Cite at least 4-6 different sources for your audience during the speech (put the names of your sources in parentheses when you cite them within the body of your outline, as well as an additional and appropriate citation information), and include a minimum of one visual aid prepared specifically for this assignment. Prior to the delivery of the speech, submit one copy of a typed complete-sentence outline, including a works cited page, to your instructor.
Identify the three top trends in the pharmaceutical industry and rationale as to why, based on the resources you have found, for your choices; the paper should also discuss the issue within one of the trends that you deem important, based on the current state of the industry, and will be supported by your analysis of facts and a well-reasoned conclusion of what it means to the industry.
Conduct an asset map of a NYC (Brooklyn borough) and explain the mentioned below. 1. Physical Assets: housing, transportation, and facilities that can contribute to community strengthening. 2. Socio-Economic Assets: 3. Stories: What are the stories that describe the history and potential of a community as told by the residents? 4. Local Residents: What do you know about the skills, experiences, capacities, passions, and contributions of residents to their community? 5. Community organizations/ Associations: Volunteers, such as athletic clubs, faith-based groups, and others that can contribute. 6. Local Institutions and their responsiveness to community needs: Schools, libraries, parks, and government entities, drug and alcohol clinics and or mental health services.
Write a critical review of the process, explaining your choice of area, detailing what you want/wanted pupils to learn, justifying the pedagogical choices you will make / made and describing how you will implement / implemented them.
ASSIGNMENT:Write a 5-6 page essay on the theme of your choice, using the suggested or other articles and your class notes as your reference. A good essay will pull together thoughts and insights from a variety of readings synthetically, and use examples from class discussion or film viewings, rather than merely listing the arguments of two or three authors. Where you can, you can also insert appropriate quotes from the articles. Your own insights or commentaries are also appreciated.Whenever appropriate you can refer to film viewings, poems or paintings we discussed in class, or insert your own examples.You need to include a bibliography and cite references (including page numbers) in your text even if you do not quote directly but take some ideas from an author. 3) City and Mental Life
Elements you could include in your discussion:-Organization of time-space in the Modern (capitalist) city (Harvey, Foucault, Modern Times, Metropolis)-Effect on social relations; class (Harvey)-Effect on human psychology (Simmel, Soja, Fischer, Vidler, Stallybrass and White)-Preoccupation with the correct reading of the city, Order/Disorder (Fisher, Brooks, Stallybrass and White)-Physiognomy-The disciplining gaze (Foucault, Stallybrass)-The gaze of the flaneur (Benjamin; Brooks)-Self as actor (Fisher, Bowlby)-Consumption (Bowlby); commodity Utopia (Benjamin)
Gallbladder and Common Duct Stones
Case Studies
The patient, a 44-year-old mother of seven children, was an obese woman. Two weeks before she was admitted to the hospital, she began to complain of right upper quadrant abdominal pain associated with nausea and vomiting. Two days before admission she noticed that her urine was very dark and her stools were lighter in color. The results of her physical examination revealed she was mildly icteric. Her abdominal examination results indicated mild upper abdominal tenderness and muscle guarding. No other abnormalities were noted during her physical examination.
