Define and discuss the difference between ordinary means and extraordinary means in prolonging life as specifically discussed in the end-of-life Guidelines handout.

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Question 1: From our assigned reading in chapter 16 of Spirituality in Nursing:
a) After reading and thinking about this final chapter we are considering regarding spirituality in nursing, what additional insights are you taking away from this chapter for your work with your patients?
b) What are you taking away from this chapter for your own spiritual life, as a nurse or health care practitioner?
c) What questions about prayer are raised for you – that you would like some help with?
Question 2: Regarding your viewing of the video by Mother Angelica on Suffering and other truths regarding our spiritual life:
a) While we have discussed the spiritual meaning of human suffering a lot already, what did Mother Angelica help you understand about the value of human suffering, from a spiritual point of view, at a deeper level? Be specific in quoting from Mother Angelica’s teaching on the video and then open up what you have learned from her in your own words.
b) What did Mother Angelica help you learn about the Lord’s dealings with human persons, in general, that was either new for you entirely or provided you with a better understanding of a truth you already knew?
c) How might the insights you have gained from this video help you especially with patients who are in the dying process — including your work with their families?

Question 3: After reading the assigned download of Catholic Guidelines for making end-of-life decisions in an ethical way, which honors both the commandments of God about the sacredness of human life from the moment of conception to the moment of natural death — and the dignity of the person dying:
A) Define and discuss the difference between ordinary means and extraordinary means in prolonging life as specifically discussed in the end-of-life Guidelines handout. Can you give an example of each from your own experience?
B) What questions are you left with in regards to these ethical guidelines?
C) How might understanding that suffering brings with it the opportunity for deeper surrender to God and purification of the soul from all that is not of God help people approach end-of-life issues in a way that brings blessings — and counteract the deceptive and immoral cultural pressures in our day to legalize assisted suicide and euthanasia?
Question 4: After viewing the 2-part video on the life and mission of St. Catherine Labouré, please answer the following questions:
A) What inspired you the most about the life of St. Catherine Labouré?
B) What did you see in her that you want to imitate and why?
C) What questions are you left with, either about St. Catherine and/or the Blessed Virgin Mary, and Her role in Her Divine Son’s Redeeming Work?

Discuss how the other four articles either support or refute the findings of the research article identified above.

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Assignment:
Your submission should be a minimum of 1000 words length with at least two scholarly sources plus the textbook and should completely answer the proposed questions. APA formatting required and all
responses should be combined into a single document for submission.
1. Research the Affordable Care Act at: https://www.healthcare.gov/choose-a-plan/plans-categories/. Explain how this system will function. What consumer-costs and services are likely to be
associated in each metal tier? Explore the implications of this type of system for specific population groups.
2. Utilizing the various Focused Assessment questions from chapter 5 of the textbook identify members of a culture (different from your own) and perform a cultural assessment. Write a summary of
your findings in relation to potential impacts on health which can be attributed to cultural perspectives practices views communication customs beliefs behaviors and cultural norms.
3. Complete Chapter 6 Case Study.
Text book ISBN 13 978-0-13-385959-1
Start by reading and following these instructions:
1. Quickly skim the questions or assignment below and the assignment rubric to help you focus.
2. Read the required chapter(s) of the textbook and any additional recommended resources. Some answers may require you to do additional research on the Internet or in other reference sources.
Choose your sources carefully.
3. Consider the course discussions so far and any insights gained from it.
4. Create your Assignment submission and be sure to cite your sources if needed use APA style as required and check your spelling.
Assignment:
Complete an EVIDENCE-BASED NURSING PRACTICE PROJECT.
Purpose
To enable the student to use medical and nursing databases to find research articles that will provide evidence to validate nursing interventions regarding a specific area of nursing practice.
Guidelines
1. Select a topic from the list below.
2. Select five research articles from the databases on your topic.
3. Determine if a national guideline or evidence-based systematic review has been completed on your topic.
4. Answer the following questions regarding your research articles using APA format.
1. Identify the article that best supports nursing interventions for your topic.
2. Discuss how the other four articles either support or refute the findings of the research article identified above.
3. Of the five research articles identify which article has developed the best research design. Explain.
4. Of the five research articles identify which article has most clearly developed the purpose or problem statement. Explain.
5. Of the five research articles identify which article has the best sample size for their research problem. Explain.
6. Of the five research articles identify which article has made the best and most accurate conclusions from their findings. Explain.
7. Compare your analysis of the five articles with the national guidelines and/or evidence-based systematic review. Explain if your analysis is similar or different from the national guidelines
and/or evidence-based systematic review.
Format:
1. Use APA format.
2. Assignment should be 1000-1200 words in length

