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Category: Nursing

  • [Solved] week 6-patho

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    **Musculoskeletal Function:** G.J. is a 71-year-old overweight woman who presents to the Family Practice Clinic for the first time complaining of a long history of bilateral knee discomfort that becomes worse when it rains and usually feels better when the weather is warm and dry. “My arthritis hasn…

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    Assignment Prompt & Instructions

    **Musculoskeletal Function:**

    G.J. is a 71-year-old overweight woman who presents to the Family Practice Clinic for the first time complaining of a long history of bilateral knee discomfort that becomes worse when it rains and usually feels better when the weather is warm and dry. “My arthritis hasn’t improved a bit this summer though,” she states. Discomfort in the left knee is greater than in the right knee. She has also suffered from low back pain for many years, but recently it has become worse. She is having difficulty using the stairs in her home. The patient had recently visited a rheumatologist who tried a variety of NSAIDs to help her with pain control. The medications gave her mild relief but also caused significant and intolerable stomach discomfort. Her pain was alleviated with oxycodone. However, when she showed increasing tolerance and began insisting on higher doses of the medication, the physician told her that she may need surgery and that he could not prescribe more oxycodone for her. She is now seeking medical care at the Family Practice Clinic. Her knees started to get significantly more painful after she gained 20 pounds during the past nine months. Her joints are most stiff when she has been sitting or lying for some time and they tend to “loosen up” with activity. The patient has always been worried about osteoporosis because several family members have been diagnosed with the disease. However, nonclinical manifestations of osteoporosis have developed.

    **Case Study Questions**

    1. Define osteoarthritis and explain the differences with osteoarthrosis. List and analyze the risk factors that are presented on the case that contribute to the diagnosis of osteoarthritis.
    2. Specify the main differences between osteoarthritis and rheumatoid arthritis, make sure to include clinical manifestations, major characteristics, joints usually affected and diagnostic methods.
    3. Describe the different treatment alternatives available, including non-pharmacological and pharmacological that you consider are appropriate for this patient and why.
    4. How would you handle the patient concern about osteoporosis? Describe your interventions and education you would provide to her regarding osteoporosis.

    **Neurological Function:**

    H.M is a 67-year-old female, who recently retired from being a school teacher for the last 40 years. Her husband died 2 years ago due to complications of a CVA. Past medical history: hypertension controlled with Olmesartan 20 mg by mouth once a day. Family history no contributory. Last annual visits with PCP with normal results. She lives by herself but her children live close to her and usually visit her two or three times a week.

    Her daughter start noticing that her mother is having problems focusing when talking to her, she is not keeping things at home as she used to, often is repeating and asking the same question several times and yesterday she has issues remembering her way back home from the grocery store.

    **Case Study Questions**

    1. Name the most common risks factors for Alzheimer’s disease
    2. Name and describe the similarities and the differences between Alzheimer’s disease, Vascular Dementia, Dementia with Lewy bodies, Frontotemporal dementia.
    3. Define and describe explicit and implicit memory.
    4. Describe the diagnosis criteria developed for the Alzheimer’s disease by the National Institute of Aging and the Alzheimer’s Association
    5. What would be the best therapeutic approach on C.J.

    **Submission Instructions:**

    – You must complete both case studies.
    – Your initial post should be at least **500 words per case study**, formatted and cited in current APA style with support from at least 2 academic sources.

    – 2 years ago

  • [Solved] Nursing homework help

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    Executive Solution Overview

    In-depth study guidance and analytical solution covering Nursing homework help.

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    Assignment Prompt & Instructions

    Full assignment prompt and step-by-step guidance are included in the downloadable solution file.

  • [Solved] Tiff week 7

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    tiff week 7 Synthesis Matrix Table Continuation Instructions Now that you are moving deeper into the literature surrounding your proposed project, it is imperative for you to stay engaged with review, appraisal, and synthesis activities. In this unit you have the Scholarship of Application – Part 3 …

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    Assignment Prompt & Instructions

    tiff week 7

    Synthesis Matrix Table Continuation

    Instructions

    Now that you are moving deeper into the literature surrounding your proposed project, it is imperative for you to stay engaged with review, appraisal, and synthesis activities.

    In this unit you have the Scholarship of Application – Part 3 assignment to create a presentation with an overview of the anticipated/desired outcomes from implementing your selected strategy/intervention and the evaluation measure(s) you will utilize to determine if your selected strategy/intervention was effective.

    Using the Synthesis Matrix Table, you submitted in week 4, update the table with a minimum of an additional 5 resources of evidence.

    For this unit table assignment, the next 5 entries in your table will provide support for the evaluation method/approach you have identified to determine the outcome of implementing the selected intervention.

    After completing the table entries for this week, your updated table will now minimally include 15 resources.

    Direct access to the article is essential for grading. Either upload all evidence along with your table or be sure an activated link is provided to ensure it leads directly to the article you are presenting.

    Table 1 and 2 attached with teacher's corrections comments on table 1.

    – [\
    \
    annotated-SynthesisMatrixTableUpdate2025SpringBTerm_11359641.PDF.pdf](https://www.sweetstudy.com/files/annotated-synthesismatrixtableupdate2025springbterm-11359641-pdf-pdf "annotated-SynthesisMatrixTableUpdate2025SpringBTerm_11359641.PDF.pdf")
    – [\
    \
    SynthesisMatrixTableUpdate2025SpringBTerm_1135964111.PDF](https://www.sweetstudy.com/files/synthesismatrixtableupdate2025springbterm-1135964111-pdf "SynthesisMatrixTableUpdate2025SpringBTerm_1135964111.PDF")

    – 2 years ago

  • [Solved] hi

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    – 2 years ago **files (1)** – ## ProjectGoals4.docx **## ProjectGoals4.docx** Project Goals and Priorities Our project is focused on increasing the numbers of patients at Lakeland Clinic by enhancing staff cultural competence, re-establishing trust with the Haitian community, and improving clinic ut…

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    Assignment Prompt & Instructions

    – 2 years ago

    **files (1)**

    – ## ProjectGoals4.docx

    **## ProjectGoals4.docx**

    Project Goals and Priorities

    Our project is focused on increasing the numbers of patients at Lakeland Clinic by enhancing staff cultural competence, re-establishing trust with the Haitian community, and improving clinic utilization. These three key initial priorities were selected because of their capacity to effect quick and significant change. First, we want to evaluate our operations and pinpoint specific areas where cultural knowledge is lacking. Second, we want to train staff in Haitian health beliefs and practices to increase understanding on the part of the Haitian patients. Third, open up community outreach initiatives to start proving that we are committed to cultural responsiveness and begin rebuilding the trust of the community we serve.

