Difficult nurse-patient encounters in home health care.

Assigned Article for Critique:
Falkenstrom, M.K. (2017). A qualitative study of difficult nurse-patient encounters in home health care. Advances in Nursing Science, 40(2),168-183. doi: 10.1097/ANS.0000000000000156

For this Assignment, you will evaluate the purpose statements in assigned journal article and consider the alignment of theory, problem, and purpose. You will also explain your position on the relationship between research and social change.

Alignment means that a research study possesses clear and logical connections among all of its various components. To achieve these connections, researchers must carefully craft the components of their study such that when they are viewed together, there is a coherent interrelationship.

As you read the authors’ purpose statements, consider how well the intent of the study, and its connection to the problem and theoretical framework, is presented. Also consider if the purpose statement reveals the study’s potential for engendering positive social change.

As you know, social change is a distinguishing feature of University’s mission. Positive social change implies a transformation that results in positive outcomes. This can happen at many levels (e.g., individual, family systems, neighborhoods, organizations, nationally and globally); and positive social change can occur at different rates: slow and gradual or fast and radical.

For this assignment:
Write a critique of the research study in which you:
• 1. Evaluate the purpose statement.

Use The Purpose Statement Checklist serves as a guide for your evaluation. Please do not respond to the checklist in a Yes/No format in writing your Discussion post.

• 2. Analyze alignment among the theory, research problem, and purpose.
• 3. Explain your position on the relationship between research and social change.

Be sure to support your Main Issue Post and Response Post with reference in APA Style.

 GOOD    EXCELLENT

Discussion Posting Content 12 (40%) – 13.4 (44.67%)
Discussion posting demonstrates a good understanding of most of the concepts and key points presented in the text(s) and Learning Resources. Posting provides moderate detail (including at least one pertinent example), evidence from the readings and other scholarly sources, and discerning ideas. 13.5 (45%) – 15 (50%)
Discussion posting demonstrates an excellent understanding of all of the concepts and key points presented in the text(s) and Learning Resources. Posting provides significant detail (including multiple relevant examples), evidence from the readings and other scholarly sources, and discerning ideas.
Peer Feedback and Interaction 8 (26.67%) – 8.9 (29.67%)
Response posting is good and partially contributes to the quality of interaction by offering adequate constructive critiques, suggestions, in-depth questions, additional resources, and stimulating thoughts and/or probes that draw from the readings and other scholarly sources. 9 (30%) – 10 (33.33%)
Response posting is excellent and fully contributes to the quality of interaction by offering substantive constructive critiques, suggestions, in-depth questions, additional resources, and stimulating thoughts and/or probes that draw from the readings and other scholarly sources.
Writing 4 (13.33%) – 4.4 (14.67%)
Postings are mostly consistent with graduate-level writing style. Postings may have some small organization, scholarly tone, writing, or APA Style issues, and/or may contain a few writing and spelling errors. 4.5 (15%) – 5 (16.67%)
Postings are well organized, use scholarly tone, contain original writing and proper paraphrasing, follow APA Style, contain very few or no writing and/or spelling errors, and are fully consistent with graduate-level writing style.

Sample Solution

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Should Puerto Rico become the 51st state

