Nursing module 4 assignment

What steps do you take to locate primary and peer-reviewed research articles when performing a literature search?

What resources are available to you to engage in a meaningful and successful literature search?

As you have explored throughout this course, Walden University provides vast resources for student support to ensure success in their academic program of study. When it comes to research and using Library resources, several support mechanisms are available to you as well.

Taking the first step to think about a research topic or area of interest and filtering that topic using a series of keywords and operations will be a fundamental component for performing a literature search in Walden Library’s databases. While the ultimate goal is to produce a set or results that match your search criteria, you must keep in mind that that the quality of the research articles obtained will likely vary. Thus, you must critically examine and analyze the aims of the research produced and how it aligns, confirms, or negates your topic or area of research. As you develop proficiency in this area, you will discover that you can extract content themes and frameworks to enhance future research and the need to identify additional research support.

For this Assignment, consult the Walden Library webinars and resources provided. These resources serve as a general good first step for performing literature searches and engaging with the databases of research available to you. Think about a research topic or area of interest to focus on for this Assignment. Then, search the Walden Library to locate and retrieve peer-reviewed research articles that pertain to your topic or area of interest. 

6-paragraph assignment in which you do the following:

  •  a 1-pararaph introduction of how you conducted your literature search and the databases consulted in your search in relation to your practice area or area of interest. Be specific and provide examples.
  • a 1-paragraph summary of each of the articles you have selected (a total of 3 paragraphs).
  •  1 paragraph that synthesizes the three articles using a scholarly voice.
  •  a final paragraph in which you discuss the differences between summarizing and synthesizing research. Be specific and provide examples.

Poster about Hypertension in Homeless population

Please see the attachment for the instructions 

English 101

Assignment Guide: The Persuasive Letter

Assignment Prompt

For this assignment, you will be writing a letter compelling a friend or family member to change either a behavior or a belief with which you disagree. Choose your own topic, but for example, this letter could petition an enthusiastic neighbor to scale down his blinding Christmas decorations, an immature cousin to take a gap year between high school and college, a grandparent to vote to pass the new school district budget, a friend to stop drinking, or a spouse to reconcile with an estranged sibling. Because the letter will be written to an individual of your choosing, you must tailor your 
language and 
logic to the person to whom you are writing. 

Assignment-Specific Requirements:

Length: This assignment should be at least 750 words. 


Thesis

Underline your 
thesis statement or the main 
claim of your letter.

Sources Needed: None required. 
Cite if used, following 
MLA guidelines

Page Formatting: Use 
MLA guidelines.  Also add an opening salutation (e.g. Dear Sarah, or Hello, Jon.), and a closing salutation & signature (Best regards, Tom or Sincerely, Liza)


MLA

 Requirements: See 
Formatting your Essay: MLA 8th Edition

Rhetorical Mode

The goal of 
persuasive writing is to get a 
reader (your 
audience) to agree with your 
point of view
Persuasive writing blends facts and emotion to convince the 
reader that the writer is right. This 
genre relies on opinion and emotion to a greater extent than argumentative writing, but in moving a 
reader, the successful persuasive letter also deploys logically sound 
argumentation and quite often researched support and fact. 

Rhetorical Considerations

Purpose:

The purpose of 
drafting a persuasive letter is to move your 
reader to agree with your 
point of view
Persuasion is single-minded; it is based on a conviction that a particular way of thinking or acting is the only way to go; all of the energy of the letter works toward this end. As a writer, you will present one side–your side. While an 
opposing point should be mentioned, it is only mentioned to be refuted or dismissed in the service of your position.  

Audience:

Persuasive writing is almost always written with a particular 
audience in mind.  For this piece of writing, you will direct your persuasive letter to one person. Thus, your 
audience is not imagined, but rather very real, and that person and their characteristics will inform many of the choices you make as a writer. The persuasive letter requires constant negotiation with another person’s mind. At every phase of the writing process, as you prewrite, draft, and 
revise, this assignment will ask you to imagine and anticipate how your 
reader feels, responds, and thinks.   

Form:

This piece of writing will be presented using a letter format.  Thus, while you still need an 
MLA
style heading to format your work for submission, you will address your letter directly to your 
reader with a formal letter salutation. 