    The Importance of Priorities

    Such priorities are central to effecting any meaningful change. Culturally, the data deriving from the assessment will inform us of the present situation and best measure improvement. Education directly tackles the issue at the core of the clinic director's concerns: the staff do not understand cultural values and norms. Since trust needs to be rebuilt actively, simply changing internal processes is not enough. Research indicates that disparities will diminish when providers are aware of cultural health beliefs. Together, these priorities become the basis for sustainable improvements in care delivery for Haitian patients and an increased number of clinic visits.

    The Team Composition Overview

    The combined internal knowledge and external expertise of our diverse team empower us. Internal clinical and administrative representatives are needed for insight into our operations while maintaining a critical viewpoint. The cultural competence expert will lend knowledge concerning health care diversity issues. A community representative makes sure that we hear the voices of our clientele, while a healthcare interpreter provides linguistic and cultural insights. Above all, this group of collaborators will guarantee that various points of view are considered while allowing for the work to be manageable. Those varied perspectives allow enrichment to our understanding of how the healthcare system interacts with culture.

    Team Member Profiles

    Each team member brings unique value to our initiative. The nurse practitioner has experience with direct patient interaction and knows about potential changes to clinical workflows. The patient services coordinator understands our administrative systems and can identify procedural hurdles. The external cultural consultant offers an unbiased opinion and best practices from other settings within the healthcare realm. The community representative ensures real voice and community buy-in. The interpreter brings specialized knowledge of both language and cultural nuances influencing healthcare communication. This balanced team combines operational proficiency and cultural expertise to design holistic solutions.

    Committee Function and Leadership

    My leadership style will be transformational, leading with the intent of empowering change through a vision that captures the heart, while motivating creativity. I foresee the committee meeting bi-weekly, with one week assigned to lengthy discussions and relationship nurturing, and the other week using a HIPAA-compliant electronic platform for document sharing, ongoing conversations, and interactions. Recommendations will be made on the basis of consensus, whereby all views would be captured in the process. Each recommendation will have one main lead person responsible for its research and development, but any final decisions will reflect group input. Such a process allows us some level of timely efficiency and engagement to keep the focus while appreciating divergence of opinion.

    Collaboration Techniques

    The collaborative effectiveness will be maximized by conducting structured dialogues in which there is input time for each participant to present viewpoints without interference. The mapping of cultural journeys will depict the patient experience through cultural lenses and create shared understanding. Through community listening sessions will be procured continued feedback. We would adapt the RACI framework, that is, 'Responsible', 'Accountable', 'Consulted', and 'Informed', specifying roles while allowing collaboration. Our schedule includes concrete milestones with progress reviews and opportunities to insert new understandings along the way. These methods have been well tested among healthcare teams attempting to handle diversity issues.

    The Features of Diverse Workplace

    A true diversity workplace goes far beyond numerical representation; rather, it creates a safe space for valuing differences. Representation, inclusiveness, policy equity, and an acknowledgment of ongoing learning through cultural humility are some of its primary characteristics. Equal opportunities mean eliminating systemic barriers. Psychological safety exists when diverse opinions can be expressed freely by team members. Above all, unwavering commitment to diversity principles manifests through leadership. These characteristics combined will create a workplace environment that fosters a sense of respect and value among its employees and patients.

    Benefits of the Workplace Diversity

    Studies have constantly reported several ethical benefits of workplace diversity in the healthcare environment. According to the report by Stanford (2020), different health teams understand the needs of their patients and are therefore able to provide services that satisfy these needs. Khan et al. (2020) reported that diverse teams have the ability to innovate and problem-solve better because of their varying perspectives on complex problems. According to Suhanda and Pratami (2021), diverse practices result in trust and people engagement in a community where the healthcare organization is found. Last but not the least, it has also been proven that diversity efforts reduce healthcare disparities and broaden market access, rendering services more accessible to populations that have previously been underserved-issues that directly face utilization challenges in our clinic.

    **## ProjectGoals4.docx**

    Project Goals and Priorities

    Our project is focused on increasing the numbers of patients at Lakeland Clinic by enhancing staff cultural competence, re-establishing trust with the Haitian community, and improving clinic utilization. These three key initial priorities were selected because of their capacity to effect quick and significant change. First, we want to evaluate our operations and pinpoint specific areas where cultural knowledge is lacking. Second, we want to train staff in Haitian health beliefs and practices to increase understanding on the part of the Haitian patients. Third, open up community outreach initiatives to start proving that we are committed to cultural responsiveness and begin rebuilding the trust of the community we serve.

    The Importance of Priorities

    Such priorities are central to effecting any meaningful change. Culturally, the data deriving from the assessment will inform us of the present situation and best measure improvement. Education directly tackles the issue at the core of the clinic director's concerns: the staff do not understand cultural values and norms. Since trust needs to be rebuilt actively, simply changing internal processes is not enough. Research indicates that disparities will diminish when providers are aware of cultural health beliefs. Together, these priorities become the basis for sustainable improvements in care delivery for Haitian patients and an increased number of clinic visits.

