early and reversible changes that occur to tissue cells when they are hypoxic

Maria is a sedentary 68 years old woman who is overweight . She complains that her feet and hands are always cold and she tires quickly when cleaning the house. At her most recent visit to the doctor her Blood pressure was 184/98. She has edema around her ankles and legs and her physician is concerned about her echocardiogram that indicates Maria has an enlarged heart. Questions;1.Identify two reasons why Maria will have tissue ischemia . How might this lead to hypoxia?2.What are two early and reversible changes that occur to tissue cells when they are hypoxic?3.What specific type of cellular adaptations has taken place in Maria enlarged heart? What made you come to that conclusion.

NONPF Competencies for MSN FNP & AGPCNP

Week 9 Reflection Post Prompt:  Reflect and give at least two (2) examples of each on how you think you have met three (3) of your role specialization competencies or standards.
NONPF Competencies for MSN FNP & AGPCNP:
Competency 1 – Scientific Foundations Competencies
Competency 2 – Leadership Competencies
Competency 3 – Quality Competencies
Competency 4 – Practice Inquiry Competencies
Competency 5 – Technology and Information Literacy Competencies
Competency 6 – Policy Competencies
Competency 7 – Health Delivery Systems Competencies
Competency 8 – Ethics Competencies
Competency 9 – Independent Practice Competencies
Post your reflection in 150 to 200 words. No references required.

Christian perspective of the nature of      spirituality and ethics in contrast to the perspective of postmodern relativism within health care.

Based on the required topic Resources, write a reflection about worldview and respond to following:
In      250-300 words, explain the Christian perspective of the nature of      spirituality and ethics in contrast to the perspective of postmodern      relativism within health care.
In      250-300 words, explain what scientism is and describe two      of the main arguments against it.
In      750-1,000 words, answer each of the worldview questions according to your      own personal perspective and worldview:
What       is ultimate reality?
What       is the nature of the universe?
What       is a human being?
What       is knowledge?
What       is your basis of ethics?
What       is the purpose of your existence?
Remember to support your reflection with the topic Resources.
Reference:
Bogue, D. W., & Hogan, M. (Eds.). (2020). Foundational Issues in Christian Spiritually and Ethics. Practicing Dignity: An Introduction to Christian Values and Decisions Making in Health Care (1 ed.). Retrieved from https://www.gcumedia.com/digital-resources/grand-canyonuniversity/2020/practicing-dignity_an-introduction-to-christian-values-and-decision-making-in-thehealth-care_1e.php

Scenario : Healthy Dynamics corporate wellness company

Scenario
Healthy Dynamics is a corporate wellness company that provides a broad range of wellness services for clients seeking to improve the health and wellbeing of their employees. One of the clients of Healthy Dynamics is not happy with their employee wellness program participation rates. Healthy Dynamics is not meeting the contract requirements of 60% engagement, resulting in lost revenue for the company and no return on investment (ROI) for the client. According to the contractual agreement, Healthy Dynamics must pay back the client $200,000,000 if the annual participation percentage is not met. Currently the client’s wellness program includes financial incentives for the employees if they complete the following wellness offerings (health assessment, biometric screening, and telephonic health coaching). The Healthy Dynamics CEO is now foreseeing a need to offer other healthcare services. The CEO has asked the Account Manager to create a business plan focused on increasing revenue and identifying risk that might negatively impact their continued relationship with the client. The Account Manager has tasked you, the Strategic Planning Manager, with preparing an internal memo to present to the CEO and to communicate to your internal team what you are envisioning as a desired future focus area to increase the bottom line for Healthy Dynamics and improve current and future client satisfaction rates.
Instructions
Develop an internal memorandum that includes:
A detailed description defining the differences between business planning and strategic planning in healthcare.
Identify a specific focus area in the healthcare industry that could increase revenue.
Create key questions that you will need to address in the development of your strategic plan for your focus area.
Create a workflow analysis flow chart that includes:
A list of healthcare leadership team members (e.g., CEO, Strategic Planning Manager, Account Manager, Marketing Manager, Project Manager, Financial Analyst, etc.,)
A comprehensive analysis of each team member’s roles and responsibilities in the development of the strategic plan.
Your assignment should include a title page, a reference page, and a minimum of three scholarly sources, two of which must be retrieved from the Rasmussen Library (See attached and choice 2 articles).
Rubric:
-Detailed description defining the differences between business planning and strategic planning in healthcare in a well-written internal memorandum.
-Clearly identified a specific focus area in the healthcare industry that could increase revenue in a well-written internal memorandum.
-Created detailed questions needed to address the development of a strategic plan in a well-written internal memorandum.
-Created a comprehensive list of healthcare leadership team members in the workflow analysis flow chart.
-Created a comprehensive analysis of each team member’s roles and responsibilities in the development of the strategic plan.
-Used and identified three or more credible sources in the memorandum.

cultural and spiritual assessment on a patient

Conduct a comprehensive cultural and spiritual assessment on a patient that you see in your clinical experience this week.  If you were are not in clinical this week conduct this assessment on a professional colleague, friend, or family member.
Document the assessment in the context of a subjective data set that you will use as your discussion post.  Use one of mnemonics presented in this week’s lecture materials to guide your spiritual assessment.
It is anticipated that the initial discussion post should be in the range of 250-300 words.

