Expert Answers

Description Read the article below and write an article review discussing your thoughts about EPM technology and the implications in respiratory clinical practice.  Click the hyperlinks below to access the article.  Use the submission rubric in the dropbox to guide your response. Note: This is an extensive article.  Please read the sections: "Introduction"-"Extubation Readiness." https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10201... CriteriaLevel 4 4 points Level 3 3 points Level 2 2 points Level 1 1 point Criterion Score RESPONSIVENESS Responds to assigned or selected topic and connects to related topics Goes beyond what is required in some meaningful way (e.g., ideas contribute a new dimension to what we know about the topic, unearths something unanticipated); Is substantive and evidence-based; Demonstrates that the student has read, viewed, and considered the Learning Resources in the course and that the assignment answer/paper topic connects in a meaningful way to the course content; and Is submitted by the due date. Responds to the assigned or selected topic; Is substantive and evidence-based; Demonstrates that the student has read, viewed, and considered the Learning Resources in the course and that the assignment answer/paper topic connects in a meaningful way to the course content; and Is submitted by the due date. Somewhat misses the point of the assigned or selected topic; and/or Lacks in substance, relying more on anecdotal than evidence; and/or Contains little evidence that the student has read, viewed, and considered the Learning Resources in the course and that the assignment answer/paper topic connects in a meaningful way to the course content; and/or Is submitted by the due date. Misses the point of the assigned or selected topic; and/or Relies primarily on anecdotal evidence; and/or Contains little evidence that the student has read, viewed, and considered the Learning Resources in the course and that the assignment answer paper topic connects in a meaningful way to the course content; and/or Is submitted past the late deadline.  Score of RESPONSIVENESS, / 4 CONTENT KNOWLEDGE In-depth understanding and application of concepts and issues presented in the course (e.g., insightful interpretations or analyses; accurate and perceptive parallels, ideas, opinions, and conclusions), showing that the student has absorbed the general principles and ideas presented and makes inferences about the concepts/issues or connects to them to other ideas; Rich and relevant examples; Thought-provoking ideas and interpretations, original thinking, new perspectives; Original and critical thinking; and Mastery and thoughtful/accurate application of knowledge and skills or strategies presented in the course. Understanding and application of the concepts and issues presented in the course, demonstrating that the student has absorbed the general principles and ideas presented; Relevant examples; Thought-provoking ideas and interpretations, some original thinking; Critical thinking; and Mastery and application of knowledge and skills or strategies presented in the course. Minimal understanding of concepts and issues presented in the course, and, while generally accurate, displays some omissions and/or errors; and/or Few and/or irrelevant examples; and/or Few if any thought-provoking ideas, little original thinking; and/or “Regurgitated” knowledge rather than critical thinking; and/or Little mastery of skills and/or numerous errors when using the knowledge, skills, or strategies presented in the course. A lack of understanding of the concepts and issues presented in the course and/or application is inaccurate and contains many omissions and/or errors; and/or No examples or irrelevant examples; and/or No thought-provoking ideas or original thinking; and/or No critical thinking; and/or Many critical errors when applying knowledge, skills, or strategies presented in the course. Score of CONTENT KNOWLEDGE, / 4 QUALITY OF WRITING Uses language that is clear, concise, and appropriate; Has few if any errors in spelling, grammar, and syntax; Is extremely well organized, logical, and clear and never confuses the reader; Uses a preponderance of original language and uses direct quotes only when necessary and/or appropriate; and Provides information about a source when citing or paraphrasing it. Uses language that is clear; Has a few errors in spelling, grammar, and syntax; Is well organized, logical, and clear; Uses original language and uses direct quotes when necessary and/or appropriate; and Provides information about a source when citing or paraphrasing it. Uses language that is unclear and/or inappropriate; and/or Has more than occasional errors in spelling, grammar, and syntax; and/or Is poorly organized, is at times unclear and confusing, and has some problems with logical flow; and/or Reflects an underuse of original language and an overuse of direct quotes and paraphrases; and/or Sometimes lacks information about a source when citing or paraphrasing it.  Uses unclear and inappropriate language; and/or Has many errors in spelling, grammar, and syntax; and/or Lacks organization in a way that creates confusion for the reader; and/or Contains many direct quotes from original source materials and/or consistently and poorly paraphrases rather than using original language; and/or Lacks information about a source when citing or paraphrasing it.