What did Marx see as the inherent contradiction in capitalism? How is the contradiction related to his prophesy of violent revolution? Do you think his analysis is sound? Explain.

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1.Carefully explain why Marx’s philosophy is sometimes called historical materialism.

2.What is the dialectical process of history? Explain it in terms of the five epochs of history.

3.What did Marx see as the inherent contradiction in capitalism? How is the contradiction related to his prophesy of violent revolution? Do you think his analysis is sound? Explain.

4.Thoroughly explain Marx’s concept of alienation. What is alienated labor? What is unalienated labor? What is species-life, and what roles do consciousness and alienation play in it?

5.Does the failure of Soviet communism indicate that Marx was wrong about communism being the end of history? If not, why did communism fail in the Soviet Union?

Contemporary economists worry that although historically the American economy has been remarkably strong, the past few years have witnessed a major housing collapse, labor unrest, increasing and persistent unemployment, and declining tax revenues, along with global crises affecting the cost of health care, oil, cotton, and food. Do you think today’s economic uncertainties are associated with the globalization of capitalism? If so, is this the beginning of the end of capitalism that Marx foresaw? Or are there other, better explanations? (page 378)
Analyze your education from the standpoint of relationships of production. What—and whose—values does public education really serve? (page 380)
Compare kinds of contributions: Who contributes more—the builders who construct houses or the developers who finance them? Who contributes more—the president of a corporation or the secretaries? Are such comparisons fair? Are ideas contributions? Analyze the concept of “contribution.” (page 381)
Do you think that the growth of complex, international corporations, multinational trade alliances, and Internet commerce that are fueling what some observers refer to as the “global economy” or “world village” are signs of a spreading bourgeoisie? Is the “capitalist class” creating “a world after its own image”? (page 382)
Analyze some corporate scandals of the past few years from a Marxist perspective. Pay particular attention to the enormous compensation packages paid to CEOs in contrast to the devastating pension plan and stock market losses incurred by average workers. (page 384)
Discuss the possibility that efforts to “honor” racial, ethnic, age, and gender diversity actually serve the interests of an exploitative class by creating increased consciousness of difference and division. Are efforts to “honor diversity” aiding or hindering class consciousness? Is there a better solution to social inequality? If so, what? (page 386)
Discuss some of the ways that alienation spreads from the workplace into society at large and into the home in particular. Has it affected your life? Your church? Your classes? Then identify and discuss activities in which you participate in species-life. What can you do to decrease periods of alienation and increase your own species-life? (page 390)

THE TASK IS TWO REPLY WITH A COMMENT TO EACH POST, POST 1 AND POST 2. TWO REFERENCE IS NEED IT PER COMMENT WITH CITATION PER REFERENCE IN APA STYLE ABOVE ABOVE 2013.