Five Features of a Persuasive Letter

1.
Rhetorical Situation: 
Persuasive Writing vs. Argumentative Writing: 
Persuasive writing, in a way, is a form of argumentative writing; however, the goal of 
persuasive writing is to get a 
reader or group of readers to agree with you/your 
point of view on a particular topic, and the goal of argumentative writing is to get the 
reader to acknowledge that your side is valid and is worth considering. 
Persuasive writing blends facts with emotion in an attempt to convince the 
reader that the writer is “right,” while in argumentative writing, the writer cites relevant reasons, credible facts, and sufficient 
evidence in order to convince the 
reader to consider a particular perspective. The nuances are subtle but important to consider. (Later in this course you will be crafting an argument and will see the differences in these genres of writing with greater clarity. The letter makes balanced use of the three rhetorical appeals to persuade a 
reader to change a behavior or belief.  The three appeals, which come to us from that consequential deceased Greek, Aristotle, are: 

1.

1.

Ethos

a writer’s or speaker’s credibility. In your letter, therefore, 
ethos is you, sort of. It’s the “you” that your writing transmits to your 
reader, the sum total of your 
tone and 
language choices, and also the values and intelligence that your writing communicates. Therefore, be vigilant with your work because 
ethos is the appeal that’s most immediately harmed by faulty word choices, punctuation mistakes, and lapses in 
tone

2.

Pathos

the appeal to a 
reader’s emotions and values. Get your 
reader to feel. Play (in a non-evil way) on their emotions–their compassion, their fears, their sense of community.   

2.

Logos

the appeal to a 
reader’s 
logic or reason.  Ensure your 
claims are logical, free of fallacies, and backed with specific support.  

3.

Organization

Organize using argumentative structure: an 
introduction with a 
thesis/main 
claim, body paragraphs that advance points in support of the 
thesis/main 
claim, and a 
conclusion

2.

Transition

s: Uses 
transitional phrases to connect your ideas and move the 
reader forward smoothly and logically between sentences. 

3.
Known 

Audience

: The letter’s appeals are personalized to the 
reader’s characteristics–their professional role and its obligations, as well as their values and emotions. 

4.
Formal or Informal Writing? The 
tone of the letter depends upon the recipient and your relationship and also upon 
subject matter. The 
tone should enhance the letter’s persuasive efforts, not undermine them. Always strive for a respectful approach.

Mini-Lesson on 

ETHOS

 – 

PATHOS

 – 

LOGOS

Plan to use these appeals heavily throughout your Persuasive Letter.


Ethos

This is an 
ethical appeal. It relies on your reliability and credibility as the author. 

· Includes 
reliable sources

· Is written from an unbiased perspective

· Shows the writer’s expertise through the presentation of careful insight and research


Pathos

This is an 
emotional appeal. It relies on the construction of careful connection between the 
claims presented and the emotions of the readers. 

· Includes the writer’s values and beliefs

· Uses stories or examples that convey emotion

· Contains broader appeal and 
focus  


Logos

This is an appeal to 
logic and reason. It relies on facts and figures that can convince the 
reader of the 
claims

· Relies on fact and opinion

· Focuses on reasonable 
claims and 
organization of ideas

· Only includes relevant material with a 
narrow 
focus

Q&A

 

Answer the following questions:

1. What is a suffix? Write an example of its use.

2. What is a prefix? Write an example of its use.

3. What is the definition of word root? Write an example of its use.

3. What is an eponymous? Write three examples.

4. What is an acronym? Write an example.

5. What is an initialism in Nursing? Write an example.

6. What is a combining form? Write an example.

7. When do you use a combining vowel? Write an example.

8. What is a number prefix? Write three examples of its use in medical terminology.

9. What are the other four levels of body organization that follow after the cellular level? 

10. Make a list of the systems that form the human body.

WEEKLY ETHICS QUESTIONS


WEEKLY ETHICS QUESTIONS

1.
Physicians frequently receive medication samples from pharmaceutical reps. These samples are often distributed to patients. Patients may not be charged for these samples, although an administration fee may be charged if the drug must be delivered in an injection. It could also include special grafting material. In this case, the physician could charge for applying the graft, but not for the graft material.

It is allergy season and a close friend has asked if you can obtain samples for the symptoms since the friend is not employed and cannot afford to purchase from the pharmacy.

Would it be appropriate to do this since there was no cost to the physician? If not, how would you respond to the friend?

2.
Physicians have been caught charging for the samples. Your physician instructs you to charge the patient for the free sample because the practice needs the money & the patient “probably won’t know the difference”. How would you handle such a request?

3.
Search the internet for “Anti-kickback statue” and “Stark” violations. These are federally mandated guidelines that are subject to severe penalties for violations.

Now apply to the following scenario:

A pharmaceutical rep offers the physician tickets to a major sporting event if the physician will agree to purchase all of their drugs from this rep. If the physician accepts, will this violate one of these federal guidelines?

Global Healthcare comparison.

