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How do broader perspectives contribute to personal and professional growth? How will these population health experiences contribute to your attitudes as a nurse leader? Instructions: As a culminating exercise, this discussion board assignment requires to you self-reflect and to provide a written description for the following points: Revisit the 10 Essential Services of Public Health, and use these to describe one of the primary population health issues or limitations you foresee as a limitation that faces Public Health in the 21st Century. How might this impact you as a professional, your clinical or community populations? Discuss how your perspectives have changed over the course of NURS 6307. How have you grown on a personal level? If those have not changed, explain why not. Discuss two to three of the main take-aways from your experience in N6307. Highlight specific examples of professional level growth, or development related to your overall knowledge base,experienced over the course of this class. How do you anticipate these “key messages or lessons learned” will contribute to your future career as a DNP and healthcare leader? Limit your post to 600 words or less This assignment does not require you to post to another classmate, but please feel free to do so if you wish to. Should be written on a masters/doctorate level using at least 3 references
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The textbook used for this class is Understanding Environmental Health: How We Live in the World, by Nancy Irwin Maxwell the second edition.How are the methods of risk assessment, risk management, risk communication, and the precautionary approach used in environmental health when responding to environmental health hazards? Discuss an environmental health issue within your region. What precautionary approach can be initiated to address the issue?

Discussion Board Forum 2There are many ideas about why people should get married; Scripture even mentions more than one reason. Some recent publications suggest that marrying for love is a bad idea. Explore this idea using Internet resources and the Bible to articulate your point of view on this subject.

General Directions: Focused Journal #1: ( This Focused Journal is from the content in the assigned on-line CEU Module)Online Module: Introduction to Integrative Nursing Access:Available: https://www.csh.umn.edu/education/focus-areas/integrative-nursingThere are three “submodules “in this online offering. Please review each submodule and provide a focused journal entry (1) for the following highlighted topics below. (Please provide one journal entry for all topics using the prompts below and the Johns Model from the syllabus.)a. Sub-Module #1: Introduction to Integrative NursingThe Triple Aim Model is set to provide a venue to meet the following goals: increased patient satisfaction with experiences; improve patient outcomes; and a reduction in health care costs. Using the Triple Aim Model brought forth in this introduction, write a brief journal entry regarding a comparison of your present facility or a clinical site in which you may have practiced. How does your place of employment use this model? What may be some modifications you “see” that can be done to integrate this model.b. Sub-Module #2: The Six Principles of Integrative NursingFour foundational premises are brought forward in integrative nursing: Mindfulness, intention, Presence, and Intuition. Journal about a time when you a. felt truly present in a patient based situation; and b. you used the process of intuition in your nursing judgement and practice. (The cues on Slide #3, may assist in providing some writing cues.)Principles of integrative practice are also shared through case studies and personal nursing narratives. Review each of these principles. (Of particular note is the section on Evidence Based Informed Use for Pain Management. This may prove helpful in the development of your individual nursing plan of care assignment later in this course.) Applications for these principles are explored through further focused journaling. Provide a focused journal entry regarding the healing role of nature by selecting an online picture of nature with which you feel connected. Journal briefly as to the connections you feel with this picture. How might you apply this simple principle to your patients? Authentic presence is difficult to achieve in contemporary nursing practice due to the overwhelming amount of stress and workload for example. Reflect back to a recent conversation with a patient or family member. Journal regarding your sense of “distantness”, “distractedness” or “real presence”. Was this easy to achieve?c. Sub-Module 3: ApplicationsReview this submodule. For focused journaling, use Slide 12/13: Applying Integrative Nursing to your Job. Jot down your thoughts and print it out. Include as a part of this focused Journal #1.Johns Model (2000):Write a description of the experience. Check in with bodily sensations. Ease? Dis-ease? Why do I feel this way in this situation or after experiencing this modality?What factors were influencing me? Past experiences in nursing? Personal beliefs?What knowledge did I gain from this experience or modality of integrative practice?How might I use this experience or modality in my nursing practice or personal development? What are barriers either in my values or within my nursing practice to incorporate this integrative modality? Do I feel differently before and after this experience? Why or why not? What information might I need to continue to gain?Supportive documentation is noted as described in the activity.Evaluation: These journal entries will be evaluated based upon the following rubric:Criteria for EvaluationOutstanding(4)Exemplary(3)Satisfactory(2)Unsatisfactory (1)Critical ThinkingStrong, Insightful writing and synthesis/evaluation of the situation or integrative modality. Provides a rich, in-depth description, using all steps of the Johns Model. Meaning is clear.Substantial information of synthesis or evaluation of the experience. Description provided lacks some depth, with one part of the focused writing using the Johns Model missing.Some information provided, with attempts at evaluation and synthesis of the experience. Two parts of the focused writing using the Johns Model missing.Superficial information given, with limited synthesis and evaluation present. Greater than 2 parts of the Johns Model missing.Personal ReflectionStrong, insightful personal reflective writing noted in journal entry. Shows in-depth analysis of personal transformations.Provides good evidence of personal reflective writing in journal entry. Some connections to personal transformations noted.Minimal evidence of personal reflective wring in journal entry. Attempts at personal connections but lacks development and analysis.No personal reflective writing noted. No connections to personal transformations noted.Supportive DocumentationProvides ALL required supportive documentation as noted in the activity. Correct APA format used.Provides ALL required supportive documentation. Two or less errors in APA noted.Missing one source of documentation. APA shows >2 errors.No documentation sources provided.

