Piagetian Theory/ Nativist Approaches

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Piagetian Theory/ Nativist Approaches

(Piagetian Theory/ Nativist Approaches)

start by completing the Theoretical Frameworks Venn Diagram using your assigned grouping below. If you are unsure of how to complete a Venn diagram, the video How to Make a Venn Diagram (Links to an external site.)Links to an external site. provides a helpful lesson. When completing your Venn Diagram (Links to an external site.)Links to an external site., make sure to include the foundations of each theory, how the theory connects to the four main themes shared in Chapter 1 of the course text (nature/nurture, continuous/discontinuous, domain specific vs. domain general, performance and competence), and the limitations of the theory. Before starting your discussion, it will help to review the Week One Instructor Guidance for additional information, resources, and support for excelling in this discussion.

First Letter of Last Name Theories to Compare and Contrast
Last Name Begins with A-F Piagetian Theory/ Social Constructivist Theory
Last Name Begins with G-L Nativist Approaches/ Information Processing Approaches
Last Name Begins with M-S Piagetian Theory/Nativist Approaches
Last Name Begins with T-Z Social/Constructivist Theory/ Information Processing Approaches

 

After completing the Venn diagram, compose a response addressing the items listed below. Include your reflection and the Venn diagram with your initial post. Click the paperclip icon below the message area in your post to attach your Venn diagram.

  • Explain how the theoretical frameworks shared in your Venn diagram support cognitive development. Make sure to include at least one example to support your reasoning.
  • Discuss which of the theoretical perspectives resonates with you the most, the least, and provide a rationale as to why.
  • Provide at least one example of how knowledge of these theoretical perspectives may influence your ability to provide quality experiences that support cognitive development beginning with infants and toddlers.
  • If you are currently working with children, explain how these theories/approaches influence your work. If you are not currently working with children, explain how you see these theories/approaches impacting your future work with young children.
 
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Compliance Program- Final

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Compliance Program- Final

(Compliance Program- Final)

Question description

Introduction

For this project, you are to apply the foundation knowledge you have acquired throughout this course and evaluate the model medical practice described here for you. You are the incoming Compliance Officer at Grace University Hospital. You have a staff of five coder/auditors, one systems analyst, and an office manager. All are full-time employees and have been part of the medical practice team for 15+ years.

There is a significant bias against the Compliance Program. You have been hired to evaluate, develop a mitigation strategy and put the program back on track with the guidelines as expected by the Federal and State governments. You also need to build credibility back into the program. The focus for this Compliance program project is on the Billing Compliance Program as it is responsible for the integrity of the medical record, privacy and security of health information (HI), accuracy of the assignment of billing codes and complete, and accurate documentation that reflects the services reported for reimbursement. There is a separate Compliance Program for Research and HR/Legal; however, your program collaborates extensively with Research and Legal. You also sit at the laboratory Compliance Committee and provide guidance as appropriate.

Existing Compliance Program

The corporate compliance program has essentially been inactive for three years and no audits have been completed during this time. There is pervasive mistrust of the compliance program. The compliance committee meets occasionally and not at all in the last year. There is no hotline or any publicized avenue of reporting for the general staff or patient population. The previous compliance officer was not in good standing with the medical staff because of enforced paybacks to the Medicare program. The existing policy and procedure manuals are outdated. There is no method in place for disseminating updated regulations or changes in policy. No one is able to provide you with any baseline information regarding billing or documentation compliance. There is no regular communication between the billing staff and the practice regarding denial, report requests or suspend trends.

You have received complaints for the following:

a) EMTALA violations

b) Fraudulent billing practices

c) Stark violations involving referrals to provider-owned laboratories

d) Medical identity theft

e) Security breaches

Staffing

The skillset of the staff is the following:

Three coder/auditors – CPC, CHC certified with a minimum of a bachelor’s degree in healthcare management or a related field.

Two coder/auditors – CCS, CHC certified with a minimum of a bachelor’s degree ibn healthcare management or a related field.

Systems Analyst – BS in computer engineering and 5+ years’ experience in Epic, MediTech, HPF and Cerner. The analyst is also facile in database design and management.

Office Manager – BA in English with a minor in Drama and skilled in all Microsoft Office applications. She has special skills in project management, SharePoint and Access.

Practice Profile

Specialty Areas

The medical practice is a multispecialty group practice that provides services in a teaching (PATH) institution. Both inpatient and ambulatory services are provided on the campus as well as in three satellite clinics. Radiology, pathology and laboratory services are provided under the umbrella of the institution. Residents rotate through all specialty areas and provide services both under the direction of the faculty attendings as well as directly in pediatrics and Internal Medicine under the Primary Care Exception.

