Professional boundaries and Challenge-Reflective JOURNAL

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Reflective Journal Module 4: Professional Boundaries and Challenges: Identify 3 key points from this module.Reflect on why each point is important, how it impacts on your work experience or nursing practice, and how will you change your practice in the future based on each key area.

Place Key Point in this column:

Answer each question below with at least 3-4 well written sentences using critical thinking.

Key Point 1
  • Why it is important? at least 3-4 well written sentences using critical thinking
  • How does it impact my work/nursing practice? at least 3-4 well written sentences using critical thinking
  • How will I change my practice? at least 3-4 well written sentences using critical thinking

Key Point 2
  • Why it is important? at least 3-4 well written sentences using critical thinking
  • How does it impact my work/nursing practice? at least 3-4 well written sentences using critical thinking
  • How will I change my practice? at least 3-4 well written sentences using critical thinking

Key Point 3
  • Why it is important? at least 3-4 well written sentences using critical thinking
  • How does it impact my work/nursing practice? at least 3-4 well written sentences using critical thinking
  • How will I change my practice? at least 3-4 well written sentences using critical thinking

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Alterations in the Cardiovascular and Respiratory Systems

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Case Study Analysis 

76-year-old female patient complains of weight gain, shortness of breath, peripheral edema, and abdominal swelling. She has a history of congestive heart failure and admits to not taking her diuretic, as it makes her “have to get up every couple hours to go to the bathroom.” She now has to sleep on two pillows in order to get enough air.

 

In your Case Study Analysis related to the scenario provided, explain the following

  • The cardiovascular and cardiopulmonary pathophysiologic processes that result in the patient presenting these symptoms.
  • Any racial/ethnic variables that may impact physiological functioning.
  • How these processes interact to affect the patient.

 

Reading Resources:

McCance, K. L. & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier.

  • Chapter 32: Structure and Function of the Cardiovascular and Lymphatic Systems; Summary Review
  • Chapter 33: Alterations of Cardiovascular Function (stop at Dysrhythmias); Summary Review
  • Chapter 35: Structure and Function of the Pulmonary System; Summary Review
  • Chapter 36: Alterations of Pulmonary Function (stop at Disorders of the chest wall and pleura); (obstructive pulmonary diseases) (stop at Pulmonary artery hypertension); Summary Review

Inamdar, A. A. & Inamdar, A. C. (2016). Heart failure: Diagnosis, management, and utilization, 5(7). doi:10.3390/jcm5070062

MedCram. (2015, September 14). Pneumonia explained clearly by MedCram [Video file]. Retrieved from https://www.youtube.com/watch?v=nqyPECmkSeo

 

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john-canthar-5

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Trigen Corp. management will invest cash flows of $1,320,215, $397,624, $653,530, $818,400, $1,239,644, and $1,617,848 in research and development over the next six years. If the appropriate interest rate is 8.15 percent, what is the future value of these investment cash flows six years from today? (Round answer to 2 decimal places, e.g. 15.25.)

 

You wrote a piece of software that does a better job of allowing computers to network than any other program designed for this purpose. A large networking company wants to incorporate your software into their systems and is offering to pay you $484,000 today, plus $484,000 at the end of each of the following six years for permission to do this. If the appropriate interest rate is 6 percent, what is the present value of the cash flow stream that the company is offering you? (Round answer to the nearest whole dollar, e.g. 5,275.)

 

Barbara is considering investing in a stock and is aware that the return on that investment is particularly sensitive to how the economy is performing. Her analysis suggests that four states of the economy can affect the return on the investment. Using the table of returns and probabilities below, find

  Probability Return
Boom 0.5 25.00%
Good 0.1 15.00%
Level 0.2 10.00%
Slump 0.2 -5.00%
 

What is the expected return on Barbara’s investment? (Round answer to 3 decimal places, e.g. 0.076.)

 

 

 

Trevor Price bought 10-year bonds issued by Harvest Foods five years ago for $912.82. The bonds make semiannual coupon payments at a rate of 8.4 percent. If the current price of the bonds is $1,008.70, what is the yield that Trevor would earn by selling the bonds today? (Round intermediate calculations to 4 decimal places, e.g. 1.2514 and final answer to 2 decimal places, e.g. 15.25%.)

Effective annual yield   [removed] %

 

 

The First Bank of Ellicott City has issued perpetual preferred stock with a $100 par value. The bank pays a quarterly dividend of $1.65 on this stock. What is the current price of this preferred stock given a required rate of return of 10.0 percent? (Round answer to 2 decimal places, e.g. 15.25.)
Current price is

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needs assessment 13

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I will upload the instructions with “Scoring Tool” which has to be followed + Articles.

I used the McCawley pdf under the needs assessment folder for my “expert” source. However, You can use another article helping for conducting the Needs Assessment.

Step 1: just introduce your paper and what you plan on talking about.

Step:2 talk about the correct way to do needs assessment according to the expert you chose

Step3: talk about what we did for the middle schools and T University,. The process that we did for Middle School (only survey, tallied the results bellow, etc) as a primary data, and the survey monkey can either be primary or secondary it depends on how you describe it.

I will upload the “Needs Assessment for Middle School” survey that we did and we ended up with these health fair topics after collecting the surveys from the students: Energy Drinks, Self esteem, Health sleep habits, fitness, and Eating disorders.

For T University, the other half of our group did only Survey (I will upload just to see it) for health fair topics.

Step4: talk about whether or not we as a class did our assessment correctly

Step5: summarize the paper

 

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