Consider the following questions as you perform your case study analysis: Environment: What is their market environment? Who are they competing with? What consumer and technology trends impact them? What cultural environmental, ethic, or political factors affect them? Market Segment: Who are they marketing to? And how are they positioning themselves in their marketing segmentation? What research have they done to influence their strategy? Product: What are their product offerings? How does this make them competitive relative to other companies in the space? What is their pricing, their brand, and their approach? Marketing: How do they advertise? This should include their public relations strategy and their sales and marketing strategy. Please make sure to include both online and direct relations with the consumer. Formatting & Sources Please write your paper in the APA format. As part of your research, you may refer to the course material for supporting evidence, but you must also use at least three credible, outside sources and cite them using APA format as well. Please include a mix of both primary and secondary sources, with at least one source from a scholarly peer-reviewed journal. If you use any Study.com lessons as sources, please also cite them in APA (including the lesson title and instructor’s name). Primary sources are first-hand accounts such as interviews, advertisements, speeches, company documents, statements, and press releases published by the company in question. Secondary sources come from peer-reviewed scholarly journals, such as the Journal of Management. You may use like JSTOR, Google Scholar, and Social Science Research Network to find articles from these journals. Secondary sources may also come from reputable websites with .gov, .edu, or .org in the domain. (Wikipedia is not a reputable source, though the sources listed in Wikipedia articles may be acceptable.) If you’re unsure about how to use APA format for your paper and sources, please see the following lessons:
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Length: 1,500 words Value: 40% Task In this assignment you are going to watch a video of a conversation between a Community Nurse and an older man, Max. In the video, Max candidly shares with you the experiences he has had with illness over his adult life. For the assignment you will explore (1) the types of and signs of delirium, the assessment tools, nursing strategies and the impact of not identifying delirium; (2) the impact of pain on an older person and pain assessment tools; and (3) strengths-based assessment. Most importantly, we are looking for you to apply these concepts to the needs of an older man called Max. You will critique the Community Nurse as she communicates with Max who is living at home. The conversation you will need to evaluate for this assessment task can be on this page below, in the Assessment 2 Resources folder, in the Case Study Videos folder and can also be found in the videos in your prescribed text. Watch the video recording of the conversation with Max and respond to the following discussion points and questions using current evidence and references to support your critique and suggestions. Question 1: Delirium in an older person In the interview, Max talks about his experience of delirium after a serious, respiratory illness that involved time as an inpatient. Identify the types of delirium and assessment tools that are used to diagnose delirium. What are the signs that a nurse could have used to identify that Max was experiencing delirium? What nursing strategies are suitable to implement when a patient is experiencing a delirium? What was the impact of not identifying the delirium on Max? Question 2: Pain and pain assessment in an older person Max shares his experience of pain. Discuss the impact of pain on an older person and identify assessment tools suitable to use to identify the presence and intensity of pain. Identify the impact of pain on Max and comment on the strategies Max uses to manage his pain. Relate Maxs strategies to evidence based practice for pain management in an older person. Question 3: Strengths-based assessment In the video, Max reveals some of his health concerns such as depression, osteoarthritis and medications. Evaluate the Community Nurses use of the principles of strengths-based nursing to address these concerns for Max and to what extent is it effective in supporting Max to take a problem solving approach to his own care process? Additional Information sure you review the information at the end of this page on how to write the critique. Use these headings and provide responses in third person and, not dot points. Include an introduction and conclusion in your assignment and material must be referenced according to CSU policy. Support your assignment with a wide range of peer-reviewed and scholarly sources of information. This includes peer-reviewed journals and textbooks, policy/guideline documents, government or educational websites. Inappropriate sources of information include blogs, Wikipedia, general information websites. Your prescribed text is a valuable source of information and other references that will assist you with this assignment. The use of 7 current (less than 7 years old) peer-reviewed and scholarly sources of information is the minimum requirement. How to write a Critique In everyday life we critique things all of the time! Which school should the children attend? Should I sell the family home and move into a smaller house? Which car should