Think about a persuasive speech that you would like to present on a topic of your choice. The speech can be for any context and any length, but it must be persuasive.
See the list of example speech occasions and purposes for inspiration, if needed.
Plan your speech, considering what your introduction, main points, and conclusion will include.
Organize your speech, following the structure of Monroes Motivated Sequence. Your speech should include an introduction, body, and conclusion. The introduction should contain your key message. The body should cover your main topics and support to back up your main points. Make sure that all support is relevant and from credible sources. Your conclusion should summarize your main points and provide a call to action.
Create notes or bullet points that you can refer to while presenting your speech.
Practice presenting your speech. Aim for a speech that is 3 to 5 minutes in length.
Before filming, review the rubric to ensure that you understand how you will be evaluated.
Film yourself presenting the speech. Be sure that you can be easily seen and heard, and direct your speech to the camera.
Review your video to ensure that you can be seen and heard. Refilm as needed.
Review the checklist and requirements to ensure that your Touchstone is complete.
Upload your video using the blue button at the top of this page.
Speech Occasions
Personal
Product recommendation
Academic
Presenting academic work (argumentative paper, research, or report)
Academic speech and debate
Community
Speech at a community gathering (PTA meeting, boy/girl scout convention, town hall, homeowners association, athletic league, school board meeting, etc.)
Community action speech (asking for something, promoting a policy, etc.)
Political speech (on behalf of a candidate, yourself as candidate, etc.)
Business
Presenting to colleagues or peers (pitching ideas, etc.)
Presenting to superiors (project proposal)
Convention presentation (pitching new products, rally speech, teachable moments, etc.)
Submission checklist
_ I have selected a speech purpose that is persuasive.
_ My speech follows the structure of Monroes Motivated Sequence.
_ My speech has an introduction, body, and conclusion.
_ The introduction includes my key message (thesis).
_ The body includes my main points and support.
_ I have selected sources that are credible and support that is relevant.
_ I have used language that is appropriate to my audience.
_ The conclusion summarizes my main points and includes a call to action.
_ I have filmed a video of myself presenting my speech.
_ The video of my speech is 3 to 5 minutes in length.
_ I have reviewed the video and I can be easily heard and seen.
_ I have adhered to all of the requirements.
_ I have read through the rubric and I understand how my Touchstone will be evaluated.
Requirements
All video content must be appropriate for an academic context
Speech must be original and written for this assignment; plagiarism of any kind is strictly prohibited
Video is 3 to 5 minutes in length
Your video submission should include your name and the dat