Specialty

Physicians

Physician Assistant

Nurse Practitioner

Comment

Internal Medicine

15

5

8

Basic preventative and minor care; imaging is sent out, minor lab such as cell smears, fungal scrapings and UA are completed in the practice offices

Pediatrics

12

1

6

Basic preventative and minor care; imaging is sent out, minor lab such as cell smears, fungal scrapings and UA are completed in the practice offices. CHDP – type examinations are done to report need for public health nurse intervention.

Cardiology(Compliance Program- Final)

5

0

2

Consultative service primarily. Some cath lab procedures also performed.

General Surgery

22

8

2

Both ambulatory and inpatient services provided.

Dermatology

8

0

2

Outpatient procedures only; self-referrals; independent lab for special derm services

Endocrinology

5

0

0

Consultative services

Oncology

6

0

4

Large infusion center managed by RNs

Orthopedics(Compliance Program- Final)

7

1

1

Several Divisions including Joint Prosthetics, Sports Medicine and Foot & Ankle

Payer Mix

Contracts – 35%

Medicare – 20%

Medicaid – 15%

Capitated – 5%

Medicare Part C – 5%

Workers’ Comp/Industrial – 5%

Full Indemnity/PPO – 10%

Self-Pay – 5%

Trends:

Revenue Cycle:(Compliance Program- Final)

1. Trend in denials for consultations provided by Cardiology and Endocrinology after documentation provided

2. Incorrect billing noted for Infusion Center with multiple denials for antineoplastic and administration

3. Problems getting payment for services provided by nonMD Practitioners

4. Services by Orthopedics and provided in the ED are undocumented

5. General complaints from patients alleging rude and abusive behavior referred to Compliance

Compliance:

1. Multiple calls from staff reporting fraudulent billing practices

2. Attendings billing for services provided only by house staff

3. Providers referring to their own laboratory

4. Reports of non-existent documentation

5. Reports of billing staff changing codes

6. Report from ED of EMTALA violations

7. Report of any Fraud and Abuse Activity

Privacy:(Compliance Program- Final)

1. Medical record breach of celebrity seen at hospital

2. Report of patient attempting to use another’s insurance card

3. Multiple accesses, some unauthorized, on a high-profile chart

4. Poor recording-keeping for Privacy Office

5. Process for maintaining behavioral client records in the field

Research:

1. Stark violations involving referrals to provider-owned laboratories

2. Failure to separate routine charges from those billed to the grant

3. Irregular management of consents

4. Allegations of misconduct (principal moving ahead with publications after receiving a letter to cease)

External Audits:

1. Complaint-based investigation regarding a FEMLA denial

2. FMR for surgical practice regarding package unbundling

3. OIG Investigation for violation of P.A.T.H. regulations

Fraud Article: http://bok.ahima.org/doc?oid=103625#.WVKHQhMrI3g

Final Project Deliverables

You will be creating and submitting a Corporate Compliance Plan for Grace University Hospital. You will be submitting ONE (1) plan, but your plan will include several attachments. These attachments include the assignments that you have completed within this course. Make sure you review and update your assignments with any feedback I have provided. Together, they will form a complete compliance plan for this Use Case. 20 Points

As a component of the overall Corporate Compliance Plan, you will be required to provide:

1. Roles and structure of the Department: Organization Chart and Sample Position Descriptions for Corporate Compliance, HIPAA Privacy Officer and Risk Manager. Additionally, assess whether the Department meets the criteria for the seven sentencing guidelines and explain how it will satisfy these suggestions for mitigating exposure. Include your assessment in the Corporate Compliance Plan in addition to your presentation as a teaching tool of the Seven Sentencing Guidelines. 20 Points

Documents:(Compliance Program- Final)

a) Sample Position Descriptions (Corporate Compliance, HIPAA Privacy Officer, and Risk Manager) – Completed in Unit 1, Week 1

b) Stark & Whistleblower Presentation – Completed in Unit 1, Week 2

2. Training Plan: Based on industry information, CMS guidance, past audits and OIG targets, develop an Annual Plan of what you believe is addressable in your practice. This will include an education schedule within the Corporate Compliance Plan, your plan for tracking and monitoring the training and your plan for changes in the plan due to the identified risks identified in the Use Case. Additionally include the following Training Plans as attachments that were completed earlier in the course. Make sure you make any necessary updates based on my feedback. 20 Points