we buy? Should I buy the oranges that were grown in Brazil . . . or pay more for local products? All of these are important questions, which become critical questions when we consider them from a number of perspectives. For example, in relation buying a car one might consider cost, economy, the environment, seating, expected use of the vehicle, ethics, convenience, employment . . . and so on. All of these perspectives require us to extend our thinking beyond our initial reactions. Writing a critique at university, particularly in relation to a nursing situation, is not simply a matter of saying what you already think. Rather it involves factors that include the following close, accurate, observation of the subject (in this case, the interview); what you have been taught in class and in the on-line sessions; readings and other resources that your teacher has given you and those you have identified; theories about nursing and aging; departmental and professional standards; sensitivity to the reactions of the people in the situation; clinical knowledge; knowledge of aging processes. Step 1 Read the resources that your teacher has given you. Make brief notes on the qualities of an excellent nurse/patient conversation. Do some extra reading on the topic, to lift your work above that of others in the class! Step 2 Open a Word document, and write down the questions from Assessment Item 2 that you are required to answer, with plenty of space in between. If it will help, print this document out as a note-taking sheet View the video several times. Each time, jot down notes on your note-taking sheet. Step 3 You are now ready to explore the issues related to delirium and pain assessment in an older person as guided by Questions 1 and 2. Consider what you have been taught by your teachers, and what you have read about delirium, pain and pain assessment in an older person. Note the total word limit. Step 4 You are now ready to write your critique of the assessment of Max by the Community Nurse, responding in detail to Questions 3. Consider what you have been taught by your teachers, and what you have read about strength-based approaches in patient assessment. Note the total word limit. Remember: If you think that the Community Nurse did something well, you must indicate what it was, and why it was goodwith reference to your readings. If the Community Nurse did something poorly in the use of the principles of strength-based nursing to address Maxs concerns, you must indicate why it was not 100%with reference to your readings. For things that were missed, you must identify thesewith reference to your readings. This is an opportunity for you to show that you have taken on board what you have been taughtfrom the various perspectives that nursing involves. It is also a chance for you to show that you are a careful observer of human behaviour, and that you can apply your theory to practice. Presentation Please submit your critique as a single Word document via EASTS. Scholarly papers, reports, or other similar assessment items must be word processed and not handwritten. Requirements include: 1. 2cm margins 2. double line spacing 3. 12pt font 4. numbered all pages 5. Insert student name and number in header or footer of every page of every assignment; and 6. Include a title page that includes the subject name and code, title of the assessment task, due date, lecturers name, students name and students number. back to top MARKING CRITERIA Criterion HD (85-100%) DI (75-84.5%) CR (65-74.5%) PS (50-64.5%) FL (0-49.5%) Score Explains the types and signs of delirium including identification of relevant assessment tools that are used to diagnose delirium. Explains nursing strategies that are suitable to implement and the impact of not identifying the delirium on Max (21.5-25 marks) Comprehensive explanation and analysis of the types and signs of delirium. Relevant assessment tools that are used to diagnose delirium were identified and clearly justified by a solid argument. Clearly and concisely explains relevant nursing strategies that are suitable to implement including comprehensive examination of the impact of not identifying the delirium on Max. (19-21 marks) Explains and analyses the types and signs of delirium. Clearly examines relevant assessment tools that are used to diagnose delirium. Clearly and concisely explains relevant nursing strategies that are suitable to implement including the impact of not identifying the delirium on Max. (16.5-18.5 marks) Identifies and clearly explains the types and signs of delirium. Identifies and clearly explains relevant assessment tools that are used to diagnose delirium. Clearly explains nursing strategies that are suitable to implement and the impact of not identifying the delirium on Max. ( marks) Identifies and explains the types and signs of delirium. Identifies and explains relevant assessment tools that are used to diagnose delirium. Explains nursing strategies that are suitable to implement. Explains the impact of not identifying the delirium on Max. (0-12 marks) Identifies one/ does not identify any types and signs of delirium. AND/OR No identification of relevant assessment tools that are used to diagnose delirium. AND/OR No/ Inadequate explanation of nursing strategies that are suitable to implement. No explanation of the impact of not identifying the delirium on Max. /25 Identifies the impact of pain on an older person and the relevant pain assessment tools. Explains the impact of pain on Max and the strategies Max uses to manage