Lab; Deuterostomes & Primate Evolution

Learning objectives:
● Identify the primary characteristics that define deuterostome animal phyla.
● Learn the names and functions of major structures for various animal phyla.
● Relate structure to function as a means of tracing evolution in a species.
● Learn the names, locations, and functions of the major parts of the mammalian skull.
● Evaluate and compare the morphology of various skulls to determine the likely function and
lifestyle characteristics of a range of mammals.
● Assess differences between hominin skulls and use them to construct a phylogenetic tree
depicting evolution of major traits from primates to modern humans.
Exercise 1: Deuterostome Animal Phyla
Question 1) Fill out the following table so that you can identify examples of these groups on the lab
and lecture exams (you may use a separate sheet, if needed).
Phylum/
Subphylum
Symmetry Tissues Body
Cavity
Cephalization Other characteristics
Echinodermata
Hemichordata
Chordata
Urochordata
Cephalochordata
Vertebrata
Exercise 2: Sea star external anatomy
Question 2) On a separate sheet of paper, draw the top and bottom of a sea star and label the dermal
spines, dermal gills, mouth, anus, and tube feet.
Video of sea star dissection (8:16 minutes): https://youtu.be/ZjwFjl1Xn1I
Question 3) In what phylum is the sea star (starfish) classified? _
Question 4) What four other types of animals are in the same phylum, and how are they different from
sea stars? Be able to visually identify specimens.
a) _________________________________________________________________
_
b) _________________________________________________________________
_
c) _________________________________________________________________
_
d) _________________________________________________________________
_
Exercise 3: Lamprey external anatomy
Question 5) Draw a lamprey and label the buccal funnel, anterior dorsal fin, caudal fin, nostril, pineal
body, eye, and anus.
Question 6) How many pairs of external pharyngeal gill slits does a lamprey have? _ Question 7) What is the function of the pineal body? Question 8) What is the difference in function between the spinal cord and notochord? Exercise 4: Rise of the Mammals Sixty-six million years ago, an asteroid wiped out the dinosaurs in a fiery global catastrophe. But we know little about how their successors, the mammals, recovered and took over the world. Now, hidden inside ordinary-looking rocks, an astonishing trove of fossils reveals a dramatic new picture of how ratsized creatures ballooned in size and began to evolve into the vast array of species—from cheetahs to bats to whales to humans—that rule our planet today. View the 53-minute video from PBS NOVA titled, “Rise of the Mammals: Amazing fossils reveal how mammals took over after an asteroid wiped out the dinosaurs” and answer the following questions. https://www.pbs.org/wgbh/nova/video/rise-of-the-mammals/ Question 9) According to the video, about how many species of mammals exist today? __
Question 10) How did the lifestyle (trophic or feeding group) change in the mammals after the meteor
strike? ________________________________________________________________
Exercise 5: Comparative Anatomy – Evaluating skull morphology & lifestyle
The form of an animal provides information about the functions or abilities of the animal. The variation
of wing shapes in birds, are a case in point. Open-country birds, such as shorebirds, swallows, and terns
have long, pointed wings. Species that have to navigate in dense vegetation have short, rounded wings.
A falcon’s wings are pointed, which are suitable for high-speed aerial chases, while the Sharp-shinned
Hawk has short, rounded wings for chases in woodlands. Many features of an animal’s skeleton
provide insights into the lifestyle of the organism. You can therefore use the skeleton to build
hypotheses about the lifestyle of an animal. Each animal is a product of evolution and ecology, and its
form is derived from the balance of all its energetic needs and demands.
Identify the patterns of skull morphology (shape) associated with particular lifestyles, and through
comparisons of different species, learn about their evolutionary history.
Examine the skulls available according to the following features. For each skull, use at least three
features to determine the lifestyle of the organism, and be able to defend your decision based on the
structure and function of the skull. Record your observations for each skull in Table 1, which you will
upload in the lab 4 quiz.
Observe the skulls for cat, black bear, cottontail rabbit, hedgehog, horse, and koala in the Online
Veterinary Anatomy Museum (http://www.onlineveterinaryanatomy.net/). Species from this website are
listed individually below.
Skull images:
Cat skull presentation with labeled parts ((http://www.onlineveterinaryanatomy.net/content/feline-skullpresentation)
Black bear skull photo (http://www.onlineveterinaryanatomy.net/content/black-bear-skull)
Cottontail rabbit photo (http://www.onlineveterinaryanatomy.net/content/cottontail-rabbit-skull)
Hedgehog skull photo (http://www.onlineveterinaryanatomy.net/content/hedgehog-skull)
Horse skull photo (http://www.onlineveterinaryanatomy.net/content/equine-skull-left-lateral-view)
Koala skull photo (http://www.onlineveterinaryanatomy.net/content/koala-skull)
Parts of the Skull – A skull consists of 4 regions, the
rostrum, zygomatic arch, braincase, and the mandible.
Among mammals, there are certain features of the skull that
are most clearly related to the animal’s lifestyle.

