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write my assignment 2938

A 65-year-old previously well man presents to the clinic with complaints of fatigue of 3-months’ duration. Questioning reveals diffuse weakness and feeling winded when walking uphill or climbing more than one flight of stairs. All of the symptoms have slowly worsened over time. There are no other complaints, and the review of systems is otherwise negative. The patient has no significant medical history, social history, or family history. On physical examination, he appears somewhat pale, with normal vital signs. The physical examination is unremarkable except for his rectal examination, which reveals brown, guaiac-positive stool (suggests the presence of blood in the stool). A blood test reveals anem

 

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write my assignment 18448

In the case study “Your Company’s Secret Change Agents” by Richard Tanner Pascale. Please read the core problems that was found in the case below. 

One of the key problems highlighted in the case study is Female Genial Mutilation in Egypt. The practice is aimed to reduce sexual pleasure among women and increase their loyalty to their husband. The process is painful and may lead to death due to breeding and infections. Amidst those who practices the FGM there are some of who don’t practice it. The case study advocates that those determined should find those who does those things in the best way that is failing to circumcise their girls and bringing them forward for other people to learn from them. This process is effective in communicating to those with higher personal egos and are not willing to learn. These people may easily copy those who are doing things right than listen to messages in different campaigns. The case study educates the population that changes may be adopted from those that are doing things right. It so states that digging out problems and involving experts or policies may not be as effective than using those doing things in the recommended ways. Another example of a challenge is in a town with a population of 200 and among them few are healthy and fit and the rest are suffering from malnutrition. In such a case, the healthy and fit can be used to change the rest and solve the problem withou having to apply complex policies. The approach is subject to limited resistance from its past records of application. Finally the six step model may be incorporated in solving these problems effectively and efficiently.

What are your recommendations to solve the problems? Have outside references to support these recommendations. 

 

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write my assignment 29783

Write a 750 word (approximately) literary analysis essay on one of the four topics below:

1. Beth Cuthand’s poem, “Were You There,” she portrays a speaker who seems to be questioning his/her disconnect from the natural world. Using viewpoint, discuss the speaker’s conflict as a resistance of healing. You are required to consider as evidence the stanza below:

Were you there in the pine forest

in communion with those old trees

who keen for the people

laden with their burden

of grief and disrespect

2. Kim Soo Goodtrack’s short story, “Joe Flyingby’s Tape Recorded History,” portrays a narrator’s discomfort or position as a negotiation or struggle to reconcile her outsider status with an “authentic” way of knowing. Discuss the protagonist’s identity/faith dilemma. You are required to consider as evidence the passage(s) below:

She told us that as a child Joe was his Grandfather’s eyes. Joe’s grandfather was blind and also a Medicine Man. Joe was taught the old ways from a very young age. The whole Lakota community respected Joe. He was the first Medicine Man to hold a Sundance after the law banning Sundances was lifted in the early ‘70s.

3. Warren Cariou’s short story, “An Athabasca Story” seems to be an allegory, or a story that can be interpreted to reveal a hidden meaning. Discuss the main character’s symbolic in-between status as a resistance (Ability not being affected by something) to authority(a person or organization having power or control) . You are required to consider as evidence the passage below:

Of course Elder Brother can’t die, luckily for him. Or perhaps not so luckily. He’s still alive even now, after everything he’s been through. It’s true that people don’t see him much anymore, but sometimes when you are driving your car and you press hard on the accelerator, you might hear a knocking, rattling sound down deep in the bowels of the machine. . That’s Elder Brother, trying to get your attention, begging you to let him out.

Write a 750 word (approximately) literary analysis essay on one of the four topics below:

1. Beth Cuthand’s poem, “Were You There,” she portrays a speaker who seems to be questioning his/her disconnect from the natural world. Using viewpoint, discuss the speaker’s conflict as a resistance of healing. You are required to consider as evidence the stanza below:

Were you there in the pine forest

in communion with those old trees

who keen for the people

laden with their burden

of grief and disrespect

2. Kim Soo Goodtrack’s short story, “Joe Flyingby’s Tape Recorded History,” portrays a narrator’s discomfort or position as a negotiation or struggle to reconcile her outsider status with an “authentic” way of knowing. Discuss the protagonist’s identity/faith dilemma. You are required to consider as evidence the passage(s) below:

She told us that as a child Joe was his Grandfather’s eyes. Joe’s grandfather was blind and also a Medicine Man. Joe was taught the old ways from a very young age. The whole Lakota community respected Joe. He was the first Medicine Man to hold a Sundance after the law banning Sundances was lifted in the early ‘70s.

3. Warren Cariou’s short story, “An Athabasca Story” seems to be an allegory, or a story that can be interpreted to reveal a hidden meaning. Discuss the main character’s symbolic in-between status as a resistance (Ability not being affected by something) to authority(a person or organization having power or control) . You are required to consider as evidence the passage below:

Of course Elder Brother can’t die, luckily for him. Or perhaps not so luckily. He’s still alive even now, after everything he’s been through. It’s true that people don’t see him much anymore, but sometimes when you are driving your car and you press hard on the accelerator, you might hear a knocking, rattling sound down deep in the bowels of the machine. . That’s Elder Brother, trying to get your attention, begging you to let him out.

 

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write my assignment 26519

 In a perfect world, research studies would be flawless however, that is not typically the case.  Inherently, flaws exist related to study design, how the study is conducted, and also the manner in which research is reported.  “Given that research is not perfect, users of research must learn to carefully evaluate research reports to determine their worth to practice through critical appraisal” (Melnyk & Fineout-Overholt, 2015, p. 92-93).  Factors that need to be assessed when critically appraising quantitative studies include validity, reliability and applicability (Melnyk & Fineout-Overholt, 2015).  

       The validity of a study relates to obtaining results from utilizing sound methods which are scientific.  Bias and confounding variables can compromise validity of a study.  Bias can occur at any stage of the process but while assessing the reliability of the results one must look at if the study was systematic, grounded in theory, and criteria was followed for all of the processes.  If so, then the study, more than likely, is valid and reliable.  Clinicians need the ability to interpret the results so they can implement EBP into their practice (LoBiondo-Wood & Haber, 2014).  “Whether we are interpreting the research studies of others, or designing our own, we need a good understanding of research design and an ability to recognize weaknesses in intervention studies which may reduce the reliability of study findings” (Ebbels, 2017, p. 229).      Although each factor is important to quality research, I feel the most important factor is the applicability to practice.  Having the ability to appraise research, which is evidence-based, and implement EBP interventions with our patients is essential in promoting optimal patient outcomes.   

References

Ebbels, S. H. (2017). Intervention research:  Appraising study designs, interpreting findings and creating research in clinical practice. International Journal of Speech-Language Pathology, 19(3), 218-231. https://doi.org/https://doi-org.arbor.idm.oclc.org/10.1080/17549507.2016.1276215

LoBiondo-Wood, G., & Haber, J. (2014). Nursing research:  Methods and critical appraisal for evidence-based practice (8th ed.). St. Louis, MO: Mosby Elsevier.

Melnyk, B. M., & Fineout-Overholt, E. (2015). Evidence-based practice in nursing & healthcare:  A guide to best practice (3rd ed.). Retrieved from Amazon Kindle App

 

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