his pain. Related Maxs strategies to evidence based practice for pain management. ( marks) Comprehensively explains the impact of pain on an older person. Relevant pain assessment tools are clearly and comprehensively explained. Clearly examines and analyses the impact of pain on Max and the strategies Max uses to manage his pain. These strategies were clearly related to evidence based practice for pain management. (19-21 marks) Clear and concise explanation of the impact of pain on an older person. Relevant pain assessment tools are clearly and concisely explained. Clearly explains and analyses the impact of pain on Max including the strategies Max uses to manage his pain. These strategies were clearly related to evidence based practice for pain management. ( marks) Identifies and explains the impact of pain on an older person. Identifies and explains relevant pain assessment tools Clearly explains the impact of pain on Max and the strategies Max uses to manage his pain. Clearly related Maxs strategies to evidence based practice for pain management. ( marks) Identifies the impact of pain on an older person. Identifies relevant pain assessment tools Explains the impact of pain on Max and the strategies Max uses to manage his pain. Related Maxs strategies to evidence based practice for pain management. (0-12 marks) Ambiguous/ no identification of the impact of pain on an older person. AND/OR Inadequate/ no identification of relevant pain assessment tools Inadequate/ no explanation of the impact of pain on Max and the strategies Max uses to manage his pain. Poor/ no linkage of Maxs strategies to evidence based practice for pain management. /25 Evaluates the Community Nurse’s use of the principles of strengths-based assessment and the extent these are effective in supporting the patient to achieve positive health outcomes. ( marks) A comprehensive critical evaluation of the Community RN’s application of principles of strengths based assessment is provided. The discussion includes as analysis of the effectiveness of the identified principles in supporting the older person to take a problem-solving approach to their own care process. (19-21 marks) Critical evaluation of the Community RN’s application of principles of strengths based assessment is provided. The discussion includes an analysis of the effectiveness of the identified principles in supporting the older person to take a problem-solving approach to their own care process. ( marks) Some critical evaluation of the Community RN’s application of principles of strengths based assessment is provided. Provides a summary of their effectiveness in supporting the older person to take a problem solving approach to their own care process. ( marks) An evaluation of the Community RN’s application of principles of strengths based assessment is provided. Explains their effectiveness to support the older person to take a problem solving approach to their own care process. (0-12 marks) No description of strengths based assessment principles. OR Description of strengths based assessment but no discussion of its impact on the older person. /25 Communicates effectively using academic writing and professional language. ( marks) Formal academic language and correct professional terminology has been used to create a cohesive, concise and analytical piece of work. The critique is logically and systematically structured with consistent adherence to grammatical conventions. All presentation guidelines have been applied. ( marks) Formal academic language and correct professional terminology has been used to create a cohesive and coherent piece of work. The critique is logically structured and mostly adheres to grammatical conventions. All presentation guidelines have been applied. ( marks) Formal academic language has been used to create a logically structured and coherent piece of work, with adherence to grammatical conventions, although some errors remain. All presentation guidelines have been applied. (5-6 marks) Formal academic language has been used to create a partially structured piece of work. Paragraphs are rudimentary and an attempt has been made to adhere to grammatical conventions, although errors are evident. Most presentation guidelines have been applied. ( marks) Formal and informal language has been used to create a partially structured and descriptive piece of work, which includes multiple grammatical errors impacting on the clarity of the discussion. Most presentation guidelines have not been applied. /10 Applies evidence/information from credible sources and with academic integrity. (13-15 marks) The critique is supported by an extensive range of appropriate sources, which have been evaluated and synthesised to support all assertions. APA 6th Edition referencing conventions in both in-text citations and the reference list have been accurately and consistently applied. ( marks) The critique is supported by a range of appropriate sources, which have been synthesised to support most assertions made. APA 6th Edition referencing conventions in both in-text citations and the reference list have been almost always accurately and consistently applied. (10-11 marks) The critique is supported by a range of appropriate sources, which have been incorporated to support key points. APA 6th Edition referencing conventions in both in- text citations and the reference list are applied with minor errors evident. ( marks) The critique is supported by the minimum number of appropriate sources, which have been summarised to support key