Training Plan Documents – All Completed in Unit 3, Week 7:

a) Corporate Compliance

b) Risk Management

c) HIPAA

d) Identity – Medical Theft

3. Provide a description of the Audit Program within the Corporate Compliance Plan. This should include a department policy to include types of audits that will be conducted, schedule of routine audits, what the sampling methodology will be, identification of who will pull the cases and how the field work is to be completed, and follow-up and refunding procedures. This will be supported by attaching your Audit Program Assignment documents. Make sure to make any necessary updates to the documents as part of the Audit Program Assignment. 20 Points

Audit Program Assignment Documents:

a) A brief policy & procedure for the assignment, initiation & close of the Audit – Completed in Unit 1, Week 4

b) Outline of the resulting report (you do not need to write a report – an outline of the sections is required) – Completed in Unit 1, Week 4

c) Sample entrance and follow up letters – Completed in Unit 1, Week 4

d) Include a section into the Audit Policy and Procedure that will create surveillance model to detect fraud and abuse within the healthcare organization (just a statement or two – nothing too big) – New

e) Include a forensic model for fraud and abuse surveillance (find on the Internet – you don’t have to create) – New

(Compliance Program- Final)

 

4. Privacy and Security: Your department is not responsible for Privacy and Security but you receive a number of reports concerning privacy and security issues. The responsible department expects your cooperation and collaboration. Identify a system for filing documents used for state and federally mandated reporting and strict fieldwork. Additionally, identify Investigation Process, Policy & Procedures within the Corporate Compliance Plan. You have been asked to assist with developing a tracking system, for privacy and security concerns. 20 Points

HIPAA & Security Contingency Plan Documents:

a) Security Contingency Plan – Completed in Unit 3, Week 6

b) Example Policy for Breach Investigations (find one – don’t create) – New

a. You don’t have to create this but rather find an example of a policy online to include

c) Creation of an Electronic Breach Tracking Process – New

a. You should create an electronic tool that will let you track breach investigations and outcomes.

b. This tool should be able to be used to determine trends or issues in the organization. Recommendation is to complete using Microsoft Excel.

Please see attached supporting documents below for this assignment;

 
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Empowering Psychological Assessment

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Empowering Psychological Assessment: A Layperson’s Guide

(Empowering Psychological Assessment)

Psychological assessment guides are created by psychology professionals to provide the public with accurate and authoritative information appropriate for their current needs. Information available to the public about psychological testing and assessment varies widely depending on the professional creating it, the purpose of the assessment, and the intended audience. When professionals effectively educate the public on the how, what, and why behind assessments and the strengths and limitations of commonly used instruments, potential clients are in a better position to be informed users of assessment products and services. The Assessment Guides developed in this course will be designed to provide the lay public with accurate and culturally relevant information to aid them in making informed decisions about psychological testing. Students will develop their Guides with the goal of educating readers to be informed participants in the assessment process.

There is no required template for the development of the Assessment Guide. Students are encouraged to be creative while maintaining the professional appearance of their work. The Guide must be reader-friendly (sixth- to ninth-grade reading level) and easy to navigate, and it must include a combination of text, images, and graphics to engage readers in the information provided. Throughout their Guides, students will provide useful examples and definitions as well as questions readers should ask their practitioners. To ensure accuracy, students are expected to use only scholarly and peer-reviewed sources for the information in the development of their Guides.

Students will begin their Guides with a general overview of assessment, reasons for assessment referrals, and the importance of the role of each individual in the process. Within each of the remaining sections, students will describe the types of assessments that their readers may encounter, the purposes of each type of assessment, the different skills and abilities the instruments measure, the most valid and reliable uses of the measures, and limitations of the measures. A brief section will be included to describe the assessment process, the types of professionals who conduct the assessments, and what to expect during the assessment meetings.

The Assessment Guide must include the following sections:(Empowering Psychological Assessment)

Table of Contents (Portrait orientation must be used for the page layout of this section.)
In this one-page section, students must list the following subsections and categories of assessments.

  • Introduction and Overview
  • Tests of Intelligence
  • Tests of Achievement
  • Tests of Ability
  • Neuropsychological Testing
  • Personality Testing
  • Industrial, Occupational, and Career Assessment
  • Forensic Assessment
  • Special Topics (student’s choice)
  • References

Section 1: Introduction and Overview (Portrait or landscape orientation may be used for the page layout of this section.)
Students will begin their Guides with a general overview of assessment. In this two-page section, students will briefly address the major aspects of the assessment process. Students are encouraged to develop creative titles for these topics that effectively communicate the meanings to the intended audience.