Resources to Use

To Prepare:

  • Review the World Health Organization’s (WHO) global health agenda and select one global health issue to focus on for this assignment.
  • Select at least one additional country to compare to the U.S. for this assignment.
  • Reflect on how the global health issue you selected is approached in the U.S. and in the additional country you selected.
  • Review and download the Global Health Comparison Matrix provided in the Resources.

 

Focusing on the country you selected and the U.S., complete the Global Health Comparison Matrix. Be sure to address the following:

  • Consider the U.S. national/federal health policies that have been adapted for the global health issue you selected from the WHO global health agenda. Compare these policies to the additional country you selected for study.
  • Explain the strengths and weaknesses of each policy.
  • Explain how the social determinants of health may impact the global health issue you selected. Be specific and provide examples.
  • Using the WHO’s Organization’s global health agenda as well as the results of your own research, analyze how each country’s government addresses cost, quality, and access to the global health issue selected.
  • Explain how the health policy you selected might impact the health of the global population. Be specific and provide examples.
  • Explain how the health policy you selected might impact the role of the nurse in each country.
  • Explain how global health issues impact local healthcare organizations and policies in both countries. Be specific and provide examples.

Part 2: A Plan for Social Change

Reflect on the global health policy comparison and analysis you conducted in Part 1 of the Assignment and the impact that global health issues may have on the world, the U.S., your community, as well as your practice as a nurse leader.

In a 1-page response, create a plan for social change that incorporates a global perspective or lens into your local practice and role as a nurse leader.

  • Explain how you would advocate for the incorporation of a global perspective or lens into your local practice and role as a nurse leader.
  • Explain how the incorporation of a global perspective or lens might impact your local practice and role as a nurse leader.
  • Explain how the incorporation of a global perspective or lens into your local practice as a nurse leader represents and contributes to social change. Be specific and provide examples

pn 11 m3 diss

 

Wilson is a 36-year-old migrant worker. He was admitted to the Hospital with a cough, unintended weight loss, and night sweats. He is staying with 6 friends in a one bedroom apartment near the strawberry field where he works. The ED physician suspects Tuberculosis (TB).

  • What diagnostic testing will the Provider order to confirm a diagnosis of TB?
  • What Isolation precautions do you expect to be put in place and why?
  • Describe the recommended treatment regimen for TB, including the rationale for combination drug therapy.
  • Identify the reason compliance to medication therapy is often a concern in the patient with TB.
  • What should be done for Wilson’s 6 roommates?

Careers in Nursing and as an Anesthesiology Assistant

After reading the provided articles and listening to our guest speakers discuss careers in nursing, you may be surprised to learn how many options nurses have in terms of careers beyond the typical hospital bedside. You find nurses in advanced practice as nurse practitioners and nurse anesthetists, as well as in academics, public health, administration, informatics, politics/government, consulting and a variety of practice settings beyond the hospital.

In this discussion board, share your reaction. You must specifically address the following two questions (and follow-up) in your response: 

  1. What was something specific that you learned that you didn’t know before? Which source did you learn it from (e.g., which reading or which guest speaker)?
  2. Did the wide variety of nursing options surprise you?

After stating whether you were surprised about the variety, address at least one of the following:

  • Why do you think nurses have so many options when it comes to careers beyond direct patient care?
  • What aspects of their training do you think prepares them for these many options? 
  • Do you think any other graduate careers have as many options and why/why not?  

Feel free to post any other thoughts related to this topic. Responses may be only one paragraph, but no more than two.

After posting your response, read your peers’ thoughts and reply to at least one classmate.

reply

My main post in response to each of the following: 

  1. Explain the agonist-to-antagonist spectrum of action of psychopharmacologic agents, including how partial and inverse agonist functionality may impact the efficacy of psychopharmacologic treatments.

The agonist-to-antagonist spectrum of action is a concept used in psychopharmacology to describe the various ways to interact with receptors to control the neurotransmitter activities in the nervous system. These interactions can have different effects influence behavior and mood. To understand this spectrum, it’s important to grasp the concepts of agonists, antagonists, partial agonists, and inverse agonists:

Agonists are substances that activate or stimulate a receptor when they bind to neurotransmitters, leading to an increase in neurotransmitter activity. For example, drugs that function as serotonin agonists can mimic the effects of serotonin in the brain, potentially resulting in improvements in mood and anxiety.

Antagonists are substances that bind to receptors but do not activate them. Instead, they block or inhibit the action of neurotransmitters. Antagonists can be used to reduce the effects of certain neurotransmitters. For example, Naloxone is an antagonist. It is an opioid receptor antagonist. it rapidly reverses the effects of opioids, such as heroin, and morphine by competitively binding to opioid receptors. This action can rapidly reverse the life-threatening effects of opioid overdose in emergencies. it can be a life-saving intervention when used promptly.