    The Team Composition Overview

    The combined internal knowledge and external expertise of our diverse team empower us. Internal clinical and administrative representatives are needed for insight into our operations while maintaining a critical viewpoint. The cultural competence expert will lend knowledge concerning health care diversity issues. A community representative makes sure that we hear the voices of our clientele, while a healthcare interpreter provides linguistic and cultural insights. Above all, this group of collaborators will guarantee that various points of view are considered while allowing for the work to be manageable. Those varied perspectives allow enrichment to our understanding of how the healthcare system interacts with culture.

    Team Member Profiles

    Each team member brings unique value to our initiative. The nurse practitioner has experience with direct patient interaction and knows about potential changes to clinical workflows. The patient services coordinator understands our administrative systems and can identify procedural hurdles. The external cultural consultant offers an unbiased opinion and best practices from other settings within the healthcare realm. The community representative ensures real voice and community buy-in. The interpreter brings specialized knowledge of both language and cultural nuances influencing healthcare communication. This balanced team combines operational proficiency and cultural expertise to design holistic solutions.

    Committee Function and Leadership

    My leadership style will be transformational, leading with the intent of empowering change through a vision that captures the heart, while motivating creativity. I foresee the committee meeting bi-weekly, with one week assigned to lengthy discussions and relationship nurturing, and the other week using a HIPAA-compliant electronic platform for document sharing, ongoing conversations, and interactions. Recommendations will be made on the basis of consensus, whereby all views would be captured in the process. Each recommendation will have one main lead person responsible for its research and development, but any final decisions will reflect group input. Such a process allows us some level of timely efficiency and engagement to keep the focus while appreciating divergence of opinion.

    Collaboration Techniques

    The collaborative effectiveness will be maximized by conducting structured dialogues in which there is input time for each participant to present viewpoints without interference. The mapping of cultural journeys will depict the patient experience through cultural lenses and create shared understanding. Through community listening sessions will be procured continued feedback. We would adapt the RACI framework, that is, 'Responsible', 'Accountable', 'Consulted', and 'Informed', specifying roles while allowing collaboration. Our schedule includes concrete milestones with progress reviews and opportunities to insert new understandings along the way. These methods have been well tested among healthcare teams attempting to handle diversity issues.

    The Features of Diverse Workplace

    A true diversity workplace goes far beyond numerical representation; rather, it creates a safe space for valuing differences. Representation, inclusiveness, policy equity, and an acknowledgment of ongoing learning through cultural humility are some of its primary characteristics. Equal opportunities mean eliminating systemic barriers. Psychological safety exists when diverse opinions can be expressed freely by team members. Above all, unwavering commitment to diversity principles manifests through leadership. These characteristics combined will create a workplace environment that fosters a sense of respect and value among its employees and patients.

    Benefits of the Workplace Diversity

    Studies have constantly reported several ethical benefits of workplace diversity in the healthcare environment. According to the report by Stanford (2020), different health teams understand the needs of their patients and are therefore able to provide services that satisfy these needs. Khan et al. (2020) reported that diverse teams have the ability to innovate and problem-solve better because of their varying perspectives on complex problems. According to Suhanda and Pratami (2021), diverse practices result in trust and people engagement in a community where the healthcare organization is found. Last but not the least, it has also been proven that diversity efforts reduce healthcare disparities and broaden market access, rendering services more accessible to populations that have previously been underserved-issues that directly face utilization challenges in our clinic.

  • [Solved] Genogram Family Analysis

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    i live with my younger brother, please refer to the hand-drawn genogram for my family tree – 2 years ago **files (4)** – ## explaining_genograms.pdf – Screenshot2025-04-14at11.31.54.png – Screenshot2025-04-14at11.31.42.png – comprehensivegenogram.pdf **## explaining_genograms.pdf** Biological Chil…

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    i live with my younger brother, please refer to the hand-drawn genogram for my family tree

    – 2 years ago

    **files (4)**

    – ## explaining_genograms.pdf

    – Screenshot2025-04-14at11.31.54.png
    – Screenshot2025-04-14at11.31.42.png
    – comprehensivegenogram.pdf

    **## explaining_genograms.pdf**

    Biological
    Child

    Foster
    Child

    Adopted
    Child

    Stillbirth

    Twins Identical
    Twins

    Pregnancy

    Miscarriage
    Abortion

    Children: List in birth order beginning with the oldest on left

    ‘92- ‘94- ‘95- ‘03- ‘03- ‘04- ‘04- ‘05-

    ‘97-97
    -‘99 -‘01

    13 11 10

    Standard Symbols for Genograms

    LW 98-99 A ‘97

    m 1970

    AA

    Therapist Therapist

    Male

    written on
    left above
    of symbol

    ‘41-

    ‘72-
    $100,000

    ‘41-

    an X through Symbol
    Age at death in box
    Death date on right

    above symbol

    written
    inside

    symbol

    Birth Date DeathAge

    Pet

    Significant
    Institutional
    Connection

    Female

    Man to
    woman

    Woman
    to man

    Gay/Lesbian

    Transgender People

    23

    written above
    birth & death date

    1943-2002‘82-

    59

    Location &
    Annual Income

    Boston

    Bisexual

    Immigration

    Family Secret

    ‘41-

    Person who
    has lived in
    2 + cultures

    Heterosexual

    Marital Separation

    met ‘88,, m ‘90 s ’95 m ‘90 s ’95 d ‘97
    m ‘90, s 95-96, s 96, d ‘97

    remar ’00, rediv 02

    Divorce Divorce and Remarriage

    Marriage

    m 1970

    Relationship

    LT ‘95

    LT = Living Together

    m ‘03 m ‘05

    Secret
    Affair

    Affair ‘95

    Couple
    Relationship

    Rel 95, LT 97

    Committed

    Close“spiritual” connection

    Physical or
    Psychological illness

    Alcohol or Drug abuse

    Suspected alcohol
    or drug abuse

    Physical or
    Psychological illness
    in remission

    In Recovery from
    alcohol or drug abuse

    In recovery from
    substance abuse and
    mental or Physical problems

    Serious mental and
    physical problems
    and substance abuse

    Symbols Denoting Interactional
    Patterns between People

    Symbols Denoting Addiction, and Physical or Mental Illness

    Fused

    Hostile

    Close-HostileDistant Focused On

    Fused-Hostile Cutoff Repaired

    CaretakerPhysical Abuse Sexual AbuseEmotional Abuse

    Cutoff

    Egg donor

    Sperm donor
    Surrogate

    Mother

    Gay Couple whose
    daughter was
    conceived
    with sperm of
    John and
    an egg donor, and
    carried by surrogate
    mother till birth.

