Category: Nursing homework help

In the course, you will research ethical decision-making and legal issues that influence your role as a nursing leader. Please take this opportunity to introduce yourself, state your area of specialization, and explain how you see your role as a nursing leader making ethical-legal and moral decisions. Include what actions you plan to take to minimize or alleviate moral distress caused by ethical dilemmas and the values that support your actions.
Information about me: My name is Mauricio, I am an ER nurse, I perform charge nurse duties most of the time.
Requirements for discussion: at least 3 references, APA style, one page and half or less is enough.

There are several forms of diabetes that can be identified. Types of diabetes include type 1, type 2, gestational, and juvenile. These many forms of diabetes have varied etiologies, prevalence, prognoses, and therapies. These numerous types of diabetes share many of the same fundamental symptoms. The less prevalent type, type 1 diabetes, or juvenile diabetes makes for 5% of all cases of diabetes (Rosenthal & Burchum, 2021). The main distinction between this kind of diabetes and others is the destruction of pancreatic cells (Rosenthal & Burchum, 2021). The production of insulin, which is eventually released into the bloodstream, depends on these cells (Rosenthal & Burchum, 2021). A person with type 1 diabetes needs to take insulin shots to survive because the body ceases producing insulin as a result of the death of the pancreatic cells. Although it can happen at any age, this kind of diabetes is more frequently observed in children or young people (Joslin Diabetes Center, 2021).
Moving forward, type 2 diabetes accounts for 90%–95% of occurrences of the disease and is the most common type (Rosenthal & Burchum, 2021). Although the body does create insulin in type 2 diabetes, the cells do not react to it as they normally would (Joslin Diabetes Center, 2021). The pancreas should produce more insulin as a result of this condition, which is known as insulin resistance, but type 2 diabetes prevents this from happening (Joslin Diabetes Center, 2021). People over the age of 40 who have risk factors like obesity, a family history, and other health issues are more likely to develop type 2 diabetes (Joslin Diabetes Center, 2021).
One type of diabetes that only affects pregnant women is gestational diabetes. These women had no history of diabetes before getting pregnant. Only in the middle of pregnancy does this kind of diabetes begin (Centers for Disease Control and Prevention, 2020). A good, balanced diet and consistent exercise are frequently effective ways to manage gestational diabetes (Centers for Disease Control and Prevention, 2020). According to the Centers for Disease Control and Prevention, this form of diabetes can cause issues such as an extra-large baby, c-sections, high blood pressure, and low blood sugar.
Diabetes Type 2
Type 2 diabetes has been chosen as the focus of this article so that I can go into further detail and cover some of the medications that are used to treat the condition, dietary recommendations, and the long- and short-term effects on patients. As was previously explained, people with type 2 diabetes can make insulin, but their cells do not utilize it properly. As a result, a wide range of oral and injectable medications are available for the treatment of this type of diabetes (Rosenthal & Burchum, 2021). Metformin is one of the oral medications that can be used to treat this kind of diabetes. Metformin is an anti-diabetic medication that can be administered alone or in combination with other anti-diabetic drugs. 500 mg twice daily or 1000 mg once daily are the normal dosages. Metformin is a member of the biguanide medicine class and aids in improving how quickly the body reacts to the hormone insulin, which the body naturally produces to help regulate blood sugar levels. There are several different dosages of metformin, including liquid, pill, and extended release.
References:
Centers for Disease Control and Prevention. (2020, July 14). Gestational Diabetes and Pregnancy. https://www.cdc.gov/pregnancy/diabetes-gestational.html.
Joslin Diabetes Center. (2021). The Difference Between Type 1 and Type 2. Joslin Diabetes Center. https://www.joslin.org/patient-care/diabetes-education/diabetes-learningcenter/difference-between-type-1-and-type-2. MedlinePlus. (2020). Metformin:
MedlinePlus Drug Information. MedlinePlus. https://medlineplus.gov/druginfo/meds/a696005.html.

Describe your clinical experience caring for geriatric patients at a family health clinic for this week.
Did you face any challenges, any success? If so, what were they?
Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales.
Mention the health promotion intervention for this patient.
What did you learn from this week’s clinical experience that can beneficial for you as an advanced practice nurse?
Support your plan of care with the current peer-reviewed research guideline.
Submission Instructions:
Post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

Course Reflection
As you reflect on this course, answer the following questions in your discussion.
Describe how you achieved each of the course competencies.
Initial Post
Provide at least one example of new knowledge gained related to each competency and explain how this new knowledge will impact your nursing practice.
Competencies:
Integrate leadership and management principles and attributes in nursing practice.
Use evidence-based practice to guide clinical reasoning and clinical judgement as a basis for nursing decision making.
Collaborate in healthcare delivery systems settings for improved patient outcomes.
Demonstrate principles of professional identity and professionalism for the nurse within the context of regulatory and practice standards.
Analyze agencies that influence the provision of nursing care in the healthcare system.
Formulate decisions based on the legal and ethical underpinnings that improve healthcare.
Reply Post
Respond to at least one of your peers. Expand on your peer’s ideas.

