What is the relationship between levels of CD4 lymphocytes and the likelihood of clinical complications from AIDS? Why does the United States Public Health Service recommend monitoring CD4 counts every 3 to 6 months in patients infected with HIV?

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Case Study 1 & 2

Students must review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references. Answer both case studies on the same document.

The answers must be in your own words with reference to the journal or book where you found the evidence to your answer. Do not copy-paste or use past students’ work as all files submitted in this course are registered and saved in turn it in the program.

Answers must be scholarly and be 3-4 sentences in length with rationale and explanation. No Straight forward / Simple answer will be accepted.

Turn it in Score must be less than 25 % or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 25 %. Copy paste from websites or textbooks will not be accepted or tolerated.

All answers to case studies must have reference cited in the text for each answer and a minimum of 2 Scholarly References (Journals, books) (No websites)  per case Study.

Case Study 1: AIDS (Acquired Immunodeficiency Syndrome)

Critical Thinking Questions

  1. What is the relationship between levels of CD4 lymphocytes and the likelihood of clinical complications from AIDS?
  2. Why does the United States Public Health Service recommend monitoring CD4 counts every 3 to 6 months in patients infected with HIV?

Case Study 2: Systemic Lupus Erythematosus (SLE)

Critical Thinking Questions

  1. Explain the significance of the urinalysis results (Urinalysis: Profuse proteinuria and cellular casts) as they relate to renal involvement with SLE.
  2. Why is the ESR increased in inflammatory conditions?

Identify the issue and state your ethical position. How might this scenario play out or impact you in your role as a nurse practitioner? Defend your position with legal, ethical, and professional evidence.

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Week 3 Contemporary Issue Position Essay

Choose a case from the AMA Journal of Ethics Case Index (Links to an external site.) and take a position. For this assignment you will evaluate the ethical arguments for or against the issue. Identify the potential legal arguments (consider current federal guidelines), indicate any potential professional code conflicts you foresee, and support your position with an explanation of your own ethical/moral foundation.

In your 2 page paper:

Identify the issue and state your ethical position.
How might this scenario play out or impact you in your role as a nurse practitioner?
Defend your position with legal, ethical, and professional evidence.
As part of your position, propose strategies and solutions for addressing the issues.
What other ethical issues does this case bring to light, if any?
Support your position with at least one scholarly source Be sure to cite the article you choose, use APA format, and include a title page and reference page.

Explain some of the challenges that these opportunities may present and describe how you might overcome these challenges. Recommend two strategies you might make to better advocate for or communicate the existence of these opportunities.

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Create 2 replies to a discussion post NO MORE than 1-1.5 paragraphs each

Write a reply to the two discussion posts made by these two students. They were asked to write about this:

Post an explanation of at least two opportunities that currently exist for RNs and APRNs to actively participate in policy review. Explain some of the challenges that these opportunities may present and describe how you might overcome these challenges. Finally, recommend two strategies you might make to better advocate for or communicate the existence of these opportunities. Be specific and provide examples.

How do you see this key message applying to your daily practice as a nurse? How can nurses achieve this?

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The Future of Nursing According to the IOM Report

Read chapter 5 (pp. 225-254 only) of the IOM report related to this key message:”Nurses should be full partners, with physicians and other health care professionals, in redesigning health care in the United States”

Step 2 Post a response to the discussion board.

How do you see this key message applying to your daily practice as a nurse?
How can nurses achieve this?

include personal experience as part of your answer:

iscuss the issues associated with measuring inequality. Write in full sentences to form paragraphs, ensuring all research is clearly referenced using the Harvard referencing style.

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Inequalities in Health and Social Care.

1.1 Analyse the findings of research into inequality in health or social care provision in three of the following:

– Age

– Disability

– Gender

– Sexuality

– Class/Attitude

– Ethnicity/Culture

– Geography/Postcode

Write in full sentences to form paragraphs, ensuring that all research is clearly referenced using the Harvard referencing style. You are able to include images if required but ensure

1.2 Discuss the issues associated with measuring inequality. Write in full sentences to form paragraphs, ensuring all research is clearly referenced using the Harvard referencing style. You are able to include images if required but ensure that these are relevant and academic. (Word count 400 words +/- 10%)

2.1 Write an essay to be added to the back of the work booklet.  Your title for this essay is: An evaluation of three different explanations for the existence of inequalities in the provision of health or social care. Ensure that a formal essay layout is adopted, and Harvard referencing is used throughout. (Word count 900 words +/- 10%)

1 Understand the Subject. Your work must: – Demonstrate an excellent grasp of the relevant knowledge base. 4 Use of Information. Your work must: – Identify new information from sources which are consistently appropriate. – Shows an excellent grasp of the meaning and significance of new information. 7 Quality. Your work must be: – When taken as a whole, demonstrate an excellent response to the demands of the brief/assignment.

Additional

Guidance notes To demonstrate your ability at Merit: Write in full sentences and do not list or bullet point within your work as this restricts your ability to elaborate in full. Continue to consider the direct impact within specific sectors and give examples that are well researched and reliable. Use a variety of sources that are of a level 3 or above. Ensure that you understand their content and how this is related to your topic. Demonstrate your ability of this by making direct and specific links. Ensure that your referencing style overall is correct.