    Lesbian couple
    whose daughter
    was conceived
    with egg
    of one partner
    and
    sperm donor.

    1943-2002
    $100,000

    ‘75-
    $100,000

    ‘73-
    35,000

    ‘81-
    $45,000

    John Jenny
    C.P.A.

    Highland Park, NJ

    San FranciscoLondonArizona

    H.S.+2
    Secretary

    Peter
    M.B.A

    Alicia
    P.h.D

    Mark
    B.A.

    ComputersHistory Prof

    ‘53-
    $28,000Annual income is written

    just above the
    birth & death date.

    Typically you would include
    the person’s occupation
    and education near the
    name and the person’s
    whereabouts at the top
    of the line connecting to
    the symbol.

    59 52

    32 30 24

    m. 1970

    Artificial Insemination

    Symbol for Immigration =

    Smoker
    S

    Obesity
    O

    Language Problem
    L

    Siblings of Primary
    Genogram Members are written
    smaller and higher. Spouses are

    written smaller and lower:

    31

    62 58

    2628

    s ‘01

    ?94-

    ‘01

    ‘01
    ‘01

    38 39 31 26

    0

    0

    10

    Child Raised from
    Birth by His

    Granduncle and Aunt

    Foster Children

    Adopted Child

    Household

    Adopted at 5

    Use an arrow to show
    family into which child moved

    Use an arrow to show family
    into which child moved

    A = 1999

    Symbol for
    Immigration

    1945-
    $60,000
    Chicago

    $40,000
    Chicago

    1944-

    $100,000

    $28,000

    London

    Chicago

    BuddhismRoman
    Catholic

    Ed

    Sam

    Jolie

    Judy

    Therapist

    LH ’00

    ‘82
    ‘79

    Dog-Muff

    63

    24
    27

    62
    m. 1970

    POLISH JEWISH

    Household shown by encircling members living together
    (Couple living with their dog after launching Children)

    Siblings are written smaller
    and higher than IP.
    Spouses are written
    smaller and lower.

    Served in
    Vietnam

    m ‘85 d ’89
    1st 2nd 3th

    1st

    1st 1st2nd

    2nd 3th

    m ‘90 d ’00 m ‘02

    m ‘83 d ’88 m ‘89 d ’93 m ‘96

    1

    2

    3

    4

    Husband, His Current Wife and his Ex-Wives (who are shown lower and smaller).
    Husband’s wives may go on left to be closest to him. Indicators “1st,” “2nd” etc.
    make clear the oader of his marriages.

    Wife, Her Current Husband and her Ex-Husbands (who are shown lower and smaller).
    Wife’s previous relationships are shown on left to keep children in birth order, since
    they remained in her custody.

    Couple with 3 year old, showing their previous spouses (smaller) and those spouses’
    new partners (even smaller)

    Couple living with their joint child and her child from a previous relationship. The other
    spouses of the partners are shown smaller and lower on either side of the present
    household, indicated by a dotted line.

    m ‘77 d ‘80

    ‘55- ‘65-

    m ‘81 d ‘86

    m ‘87 d ‘90

    m ‘92 d ‘97

    ‘94-‘82- ‘84-

    m ‘85 d ‘89

    m‘ 90 d ‘93

    m ‘95 d ‘97

    m ‘99 d ‘01lo. m ‘02

    223 21 11

    50 40

    10
    ‘95-‘03-

    m ‘94 d ’99 m ‘02 m ‘94 d ’98 m ‘90 d ’92

    3

    81318

    98 14

    02-97- 96- 91-

    3

    **Screenshot2025-04-14at11.31.54.png**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/screenshot2025-04-14at11-31-54-png)

    **Screenshot2025-04-14at11.31.42.png**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/screenshot2025-04-14at11-31-42-png)