Assignment: Final Paper: Major Assessment 7: Using an Epidemiological Approach to Critically Analyze a Population Health Problem
Throughout this course, you have been applying an epidemiological approach to analyze a population health problem. In previous weeks, you have developed distinct sections of your paper; it is now time to finalize and submit a cohesive, polished version of work. This paper serves as your Major Assessment for this course and must be uploaded by Day 3of this week.
To prepare:
· Finish incorporating any feedback from the submitted sections of your paper.
To complete:
Write a 12- to 15-page paper that includes the following:
Section 1: The Problem
· A brief outline of the environment you selected (i.e., home, workplace, school)
· A summary of your selected population health problem in terms of person, place, and time, and the magnitude of the problem based on data from appropriate data resources (Reference the data resources you used.)
· Research question/hypothesis
Section 2: Research Methods
· The epidemiologic study design you would use to assess and address your population health problem
· Assessment strategies (i.e., if you were conducting a case-control study, how would you select your cases and controls? Regarding the methods and tools you would use to make these selections, how is it convenient for you as the researcher or as the investigator to use this tool?)
· Summary of the data collection activities (i.e., how you would collect data—online survey, paper/pen, mailing, etc.)
Section 3: The Intervention
· An outline of an intervention you would implement to address the population health problem with your selected population based on the results of the study in Section 2 (Note: If you selected a descriptive study design, you are still required to outline an intervention that might be developed based on future research.)
· A review of the literature that supports this intervention
Section 4: The Impact
· An explanation of the health outcome you would be seeking and the social impact of solving this issue
Section 5: Evaluation
· An evaluation plan based upon the health outcome that you have chosen and your anticipated results
Your written assignments must follow APA guidelines. Be sure to support your work with specific citations from appropriate Learning Resources and additional scholarly sources as appropriate. Refer to the Publication Manual of the American Psychological Association to ensure that your in- text citations and reference list are correct.
By Day 3
Submit your Major Assessment paper.

Concept Map
Instruction:
Read Chapter 5 – The Health Care Delivery System in The Future of the Public’s Health in the 21st Century
Links to an external site..
Download the Concept Map
Download Concept Map and fill in the six concepts that you found are important to provide equitable healthcare services.
Upload your Concept Map, by clicking “Upload File”.

Professional Capstone and Practicum Reflective Journal
Assessment Description
Students are required to submit weekly journal entries throughout the course. These reflective narratives help students identify important learning events that happen throughout the course and the practicum. In each week’s entry, students should reflect on the personal knowledge and skills gained.
Write a reflection journal (300 words) to outline what has been discovered about your professional practice, personal strengths and weaknesses, and additional resources that could be introduced in a given situation to influence optimal outcomes. Each week there will be a specific focus to use in your reflection. Integrate leadership and inquiry into the current practice. Please make sure to address all areas in your writing.
TOPIC FOCUS: HEALTH POLICY
You are required to submit this assignment to LopesWrite to verify similarities and plagiarism.

Discussion Topic: The purpose of learning the ropes of policy, politics and advocacy is to influence health care or broader social agendas that influence human health. Discuss a time where you influence health care through advocacy.
Requirements
– The discussion must address the topic
– Rationale must be provided
– Use at least 500 words (no included 1st page or references in the 500 words)
– May use examples from your nursing practice
– Formatted and cited in current APA 7
– Use 3 academic sources, not older than 5 years. Not Websites are allowed.
– Plagiarism is NOT permitted

Review this week’s Learning Resources. Consider the insights they provide about assessing and diagnosing anxiety, obsessive compulsive, and trauma-related disorders.
Review the Focused SOAP Note template, which you will use to complete this Assignment. There is also a Focused SOAP Note Exemplar provided as a guide for Assignment expectations.
Review the video, Case Study: Dev Cordoba. You will use this case as the basis of this Assignment. In this video, a Walden faculty member is assessing a mock patient. The patient will be represented onscreen as an avatar.
Consider what history would be necessary to collect from this patient.
Consider what interview questions you would need to ask this patient.

ANSWER EACH QUESTION SEPARATELY WITH ATTACHED REFERENCES
Question 1
Using proper APA format in at least 800 words, briefly discuss the evolution of fire investigations and its impact on arson cases. As well as, briefly provide an overview of the reliability of computer fire models at trial.
Question 2
Using proper APA format in at least 800 words, provide a brief overview of terrorist use of improvised explosive devices (IEDs), such as pipe bombs and what is known about the fragmentation of pipe bombs with varying case thickness.

ANSWER
Question 1: Evolution of Fire Investigations and Reliability of Computer Fire Models at Trial

The evolution of fire investigations has significantly impacted arson cases, enhancing our understanding of fire dynamics, causation, and investigative techniques. Fire investigations have transitioned from being primarily based on anecdotal evidence to adopting a more scientific approach. The reliability of computer fire models at trial has become a crucial aspect of modern fire investigations.