Partial agonists are substances that activate a receptor to a lesser extent compared to a full agonist. They have a moderate effect on receptor activity. Partial agonists are often used in psychopharmacology to achieve a more subtle or balanced effect. For example, a partial serotonin agonist might provide some mood improvement without inducing extreme mood swings.

Inverse agonists are substances that produce the opposite effect of an agonist. They bind to a receptor and reduce its baseline activity. They can turn down the activity of a receptor even in the absence of an agonist. Depending on the receptor system targeted, inverse agonists may have a sedative or calming effect, which can be useful in treating conditions associated with over-activity in specific neurotransmitter systems.

  1. Compare and contrast the actions of g couple proteins and ion-gated channels.

G protein-coupled receptors (GPCRs) and ion-gated channels are both essential components of neurotransmission in the nervous system. There are two distinct types of cell membrane proteins involved in signal transduction and the regulation of cellular responses. They play different roles in the process. They both are activated by the binding of neurotransmitters to their receptor sites on the postsynaptic neuron.

GPCRs work indirectly by activating intracellular signaling pathways. When a neurotransmitter binds to a GPCR, it triggers a cascade of events that involves the activation of G proteins. These G proteins then interact with other signaling molecules, leading to various intracellular responses. GPCRs can regulate a wide range of cellular responses, including changes in gene expression, modulation of enzyme activity, and second messenger production. They have a broad and diverse range of functions.

Ion-gated channels, also known as ligand-gated ion channels, work directly by allowing the flow of ions across the cell membrane upon neurotransmitter binding. When a neurotransmitter binds to the channel’s receptor site, the channel opens, allowing ions to pass through, which can result in changes in the membrane potential and cellular excitability. Their function is more focused on altering the electrical properties of the neuron.

GPCRs are versatile and can modulate various intracellular pathways, while ion-gated channels directly control ion flow and cellular excitability. The choice between these mechanisms depends on the specific needs of the synaptic signaling and the desired cellular response.

  1. Explain how the role of epigenetics may contribute to pharmacologic action.

Epigenetics involves alterations in gene expression or cellular phenotype. Epigenetic modifications can influence how genes are turned on or off, and these modifications can be influenced by pharmacological agents. Epigenetic modifications, such as DNA methylation and histone modifications, can impact the accessibility of genes to the cellular transcriptional machinery. Pharmacological agents can influence these epigenetic marks, either directly or indirectly, to regulate gene expression. Epigenetic changes can affect the expression of enzymes involved in drug metabolism. Understanding and harnessing the epigenetic aspects of drug action can lead to more effective and personalized therapeutic interventions.

  1. Explain how this information may impact the way you prescribe medications to patients. Include a specific example of a situation or case with a patient in which the psychiatric mental health nurse practitioner must be aware of the medication’s action.

As a Psychiatric Mental Health Nurse Practitioner (PMHNP), comprehending the implications of psychopharmacologic actions can profoundly shape my approach to prescribing medications for patients. The PMHNP’s knowledge of psychopharmacology plays a vital role in improving patient outcomes.

Imagine a patient, with a history of major depressive disorder. The patient has tried multiple antidepressant medications over the years with limited success and is currently experiencing a severe depressive episode with significant impairment in her daily life. As a PMHNP, I have learned psychopharmacology would be well-versed in the mechanisms of action of different antidepressant classes. For example, I would know that selective serotonin reuptake inhibitors (SSRIs) work by increasing the availability of serotonin in the brain by inhibiting its reuptake. I would also be aware that other classes like serotonin-norepinephrine reuptake inhibitors (SNRIs) and atypical antidepressants target different neurotransmitters.

By tailoring the medication choice to patient-specific needs, monitoring for side effects, and maintaining open communication, I can increase the likelihood of a successful treatment outcome for a patient’s depression.

Reference:

Mental Health TV. (2022, Oct 7).  Psychopharmacology-Module fourLinks to an external site. [Video]. YouTube.https://www.youtube.com/watch?v=46Ioy6SSta4&t=89sLinks to an external site.

Mental Health TV. (2022, Oct 7).  Psychopharmacology-Module five [Video]. YouTube. https://www.youtube.com/watch?v=1ynTQB59KW0&t=16s

Stahl, S. M. (2021). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (5th Ed.) Cambridge University Press.

The University of British Columbia. (n. d.). Neuroanatomy videosLinks to an external site.. http://neuroanatomy.ca/videos.htmlLinks to an external site.