What should the “culture and environment of safety” look like when preparing and administering medications? Discuss a common breach of medication administration.

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Documentation

Provide your answers to the following questions in a 2-page paper. Use APA Editorial Format for all citations and references used.

What should the “culture and environment of safety” look like when preparing and administering medications?
Discuss a common breach of medication administration.
Identify three (3) factors that lead to errors in documentation related to medication administration.
What can I do to prevent medication errors?
Submit your completed assignment by following the directions linked below. Check the Course Calendar for specific due dates.

Identify at least one factor that may negatively influence adherence to the medications and how it can be overcome If, appropriate, describe how the family might be involved in ensuring the client is on a proper and safe medication regime.

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Polypharmacology and my father in law

Conduct an interview of a client who is taking multiple medications (polypharmacy). You must prepare the client before the interview by explaining why you are conducting the interview. You can say “my assignment is to find out about the medications you are taking so I can determine if you need more information about what you are taking”. You must always get permission from the client to conduct the interview and you must tell the client how the information will be used. You can say, “I will not be using your name in the information I share and I will be submitting it to my instructor only for this student assignment”. If there is important information that needs to be communicated to you, your doctor, family, or nurse, my instructor will assist me in following up on this”. Tell the client you will take no more than 30-45 minutes for the interview.

There may be a family member or significant other present during the interview. That is fine. Be sure to identify who answered a question and if possible always have the client answer first. Always thank the client (and others) when you complete the interview.

Do not use recording equipment for this interview. Have a notepad and pencil or pen and explain that you will be taking notes. When the interview is over, go to a quiet place and take some time to fill in any information you did not jot down. If you wait, you will not remember.

When setting the environment for the interview, make sure the client (and others) is comfortable and you are comfortably seated facing the client. If possible, do the interview in a quiet place. Ask questions slowly giving the client time to answer. Pay attention to the client’s hearing and ability to respond to the questions. Be sure your non-verbal communication demonstrates you are calm and relaxed.

Use the following interview question guidelines when conducting the interview. Be aware that the client may not be able to answer each of the questions with detailed information. Collect as much information as the client is able and willing to give you. Remember you are the interviewer so you will be collecting information and not making any comments about the information shared by the client except to ask for further clarification if you are not sure what was said or need more detail if it is available.

What medications are you taking?
Before the interview research each of the medications. In your paper include the reason for each medication, the drug classification, the route of administration, the dose, and possible side effects/adverse reactions.

For the following questions, paraphrase the client’s answers for your written paper.

 

How long have you taken each these medications?
Do you know why you are taking these medications?
Who told you about the medications and why you need to take them? Were you able to ask any questions about the medications and if so were they answered so you understood what was said?
How do you feel about taking these medications?
Are you taking other medication purchased “over the counter” such as in a drug store? If so, what is it and why are you taking it.
How and when do you take your medications?
Do you have any difficulty taking the medications? If so, what happens and how do you deal with any difficulties.
Have you ever felt any uncomfortable feelings and/or body reactions to taking these medications? If so, what were they and how were they handled?
If you had the above reaction, did they take you off the medication and/or replace it with another medication? Were you told why this happened?
Do you have any reason not to take the medications?
Have you ever not taken the medication? If so, what was the reason?

Ask a final question about whether the client would like to tell you anything further about their medications.

Write a paper describing your research and findings about the medications being taken and the results of the interview. Report your findings in a 3-5 page written paper. In your paper include the reason for each medication, the drug classification, the route of administration, the dose, and possible side effects/adverse reactions.

Use accurate and appropriate spelling and grammar and APA Editorial Format for sources used in your written paper.

Develop a teaching plan for this client based on your findings. Based on the findings from the interview, develop a 2-3 page teaching plan to include the following:

List one goal for this teaching plan.
Describe two to three teaching resources that might be used.
Identify two teaching strategies that can be used based on the client interviewed.
List specific client instructions regarding the medications and what adverse reactions they should be aware of/and what to do.
Identify at least one factor that may negatively influence adherence to the medications and how it can be overcome
If, appropriate, describe how the family might be involved in ensuring the client is on a proper and safe medication regime.

Define a problem statement which reflects the challenge facing Mark as he planned for the opening of the new center. Why was Mark’s initial forecast of call volume so far off?  What could have been the reasons for this? What could Mark have done differently to improve his initial forecast?

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Forecasting using template provide with excel

Project Instructions

Instructions

In order to complete the assignment, first read the case write-up for the “Cutting Edge” case.  Then, answer the questions listed below for each part of the case.  The Part 1 questions refer to the 2 years leading up to the opening of the new call center.  Part 2 questions refer to the first 13 weeks of operation after opening the call center.  Part 3 questions refer to the first 18 months of operating the call center.

Conduct necessary calculations and visualizations to answer the questions.  Your Part 3 questions require you to use Excel for your solutions.  Copy your Excel solution(s) and paste them into the Part 3 questions of your Word document.  That way you only need submit one Word file.