    **comprehensivegenogram.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/comprehensivegenogram-pdf)

    **comprehensivegenogram.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/comprehensivegenogram-pdf)

    **## explaining_genograms.pdf**

    Biological
    Child

    Foster
    Child

    Adopted
    Child

    Stillbirth

    Twins Identical
    Twins

    Pregnancy

    Miscarriage
    Abortion

    Children: List in birth order beginning with the oldest on left

    ‘92- ‘94- ‘95- ‘03- ‘03- ‘04- ‘04- ‘05-

    ‘97-97
    -‘99 -‘01

    13 11 10

    Standard Symbols for Genograms

    LW 98-99 A ‘97

    m 1970

    AA

    Therapist Therapist

    Male

    written on
    left above
    of symbol

    ‘41-

    ‘72-
    $100,000

    ‘41-

    an X through Symbol
    Age at death in box
    Death date on right

    above symbol

    written
    inside

    symbol

    Birth Date DeathAge

    Pet

    Significant
    Institutional
    Connection

    Female

    Man to
    woman

    Woman
    to man

    Gay/Lesbian

    Transgender People

    23

    written above
    birth & death date

    1943-2002‘82-

    59

    Location &
    Annual Income

    Boston

    Bisexual

    Immigration

    Family Secret

    ‘41-

    Person who
    has lived in
    2 + cultures

    Heterosexual

    Marital Separation

    met ‘88,, m ‘90 s ’95 m ‘90 s ’95 d ‘97
    m ‘90, s 95-96, s 96, d ‘97

    remar ’00, rediv 02

    Divorce Divorce and Remarriage

    Marriage

    m 1970

    Relationship

    LT ‘95

    LT = Living Together

    m ‘03 m ‘05

    Secret
    Affair

    Affair ‘95

    Couple
    Relationship

    Rel 95, LT 97

    Committed

    Close“spiritual” connection

    Physical or
    Psychological illness

    Alcohol or Drug abuse

    Suspected alcohol
    or drug abuse

    Physical or
    Psychological illness
    in remission

    In Recovery from
    alcohol or drug abuse

    In recovery from
    substance abuse and
    mental or Physical problems

    Serious mental and
    physical problems
    and substance abuse

    Symbols Denoting Interactional
    Patterns between People

    Symbols Denoting Addiction, and Physical or Mental Illness

    Fused

    Hostile

    Close-HostileDistant Focused On

    Fused-Hostile Cutoff Repaired

    CaretakerPhysical Abuse Sexual AbuseEmotional Abuse

    Cutoff

    Egg donor

    Sperm donor
    Surrogate

    Mother

    Gay Couple whose
    daughter was
    conceived
    with sperm of
    John and
    an egg donor, and
    carried by surrogate
    mother till birth.

    Lesbian couple
    whose daughter
    was conceived
    with egg
    of one partner
    and
    sperm donor.

    1943-2002
    $100,000

    ‘75-
    $100,000

    ‘73-
    35,000

    ‘81-
    $45,000

    John Jenny
    C.P.A.

    Highland Park, NJ

    San FranciscoLondonArizona

    H.S.+2
    Secretary

    Peter
    M.B.A

    Alicia
    P.h.D

    Mark
    B.A.

    ComputersHistory Prof

    ‘53-
    $28,000Annual income is written

    just above the
    birth & death date.

    Typically you would include
    the person’s occupation
    and education near the
    name and the person’s
    whereabouts at the top
    of the line connecting to
    the symbol.

    59 52

    32 30 24

    m. 1970

    Artificial Insemination

    Symbol for Immigration =

    Smoker
    S

    Obesity
    O

    Language Problem
    L

    Siblings of Primary
    Genogram Members are written
    smaller and higher. Spouses are

    written smaller and lower:

    31

    62 58

    2628

    s ‘01

    ?94-

    ‘01

    ‘01
    ‘01

    38 39 31 26

    0

    0

    10

    Child Raised from
    Birth by His

    Granduncle and Aunt

    Foster Children

    Adopted Child

    Household

    Adopted at 5

    Use an arrow to show
    family into which child moved

    Use an arrow to show family
    into which child moved

    A = 1999

    Symbol for
    Immigration

    1945-
    $60,000
    Chicago

    $40,000
    Chicago

    1944-

    $100,000

    $28,000

    London

    Chicago

    BuddhismRoman
    Catholic

    Ed

    Sam

    Jolie

    Judy

    Therapist

    LH ’00

    ‘82
    ‘79

    Dog-Muff

    63

    24
    27

    62
    m. 1970

    POLISH JEWISH

    Household shown by encircling members living together
    (Couple living with their dog after launching Children)

    Siblings are written smaller
    and higher than IP.
    Spouses are written
    smaller and lower.

    Served in
    Vietnam

    m ‘85 d ’89
    1st 2nd 3th

    1st

    1st 1st2nd

    2nd 3th

    m ‘90 d ’00 m ‘02

    m ‘83 d ’88 m ‘89 d ’93 m ‘96

    1

    2

    3

    4

    Husband, His Current Wife and his Ex-Wives (who are shown lower and smaller).
    Husband’s wives may go on left to be closest to him. Indicators “1st,” “2nd” etc.
    make clear the oader of his marriages.

    Wife, Her Current Husband and her Ex-Husbands (who are shown lower and smaller).
    Wife’s previous relationships are shown on left to keep children in birth order, since
    they remained in her custody.

    Couple with 3 year old, showing their previous spouses (smaller) and those spouses’
    new partners (even smaller)

    Couple living with their joint child and her child from a previous relationship. The other
    spouses of the partners are shown smaller and lower on either side of the present
    household, indicated by a dotted line.

    m ‘77 d ‘80

    ‘55- ‘65-

    m ‘81 d ‘86

    m ‘87 d ‘90

    m ‘92 d ‘97

    ‘94-‘82- ‘84-

    m ‘85 d ‘89

    m‘ 90 d ‘93

    m ‘95 d ‘97

    m ‘99 d ‘01lo. m ‘02

    223 21 11

    50 40

    10
    ‘95-‘03-

    m ‘94 d ’99 m ‘02 m ‘94 d ’98 m ‘90 d ’92

    3

    81318

    98 14

    02-97- 96- 91-

    3

    **Screenshot2025-04-14at11.31.54.png**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/screenshot2025-04-14at11-31-54-png)

    **Screenshot2025-04-14at11.31.42.png**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/screenshot2025-04-14at11-31-42-png)