  • Definition of a Test (e.g., What is a Test?)
  • Briefly define psychological assessment.
  • Types of Tests
  • Identify the major categories of psychological assessment.
  • Reliability and Validity
  • Briefly define the concepts of reliability and validity as they apply to psychological assessment.
  • Role of testing and assessment in the diagnostic process
  • Briefly explain role of assessment in diagnosis.
  • Professionals Who Administer Tests
  • Briefly describe the types of professionals involved in various assessment processes.
  • Culture and Testing
  • Briefly describe issues of cultural diversity as it applies to psychological assessment.

Categories of Assessment (Portrait or landscape orientation may be used for the page layout of this section.)
For each of the following, students will create a two-page information sheet or pamphlet to be included in the Assessment Guide. For each category of assessment, students will include the required content listed in the PSY640 Content for Testing Pamphlets and Information Sheets (Links to an external site.)Links to an external site.. Be sure to reference the content requirements (Links to an external site.)Links to an external site. prior to completing each of the information sheets on the following categories of assessment.

  • Tests of Intelligence
  • Tests of Achievement
  • Tests of Ability
  • Neuropsychological Testing
  • Personality Testing
  • Industrial, Occupational, and Career Assessment
  • Forensic Assessment
  • Special Topics (Students will specify which topic they selected for this pamphlet or information sheet. Additional instructions are noted below.)

Special Topics (Student’s Choice)
In addition to the required seven categories of assessment listed above, students will develop an eighth information sheet or pamphlet that includes information targeted either at a specific population or about a specific issue related to psychological assessment not covered in one of the previous sections. Students may choose from one of the following categories:

  • Testing Preschool-Aged Children
  • Testing Elementary School-Aged Children
  • Testing Adolescents
  • Testing Geriatric Patients
  • Testing First Generation Immigrants
  • Testing in Rural Communities
  • Testing English Language Learners
  • Testing Individuals Who Are (Select one: Deaf, Blind, Quadriplegic)
  • Testing Individuals Who Are Incarcerated
  • Testing for Competency to Stand Trial
  • Testing in Child Custody Cases

References (Portrait orientation must be used for the page layout of this section.)(Empowering Psychological Assessment)
Include a separate reference section that is formatted according to APA style as outlined in the Ashford Writing Center (Links to an external site.)Links to an external site.. The reference list must consist entirely of scholarly sources. For the purposes of this assignment, assessment manuals, the course textbook, chapters from graduate-level textbooks, chapters from professional books, and peer-reviewed journal articles may be used as resource material. A minimum of 16 unique scholarly sources including a minimum of 12 peer-reviewed articles published within the last 10 years from the Ashford University Library must be used within the Assessment Guide. The bulleted list of credible professional and/or educational online resources required for each assessment area will not count toward these totals.

 

The Assessment Guide

  • Must be 18 pages in length (not including title and reference pages) and formatted according to APA style as outlined in the Ashford Writing Center (Links to an external site.)Links to an external site..
  • Must use at least 16 scholarly sources, including a minimum of 12 peer-reviewed articles from the Ashford University Library.
  • Must document all sources in APA style as outlined in the Ashford Writing Center.
  • Must include a separate reference page that is formatted according to APA style as outlined in the Ashford Writing Center.
  • Must incorporate at least three different methods of presenting information (e.g., text, graphics, images, original cartoons).
 
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Sunshine of the Spotless Mind

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Sunshine of the Spotless Mind, psychology homework help

(Sunshine of the Spotless Mind)

Question description

“Sunshine of the Spotless Mind” explores the intricacies of memory, love, and identity through the lens of psychology. The film delves into the concept of memory erasure as a means of coping with heartbreak and trauma. It raises questions about the ethical implications of altering memories and the consequences of attempting to erase painful experiences from one’s mind.

From a psychological perspective, the film highlights the role of memory in shaping our sense of self and our relationships with others. Memories are not just static recordings of past events but are dynamic constructs influenced by emotions, perceptions, and interpretations. Attempting to erase memories does not necessarily erase the emotional impact they have had on an individual.

Furthermore, “Sunshine of the Spotless Mind” explores the idea of unconscious processes influencing behavior and decision-making. Characters grapple with subconscious desires and motivations that drive their actions, often without conscious awareness.

Overall, the film offers a compelling portrayal of the complexities of human memory and the ways in which it intersects with love, identity, and emotional well-being. It prompts viewers to reflect on the nature of memory, the significance of past experiences, and the enduring impact of love and loss on the human psyche.