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THE SECOND POST I WILL SEND IT BY MESSAGE IN FEW OURS.
POST 1
RL is a 57 y/o Asian man with a history of bipolar disorder, generalized anxiety and explosive disorder. He is married to PL a 49 y/o Caucasian female with a history of generalized anxiety disorder and depression they been married for 20 year. They have two children an 18 y/o male that just graduated from high school and 16 y/o female that is currently a junior in higschool. Then have been coming to therapy for 6 months, the initial reason for coming to terapy is due to RL iniciated to have an explosive disorder his temper and anger outburst as well as challenges with substance abuse. His drug of choices is alcohol, he admitted to drink about two cans of vodka everyday and her wife feels that he is more explosive whe he drinks and he does not believe that he has a drinking problem and is not willing to go to a rehab or alcoholic anonymous. PL saids rhat RL has been physically, emotional and mentally abusing her in the past last time she was physicaaly abuse was 4 months ago which police was called but she did not want to persue any charges at that time in hopes that he would improve. the expected outcome was less explossive outburst from RL, beeter insight about his drinking problem and better communication between the family. The therapeutic approach that is been used for this couple and family is the existential therapeutic approach which this approach all member of the family are encourage to speak honestly on what he orshe see and hears feel and thinks. Wife and kids are afraid of him because they think that he will get easilly angry. Homework assignment has been given to RL to help to manage his anger as deep breathing and relaxation techniques and exercises. Perhaps narrative family therapy could be a better option for this family, narrative therapy helps peopleto sepatate themselves from problems and saturate stories.Reference to be used American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.). Washington, DC: Author.Standard 5B “Health Teaching and Health Promotion” (pages 55-56)Nichols, M. (2014). The essentials of family therapy (6th ed.). Boston, MA: Pearson.Chapter 8, “Experiential Family Therapy” (pp. 129–147)Chapter 13, “Narrative Therapy” (pp. 243–258)Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice. New York, NY: Springer.“Genograms” pp. 137-142Cohn, A. S. (2014). Romeo and Julius: A narrative therapy intervention for sexual-minority couples. Journal of Family Psychotherapy, 25(1), 73–77. doi:10.1080/08975353.2014.881696Note: Retrieved from Walden Library databases.
POST 2
I WILL SEND IT LATER BY MASSAGE

The Department of Veterans Affairs (VA) aims to expand the scope of practice of advanced practice registered nurses (APRNs) who work for the agency in order to provide veterans with greater and timely access to care.

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nursing question db
300 words 1 reference

The Department of Veterans Affairs (VA) aims to expand the scope of practice of advanced practice registered nurses (APRNs) who work for the agency in order to provide veterans with greater and timely access to care. Under a proposed rule published on May 25, 2016 in the Federal Register, the VA said it intended to expand the pool of qualified healthcare professionals who are authorized to provide primary healthcare and other services to the full extent of their education and abilities without the clinical supervision of physicians.

In December 2016, the Office of Management and Budget (OMB) approved a final version of the VA’s proposed rule to grant full practice authority to APRNs thatexcludes CRNAs.

1. Please read http://www.aana.com/advocacy/federalgovernmentaffairs/Pages/VA-Final-Rule-Published1.aspx (Links to an external site.)Links to an external site.

2. Please review the following articles: http://www.aana.com/newsandjournal/News/Pages/052516-VA-Proposed-Rule-News.aspx (Links to an external site.)Links to an external site.).

3. Lastly, please review a selection of the “negative” articles that I posted below: Do you agree or disagree with the authors? How would you support or refute these claims?

VA takes heat over plan to let nurses treat vets without doc supervisionFoxNews, June 1, 2016www.foxnews.com/politics/2016/06/01/… (Links to an external site.)Links to an external site.

Docs Steamed Over VA Nurse ProposalMedPage Today, June 1, 2016www.medpagetoday.com/publichealthpolicy/militarymedicine/… (Links to an external site.)Links to an external site.

Proposal: Cut VA Wait Times by Giving New Authority to Nurses?Independent Women’s Forum, May 30, 2016www.iwf.org/blog/2800351/… (Links to an external site.)Links to an external site.

VA Wait Times: Criticism Lines Up Behind Veteran Affairs Plan To Let Nurses Take Over Physician TasksInternational Business Times, May 28, 2016www.ibtimes.com/… (Links to an external site.)Links to an external site.

VA proposes to give nurses expanded rolePittsburgh Tribune, May 27, 2016triblive.com/usworld/nation/10542577-74/… (Links to an external site.)Links to an external site.

VA proposes expanding nurses’ medical authority Stat News: Morning Rounds enewsletter, May 26, 2016us11.campaign-archive1.com/… (Links to an external site.)Links to an external site.

Press Briefing Denouncing Dangerous VA Policy Change to Replace Physician Anesthesiologists with Nurses in Surgery Mil-Tech, May 26, 2016www.military-technologies.net/2016/05/26/… (Links to an external site.)Links to an external site.