Description Advanced Mechanical Ventilation List indications, contraindications, and advantages of HFNC and PRVC. List the variable that may be controlled on a HFNC system. List the components of a HFNC. Given patient data, recommend interventions with HFNC, APRV, VS, and APRV. Identify the approximate amount of CPAP generated by a HFNC system. List settings differences between PRVC and PC-CMV. Identify maximum PIP based on pressure setting in PRVC. List the increment range for PIP changes in PRVC. Identify the primary difference between PRVC and VS. Identify settings that may be changed in APRV to adjust oxygenation and ventilation. Describe the possible method(s) for determining the initial setting of Phigh in APRV. Describe the basic function of NAVA. Interpret the acid-base balance of ABG values. Identify the method by which intrapleural pressure is estimated in NAVA. Clinical Lab Studies Define: Hematocrit Cytology Histology Culture and sensitivity Unifocal PVC Multifocal PVC List normal values and ranges of: RBCs (erythrocytes) WBCs (leukocytes) Thrombocytes Reticulocytes Glucose Identify the lab test(s) that are used to measure liver function. Identify the lab test(s) that are used to measure kidney function. Identify the lab test(s) that are used to measure pancreatic function. Identify the electrolyte that results in diaphragmatic weakness if that electrolyte’s value is too low. ECG Interpretation Identify the normal pacemaker of the heart. Identify the electrical event that follows the following ECG waves: P wave QRS complex T wave Identify the variables measures by the vertical and horizontal axes of an ECG tracing. Identify the feature that all sinus rhythms share. Identify the following ECG rhythms when seen on an ECG tracing Normal sinus rhythm Sinus tachycardia Sinus bradycardia 1st degree heart block 2nd degree heart block, Types I & II 3rd degree heart block Atrial fibrillation Atrial flutter Ventricular tachycardia Ventricular fibrillation (coarse and fine) Asystole Scores & Indices Identify the use of and normal range for the following clinical scores. a. HACOR b. APGAR c. ROX d. Mallampati e. Ballard f. SOFA g. APACHE h. Apnea Test i. RSBI j. GCS k. AHI l. P/F ratio Noninvasive Monitoring Identify the place on an ETCO2 graph where the highest PETCO2 exists. Describe the feature that make a monitoring route noninvasive. Describe the effect of an increased COHb would have on SpO2. Identify the process for minimizing the risk of skin burns when using transcutaneous gas monitoring. Identify acceptable anatomic locations for SpO2 monitoring sensors. Identify the patient population on whom the heel is an acceptable location for SpO2 monitoring. Ventilator Graphics Using ventilators graphics (scalars and loops), identify the following abnormalities. Overdistension Air trapping Circuit leak The presence of airway secretions

Description Week 8 Discussion In your readings this week, you learned that palliative care provides physical, psychosocial, and spiritual care through assessment and the development of a comprehensive treatment plan. “Palliative” is defined as relieving pain without dealing with the cause of the condition. This definition echoes the World Health Organization (WHO)’s definition of palliative care as a patient-centered approach that improves the quality of life of patients and families when they are experiencing life-threatening illnesses (WHO, 2015). This week we also learned about the importance of self-care and that it cannot be overstated for the clinician. Work and professional responsibilities, family and home life, coursework, and clinical practicums all demand attention. Self-care and health promotion are major components of caring for patients; it is imperative that as NPs we care for ourselves as well (Dunphy, 2019). Select one of the following prompts and the corresponding Differentials Table to complete. In the subject line of your post, please identify which prompt you are responding to. Instructions: Select one of the following prompts. Complete the corresponding “Differentials Table” (this week focuses on chronic conditions commonly referred to as palliative care) – include 5 differentials (excluding the example provided). Upload your Differentials Table and answers to your chosen prompt to the Discussion Board. Week 8 Prompts Self-care is important to personal health, professional growth, and the ability to care for others. Discuss the importance of self-care for the APRN. Provide examples with your rationale. Compassion fatigue is flourishing in our society today, due in part to the increasing demands of managed care, and it can impair your ability to function effectively. Discuss strategies to avoid compassion fatigue. Provide examples with your rational. Differentials Table Common Diagnoses Necessitating Palliative Care Referral by Nurse Practitioner Signs/Symptoms Gold Standard Diagnostics Gold Standard Treatment Ex: COPD Chronic cough, chronic sputum production, shortness of breath worse with physical exertion, progressive symptoms, barrel chest, weight loss; hyperresonance upon percussion, tactile fremitus and egophony is decreased; CXR may show hyperinflation; bullae sometimes present; coarse crackles. Refer to GOLD Report – Global Initiative for Chronic Obstructive Lung Disease. A diagnosis of COPD should be considered in any patient who has dyspnea, chronic cough or sputum production, a history of recurrent lower respiratory tract infections and/or a history of exposure to risk factors for the disease, but forced spirometry showing the presence of a postbronchodilator FEV1/FVC < 0.7 is mandatory to establish the diagnosis of COPD. Prevention and Maintenance Therapy: Smoking cessation, Vaccination (pneumonia, influenza, COVID-19, Tdap). Acute exacerbation: SABA (albuterol, levalbuterol). SAMA (Ipratropium bromide) often used in combination with SABA. While continuation of ongoing therapy with long-acting beta agonists (LABAs) or LAMAs has not been specifically studied, the Global Initiative for Chronic Obstructive Lung Disease (GOLD) strategy advises their continuation. Oral Glucocorticoid therapy: 40mg per day for 5-14 days Antibiotic Therapy: the GOLD strategy recommends empiric antibiotics for patients with COPD exacerbations who have increased sputum purulence and either increased sputum volume or increased dyspnea, or for patients who require ventilatory assistance. 1. 2. 3. 4. 5.