************For this assignment, I would like it to be on the movie “The Notebook (2004).”  ********************

MEMORY ANALYSIS

IN THIS UNIT’S STUDIES, YOU COMPLETED THE FOLLOWING:

  • Selected and viewed a movie that illustrates an important effect of memory. Some possible choices were Memento (2000), 50 First Dates (2004), Eternal Sunshine of the Spotless Mind (2004), The Notebook (2004), and Total Recall (1990).
  • Located at least three scholarly or peer-reviewed sources that address the problem in memory and helped you better understand the causes and consequences of the memory issue portrayed in the movie. You then thought about the accuracy with which the character is portrayed as an individual who has the memory condition.
  • Researched the difference between semantic, episodic, and procedural memory.

Based on watching the movie and your research, complete the following:

  1. Describe, briefly, the plot of the movie you selected and the main character involved. Explain how the movie illustrates the memory effect of interest.
  2. Use the three scholarly sources you found that relate to the memory issue presented in the movie and summarize what you learned from the sources. Explain how the sources relate to what you learned about how memory functions.
  3. Take into account what you have learned about memory and describe what was realistic about the movie’s presentation and what inaccuracies you identified. What would you change in the movie to make a more accurate presentation? What type of memory system was dealt with in the movie (semantic, episodic, or procedural)?
  4. Describe the relevant scholarship—what is known about the condition and what the problems or unresolved issues are that have yet to be researched—as it relates to the memory condition presented in the movie.
  5. Research the difference between semantic, episodic, and procedural memory.
  6. Locate a recent article (within the last 3–5 years) from an academic journal that is either in support of or against the use of memory-enhancing drugs.

Strive to be as concise as possible and limit the length of your completed assignment 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.

SUBMISSION REQUIREMENTS

  • Written communication: Written communication is free of errors that detract from the overall message.
  • APA formatting: Resources and citations are formatted according to APA (6th edition) style and formatting.
  • Number of Resources: At least three citations.
  • Length of paper: 5–6 pages not including a title page and a reference page. The reference page should include all sources and the references of the original media pieces. The paper should be double-spaced.
  • Font and Font Size: Times New Roman, 12 point.
  • Absolutely No Plagiarism 

 

“My Notes To You”

***** IF YOU HAVE ANY QUESTIONS PLEASE PLEASE PLEASE FEEL FREE TO LET ME KNOW******

******** THIS PAPER HAS TO BE APA STYLE WITH THE PROPER CITATION FORMAT, NO EXCEPTIONS********

Attached is the format on how the paper has to look like!

 
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Compartive Relegious Aprroaches

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Assignment 2: Comparative Religious Approaches

(Compartive Relegious Aprroaches)

The origins of Judaism and Hinduism are almost 4,000 years old. Buddhism arose from the teachings of a single Hindu teacher more than two thousand years ago. All three have changed and developed over the centuries. All three are very much alive today.

Concentrating on their current forms, compare the approaches of the three religions to the basic religious questions:

    • How should I think about ultimate reality (Hinduism)? Is there a Supreme Being (Judaism)? Should I even think of god, letting myself be my supreme authority (Buddhism)?
    • What is the relationship of human beings to this reality (God)?
    • What exactly is the concept of faith to each of these three religions? Is it the same as belief, or not? Consider all three religions and compare.
  • How do these concepts of the Ultimate Reality, Supreme Being or self help address the following questions: What is wrong with the world, and how can I help to fix it? What am I supposed to do with my life?

Consider the three religions, Buddhism, Hinduism, and Judaism. In an essay of approximately 700 to 800 words in length, answer the questions listed above. Be sure to use appropriate APA format for citations and to include at least one reference for each religion.

By Wednesday, April 27, 2016 post your essay in the M4: Assignment 2 Dropbox.(Compartive Relegious Aprroaches)

Assignment 2 Grading Criteria
Maximum Points
Compares, contrasts, and applies concepts of Ultimate Reality, Supreme Being, and the authority of self to personal philosophical position on religion.
24
Uses critical thinking to describe and explain the relationship of humans and God.
16
Considers and measures the relationship between faith and belief from the three perspectives.
16
Considers and analyzes the application of concept of Ultimate Reality, Supreme Being (monotheism) and Self-actualization in addressing world problems.
20
Wrote in a clear, concise, and organized manner; demonstrated ethical scholarship in accurate representation and attribution of sources; displayed accurate spelling, grammar, and punctuation.
20
Justified ideas and responses by using appropriate examples and references from texts, Web sites, and other references, including correct APA format.
4
Total:
100

 

NEEDS TO HAVE APA CITATIONS IN TEXT AND REFERENCE PAGE.