Exhibition of World Art

Exhibition of World Art
Imagine you are a curator at your local city’s Museum of Art. You have been asked to organize a small exhibition of objects of art from the cultures of Asia, Africa, and Oceania. Your exhibition should include representative objects that highlight significant and essential ideas of each culture. You may plan to include actual objects in your exhibition, or photographs or models of larger structures or sculptures.
Survey your course textbook and reliable internet websites to locate two art objects from each of the following five cultures: India, China, Japan, Africa, and Oceania (the Pacific Cultures), that you would like to include in your exhibition. Your objects must date to the time period we are studying in this course (1300-Present Day). You will select a total of ten objects for display in your “Exhibition of World Art.”
Then, write a “museum label “for each object within a Microsoft Word document. The following should be on the “label “for each object:
A photograph of the object
Identifying information:
Name of the artist (if known—otherwise, attribute the culture)
Title of the work
Date of the work
Medium/materials used to create the work
Current location
A paragraph of 4-5 sentences describing why the object is representative of its culture and is culturally significant. Briefly explain why you have selected the object for display.
Finally, in a paragraph of 8-10 sentences, write a summarizing overview of your “Exhibition of World Art,” highlighting key similarities and distinctions between the objects you have curated. Imagine that visitors to your exhibition will read this overview as they enter your “Exhibition of World Art,” and provide them with any information or context they may need to fully appreciate the objects on display.
Offer a citation of your sources for each image and the information provided as appropriate.

Monumental Architecture and Sculpture

Question 1: Monumental Architecture and Sculpture
The cultures we studied this week produced architecture and monumental sculpture, in addition to smaller works of art. Locate three examples of architecture or monumental sculpture from three different cultures listed here: India, China, Japan, Korea, or the Pacific Cultures.
First, completely identify each structure or sculpture you would like to discuss by listing its name, date, and location.
In a minimum of 3 well-developed paragraphs address the following questions:
Who created each work of architecture or sculpture? Who commissioned its creation?
What historical events or social or cultural influences affected the creation of each work?
How do the visual characteristics of each work contribute to or enhance its message or meaning?
How do the reasons these works were created compare with those of a more modern example of monumental art work, such as Mount Rushmore, the 9/11 Memorial, etc.?
Be sure to explain your ideas clearly and support them by discussing specific details about each work of architecture or monumental sculpture.
Question 2: The Function of Art Objects
Some of the art objects created by the cultures surveyed this week, whether African masks, Japanese tea bowls, or Micronesian navigational charts, served functional roles in their society. Locate three such objects, one each from the following: Asia, Africa, or the Pacific Cultures.
First, completely identify each object you would like to discuss by listing its name, date, and location.
In a minimum of 2 well-developed paragraphs discuss:
What was the function of each object at the time of its creation?
What historical events or social or cultural influences affected the creation of each work?
How do the visual characteristics of each object contribute to or enhance our understanding of its meaning?
Be sure to explain your ideas clearly and support them by discussing specific details about each work.
Respond to both questions as thoroughly as possible, making sure to use information from the readings and the lectures. All responses should be in complete sentence form, using proper spelling and grammar.

Stakeholder support

Stakeholder support is necessary for a successful project implementation. Consider your internal stakeholders, such as the facility, unit, or health care setting where the change proposal is being considered, and your external stakeholders, like an individual or group outside the health care setting. Why is their support necessary to the success of your change proposal, and how you will go about securing that support?

Alzheimer’s Parkinson’s Vascular Dementia Presentation

Module 01 Assignment – Presentation on Dementia
Scenario
As a manager on a medical surgical unit, part of the job responsibility includes chart audits.
A trend noted during the most recent audit was the overuse of the term “dementia.” The nurse manager notes that there may be a lack of understanding between the types dementia as related to neurological diseases.
The nurse manager developed a survey to evaluate the staff’s understanding of the different types of dementia. As a result of the survey, you have been asked to create a PowerPoint presentation to increase the nurse’s awareness of the types of dementia a presentation was created.
Instructions
Choose one of the following topics for a focused presentation:
Alzheimer’s
Parkinson’s
Vascular Dementia
The presentation should include the following:
Pathophysiology
Etiology & incidence
Health promotion and maintenance
History/Risk factors
Physical signs and symptoms
Changes in cognition
Changes in behavior & personality
Changes in self-management skills
Diagnostics: laboratory and imaging assessment
Planning and implementation
Interprofessional Collaborative Care
Psychosocial integrity
Medications
Safety considerations
Using Ignatavicius and one additional resource, develop a presentation to enhance the nurses’ knowledge of the differences between types of dementia and delirium. Be sure to document your source(s) in your presentation.

THE HEALTH CONCERN TO DISCUSS IS SUBSTANCE ABUSE

Discuss aspects of a health concern (THE HEALTH CONCERN TO DISCUSS IS SUBSTANCE ABUSE) not being addressed despite the efforts of services and partnerships involved and describe the ultimate outcome(s) or goal(s) from Healthy People 2020 relating to that specific health concern.