points. APA 6th Edition referencing conventions in both in- text citations and the reference list, but with several errors and inconsistencies. (0-7 marks) The critique is supported with inappropriate or irrelevant sources. Less than 7 sources of information have been used to support the discussion and/ or multiple unsupported generalisations have been made. Adherence to APA 6th Edition referencing conventions in both in-text citations and the reference list is minimal or non- existent. /15 TURNITIN: Assessment was submitted to TURNITIN by the Subject Coordinator, and indicates appropriate attention to editing; paraphrasing and referencing of other peoples work. Similarity index is 20% or less, excluding Reference List. Students can submit their assignments to Turnitin before uploading to EASTS. TURNITIN report indicates appropriate attention to editing; paraphrasing and referencing of other peoples work. Similarity index is 20% or less, excluding Reference List. (SY) TURNITIN report indicates high similarity index that exceeds 20%, excluding Reference List. The student may be reported for Academic Misconduct. (US) SY / US Total /100 Final mark /40 Presentation back to top Scholarly papers, reports, or other similar assessment items must be word processed and not handwritten. Requirements include: Leave 2 cm margins and double line space your work; Use 12pt font, unless otherwise indicated; Number all pages; Insert student name and number in header or footer of every page of every assignment; and Include a title page that includes the subject name and code, title of the assessment task, due date, lecturers name, students name and students number. Requirements back to top Referencing Correct and consistent referencing is an important component of producing professional and credible academic work. Marks will be awarded for high quality referencing. Please refer to the following text for information on how to reference your paper: American Psychological Association (APA). (2010). Publication Manual of the American Psychological Association (6th ed.). Washington DC: APA.
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Clinical case: Coaching and Teaching Mrs. E. is 69 years old and was admitted for extremely high blood pressure which caused her to be dizzy and fall at home. She sprained her wrist and had multiple bruises and complained of some chest pain. She is a widow and lives with her two dogs. Her children live in the next state and try to visit her often. She does have one sister and brother-in-law who live in the same city. Mrs. E. has been relatively healthy during her life but since her husband passed away from a massive heart attack last year she has not been as active as she had been. She also has found it difficult to make meals only for herself. As a result, she has lost 15 pounds in the last year, she was already quite thin. Mrs. E. is a devout Christian and was born in India and emigrated to the United States when she was married due to her husband’s profession. She misses her husband and her children and does not like to visit her doctor hence the untreated hypertension. During her hospital stay amlodipine 2.5 mg/day was prescribed. Submit an individual assignment. You may use any books or other resources or references to complete this assignment. Use APA Editorial Format for all citations and references. List the goal for this teaching/coaching plan Describe three teaching resources Identify the teaching strategies that can be used List the specific instructions that may be needed regarding her medication and what adverse reactions to be aware of/and what to do Identify two factors that may negatively influence adherence to the medication and how they can be overcome Describe how to include the family Provide information on how and when she should seek support and help

An exercise on helping people: Kindly respond to the following questions: (1) What do you anticipate are the major practice concerns for you moving forward this semester? (2) Write down one of your assumptions about What constitutes therapeutic change? Where does that belief come from? How may this assumption affect your work? I am starting social work internship in a k-5th grade charter school in the bronx next week. What do you believe to be the necessary conditions for the therapeutic change to occur? What are the curative factors (mechanisms of change) that must be provided in the therapeutic process in order for healing to occur? (3) What would you expect from the course regarding clinical skills and theoretical knowledge/content needed in your professional development?

From the essay by Michael Fox and then below compose paragraph (about half a page, single-spaced) in which you summarize his arguments/main points, and then indicate briefly how this essay improved understanding of the Book of Job and/or how to understand the Book of Job and/or differed from other readings. NB other readings are attached below the essay by Michael Fox. if it is possible, please use simple English

please read the attached file properly and if u have any question let me know. easy to read and also don’t forget to make the powerpoint presentation too . 1. Meeting agenda and email communication to staff where the new templates will be spoken about also an email to the CEO 2. A completed communication plan (can use excel or word but should be completed in table format) 3. Presentation to staff on the templates (powerpoint) 4. Communication timelines (the timelines will be in the plan itself)