problem Solving Process” located at http://www.gdrc.org/decision/problem-solve.html:

Step One: Define the problem
Step Two: Analyze the problem
Step Three: Generate options
Step Four: Evaluate options
Step Five: Make your decision
Step Six: Implement and reflect

(Assignment 2: Problem Solving)

Write a four to five (4-5) page paper in which you:
1. Define the problem in the scenario that you have chosen.
2. Analyze the problem in the scenario.
3. Generate options for solving the problem in the scenario.
4. Evaluate the options for solving the problem.
5. Decide on the best option for solving the problem.
6. Explain how you will implement the decision made and reflect on whether this option was the most effective.

The paper should follow guidelines for clear and organized writing:

Include an introductory paragraph and concluding paragraph.
Address main ideas in body paragraphs with a topic sentence and supporting sentences.
Adhere to standard rules of English grammar, punctuation, mechanics, and spelling.

Your assignment must follow these formatting requirements:

Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA Style format. Check with your professor for any additional instructions.
Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

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Adolescents Engaging In Risk-Taking Factors

June 30, 2021/in Assignment Help, Assignment Help Nursing, Homework Help, Nursing Paper Help, Solved Nursing Essays /by Stephen

Adolescents Engaging In Risk-Taking Factors

(Adolescents Engaging In Risk-Taking Factors)

Consider what actions might prompt the following exchange between a parent and his or her adolescent child:

Parent: “What were you thinking?”

Child: “I wasn’t.”

Parent: “What if you got caught? What if you hurt yourself or someone else?”

Child: “It’s not a big deal. All of my other friends were there, too.”

The adolescent age is marked by impulsive decisions and risk-taking behaviors. However, despite the frustrations of parents and caregivers, there are logical explanations for teens’ sometimes seemingly senseless choices. Scientists have found that the prefrontal cortex, the lobe that controls problem solving, goal planning, behavior adjustment, impulse control, foresight, and various other functions, is still very much under development during the adolescent years. This means that the brain is not fully prepared to deal with complex decisions, peer pressure, or situations of immediate versus delayed gratification. As a result, adolescents lack the capability to weigh the benefits versus the risks of a given choice as an adult might.

As a counselor, it is likely you will work with adolescents who engage in harmful risk-taking behaviors. You must be able set aside your own beliefs about “acceptable” behaviors to better support and counsel these adolescents. For example, what might you say to an adolescent who has been court-ordered to see you after multiple underage drinking charges? What about the adolescent who participates in unhealthy eating practices to achieve a desired body image? The one who is sexually active? The daredevil?

For this Discussion, review the media, “Adolescence.” Identify the adolescent (aged 11–18) in your assigned family. Consider how risk-taking behaviors are impacting the adolescent and his or her family. (THE PAPER WILL BE WRITTEN IN REGARDS TO THE JEONG’S FAMILY) You can access the Jeong information at this link:

Laureate Education (Producer). (2013a). Adolescence [Video file]. Retrieved from CDN Files Database. (COUN 6215/COUN 8215/HUMN 8215)

Post by Day 3 the identity of your adolescent client. Summarize the developmental crises he or she is facing. Then, explain at least two risk-taking behaviors in which the adolescent is involved and at least one protective factor that might be influencing his or her level of functioning. Finally, explain the impact of these behaviors on the adolescent and his or her family. Justify your response with references to this week’s Learning Resources and the current literature. Be specific.

References:

(Must use) Broderick, P. C., & Blewitt, P. (2015). The life span: Human development for helping professionals (4th ed.). Upper Saddle River, NJ: Pearson Education.

Chapter 9, “Physical, Cognitive, and Identity Development in Adolescence” (review pp. 324-367)

Chapter 10, “The Social World of Adolescence” (pp. 368-407)

Bessant, J. (2008). Hard wired for risk: Neurological science, ‘the adolescent brain’ and developmental theory. Journal of Youth Studies, 11(3), 347–360.