**Evolution of Fire Investigations:**

Historically, fire investigations were often based on subjective judgment and intuition, leading to wrongful convictions and a lack of scientific rigor. The evolution of fire investigations can be traced through the following key developments:

1. **NFPA 921**: The publication of the National Fire Protection Association (NFPA) 921 in 1992 marked a significant milestone. This document established guidelines for conducting fire investigations and emphasized the importance of the scientific method.

2. **Arson Review and Database**: The establishment of arson review panels and databases has allowed for the review and analysis of past cases, leading to the reevaluation of convictions and the correction of miscarriages of justice.

3. **Advancements in Fire Science**: Advancements in fire science, including research into fire dynamics and fire behavior, have provided investigators with a better understanding of how fires start, spread, and behave.

4. **Arson Investigation Training**: Specialized training programs and certifications for arson investigators have become more prevalent, ensuring that investigators are equipped with the latest knowledge and techniques.

**Reliability of Computer Fire Models at Trial:**

Computer fire models have become valuable tools in fire investigations, offering the ability to simulate and analyze fire behavior under various conditions. The reliability of these models when presented as evidence at trial is a subject of interest and concern. To address this, the following factors should be considered:

1. **Peer Review**: For computer fire models to be considered reliable in court, they should undergo peer review by experts in the field. This helps establish their scientific validity and accuracy.

2. **Data Input and Assumptions**: The reliability of computer fire models depends on the accuracy of data input and the validity of assumptions made during the simulation. Any discrepancies or errors in these aspects can affect the model’s credibility.

3. **Transparency**: The process of developing and using computer fire models should be transparent, allowing the defense to examine the methodology and assumptions. Transparency is vital for ensuring fairness in court proceedings.

4. **Expert Testimony**: Expert witnesses who can explain the model’s validity, its limitations, and the relevance of the results are essential. Their testimony should be based on sound scientific principles.

5. **Legal Precedent**: Courts have increasingly considered the admissibility of computer fire models based on legal precedent. Case law plays a significant role in shaping the standards for the use of these models in court.

References:

1. NFPA 921: Guide for Fire and Explosion Investigations. (2017). National Fire Protection Association.

2. Lentini, J. J. (2012). Scientific protocols for fire investigation (3rd ed.). CRC Press.

3. Lentini, J. J. (2019). Fire investigation and litigation: A forensic engineering approach. CRC Press.

Question 2: Terrorist Use of Improvised Explosive Devices (IEDs) and Fragmentation of Pipe Bombs

Terrorists have frequently employed improvised explosive devices (IEDs) like pipe bombs as weapons of choice. Understanding the characteristics of these devices and the fragmentation caused by them is critical for counterterrorism efforts and public safety.

**Terrorist Use of IEDs, such as Pipe Bombs:**

1. **Commonality**: IEDs, including pipe bombs, are popular among terrorists due to their accessibility and the relative ease of construction using readily available materials.

2. **Lethal Potential**: These devices can cause significant damage and pose a serious threat to public safety. Their low cost and availability make them attractive to those with malicious intent.

3. **Variability**: Pipe bombs come in various shapes and sizes, and their explosive content can vary. Their design and composition can be adjusted to suit the objectives of the attacker.

4. **Fragmentation**: IEDs like pipe bombs often rely on fragmentation as a secondary means of causing injury or death. The explosion of the device propels shrapnel at high velocities.

**Fragmentation of Pipe Bombs with Varying Case Thickness:**

1. **Shrapnel Generation**: The fragmentation of pipe bombs is primarily a result of the explosive force propelling the casing and any additional materials within it (e.g., nails, ball bearings). The thickness of the casing significantly impacts the generation of shrapnel.

2. **Lethality**: Thicker casing can lead to larger and more lethal fragments when the device detonates. The casing fragments, along with any additional materials placed inside, become dangerous projectiles.

3. **Forensic Analysis**: Forensic experts can examine the remains of pipe bombs, including the casing and any shrapnel, to determine the characteristics of the device, the type of explosives used, and the potential impact radius.

4. **Counterterrorism Efforts**: Understanding the fragmentation patterns of pipe bombs is crucial for law enforcement and counterterrorism agencies. This knowledge aids in threat assessment and response planning.

5. **Public Safety**: Knowledge about pipe bomb fragmentation is essential for public safety education and preparedness, helping individuals and communities recognize the potential hazards and take appropriate precautions.

References:

1. Bi, Y., Gao, S., & Qiu, S. (2019). Numerical investigation on the fragmentation characteristics of steel pipes under internal explosions. International Journal of Impact Engineering, 125, 64-75.

2. Stewart, R., Wood, L., & Dale, D. (2018). Forensic analysis of an improvised explosive device based on a steel pipe. Forensic Science International, 284, 72-79.

3. DeHaan, J. D. (2000). Practical explosives investigation. CRC Press.

4. Bjarnason, S. (2018). The use of improvised explosive devices in terrorism: A growing threat. Critical Studies on Terrorism, 11(2), 263-284.