    **comprehensivegenogram.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/comprehensivegenogram-pdf)

    **## explaining_genograms.pdf**

    Biological
    Child

    Foster
    Child

    Adopted
    Child

    Stillbirth

    Twins Identical
    Twins

    Pregnancy

    Miscarriage
    Abortion

    Children: List in birth order beginning with the oldest on left

    ‘92- ‘94- ‘95- ‘03- ‘03- ‘04- ‘04- ‘05-

    ‘97-97
    -‘99 -‘01

    13 11 10

    Standard Symbols for Genograms

    LW 98-99 A ‘97

    m 1970

    AA

    Therapist Therapist

    Male

    written on
    left above
    of symbol

    ‘41-

    ‘72-
    $100,000

    ‘41-

    an X through Symbol
    Age at death in box
    Death date on right

    above symbol

    written
    inside

    symbol

    Birth Date DeathAge

    Pet

    Significant
    Institutional
    Connection

    Female

    Man to
    woman

    Woman
    to man

    Gay/Lesbian

    Transgender People

    23

    written above
    birth & death date

    1943-2002‘82-

    59

    Location &
    Annual Income

    Boston

    Bisexual

    Immigration

    Family Secret

    ‘41-

    Person who
    has lived in
    2 + cultures

    Heterosexual

    Marital Separation

    met ‘88,, m ‘90 s ’95 m ‘90 s ’95 d ‘97
    m ‘90, s 95-96, s 96, d ‘97

    remar ’00, rediv 02

    Divorce Divorce and Remarriage

    Marriage

    m 1970

    Relationship

    LT ‘95

    LT = Living Together

    m ‘03 m ‘05

    Secret
    Affair

    Affair ‘95

    Couple
    Relationship

    Rel 95, LT 97

    Committed

    Close“spiritual” connection

    Physical or
    Psychological illness

    Alcohol or Drug abuse

    Suspected alcohol
    or drug abuse

    Physical or
    Psychological illness
    in remission

    In Recovery from
    alcohol or drug abuse

    In recovery from
    substance abuse and
    mental or Physical problems

    Serious mental and
    physical problems
    and substance abuse

    Symbols Denoting Interactional
    Patterns between People

    Symbols Denoting Addiction, and Physical or Mental Illness

    Fused

    Hostile

    Close-HostileDistant Focused On

    Fused-Hostile Cutoff Repaired

    CaretakerPhysical Abuse Sexual AbuseEmotional Abuse

    Cutoff

    Egg donor

    Sperm donor
    Surrogate

    Mother

    Gay Couple whose
    daughter was
    conceived
    with sperm of
    John and
    an egg donor, and
    carried by surrogate
    mother till birth.

    Lesbian couple
    whose daughter
    was conceived
    with egg
    of one partner
    and
    sperm donor.

    1943-2002
    $100,000

    ‘75-
    $100,000

    ‘73-
    35,000

    ‘81-
    $45,000

    John Jenny
    C.P.A.

    Highland Park, NJ

    San FranciscoLondonArizona

    H.S.+2
    Secretary

    Peter
    M.B.A

    Alicia
    P.h.D

    Mark
    B.A.

    ComputersHistory Prof

    ‘53-
    $28,000Annual income is written

    just above the
    birth & death date.

    Typically you would include
    the person’s occupation
    and education near the
    name and the person’s
    whereabouts at the top
    of the line connecting to
    the symbol.

    59 52

    32 30 24

    m. 1970

    Artificial Insemination

    Symbol for Immigration =

    Smoker
    S

    Obesity
    O

    Language Problem
    L

    Siblings of Primary
    Genogram Members are written
    smaller and higher. Spouses are

    written smaller and lower:

    31

    62 58

    2628

    s ‘01

    ?94-

    ‘01

    ‘01
    ‘01

    38 39 31 26

    0

    0

    10

    Child Raised from
    Birth by His

    Granduncle and Aunt

    Foster Children

    Adopted Child

    Household

    Adopted at 5

    Use an arrow to show
    family into which child moved

    Use an arrow to show family
    into which child moved

    A = 1999

    Symbol for
    Immigration

    1945-
    $60,000
    Chicago

    $40,000
    Chicago

    1944-

    $100,000

    $28,000

    London

    Chicago

    BuddhismRoman
    Catholic

    Ed

    Sam

    Jolie

    Judy

    Therapist

    LH ’00

    ‘82
    ‘79

    Dog-Muff

    63

    24
    27

    62
    m. 1970

    POLISH JEWISH

    Household shown by encircling members living together
    (Couple living with their dog after launching Children)

    Siblings are written smaller
    and higher than IP.
    Spouses are written
    smaller and lower.

    Served in
    Vietnam

    m ‘85 d ’89
    1st 2nd 3th

    1st

    1st 1st2nd

    2nd 3th

    m ‘90 d ’00 m ‘02

    m ‘83 d ’88 m ‘89 d ’93 m ‘96

    1

    2

    3

    4

    Husband, His Current Wife and his Ex-Wives (who are shown lower and smaller).
    Husband’s wives may go on left to be closest to him. Indicators “1st,” “2nd” etc.
    make clear the oader of his marriages.

    Wife, Her Current Husband and her Ex-Husbands (who are shown lower and smaller).
    Wife’s previous relationships are shown on left to keep children in birth order, since
    they remained in her custody.

    Couple with 3 year old, showing their previous spouses (smaller) and those spouses’
    new partners (even smaller)

    Couple living with their joint child and her child from a previous relationship. The other
    spouses of the partners are shown smaller and lower on either side of the present
    household, indicated by a dotted line.

    m ‘77 d ‘80

    ‘55- ‘65-

    m ‘81 d ‘86

    m ‘87 d ‘90

    m ‘92 d ‘97

    ‘94-‘82- ‘84-

    m ‘85 d ‘89

    m‘ 90 d ‘93

    m ‘95 d ‘97

    m ‘99 d ‘01lo. m ‘02

    223 21 11

    50 40

    10
    ‘95-‘03-

    m ‘94 d ’99 m ‘02 m ‘94 d ’98 m ‘90 d ’92

    3

    81318

    98 14

    02-97- 96- 91-

    3

    **Screenshot2025-04-14at11.31.54.png**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/screenshot2025-04-14at11-31-54-png)

    **Screenshot2025-04-14at11.31.42.png**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/screenshot2025-04-14at11-31-42-png)

    **comprehensivegenogram.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/comprehensivegenogram-pdf)

  • [Solved] module 7

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    – [\ \ Screenshot2025-04-14at11.33.38.png](https://www.sweetstudy.com/files/screenshot2025-04-14at11-33-38-png "Screenshot2025-04-14at11.33.38.png") – 2 years ago

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    – 2 years ago

  • [Solved] module 6

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    my culture is hispanic (Colombian) – [\ \ Screenshot2025-04-14at11.32.55.png](https://www.sweetstudy.com/files/screenshot2025-04-14at11-32-55-png "Screenshot2025-04-14at11.32.55.png") – 2 years ago

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    my culture is hispanic (Colombian)

    – [\
    \
    Screenshot2025-04-14at11.32.55.png](https://www.sweetstudy.com/files/screenshot2025-04-14at11-32-55-png "Screenshot2025-04-14at11.32.55.png")