 
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Yeung Analysis Worksheet

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Yeung Analysis Worksheet

(Yeung Analysis Worksheet)

 

The Yeung Analysis Worksheet is a structured tool used to assess various factors related to decision-making or problem-solving situations. It typically consists of several sections designed to guide a comprehensive analysis.

Firstly, the worksheet helps define the problem or decision to be addressed. This step involves clarifying the issue, its scope, and the desired outcomes. Next, it prompts the analysis of potential causes or contributing factors. This involves identifying both immediate and underlying reasons for the problem.

The worksheet then assists in evaluating different alternatives or solutions. This step involves brainstorming possible approaches and assessing their feasibility, benefits, and drawbacks. Additionally, it encourages consideration of potential risks and implications associated with each option.

Furthermore, the Yeung Analysis Worksheet often includes a section for decision-making criteria. This involves establishing clear criteria or metrics against which alternatives can be objectively evaluated. Finally, the worksheet facilitates the selection and implementation of the preferred solution, including defining action steps and assigning responsibilities.

Overall, the Yeung Analysis Worksheet is a valuable tool for structured decision-making, ensuring thorough consideration of all relevant factors and increasing the likelihood of successful problem resolution or decision outcomes.

) Refer to “The Use of Electro-Acupuncture in Conjunction with Exercise for the Treatment of Chronic Low-Back Pain” by Yeung, Leung, and Chow.

 

2) Complete “Yeung Analysis Worksheet.”

 

3) Examine the question the researchers were trying to answer and write an essay (500-750 words) that explains why you feel the t-test was chosen. Choose one of the other tools studied so far in this course and explain why it would not provide relevant findings.

 

4) Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center

 

5) This assignment uses a grading rubric. Instructor will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

 

Yeung Analysis Worksheet:

 

Yeung, C., Leung, M., & Chow, D. H. K. (2003). The Use of Electro-Acupuncture in Conjunction with Exercise for the Treatment of Chronic Low-Back Pain.

 

What was the research question?

 

What were the independent variables?

 

What was the dependent variable?

 

What was the sample size and how was it chosen?

 

What was the experimental design and use of control group?

 

Were the instruments of measurement shown to be reliable and valid?

 

What data types were included?

 

Describe the statistics used, what they were used for, and the results.

 

What were the researchers’ conclusions? How did they answer the research question(s)?

 

How was error controlled?

 

Did you see any concerns with the research study? If so, what?

 
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Customized Health Histories

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Customized Health Histories: Nursing Perspectives

APA format 1 page 3 References (peer review) and for Nursing MSN class

(Customized Health Histories)

APA format 1 page 3 References (peer review) and for Nursing MSN class

 

Building a Health History

As a nurse practitioner, it is important to understand that many considerations have been considered when assessing patients as no two individuals are the same. Therefore, consideration should be given to the differences in the patient. These differences are not limited to race, culture, age, gender, and socio-economic background. Per Donnelly & Martin (2016) in obtaining a proper assessment of a patient leads to proper treatment of the patient.

Considering Each Case History

In building a health history, consideration should be like each of the demographic population. Different interviewing and assessment techniques that will allow them to be comfortable and willing to share the necessary information that will build their health history.  For instance, when assessing a seventy-six-year-old black male with disabilities living in an urban setting, these factors should be noted, age, demographic, cognitive awareness, and lifestyle, the same can be said for all the other case history. The seventy-six-year-old male will require the nurse practitioner to be focused on then when speaking. They should speak slowly and with clarity, and properly pronouncing words, as the patient may have a problem processing conversation quickly. According to Ball, Dains, Flynn, Solomon & Stewart (2015), the adolescent boy may need time to open, so the interview and assessment process should not be rushed. The fifty-five-year-old Asian female living in a high-density poverty complex will need to be addressed with respect. The nurse practitioner should understand that the pre-school age white female living in a rural community may need communication through play to alleviate their fears.  The sixteen-year-old teenager living in an inner-city neighborhood will need reassurance and non-judgmental evaluation.  Understanding age, gender, ethnicity, and environment will allow the practitioner to know how to approach each patient case.