AMA disappointed with VA’s proposal to allow advanced practice nurses within VA practice independentlyDotMed Health Care Business Daily News, May 26, 2016www.dotmed.com/news/story/31130 (Links to an external site.)Links to an external site.

Physician anesthesiologists oppose VA rule replacing physicians with nurses in anesthesiaMedical XPress, May 25, 2016medicalxpress.com/news/… (Links to an external site.)Links to an external site.

Doctors oppose replacing VA physician anesthesiologists with nursesUPI, May 25, 2016www.upi.com/Health_News/2016/05/25/… (Links to an external site.)Links to an external site.

Physician Anesthesiologists, Veterans and VA Anesthesia Chiefs Oppose VA Policy Replacing Physicians with Nurses for Anesthesia Care in SurgeryPR Newswire, May 24 2016www.prnewswire.com/news-releases/… (Links to an external site.)Links to an external site.

In this essay, you will write a critical analysis of the argument that you recorded earlier in the semester.

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In this essay, you will write a critical analysis of the argument that you recorded earlier in the semester. You will utilize the principles of argumentative logic that you have studied this semester and your critical thinking skills to conduct this analysis. This assignment will strengthen your understanding of what makes a good argument and will prepare you to write your final argumentative essay. This assignment has two parts. PART I: ANALYZE YOUR ARGUMENT Write down the conclusion of your argument (the position you took on the issue) and the premises (or main reasons) that you presented to support your conclusion. Takes notes on the explanations and/or examples that you used to support your premises. Identify any errors of critical thinking, logical fallacies, erroneous facts, or missing facts that you think were needed to support your premises. DONT INCLUDE THESE NOTES IN YOUR ESSAY! After you finish the above steps, complete Part II of the assignment. PART II: WRITE THE CRITICAL ANALYSIS Your critical analysis should be formatted as follows: INTRODUCTION: Write an introduction that includes: A brief introduction to the topic – this should include approximately five to six sentences summarizing the article and the controversy that it describes. Your argument (conclusion + premises) written as a series of statements in numbered list form, ending with your conclusion. You can see an example of this here: Example of standardized argument.pdf A good way to introduce your standardized argument is to write: “The argument I made on the issue is as follows:” BODY PARAGRAPHS: Write a critical analysis of your argument by analyzing each of your premises and the explanation/examples associated with that premise. Each premise of your argument and its supporting explanation/examples should be analyzed in a separate paragraph (so, if your argument had three premises, your essay will have three body paragraphs). Your analysis you should include answers to the following questions: Was this premise adequately explained or supported with examples? Why or why not? Does this part of the argument (the premise and its support) contain any errors of critical thinking or logical fallacies? If so, which errors/fallacies were committed? Why were these errors committed? CONCLUSION: Begin with a sentence or two that summarizes what you found in your analysis (e.g. “This analysis shows that the argument I made was…”). Then, respond to these questions: Are you satisfied with the argument that you made? Why or why not? Could the argument you made be improved? How (specifically) would you improve it? Please note that this is NOT an argumentative essay! DO NOT write an argument on the issue; instead, ANALYZE the argument that you already made in your essay.

