SMART Goals

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Please see the attachment for instructions

SOAP note

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SOAP note Diabetes mellitus tipe 2

public health

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writing

powerpoint

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Critically compare and contrast gender differences in leadership. Discuss gender perspectives and propose strategies that women and men can use to enhance their effectiveness as leaders in organizations?

you must create a PowerPoint Presentation responding to the discussion question above. You must also include the citations in the presentation in app format. 

5 slides not including beginning page and references slides.

2 scholarly references no later than 2019  

political

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Option 1

Though political scientists debate on the precise reasons for the low representation of women in Congress, the number of women serving in the House and Senate is significantly lower than that of men. Since the 1980s, the percentage of women in congress has consistently increased, yet they are still notably underrepresented (Chamberlain University, 2023). A complex problem, the underrepresentation of women in Congress has structural, political, and cultural roots. After the Nineteenth Amendment was ratified in 1920, several states, particularly in the west, granted women the right to vote. However, this restriction persisted until the 1960s civil rights movements and the enactment of the Voting Rights Act of 1965.  Before the 1980s, women were less likely than males to vote and participate in politics. Today, women vote at a greater rate (4%) than men, yet there is still a dearth of women in congress in the United States (Greenberg, E. S. & Page, B. I., 2018).

The low representation of women in Congress, in my opinion, is due to a variety of factors, including gender stereotypes and roles that are special to girls' genders. As a result, girls may be exposed to fewer cues that encourage political activity, which in turn results in fewer women entering the political pipeline. Women currently have many obligations, including family, employment, housework, raising children, and providing for their education. As a result, they do not have enough time for politics, which may affect their ability to be represented in Congress. Sanbonmatsu, K. (2020), claims that due to the low number of women in Congress, American democracy may not require women's representation. According to the article, women make up 23.7 percent of congressional presentations in the United States, which is lower than the global average of 24 %. A statute or constitutional provision requiring a gender quota for candidates or officeholders does not exist in the United States, but the use of quotas in elections is on the rise globally. Women's representation in politics, in my opinion, might be improved by quota systems. To increase the number of women in Congress, gender equality should be promoted, and gender discrimination should be ended.

References

Chamberlain University (2023). Week 5: U.S. Congress and Presidency

Greenberg, E. S & Page, B. I. (2018).
 The Struggle for Democracy, 2018 Elections and Updates Edition. (12th ed.). Pearson.

Sanbonmatsu, K. (2020). Women’s Underrepresentation in the U.S. Congress. American Academic of Arts and Science. https://www.amacad.org/publication/womens-underrepresentation-us-congress


Reply

Nursing Assignment- Methods/Design, Statistical Analysis

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Please see the attachment for the Instructions

Vital Organs / Unconscious State

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After studying the course materials located on Module 5: Lecture Materials & Resources page, answer the following:

  1. Name some very important organs that are not vital organs.
  2. List the functional description of all the normal vital organs, including today’s exceptions.
  3. Is it possible to live without a vital organ? Why? Example?
  4. Distinction between assisting or substituting vital organs. Bioethical analysis.
  5. Do the following practices assist or substitute the vital organ? Why?
    • Dialysis
    • Respirator
    • Ventilator
    • Tracheotomy
    • CPR
  6. Read and summarize ERD PART FIVE Introduction.
  7. Unconscious state: Definition.
  8. Clinical definitions of different states of unconsciousness: Compare and contrast
  9. Benefit vs Burden: bioethical analysis.

Submission Instructions:
 is to be clear and concise and students will lose points for improper grammar, punctuation, and misspelling.

  • If references are used, please cite properly according to the current APA style

nurse discussion

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How can healthcare providers account for the age-related changes in pharmacokinetics and pharmacodynamics that impact medication absorption, distribution, metabolism, and excretion, and what strategies can be used to adjust medication regimens for older adult patients to minimize the risk of adverse drug reactions and medication errors? 

Disseminating EBP within your organization

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 In this Discussion, you will explore strategies for disseminating EBP within your organization, community, or industry.  I x page only no title page and include 2 to 3 References.

  1. List two dissemination strategies you would be most inclined to use and explain why. 

2.Explain which dissemination strategies you would be least inclined to use and explain why. 

3. Identify at least two barriers you might encounter when using the dissemination strategies, you are most inclined to use. Be specific and provide examples. 

4.Explain how you might overcome the barriers you identified. 

CASE STUDY 2

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Case Study #2

DKA 

Mrs. S is a 28-year-old patient, with a 12-year history of type I diabetes mellitus. Her husband states that she has had a “bad cold” for several days. Yesterday she stayed in bed and slept all day. She was “too ill” to check her blood sugar, and since she was not really eating, she did not take her insulin. This morning, she was not able to stand up and vomited twice. A Gram stain of Mrs. S’s blood contains gram-positive cocci in clusters. Her admission vital signs are: BP = 90/60; HR = 118 bpm (sinus tachycardia); RR = 32/min; T = 102.3° F; O2 sat via pulse oximetry = 96%. Her serum glucose is 398 mg/dl, and she is positive for serum ketones. She is admitted with a diagnosis of DKA.

Her baseline ABGs on 2 L of oxygen are: pH = 7.25; PCO2 = 28; HCO3 = 14; PaO2 = 92; O2 sat = 96%. Her respirations are deep, rapid, and labored. She has bronchial breath sounds in the right axillary area. There is bilateral chest expansion and no evidence of cyanosis.

A regular insulin bolus is given, and a regular insulin drip is initiated. Mrs. S’s IV fluids are infusing at 800 ml/hr. Her vital signs after 2 hours in the unit are: BP = 120/70; HR = 78 bpm (normal sinus rhythm); RR = 22/min; O2 sat = 100%. Her serum glucose is 250 mg/dl and serum potassium is 4.0 mEq/L. She is more alert and is feeling hungry.

  1. What is insulin’s function in the body? What is the most significant basic defect in the development of DKA?
  2. What is the cause of Ms. S experiencing DKA?  Describe the pathophysiologic rationale for your answer.
  3. List the classic signs and symptoms of DKA. Which signs and symptoms did Ms. S experience? What are the pathophysiologic causes of these signs and symptoms?
  4. What is an anion gap? Why is the anion gap important to follow in the treatment of DKA?
  5. What acid base disturbance is Ms. S experiencing? What compensatory mechanisms are in effect at this time?
  6. What is the primary nursing diagnosis for Ms. S.? What are the goals for treatment (both independent and collaborative)? What interventions are imperative to initiate immediately? What interventions are important within the next 12-24 hours?
  7. What are potential lab abnormalities for a patient in DKA?
  8. What nursing considerations are important in planning Ms. S’s discharge?
  9. Discuss the American Association of Critical Care Nurses (AACN) Synergy Model and how this concept would be important in this patient’s care.