  1. Dentition -note teeth types and arrangement.
  2. Jaws – the upper jaw and the mandible, which
    articulates with the cranium at the temporalmandibular joint.
  3. Zygomatic arches – the cheekbones, which are
    present in all synapsid animals.
  4. Sagittal crest – ridge on top of the skull.
  5. Orbits – note size and location.
  6. Nasal cavities – spaces inside the nose.
    Begin by observing the labeled model of a skull to
    familiarize yourself with the names and locations of the major parts of a skull. Then, fill out the
    following charts for each of the species in the laboratory by measuring or observing the parts of the
    skull described below.
    a. Dentition: Most mammals are heterodont,
    meaning there are different types of teeth present. From
    anterior to posterior, mammalian tooth types are:
     Incisors – typically have sharp edges and are used for cutting, nipping, gnawing
     Canines – typically single-pointed cones used for piercing, gripping, tearing and/or display
     Premolars – typically have 2 conical points and are used for gripping and tearing
     Molars – tend to be block-like and flattened for grinding OR sharp-edged and serrated for
    shearing
    In some mammals, it is not possible to distinguish between premolars and molars, so they may be
    collectively referred to as “cheek teeth”.
    Dentition Lifestyle rules of thumb:
    ● Carnivores tend to have large canines, reduced incisors, and cheek teeth capable of shearing
    and slicing.
    ● Herbivores often have strong incisors, reduced or absent canines, and cheek teeth with large
    surfaces for grinding. Many herbivores have a gap (diastema), between the incisors and the
    cheek teeth.
    ● Omnivores have well-developed teeth of all four types.
    The dental formula was developed by mammalogists to summarize the dentition and dental patterns. It
    consists of a numerator, indicating the number of a particular kind of tooth on one side of the adult
    upper jaw, and a denominator indicating the number of each of the teeth on the adult lower jaw.
    The coyote has 3 incisors, 1 canine, 4 premolars and 2 molars on each side of its upper jaw and 3
    incisors, 1 canine, 4 premolars and 3 molars on each side of its lower jaw. Its dental formula is:
    I 3/3 C 1/1 P 4/4 M 2/3 A coyote has a total of 42 teeth.
    The dental formula of a cow, which is lacking several tooth types, is:
    I 0/3 C 0/0 P 3/3 M 3/3 A cow has a total of 30 teeth.
    Observe the dental charts from various veterinary sources that provide records for documenting the
    presence and condition of teeth during dental examinations. Teeth are assigned a standard number by
    location and type, which is the same regardless of the species (even if they are missing).
    Question 11) Based on the dental chart, what is the standard number assigned to a canine tooth in the
    left side of the mandible of a cat or dog? __
    b. Jaws: In most cases, mammals have upper and lower jaws that mirror each other. A long
    upper jaw usually is paired with a long lower jaw, and a short wide upper jaw is usually paired with
    a short wide lower jaw. The
    mandible is able to move up
    and down, and in some cases
    side-to-side and/or forward and
    backward to some extent. The
    mandible is attached to the
    cranium by the temporalis and
    masseter muscles. The paired
    temporalis muscles originate on
    the parietal bones of the cranium and insert on the coronoid process of the mandible. They exert
    bite force on the anterior portion of the jaws. The paired masseters originate on the inner surface of
    the zygomatic arches and insert on the lower, rear portion of the mandible. The force of the
    masseter muscles is concentrated on the posterior parts of the jaw.
    Jaw Shape Lifestyle rules of thumb:
    ● Many carnivores have relatively short jaws, with ventral margins that tend to be curved.
    The mandibles have shallow rami and large coronoid processes.
    ● Most herbivores have very long jaws. The ventral margins tend to be straight. The
    mandibles have deep rami and reduced coronoid processes.
    ● Omnivores present a mix of herbivore and carnivore features.
    a. Sagittal crest: The back part of the top of the cranium is formed by paired parietal bones that
    fuse along the midline of the cranium. The midline junction is called the sagittal crest, which can be
    either a distinct elevated ridge, a low linear bump, or completely smooth. The height of this feature
    is related to the size of the temporalis muscle, which originates and gains leverage by its attachment
    to the sagittal crest. A larger crest has more surface area for muscle attachment and can support a
    larger muscle. The crest may be either on top of the head or at the back of the skull or full length.
    Sagittal Crest Lifestyle rules of thumb:
    ● Carnivores tend to have prominent sagittal crests.
    ● Herbivores, with the exception of some rodents, tend to have low or absent sagittal crests.
    ● Omnivores range between carnivores and herbivores with respect to sagittal crest shape.