Risk assessment Instruments

There are many risk assessment instruments that can be used for screening. These are important in building the foundational health history as it can show the progression of patient development as well as decline.  In the evaluation of the patient who is seventy-six-year-old male is, a fall risk assessment would be appropriate, questions regarding last fall if any, and type of medications. An STD screening would be appropriate for the adolescent Hispanic/ Latino boy asking a question regarding sexual activity and how many sexual partners. A TB and pneumonia screening should be done for the Asian female asking question relating to exposure and symptoms. For the pre-school age white female would benefit from a developmental screening, parents involvement is usually necessary as answers to the question relating to achievement of the milestone is gained through them; and, the pregnant sixteen-year-old could do a prenatal and nutrition screening, questions relating to nutrition, supplements, feelings regarding pregnancy.

Pregnant at Sixteen in the Inner-city(Customized Health Histories)

According to According to Ball, Dains, Flynn, Solomon & Stewart (2015), using effective tools is helpful in gaining the most information necessary information to build not only a positive relationship; but, also necessary heal history. One of the screening that could be used for the 16-year-old white pregnant teenager living in an inner-city neighborhood would be HEEADSSS (home environment, education, eating, activities, drugs, sexuality, suicide/depression, safety from injury and violence). This instrument is appropriate for this patient for many reasons, given that at this age and stage of development and background patient may be having an identity crisis, unsure about her pregnancy, and uncertain home environment as well as any or all the other issues in the screen tool. The risk assessment instrument could include an HIV risk assessment as at this teenager was likely engaging in an unprotected sexual activity. As there may be limited knowledge about the potential father, doing an HIV risk assessment can help to protect the fetus from possible infection. Proper screening is important as highlighted by Duberstein and Jerant (2014) journal article regarding suicide prevention; whereby the lack of proper screening as let to a steady incline of suicide rates.

Five Targeted Questions

  1. What are your expectations regarding your visit today?
  2. Was the sex consensual?
  3. When was your menstrual period?
  4. How do you feel about your pregnancy?
  5. Who you parents and or partner able to provide support?

Asking targeted question will allow the provider the capability to expand the interaction, promoting follow-up questions and gaining more information.

References(Customized Health Histories)

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel’s guide to physical examination (8th ed.). St. Louis, MO: Elsevier Mosby.

Donnelly, M., & Martin, D. (2016). History taking and physical assessment in holistic palliative care. British Journal of Nursing, 25(22), 1250.

Duberstein, P., & Jerant, A. (2014). Suicide Prevention in Primary Care: Optimistic Humanism Imagined and Engineered. JGIM: Journal of General Internal Medicine, 29(6), 827. doi:10.1007/s11606-014-2839-4

 
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Social Media Project

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 Social Media Project: Rough Draft

(Social Media Project)

My social media project is designing a facebook page for a make believe nursing home.

For this module, we’ll be fleshing out your work from previous weeks to complete a rough draft of your final project. You have already identified your topic and the social media choices for your project, and done research on comparable brands or sites.

Now it’s time to get it all ready. This week, you should spend more time researching comparable options on your social media choices. Then it’s time to put it together!

First, you should put together your overview of the project. This starts with the description of your business or brand. Write about what it is and what you want for it, and add the research you have found on comparable businesses or brands. Then what are the goals you have for the business or brand? What are your general goals with social media for it? What audience are you aiming to reach?

Now on to the social media aspect of the project. If you have a real business, brand, or site to work on, you can start by putting the site profiles into the 4 social media sites you’ve chosen (e.g. Facebook, Twitter, etc.). Screenshots will work for these that you have really made. If you don’t really have a business or brand, you do not need to create faux profiles. However, you should write the information you would include in your profile for each one.

Then, for each social media site, write about your goal for that site, how you will accomplish them, and some ideas for posts or pins. Who is your audience? When and where can you best reach them? How can you really use social media to work for you?

This project should have at least 1-2 pages for your overview and then approximately 1-2 pages per social media site. So the draft will be 5 – 10 pages long.

There will be the option to present your project to your instructor and class next week in the live classroom, so begin thinking about if this is something you’d like to do

 
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Nursing Job Interview Strategies

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Nursing Job Interview Strategies

(Nursing Job Interview Strategies)

For a nursing job interview, preparation is key. Research the hospital or facility, understand their values, services, and patient population. Familiarize yourself with common nursing interview questions and practice your responses, focusing on your experience, skills, and commitment to patient care.

During the interview, demonstrate your passion for nursing and empathy for patients. Use specific examples to illustrate your skills, such as times you provided exceptional care or resolved a challenging situation. Highlight your ability to work in a team, communicate effectively, and adapt to various healthcare settings.

Be prepared to discuss your nursing education, certifications, and any specialized training you have. Showcase your willingness to learn and grow professionally.