Studies Results Complete blood cell count (CBC), electrolyte, glucose, and blood urea nitrogen (BUN) determinations, p. 174 Normal Total serum bilirubin determination, p. 121 3.8 mg/dL (normal: 0.1-1.0 mg/dL) Indirect fraction 1.0 mg/dL (normal: 0.2-0.8 mg/dL) Direct fraction 2.8 mg/dL (normal: 0.1-0.3 mg/dL) Urine bilirubin test, p. 1013 +3 (normal: negative) Liver enzymes test Serum aspartate aminotransferase (AST), p. 119 46 International units/L (normal: 5-40 International units/L) Serum alanine aminotransferase (ALT), p. 39 40 International units/L (normal: 5-35 International units/L) Lactic dehydrogenase (LDH), p. 329 228 units/L (normal: 90-200 units/L) Alkaline phosphatase (ALP), p. 47 885 units/L (normal: 30-85 units/L) 5-Nucleotidase, p. 376 2.4 units (normal: 0-1.6 units) Leucine aminopeptidase (LAP), p. 337 250 units/mL (normal: 75-185 units/mL) Serum gamma-glutamyl transpeptidase (GGTP), p. 246 250 units/L (normal: 5-27 units/L) Total serum protein test, p. 424 7.2 g/dL (normal: 6-8 g/dL) Serum albumin test, p. 424 4.2 g/dL (normal: 3.2-4.5 g/dL) Prothrombin time (PT) test, p. 434 14.2 seconds (patient); 12.0 seconds (control) Ultrasound examination of the liver and gallbladder, p. 866 Dilated intrahepatic and extrahepatic bile ducts; presence of stones within the gallbladder Endoscopic retrograde cholangiopancreatography (ERCP), p. 605 Dilated common bile duct containing a gallstone
Diagnostic Analysis
Case Studies 2
Copyright 2014 by Mosby, Inc., an imprint of Elsevier Inc.
Obstructive jaundice was suspected as the cause of this patients complaints because of the increased levels of direct bilirubin, alkaline phosphatase, 5-nucleotidase, GGTP, and LAP, along with the minimally elevated levels of AST and LDH. The urine bilirubin level corroborated the clinical finding of a direct type of hyperbilirubinemia. The prolonged PT resulted from impaired intestinal absorption of vitamin K and impaired hepatic synthesis of prothrombin and factors VII, IX, and X.
Ultrasound examination of the gallbladder revealed the presence of gallstones; however, it had to be verified that gallstones alone were the cause of the common bile duct obstruction because patients with gallstones may also have a tumor obstructing this duct. The ERCP results indicated that only a gallstone was causing the common bile duct obstruction.
The patient underwent a sphincterotomy (papillotomy) of the ampulla of Vater. Common bile duct stones were removed. Laparoscopic cholecystectomy was then performed. The patients postoperative course was uneventful. Her serum bilirubin level returned to normal. She returned to her normal physical activity in 5 days.
Critical Thinking Questions
1. Why was the patients urine dark-colored?
As an advocate for rehabilitation of prisoners and parolees, write a 2-3 page single-spaced letter to the governor of your state requesting the consideration of adopting unique rehabilitation services in your state’s prison and parole system.Include the following:
1. A list and description of three unusual treatments and services you believe should be available in your state’s prison.
3. Alternative approaches (two to three) to the current parole system and rehabilitative options that could be offered parolees.
Identify a retention strategy to address the above assumption. This strategy needs to identify the specific strategy, how you would work with your organization to implement the strategy, challenges in implementing the strategy, research that supports the strategy and what measurement you would put in place to identify the strategy is successful.
Evidence-based practice is a key skill in the toolkit of the master’s-prepared nurse. Its goal is to ensure that health care practitioners are using the best available evidence to ensure that patients are receiving the best care possible (Godshall, M., 2015.). In essence, evidence-based practice is all about ensuring quality care.
In this assessment, you have an opportunity to apply evidence-based practice and personalized care concepts to ensure quality care and improve the health of a single patient.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
Competency 1: Apply evidence-based practice to plan patient-centered care.
o Analyze the needs of a patient, and those of their family, with regard to how they will influence a patient-centered concept map.
o Design an individualized, patient-centered concept map, based upon the best available evidence for treating a patient’s specific health, economic, and cultural needs.
Competency 3: Evaluate outcomes of evidence-based interventions.
o Propose relevant and measurable criteria for evaluating the outcomes of a patient-centered concept map.
Competency 4: Evaluate the value and relative weight of available evidence upon which to make a clinical decision.
o Justify the value and relevance of evidence used as the basis of a patient-centered concept map.
Competency 5: Synthesize evidence-based practice and academic research to communicate effective solutions.
o Develop a strategy for communicating with patients and their families in an ethical, culturally sensitive, and inclusive way.
o Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style.