    – 2 years ago

  • [Solved] policy

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  • [Solved] Quality Improvement project

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    – 2 years ago **files (1)** – ## QualityImprovementProject-Spring2025LeadershipinProfessionalNursingNURS-4561-01B-TexasAM-Commerce.pdf **## QualityImprovementProject-Spring2025LeadershipinProfessionalNursingNURS-4561-01B-TexasAM-Commerce.pdf** Quality Improvement Project Hide Assignment Information …

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    – 2 years ago

    **files (1)**

    – ## QualityImprovementProject-Spring2025LeadershipinProfessionalNursingNURS-4561-01B-TexasAM-Commerce.pdf

    **## QualityImprovementProject-Spring2025LeadershipinProfessionalNursingNURS-4561-01B-TexasAM-Commerce.pdf**

    Quality Improvement Project

    Hide Assignment Information

    Instructions

    Spring 2025 Leadership in Professional Nursing (NURS-… SD

    Assignments Quality Improvement Project

    The purpose of this assignment is to immerse the BSN student in an active quality
    improvement (QI) initiative on their assigned unit, critically analyze its
    implementation, and contribute meaningfully to its success. The student will explore
    the rationale behind the project, assess its effectiveness, and propose or participate
    in a small-scale audit or data collection effort to support the initiative.

    Assignment Details:

    1. Identify the Quality Improvement Project

    Meet with your unit preceptor or nurse manager to discuss the current quality
    improvement (QI) projects on your assigned unit.

    Select one project to analyze (e.g., reducing hospital-acquired pressure injuries
    (HAPIs), improving hand hygiene compliance, reducing fall rates, enhancing
    pain reassessment documentation, etc.).

    Provide a summary (300-500 words) of the QI initiative, including:

    The problem it addresses

    The goals and expected outcomes

    How the unit is implementing the initiative (e.g., new protocols, staff
    education, process changes)

    2. Review Best Practices & Evidence

    Conduct a brief literature review (at least two peer-reviewed sources within
    the last five years) related to the QI topic.

    Summarize evidence-based practices that support the initiative (250-300
    words).

    Compare the unit’s approach with best practices found in the literature.

    3. Participate in the Initiative

    Engage in the project by completing a small-scale audit, observation, or data
    collection process. Examples include:

    For a HAPI reduction project: Conduct audits on whether staff are
    adhering to the turning schedule and provide feedback.

    4/14/25, 9:30 AM Quality Improvement Project – Spring 2025 Leadership in Professional Nursing (NURS-4561-01B) – Texas A&M – Commerce

    https://myleoonline.tamuc.edu/d2l/lms/dropbox/user/folder_submit_files.d2l?db=256109&grpid=0&isprv=0&bp=0&ou=181927 1/3

    [https://myleoonline.tamuc.edu/d2l/home/181927](https://myleoonline.tamuc.edu/d2l/home/181927)

    [https://myleoonline.tamuc.edu/d2l/lms/dropbox/user/folders_list.d2l?ou=181927](https://myleoonline.tamuc.edu/d2l/lms/dropbox/user/folders_list.d2l?ou=181927)

    For a falls prevention project: Observe whether fall risk precautions are
    consistently in place (e.g., bed alarms, signage, non-slip socks).

    For a hand hygiene initiative: Perform hand hygiene compliance checks
    during your shift.

    Record at least 10 observations and summarize your findings in a table or
    spreadsheet.

    Reflect on your observations: Are staff following the protocol? What barriers
    do they face?

    4. Provide Feedback & Recommendations

    Compile a one-page report summarizing your findings and submit it to your
    preceptor or nurse manager.

    Include:

    The number of audits conducted and findings

    Strengths of the process implementation

    Barriers or challenges you observed

    At least one recommendation to improve compliance or effectiveness

    5. Reflect on Your Role as a Future Nurse

    In a 500-word reflection, discuss:

    Your role in supporting QI as a student and future RN

    How frontline nurses can drive meaningful change

    What you learned from participating in this initiative

    Submission Format: Word document, submitted via LMS

    Evaluation Criteria:

    Component Points Criteria

    QI Project Summary 20
    Clearly describes the project, rationale, and goals
    (300-500 words)

    Literature Review 20
    Uses recent evidence; connects to unit initiative
    (250-300 words, 2+ peer-reviewed sources)

    Data Collection 20
    Completes audit with at least 10 observations
    (at least 10 observations)

    Manager Report 20
    Summarizes findings, identifies barriers, and gives
    recommendations
    (one page)

    Reflection 20
    Thoughtfully reflects on learning and role in QI
    (500 words)

    Total 100 (Pass 85-100 points)

    4/14/25, 9:30 AM Quality Improvement Project – Spring 2025 Leadership in Professional Nursing (NURS-4561-01B) – Texas A&M – Commerce

    https://myleoonline.tamuc.edu/d2l/lms/dropbox/user/folder_submit_files.d2l?db=256109&grpid=0&isprv=0&bp=0&ou=181927 2/3

    Add a File Record Audio Record Video

    Due on Apr 27, 2025 11:59 PM

    Submit Assignment

    Files to submit

    (0) file(s) to submit

    After uploading, you must click Submit to complete the submission.

    Comments

    4/14/25, 9:30 AM Quality Improvement Project – Spring 2025 Leadership in Professional Nursing (NURS-4561-01B) – Texas A&M – Commerce

    https://myleoonline.tamuc.edu/d2l/lms/dropbox/user/folder_submit_files.d2l?db=256109&grpid=0&isprv=0&bp=0&ou=181927 3/3

    **## QualityImprovementProject-Spring2025LeadershipinProfessionalNursingNURS-4561-01B-TexasAM-Commerce.pdf**

    Quality Improvement Project

    Hide Assignment Information

    Instructions

    Spring 2025 Leadership in Professional Nursing (NURS-… SD

    Assignments Quality Improvement Project

    The purpose of this assignment is to immerse the BSN student in an active quality
    improvement (QI) initiative on their assigned unit, critically analyze its
    implementation, and contribute meaningfully to its success. The student will explore
    the rationale behind the project, assess its effectiveness, and propose or participate
    in a small-scale audit or data collection effort to support the initiative.