Dress professionally and arrive early. Maintain good eye contact, display confidence, and listen attentively to the interviewer. Ask thoughtful questions about the role, unit, and opportunities for advancement.

After the interview, send a thank-you email expressing your gratitude for the opportunity and reiterating your interest in the position. Follow up if you haven’t heard back within the specified timeframe.

Overall, approach the interview with enthusiasm, confidence, and a genuine desire to make a positive impact on patient care.

APA Format.

-Introduction or abstract page

-Summary or Conclusion page

-Four pages minimum, no including Introduction or abstract,  summary or conclusion, and Bibliography pages

-It is completely unacceptable to Copy and Paste from the Internet, or other resources

-Bibliography has to be in APA Format, minimum 3, no more than 3 years old.

 

The following position is advertised on a career Web site: RN I Surgical Job Travel Involved: None. Job Type: Full-Time. Job Level: Minimum Education Required: Associate Degree Skills: Category: Nursing FTE: 0.9. Position Summary: Description/Purpose of Position: Responsible for providing patient care based upon the nursing process; being effectively involved with maintaining the standard of care for assigned patients through assessment, planning, implementation, and evaluation. Oversees and guides employees who are under your supervision. Requirements Description/Purpose of Position: Responsible for providing patient care based upon the nursing process; being effectively involved with maintaining the standard of care for assigned patients through assessment, planning, implementation, and evaluation. Oversees and guides employees that are under your supervision. Minimum Qualifications: Education: Graduate of an accredited school of Nursing. License/Certification: Current RN license in the state of XXX. Current BCLS Certification. Other: Must be able to demonstrate the knowledge and skills necessary to provide care/service appropriate to the age of the patients served on the assigned unit/department. Note: An RN graduate is a nurse who has completed a course of study at a school of nursing and is eligible for the NCLEX. The RN graduate performs directly under the supervision of the charge nurse or RN designee.

1. List three substantive questions you might expect to be asked in an interview for the job, and summarize your answers.

2. Describe three to five ways in which you could prepare for the interview to make the most positive impression.

3. Be sure to describe what you would wear and what material you would bring with you.

Your best friend, Lindsey, and you are working together in the surgical ICU. Often you cover for her when she goes to lunch or on breaks. You notice that often her clients complain of being in pain, even though she has told you that she medicated them right before she left the unit. You also notice that she appears to be very jumpy and short-tempered and a bit disheveled when she comes to work. You are suspicious that she is using the medications that she says she is giving to her clients.

1. What should you do first?

2. What might be the consequences if you decide to do nothing?

 
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Methodology Exploration

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ANOVA Mini Proposal: Methodology Exploration

(Methodology Exploration)

Mini Research Proposal ANOVA

This written assignment is based on the work conducted in the “Basic ANOVA Study” discussion forum.  Based on this initial work, feedback received, and additional research, you should submit a mini research proposal that calls for the use of a one-way or repeated measures ANOVA.

Please include the following in the research proposal:Introduction (1-2 paragraphs)

  • Present the research question of interest.
  • Explain how the chosen statistical test applies to this research question.
  • Provide the statistical notation and written explanations for the null and alternative hypotheses.
  • Explain the types of errors that can occur.
  • Methods
    • Participants (1 paragraph)
      • List how many participants will be selected.
      • Identify who will be the participants and their major demographic characteristics (e.g., sex, age, etc.).
      • Explain how participants will be selected for the study.
    • Procedures (1-2 paragraphs)
      • Identify the variables in the study.
      • Describe each variable’s scale of measurement (nominal, ordinal, interval, or ratio) and characteristics (i.e., discrete vs. continuous, qualitative vs. categorical, etc.).
      • Provide an operational definition for each variable, explaining how the variables will be measured.
  • Results (1-2 paragraphs)
    • Describe the statistical test that will be conducted. Be sure to include why the test was chosen and why it is appropriate for this study.  Also, describe the role of post-hoc tests in the analysis.
    • Identify the information that will be obtained from the results of this test and what will be needed to draw conclusions regarding the hypotheses.
  • Discussion (1 paragraph)
    • Identify any expected biases, assumptions, or faults with the proposed study and the use of the identified statistical test.
    • Explain what conclusions can and cannot be made for this study using this statistical test.
    • Describe the practical significance or importance of the results.

The paper should be APA formatted as a research proposal, and approximately 1000 to 1350 words of content. Include a title page, and a reference page that includes any resources utilized.  Students should submit their paper by Day 7.

Point Value: 7 PointsWeekly Learning Outcome Alignment: 1, 2, 3, 4, 5, 6

 
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