Prepare a report, which includes your answers to the assignment questions.  Your answers must be entered directly into this Word document (Project Instructions) below each question.  Insert each answer below each question on this document and use as much space as needed.

Grading

A total of 100 percentage points is possible for this assignment.  This includes the point values which are assigned to each question (point values are noted next to each question below) plus 10 points which are earned based on following the prescribed assignment format, and the proper writing style and APA format.  The percentage points earned on this assignment will be multiplied by 20 to obtain the assignment grade.

 

Part 1 (15 points):

Question 1a (5 points): Define a problem statement which reflects the challenge facing Mark as he planned for the opening of the new center.

Question 1b (5 points): Why was Mark’s initial forecast of call volume so far off?  What could have been the reasons for this?

Question 1c (5 points): What could Mark have done differently to improve his initial forecast?

 

Part 2 (25 points):

In answering the Part 2 questions, you should download and refer to Student Data File No. 1 which contains the historical data that was used in preparing the forecast results that are reported in Part 2 of the case write-up document.  Note that you do not have to prepare any forecasts in answering this question.  Hint: it will be helpful for you to review a time-series plot of the 13 weeks of data contained on Student Data File No. 1.

Question 2a (4 points): Describe the details of the Last Value method used by Harry and explain its accuracy (MAD value) in comparison with the accuracy of the other methods.

Question 2b (4 points): Describe the details of the Averaging method used by Harry and explain its accuracy (MAD value) in comparison with the accuracy of the other methods.

Question 2c (4points): Describe the details of the Moving Average (5 days) method used by Harry and explain its accuracy (MAD value) in comparison with the accuracy of the other methods.

Question 2d (4points): Describe the details of the Exponential Smoothing (alpha = 0.1) method used by Harry and explain its accuracy (MAD value) in comparison with the accuracy of the other methods.

Question 2e (4 points): Describe the details of the Exponential Smoothing (alpha = 0.7) method used by Harry and explain its accuracy (MAD value) in comparison with the accuracy of the other methods.

Question 2f (5 points): Based on the analysis above, provide your recommendations to Mark on daily call volume forecasting to improve the scheduling of the call enter staff.

 

Part 3 (50 points): (copy your Excel solutions and paste them into the Word document as a picture).

In answering the Part 3 questions, you should download and refer to Student Data File No. 2 which contains the historical data that you will need to answer the questions.

 

Question 3a (10 points):

Prepare a forecast of call volume for July 2015 by applying Exponential Smoothing (with alpha = 0.5) to the prior 18 months of data.  Use the appropriate Excel template from the Hillier text to prepare your forecast and assume that initial call volume is 24,000.  Show your forecast below and attach the completed Excel template.

Call Volume Forecast for July 2015 (Exponential Smoothing, alpha=0.5):

 

Question 3b (10 points):

Apply Linear Regression to predict call volume from head count using the appropriate Excel template.  Assume the headcount in July is 80000.   Using this headcount number, show your forecast below and attach the completed Excel template.

Call Volume Forecast for July 2015 (Causal Forecasting based on head count of 80,000):

 

Question 3c (10 points):

Calculate the Mean absolute deviation value of the Exponential Smoothing model (Question 3a) and the Average Estimation Error of the Linear Regression model (Question 3b).  Explain the difference between these two values.

Mean absolute deviation of Exponential Smoothing model, alpha=0.5:

Average Estimation Error for Causal Forecasting model based on headcount:

Explanation of the difference in values:

 

Question 3d (20 points):

Considering your answers to Questions 3a, 3b and 3c and all the factors that have been described above, prepare your best forecast for July 2015.  Show your forecast value below and explain and justify how you came up with this forecast.   Finally, provide your recommendations to Mark on how to modify forecasting process and improve its accuracy.

Call Volume Forecast for July 2015 (My forecast):

 

Explanation and Justification of Your Method:

 

Your Recommendations:

Determine specific questions the nurse educator could ask the patient related to the history of present illness? Discuss the specific past medical history important to know for this patient? Identify specific information that would be helpful in the patient’s family history?

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Headache

Name: Laura Jackson Age: 39

Chief Complaint (CC): Headache

The nurse educator is working in a primary care setting. The next patient is a 39 year-old who is coming in for evaluation of her headaches.

Vital Signs: BP 110/80; Heart Rate 72 bpm; respirations 20 breaths per minute; temperature 98.1°F

Answer and support the following questions about the subjective data:

1. Determine specific questions the nurse educator could ask the patient related to the history of present illness?

2.Discuss the specific past medical history important to know for this patient?

3.Identify specific information that would be helpful in the patient’s family history?

4. Identify specific information that would be needed about the patient’s social history?

5. Explain what systems need to be included in the review of the systems and describe the specific information needed for each of the systems

6. 2 peer reviewed references less then 5 years old

Describe a type of health care spending that you consider wasteful or services that you consider have little or no benefit. Explain why you find the spending wasteful, and if eliminated, what impact it may have on the American public.

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Wasteful health care spending

Describe a type of health care spending that you consider wasteful or services that you consider have little or no benefit. Explain why you find the spending wasteful, and if eliminated, what impact it may have on the American public.