My Experience with Nnivo

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My Experience with Nnivo
Nnivo Software gives an enjoyable experience as one of the main computer assisted quality data analysis software. My experience with Nnivo software in coding my data greatly enhanced my data analysis. The software facilitates an accurate as well as transparent data analysis process. Moreover, the software provided me with a quick and simple mechanism of counting particular data from the subjects. It also provided an effective framework for attaining reliability. Therefore, Nnivo helped me interrogate my data at a specific level. This led to an improvement in validity and reliability or the rigor of the analysis process as it help validate or reject the impression of the researcher of the data. Challenge
The challenge of Nnivo, however, widens the gap between the researcher and the data. For example, the software does many things and hence as a researcher is distanced from the data, and this encourage quantitative analysis of qualitative data. Moreover, this creates a homogeneity in methods across the social sciences (Welsh, 2002). Another challenge I experienced with the Nnivo is continuous and challenging tempt to re-code a sub-set whenever I ask a question of the data and obtain a sub-set of the data as a response. Moreover, it is hard to decide when and how to stop coding and sit back to think some thematic connection possibilities across the data. Advantages
One of the advantages of this software is ensuring reliability and validity or vigor leading to raised accuracy. For example, the search facility in Nnivo seen by the product designers as key in enhancing data interrogation. Particularly, this feature is effective when data are searched based on their attributes. Therefore, the researcher gets a reliable result when Nnivo is employed rather than a manual mechanism to code data since Nnivo rules out the probability of human error. Thus, for studies that call for a need to gain an overall impression of the data that is not unduly influenced by specific memorable accounts, the software is effective. There is an increased confident in the interpretation of data when Nnivo is used as compared to manual data cutting and pasting of pieces of text. This is because, Nnivo coding process is quick relative to manual coding as more coding take place and hence the additional coding may lead to effective understanding of the data. Disadvantage
The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.
My Experience with Nnivo

Provide a comprehensive statement of the problem using the epidemiological process including the distribution, determinants, and deterrents.

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How to improve Nutrition in the elderly. Target group is nursing staff from one facility. 2. Diabetes in Older Adults. Target group is nursing staff from one facility.
Power point Presentation (20 slides each WITH NOTES, GRAPHICS)
Topics:

1. How to improve Nutrition in the elderly. Target group is nursing staff from one facility.

2. Diabetes in Older Adults. Target group is nursing staff from one facility.

3. How to Overcome Language Barriers in Healthcare. Target group is nursing staff from one facility.

Provide a comprehensive statement of the problem using the epidemiological process including the distribution, determinants, and deterrents.

Incorporate at least four current literature review findings as a theoretical base for your project/paper.

Describe community resources available to meet the need of the specific community in this problem area. Summarize the resources available and describe their effectiveness for the community.

Describe your selected group. Identify and summarize the learner needs of your selected group. What are the needs? Why does this group need to be educated on your chosen topic?

Identify and describe developmental and teaching/learning theory/theories used and why they are appropriate to the learners you targeted.

Describe in behavioral terms your specific planning process for your project and overall teaching goal for your participants.

Evaluate your teaching experience. Reflect on the following questions. What went well? What did not? What would you change if you were teaching this topic to a similar group at a later date and why?

RUBRICS

Provides a comprehensive statement of the problem using the epidemiological process including the distribution, determinants, and deterrents. Describes the selected group, and identifies and summarizes the learner needs of the selected group, including why this group needs to be educated on the chosen topic.

Describes the community resources available to meet the need of the specific community in this problem area. Summarizes the resources available and describes their effectiveness for the community. Identifies and describes developmental and teaching/learning theory/theories used and why they are appropriate to the learners targeted. Describes in behavioral terms the specific planning process for the project and overall teaching goal for the participants. Incorporates at least four current literature review findings as a theoretical base for the project/paper.

Evaluates the teaching experience. Reflects on the following questions: What went well? What did not go well? What would you change if you were teaching this topic to a similar group at a later date and why?

Writing is clear, concise, formal, and organized. Slides are mostly error free. Information from sources is paraphrased appropriately and accurately referenced and cited in APA style. A title slide, clear introduction and conclusion, and reference slide are included. The number of references required by the assignment is presented. In-text APA citations are used in the presentation.

Explain how the Health Informatics and Information Management (HIIM) Department staff could assume a leadership role in teaching compliance behaviors to the clinic’s staff members to mitigate legal risk