Description Please write a reflection paper following the instructions. My three people are 1) my father 2) an physical therapy student, and 3) a family friend

Description Problem-Focused SOAP Note Format Demographic Data  Age and gender (must be HIPAA compliant)  Subjective  Chief Complaint (CC): A short statement about why they are there  History of Present Illness (HPI):  Write your HPI in paragraph form. Start with the age, gender, and why they are there (example: 23-year-old female here for...). Elaborate using the acronym OLDCART: Onset, Location, Duration, Characteristics, Aggravating/Alleviating Factors, Relieving Factors, Treatment  Past Med. Hx (PMH): Medical or surgical problems, hospitalizations, medications, allergies, immunizations, and preventative health maintenance  Family Hx: any history of CA, DM, HTN, MI, CVA?   Social Hx: Including nutrition, exercise, substance use, sexual hx, occupation, school, etc.  Review of Systems (ROS) as appropriate: Include health maintenance (e.g., eye, dental, pap, vaccines, colonoscopy)  Objective  Vital Signs  Physical findings listed by body systems, not paragraph form- Highlight abnormal findings  Assessment (the diagnosis)  At least Two (2) differential diagnoses (if applicable) with rationale and pertinent positives and negatives for each  Final diagnosis with rationale, pertinent positives and negatives, and pathophysiological explanation  Plan  Dx Plan (lab, x-ray)  Tx Plan (meds): including medication(s) prescribed (if any), dosage, frequency, duration, and refill(s) (if any)  Pt. Education, including specific medication teaching points  Referral/Follow-up  Health maintenance: including when screenings eye, dental, pap, vaccines, immunizations, etc. are next due      

Description Using the attached questions as interview questions, Interview a corporate compliance officer (via any virtual platform of your choosing) of John Hopskins Medicine  and analyze the strengths and weaknesses of the organization’s compliance program. You can do this via phone, Skype, in person, or possibly even e-mail. How you obtain the information is your decision. Some organizations publish their compliance plans on the Web. It is fine to reference web-based resources, but it is essential that you make a connection with the corporate compliance officer to ask questions about his/her background, reporting relationships, and, if they are willing to describe what they believe are the greatest compliance challenges and successes they have faced. More details included in Blackboard. Prepare a 6 to 8 page paper describing the organization’s compliance function. Include descriptions of the qualifications of the compliance officer, reporting relationships, how (or whether) the compliance plan contains the five key components. Using primary resources and APA 7th ed format: Research via website or make up answers that you can support in references and research.  Analyze the strengths and weakness of the program. Identify compliance risks.

Description Discuss the methods, advantages, and criticisms of evidence-based practice in maternal and child health

Description The teacher educator candidate will research his/her topic and prepare a slide presentation for assessment. The teacher educator candidate will prepare a lesson plan and develop an assessment tool to assess student knowledge. The topic is female anatomy. The information must be comprehensive in nature and demonstrate the student has researched the topic thoroughly.  The student must provide a reference page for the information covered in the presentation.  The student may not use videos in the presentation.

Description In general words, describe the important use of telemedicine during Covid 19 pandemic period?

Description Read the following:https://lms.seu.edu.sa/bbcswebdav/pid-10908333-dt-... Describe how Tele-medicine and tele-health improve healthcare delivery?