    b. Orbits: Eye sockets facing outward from the sides of the head indicate that the fields of
    vision do not overlap (i.e., monocular vision). Depth perception is not strong in these animals, most
    likely, but peripheral vision is excellent. Eye sockets that face forward allow for overlapping fields
    of vision (i.e., binocular vision), where depth perception is heightened but peripheral vision is
    reduced.
    Orbits Lifestyle rules of thumb:
    ● Carnivores typically have orbits directed forward.
    ● Herbivore orbits generally face outward (to the sides), but vary from species to species.
    ● Omnivores tend to have forward facing orbits.
    References:
    Elbroch, M. 2006. Animal Skulls: A Guide to North American Species. Stackpole Books,
    Mechanicsburg, Pennsylvania. pp. 1-61.
    Cotten, C. 2007. Mammalian Skulls. Indiana University, Bloomington, Indiana.
    Question 12) Fill in the following chart to predict the lifestyle of various mammals based on skull
    morphology. If you use abbreviations in the table to fit your answers in the space provided, present a
    key below (for example, a sagittal crest may be described as H = high; LB = low bump; A = absent):
    Table 1. Chart predicting the lifestyle of various mammals based on skull morphology.
    Key to your abbreviations:
  7. Dentition –
  8. Jaw shape –
  9. Sagittal crest –
  10. Orbit size & position –
  11. LIfestyle –
    Mammal Dental Formula Jaw Shape Sagittal Crest Orbit Size &
    Position
    Lifestyle?
    Cat
    Black bear
    Cottontail
    rabbit
    Hedgehog
    Horse
    Koala
    Exercise 5: Hominin Cranium Comparisons
    Lab courtesy of Martin Nickels, ENSI at Indiana University
    For online coursework, observe the photos of 4 views each of 7 hominin skulls, identified with letters
    b to h (there is no skull lettered with an “a”) on the Smithsonian website provided below.
    Click the pictures to enlarge them to the same size on your computer screen and take some
    measurements to fill out the charts so that you can compare relative sizes of features.
    Then, use the data to draw a cladogram to complete this lab.
    Photos of 4 views each of 7 hominin skulls, identified with letters b to h, on Indiana University
    website:
    Flammer, L., J. Beard, C.E. Nelson, & M. Nickels. 1998. ENSIWEB. Evolution/Nature of Science
    Institutes. Hominin skull images. Retrieved 17 September 2020 from
    https://web.archive.org/web/20170902221437/http://www.indiana.edu/~ensiweb/lessons/skulls2.html
    The Smithsonian also has a Mystery Skull Interactive game to compare 4 unknowns to known species:
    https://humanorigins.si.edu/evidence/human-fossils/mystery-skull-interactive
    Work in teams of up to 4 students to complete all measurements and observations. All measurement
    units should be reported in millimeters (mm).
    If you are using online photos, you may estimate relative sizes of features from the braincase widths for
    the actual skulls, which are listed below:
    b = female [95 mm]
    c = male [147 mm]
    d = unknown [135 mm]
    e = male [152 mm]
    f = female [140 mm]
    g = unknown [105 mm]
    h = unknown [95 mm]
    Question 13) Upload a copy of your charts for the hominin skulls with all data in Table 1 Parts A, B
    and C.
    Examine the following features of the skull for comparisons between the species of hominins, and take
    notes into the charts.
    If you use abbreviations for your observations, note those in a key at the top of each chart.
    Part A: Braincase
  12. With the skull eyes facing forward in normal anatomical position (NAP), does the forehead
    appear vertical or flat?
  13. Is a supraorbital browridge present?
  14. If present, does the browridge run continuously or is it divided?
  15. When viewed from above, front to back, what is the shape of the braincase?
  16. Is a sagittal crest present?
  17. In NAP, is the foramen magnum oriented down or angled toward the rear?
  18. Is the mastoid process relatively flat or does it noticeably protrude from the skull?
    Part B: Face
  19. Are the nasal bones raised (arched) or flat?
  20. Measure the maximum breadth of the nasal opening (in mm).
  21. Measure the maximum height of the nasal opening.
  22. Measure the protrusion of the maxilla (the upper jaw) by measuring down the middle of the
    palate from the front edge of the foramen magnum to just in front of the two central incisors.
  23. Measure the bizygomatic breadth. This is the width of the face from the widest part of one
    zygomatic arch to the widest part of the other zygomatic arch.
    Part C: Dentition
  24. Are the rows of teeth (shape of dental arcade) U-shaped or do they diverge with the left and
    right molar distances wider than the left and right premolars?
  25. When viewed from the side, are the incisors angled out or are they vertical?
  26. Measure the combined width of the 4 incisors as one measurement.
  27. Does the canine tooth project above the chewing surfaces of the other teeth?
  28. Is a canine diastema (gap that allows opposing canine to seat) present?
  29. Measure the combined length of the left two premolars and three molars together by measuring