Reference
Godshall, M. (2015). Fast facts for evidence-based practice in nursing: Implementing EBP in a nutshell (2nd ed.). New York, NY: Springer Publishing Company.ASSESSMENT INSTRUCTIONS
Preparation
You have been presented with a number of patient case files in the Evidence-Based Patient-Centered Care media piece. You reviewed each case, selected one case for further research, and created draft evidence-based concept map to illustrate an approach to individualized care for the patient. In this assessment, you will build upon and refine your draft concept map and develop a supporting narrative.
Create your concept map and narrative as separate documents. Be sure to note the areas where you need to include your evidence-based support and where you need to make clear your strategies for communicating information to the patient and the patient’s family.
Note: Many organizations use the spider style of concept maps (see the Taylor & Littleton-Kearney article for an example). Also, if a specific style of concept map is used in your current care setting, you may use it in this assessment.
Create your concept map and narrative as separate documents. Be sure to note the areas where you need to include your evidence-based support and where you need to make clear your strategies for communicating information to the patient and the patient’s family.
Requirements
Note: The requirements outlined below correspond to the grading criteria in the scoring guide, so be sure to address each point. In addition, you may want to review the performance level descriptions for each criterion to see how your work will be assessed.
Supporting Evidence and APA Style
Integrate relevant evidence from 35 current scholarly or professional sources to support your assertions.
Apply correct APA formatting to all in-text citations and references.
Attach a reference list to your narrative.
Concept Map
Develop a concept map for the individual patient, based upon the best available evidence for treating your patient’s health, economic, and cultural needs.
Narrative
Develop a narrative (24 pages) for your concept map.
Analyze the needs of your patient and their family, and determine how those needs will influence a patient-centered concept map.
o Consider how your patient’s economic situation and relevant environmental factors may have contributed to your patient’s current condition or affect their future health.
o Consider how your patient’s culture or family should influence your concept map.
Justify the value and relevance of the evidence you used as the basis of your concept map.
o Explain why your evidence is valuable and relevant to your patient’s case.
o Explain why each piece of evidence is appropriate for both the health issue you are trying to correct and for the unique situation of your patient and their family.
Propose relevant and measurable criteria for evaluating the degree to which the desired outcomes of your concept map were achieved.
o Explain why your proposed criteria are appropriate and useful measures of success.
Explain how you will communicate specific aspects of the concept map to your patient and their family in an ethical, culturally sensitive, and inclusive way. Ensure that your strategies:
o Promote honest communications.
o Facilitate sharing only the information you are required and permitted to share.
o Are mindful of your patient’s culture.
o Enable you to make complex medical terms and concepts understandable to your patient and their family, regardless of language, disabilities, or level of education.
Additional Requirements
Be sure to include both documents when you submit your assessment.
QUESTIONS TO CONSIDER
As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. 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 your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.
Recall an experience you have hador one that you might have observed in your care settingin which you individualized care for a patient.
In your approach to individualized care, did you:
o Address any health concerns other than those for which the patient was seeking care?
o Consider the patient’s economic and daily environmental circumstances?
o Consider any ethical issues inherent in working with the patient?
What might you have done differently, if you could revisit that patient’s case?
What evidence supported your original course of action?
What evidence would you present to support an alternative course of action, if you could revisit that patient’s case?RESOURCES
Required Resources
The following resources are required to complete the assessment.
Evidence-Based Practice
Evidence-Based Patient-Centered Care | Transcript.
Introduction
Concept maps are an important tool in patientcentered care planning. A concept map helps to synthesize facts about a patient’s health needs and personal circumstances with available evidence and analysis. Such a tool becomes more useful when a patient has complex health, economic, and cultural needs.
In this simulation, you will be choosing a patient, conducting a short interview, and then assembling a concept map for use in that patient’s care plan.
Write a 500-word essay that reflects on Leviticus 19:35-37, Deuteronomy 25:13-16, and Proverbs 4:20-27 and explain how they have impacted your learning about the course material of financial analysis.