    Assignment Details:

    1. Identify the Quality Improvement Project

    Meet with your unit preceptor or nurse manager to discuss the current quality
    improvement (QI) projects on your assigned unit.

    Select one project to analyze (e.g., reducing hospital-acquired pressure injuries
    (HAPIs), improving hand hygiene compliance, reducing fall rates, enhancing
    pain reassessment documentation, etc.).

    Provide a summary (300-500 words) of the QI initiative, including:

    The problem it addresses

    The goals and expected outcomes

    How the unit is implementing the initiative (e.g., new protocols, staff
    education, process changes)

    2. Review Best Practices & Evidence

    Conduct a brief literature review (at least two peer-reviewed sources within
    the last five years) related to the QI topic.

    Summarize evidence-based practices that support the initiative (250-300
    words).

    Compare the unit’s approach with best practices found in the literature.

    3. Participate in the Initiative

    Engage in the project by completing a small-scale audit, observation, or data
    collection process. Examples include:

    For a HAPI reduction project: Conduct audits on whether staff are
    adhering to the turning schedule and provide feedback.

    4/14/25, 9:30 AM Quality Improvement Project – Spring 2025 Leadership in Professional Nursing (NURS-4561-01B) – Texas A&M – Commerce

    https://myleoonline.tamuc.edu/d2l/lms/dropbox/user/folder_submit_files.d2l?db=256109&grpid=0&isprv=0&bp=0&ou=181927 1/3

    [https://myleoonline.tamuc.edu/d2l/home/181927](https://myleoonline.tamuc.edu/d2l/home/181927)

    [https://myleoonline.tamuc.edu/d2l/lms/dropbox/user/folders_list.d2l?ou=181927](https://myleoonline.tamuc.edu/d2l/lms/dropbox/user/folders_list.d2l?ou=181927)

    For a falls prevention project: Observe whether fall risk precautions are
    consistently in place (e.g., bed alarms, signage, non-slip socks).

    For a hand hygiene initiative: Perform hand hygiene compliance checks
    during your shift.

    Record at least 10 observations and summarize your findings in a table or
    spreadsheet.

    Reflect on your observations: Are staff following the protocol? What barriers
    do they face?

    4. Provide Feedback & Recommendations

    Compile a one-page report summarizing your findings and submit it to your
    preceptor or nurse manager.

    Include:

    The number of audits conducted and findings

    Strengths of the process implementation

    Barriers or challenges you observed

    At least one recommendation to improve compliance or effectiveness

    5. Reflect on Your Role as a Future Nurse

    In a 500-word reflection, discuss:

    Your role in supporting QI as a student and future RN

    How frontline nurses can drive meaningful change

    What you learned from participating in this initiative

    Submission Format: Word document, submitted via LMS

    Evaluation Criteria:

    Component Points Criteria

    QI Project Summary 20
    Clearly describes the project, rationale, and goals
    (300-500 words)

    Literature Review 20
    Uses recent evidence; connects to unit initiative
    (250-300 words, 2+ peer-reviewed sources)

    Data Collection 20
    Completes audit with at least 10 observations
    (at least 10 observations)

    Manager Report 20
    Summarizes findings, identifies barriers, and gives
    recommendations
    (one page)

    Reflection 20
    Thoughtfully reflects on learning and role in QI
    (500 words)

    Total 100 (Pass 85-100 points)

    4/14/25, 9:30 AM Quality Improvement Project – Spring 2025 Leadership in Professional Nursing (NURS-4561-01B) – Texas A&M – Commerce

    https://myleoonline.tamuc.edu/d2l/lms/dropbox/user/folder_submit_files.d2l?db=256109&grpid=0&isprv=0&bp=0&ou=181927 2/3

    Add a File Record Audio Record Video

    Due on Apr 27, 2025 11:59 PM

    Submit Assignment

    Files to submit

    (0) file(s) to submit

    After uploading, you must click Submit to complete the submission.

    Comments

    4/14/25, 9:30 AM Quality Improvement Project – Spring 2025 Leadership in Professional Nursing (NURS-4561-01B) – Texas A&M – Commerce

    https://myleoonline.tamuc.edu/d2l/lms/dropbox/user/folder_submit_files.d2l?db=256109&grpid=0&isprv=0&bp=0&ou=181927 3/3

  • [Solved] HEAD TO TOE

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    PLEASE SEE THE ATTACHED RUBRIC TO COMPLETE THIS HEAD TO TOE ASSIGNMENT NO PLAGIO MORE THAN 10% ALLOWED WILL BE SUBMIT IT BY TURNIN IN Assignment should be a narrative following the APA 7th edition format and must include: · Head-to-toe assessment tailored for the patient as RUBRIC REQUIRE · Diagnost…

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    Assignment Prompt & Instructions

    PLEASE SEE THE ATTACHED RUBRIC TO COMPLETE THIS HEAD TO TOE ASSIGNMENT

    NO PLAGIO MORE THAN 10% ALLOWED WILL BE SUBMIT IT BY TURNIN IN

    Assignment should be a narrative following the APA 7th edition format and must include:

    ·      Head-to-toe assessment tailored for the patient as RUBRIC REQUIRE

    ·      Diagnostic tests with expected findings and patient education about the test (i.e., fasting).

    ·      References from peer-reviewed resources within the past five years.

    CASE:

    34-y/o-Male, BMI 17

    Dx: Hodgkin lymphoma

    Hx: Infectious mononucleosis, seasonal allergies, current hydrocele

    DUE DATE APRIL 15, 2025

    – [\
    \
    RubricHeat-to-Toeassignment-MSN5600.pdf](https://www.sweetstudy.com/files/rubricheat-to-toeassignment-msn5600-pdf "RubricHeat-to-Toeassignment-MSN5600.pdf")

    – 2 years ago