    from the back of the last molar to the front of the first premolar. This will determine the length
    of the chewing surface of the “cheek teeth”. Note: Measure the right side if the left side is
    missing for any of these 5 teeth.
    Table 1. Part A. Braincase Features
    Key to your abbreviations:
    Skull
    Letter
    1) Is
    Forehead
    flat or
    sloped
    2)
    Supraorbital
    Ridge
    present
    3)
    Supraorbital
    Brow Ridge
    continuous or
    divided
    4) Shape
    of
    braincase
    5)
    Sagittal
    crest
    6)
    Foramen
    magnum
    position.
    Straight
    or at an
    angle
    7) Mastoid
    Processes
    flat or
    protruding
    b
    c
    d
    e
    f
    g
    h
    Table 1. Part B. Facial Features
    Key to your abbreviations:
    Skull
    Number
    8) Nasal
    bone arched
    or flat?
    9)
    Maximum
    breath of
    nasal
    opening
    10) Maximum
    height of nasal
    opening
    11) Protrusion
    of maxilla
    12) Bizygomatic
    arch breadth
    b
    c
    d
    e
    f
    g
    h
    Table 1. Part C. Dentition Features
    Key to your abbreviations:
    Skull
    Number
    13)
    Rows of
    teeth
    diverge
    (Y/N)
    14) Incisors
    angled out
    or ventral
    15)
    Combined
    width of
    incisors
    16) Does
    canine
    project
    above
    chewing
    surface
    17) Canine
    diastema
    present (Y/N)
    18)
    Combined
    length of
    premolars &
    molars
    b
    c
    d
    e
    f
    g
    h
    Question 14) Once your measurements are completed for all specimens, please complete the following
    analyses in Table 2, so that you can prepare a phylogenetic tree that depicts the evolution of primates to
    modern humans.
    Table 2. Order the skull letters from longest to shortest maxilla protrusion, and graph these
    measurements on the y-axis by specimen number on the x-axis. Label your axes.
    Question 15) Think about the facial differences between chimpanzees (a close primate relative) and
    modern humans. Use the patterns you observe in your maxilla protrusion chart (above) to arrange the
    specimen letters in chronological order from oldest to most recent, based only on this character:
    oldest , , , , , , , , , most
    recent.
    Now, create a phylogenetic tree considering all of the discrete traits that you evaluated. To make this
    easier, review your charts from Parts A, B, C and list only the characters that have discrete variables
    (presence/absence or only have a couple of options, like sagittal crest). Do not use more of the
    continuous variables (such as linear measurements like maxilla protrusion).
    Question 16) Identify characteristics you think are ancestral for each trait you could use to construct
    your tree and list the skull letters that have this condition.
    Discrete Trait Ancestral condition Skull numbers showing this
    ancestral condition
    Question 17) Using the characteristics from your options above, again list the skull letters in
    chronological order from oldest to most recent.
    oldest , , , , , , , , , most
    recent
    Question 18) Sketch your phylogenetic tree showing relationships between all of the skulls. You may
    need several drafts on scratch paper first. Don’t forget to put a hash mark indicating the derived trait
    shared between a particular cluster, or nested set of specimens.
    Question 19) Compare your phylogenetic tree with another group’s or individual’s depiction, if
    available.
    a) What is the same between your groups?
    b) What is different?

Sample Solution

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Statics and Mechanics of Materials

Practice making axial force diagrams for a variety of problems that you can create and see the resulting axial force diagrams. You can use principal of linear superposition to combine results from both files to solve for a problem with both concentrated and distributed loads on it (Just add them together at each point). Once you are comfortable with producing correct axial force diagrams complete the following.

Create your own example of a statically determinant axial rod with multiple loads applied to it (at least one section having a distributed load and a minimum of two concentrated loads on the rod. Only one end of rod is fixed.) (a) Give a reference coordinate system (define x and the range of values it has for your problem). (b) Solve overall equilibrium for the reaction force, and (c) Determine the axial force as each value of x giving the magnitude as a function of position, N(x). For part (c), provide appropriate free body diagrams for each sub-domain that yields the expression for the axial force that you are showing in your diagram. Present your solution in an easy to follow format that states the problem being solved, gives an annotated sketch of the problem, gives FBD’s expressing the valid sub-domain your reference position, your equilibrium equation and the solution of that equation for the axial force. Verify that your solution is correct using the excel files.

Sample Solution

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