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Topic: LEGAL & ETHICAL CONSIDERATIONS IN HEALTHCARE Task 3 Order Description LEGAL & ETHICAL CONSIDERATIONS IN HEALTHCARE Competency 730.3.3: Legal Aspects of Risk Management and Quality – The graduate evaluates the confluence of quality improvement and risk management practices that support favorable legal outcomes for healthcare organizations. Competency 730.3.5: Compliance Programs – The graduate applies compliance requirements identified by government regulations and by accreditation, licensing, and certification agencies to mitigate legal risk to healthcare organizations. Introduction: Risk management, quality improvement, and compliance programs have discrete applications within a healthcare organization, yet they have complementary goals. The motive for these programs is to improve all aspects of the patient experience. There are external regulations and requirements imposed on all organizations, and these regulations are controlled by the internal processes designed by each organization. There is an expectation of care and trust between patients and their healthcare providers. An organization needs to be vigilant in all circumstances, particularly those involving patient safety. Requirements: A. Analyze the “Compliance Management” scenario by doing the following: 1. Describe the mistakes made in this scenario step by step as they occurred. 2. Analyze whether any of the mistakes identified in part A1 were a violation of organizational compliance, a legal concern, or both. 3. Describe specific solutions the compliance officer and Sue, the manager, should implement to prevent reoccurrence of the identified mistakes from part A1. B. Explain how the Health Informatics and Information Management (HIIM) Department staff could assume a leadership role in teaching compliance behaviors to the clinic’s staff members to mitigate legal risk. 1. Explain the importance of staff understanding informed consent. 2. Describe release of information and how it protects patient privacy. C. When you use sources, include all in-text citations and references in APA format. Note: When bulleted points are present in the task prompt, the level of detail or support called for in the rubric refers to those bulleted points. Note: For definitions of terms commonly used in the rubric, see the Rubric Terms web link included in the Evaluation Procedures section. Note: When using sources to support ideas and elements in an assessment, the submission MUST include APA formatted in-text citations with a corresponding reference list for any direct quotes or paraphrasing. It is not necessary to list sources that were consulted if they have not been quoted or paraphrased in the text of the assessment. Note: No more than a combined total of 30% of a submission can be directly quoted or closely paraphrased from sources, even if cited correctly. For tips on using APA style, please refer to the APA Handout web link included in the General Instructions section.

Explain how the factor you selected might impact the pathophysiology of both disorders. Describe how you would diagnose and prescribe treatment for a patient based on the factor you selected.

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Complications of asthma can be sudden. Consider the case of Bradley Wilson, a young boy who had several medical conditions. He appeared in good health when he went to school, returned home, and ate dinner. However, when he later went outside to play, he came back inside wheezing. An ambulance took him to the hospital where he was pronounced dead (Briscoe, 2012). In another case, 10-year-old Dynasty Reese, who had mild asthma, woke up in the middle of the night and ran to her grandfather’s bedroom to tell him she couldn’t breathe. By the time paramedics arrived, she had passed out and was pronounced dead at the hospital (Glissman, 2012). These situations continue to outline the importance of recognizing symptoms of asthma and providing immediate treatment, as well as distinguishing minor symptoms from serious, life-threatening symptoms. Since these symptoms and attacks are often induced by a trigger, as an advanced practice nurse, you must be able to help patients identify their triggers and recommend appropriate treatment options. For this reason, you need to understand the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation.
To Prepare
• Review “Asthma” in Chapter 27 of the Huether and McCance text. Identify the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation. Consider how these disorders are similar and different.
• Select a patient factor different from the one you selected in this week’s Discussion: genetics, gender, ethnicity, age, or behavior. Think about how the factor you selected might impact the pathophysiology of both disorders. Reflect on how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected.
• Review the “Mind maps—Dementia, Endocarditis, and Gastro-esophageal Reflux Disease (GERD)” media in the Week 2 Learning Resources. Use the examples in the media as a guide to construct two mind maps—one for chronic asthma and one for acute asthma exacerbation. Consider the epidemiology and clinical presentation of both chronic asthma and acute asthma exacerbation.
Write a 2- to 3-page paper that addresses the following:
• Describe the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation. Be sure to explain the changes in the arterial blood gas patterns during an exacerbation.
• Explain how the factor you selected might impact the pathophysiology of both disorders. Describe how you would diagnose and prescribe treatment for a patient based on the factor you selected.
• Construct two mind maps—one for chronic asthma and one for acute asthma exacerbation. Include the epidemiology, pathophysiology, and clinical presentation, as well as the diagnosis and treatment you explained in your paper. The School of Nursing requires that all papers submitted include a title page, introduction, purpose of the paper, summary, and references.