Choose a state and review the scope of practice for the advanced practice nurse. How does it compare to Florida?

Submission Instructions:

Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
All replies must be constructive and use literature where possible.
Please post your initial response by 23:59 Thursday, and comment on the posts of two classmates by 23:59 Sunday.
You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.

This is a response to the attached discussion document.

-Offer 1 weakness to the following post. This should be focused around the information and approached they could have improved on in relation to the question.

-Accurately applied 1 scholarly (peer-reviewed) sources to support.

-Apply 1 Biblical Scripture

This is a response to give the individual feedback. It should be in first person.

Case Study 1: Alterations of the Endocrine Function

C.B. is a significantly overweight, 48-year-old woman from the Winnebago Indian tribe who had high blood sugar and cholesterol levels three years ago but did not follow up with a clinical diagnostic work-up. She had participated in the states annual health screening program and noticed that her fasting blood sugar was 141 and her cholesterol was 225. However, she felt perfectly fine at the time and could not afford any more medications. Except for a number of female infections, she has felt fine until recently. Today, she presents to the Indian Hospital general practitioner complaining that her left foot has been weak and numb for nearly three weeks and that the foot is difficult to flex. She denies any other weakness or numbness at this time. However, she reports that she has been very thirsty lately and gets up more often at night to urinate. She has attributed these symptoms to the extremely warm weather and drinking more water to keep hydrated. She has gained a total of 65 pounds since her last pregnancy 14 years ago, 15 pounds in the last 6 months alone.

1. Clinical signs are objective manifestations of a disease that can be identified by someone other than the patient. List a minimum of four signs from the case study above that support a diagnosis of type 2 diabetes in this patient.

2. Why do stress and infection promote hyperglycemia in patients with diabetes?

3. Why should medications other than glipizide or glyburide be considered for management of diabetes in this patient?

Case Study 2: Alterations of the 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 hasnt 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.

1. Identify four risk factors that have predisposed this patient to osteoarthritis.

2. The primary cause of limited range of motion in a joint afflicted with osteoarthritis is/are:
a.  bone spurs
b. loss of proprioceptive reflexes
c. formation of new bone
d. degeneration of articular cartilage
e. cysts that form in subchondral bone

3. Are there any forms of complementary and alternative medicine available for treating osteoarthritis?

4. What are the brand names of two topical pain creams that contain the pain reliever trolamine salicylate and have been widely promoted to temporarily relieve arthritis pain?

5. Cockscomb is a garden plant commonly grown for its flowers. Name a medication derived from cockscomb that is used to treat osteoarthritis.

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. Your initial post is worth 8 points.
You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
All replies must be constructive and use literature where possible.
Please post your initial response by 23:59 Thursday, and comment on the posts of two classmates by 23:59 Sunday.
You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.

This is a response to the attached discussion document.

-Offer 1 weakness to the following post. This should be focused around the information and approached they could have improved on in relation to the question.

-Accurately applied 1scholarly (peer-reviewed) sources to support.

-Apply 1 Biblical Scripture

This is a response to give the individual feedback. It should be in first person.

Sample Outline for Speech 4: Persuasive Action
Preparation Outline 4: Persuasive-Action
Vote for Candidate X
by
Julie Smith
Specific Purpose: I want the audience to vote for candidate X in the general election.
Thesis Sentence: Vote for candidate X in the general election.
Introduction
I recommend that you vote for candidate X in the general election. Websites and books dealing with voter registration have been reviewed. It is in the companys best interests to begin a voter registration program for all employees. Beginning a voter registration program for our company may encourage our employees to vote on issues critical to our organization in the next general election.
Body
I have conducted a survey of voters in Snohomish County designed to determine how many voters voted in the last general election.
Of those 18-19 years of age, 5% voted in the last general election.
Of those 20-29 years of age, 10% voted in the last general election.
Of those 30-39 years of age, 15% voted in the last general election.
Of those 40-49 years of age, 25% voted in the last general election.
Of those at least 50 years of age, 35% voted in the last general election.
(Sample transition: But are these numbers accurate?)
I compared the results of this survey with news media exit polls conducted during the last general election.
The national media exit polls are consistent with my survey.
The Gallup poll
The NBC News/Wall Street Journal poll
Local media polls are also consistent with my survey.
The Seattle Times poll
The Spokane Spokesman/Review poll
(Sample transition: So we know who voted, but what did they vote for?)
Issues of interest to Snohomish County voters failed in the last general election.
The proposal to reduce the sales tax by 1% failed by a margin of 60% no to 40% yes votes.
The proposal to improve the highways in Snohomish County failed by a margin of 51% no to 49% yes votes.
(Sample transition: How will Snohomish county voters benefit if more people vote in the next election?)
If Snohomish County voters actually vote in the next election, we will benefit.
Reduction in the sales tax rate by 1% would help consumers save money.
Snohomish County voters will experience safer and faster commuting to work if the proposed highway improvements are completed.
(Sample transition: Who should we vote for to make these things happen?)
Vote for the candidate who supports issues of interest to Snohomish County voters.
Candidate X supports a reduction in the sales tax rate by 1%.
Candidate Y opposes a reduction in the sales tax rate by 1%.
Candidate X supports the proposed highways improvements in Snohomish County.
Candidate y opposes the proposed highways improvements in Snohomish County.
Conclusion
Since the next general election includes initiatives to both reduce the sales tax by 1% and to improve the highway outside of our store, and since Snohomish County voters favor both proposals, I urge all of you, as Snohomish County voters to vote for the only candidate who supports both of these issues: Candidate X
Bibliography
King County Elections. http://www.metrokc.gov/elections/register.htm Accessed on October 25, 2015
League of Women Voters of Washington Education Fund. http://www.washingtonvoter.org/ Accessed on October 25, 2015
Ogden, D. M. and Bone, H. A. (1981). Washington Politics. Westport, CT: Greenwood Press.
Sno-Isle Libraries Government and Politics Elections. http://www.sno-isle.org/applications/selected_link/current/category.cfm?category=336 Accessed on October 25, 2015
U.S. Elections Next Washington State Elections. http://www.uselections.com/wa/wa.htm Accessed on October 25, 2015
Washington Secretary of State. Register to Vote. http://www.secstate.wa.gov/elections/register.aspx Accessed on October 25, 2015
Outline Format for Speech 4: Persuasive Action
Preparation Outline 4: Persuasive Action
by
Students Name

Specific Purpose: (Example) I want the audience to start recycling.
Thesis Sentence: (Example) Recycling is one way that you can help reduce pollution.
Introduction
Body
Use a full sentence for your first main point.
Use a full sentence for your first 1st-order sub-point.
Use a full sentence for your second 1st-order sub-point.
You may choose to use a full sentence or a word or phrase here for your first 2nd-order sub-point.
If you used a sentence for your first 2nd-order sub-point, also use a sentence for your second 2nd-order sub-point. However, if you used a word or phrase for your first 2nd-order sub-point, use a word or phrase for your second 2nd-order sub-point.
Use a full sentence for your first main point.
Use a full sentence for your first 1st-order sub-point.
Use a full sentence for your second 1st-order sub-point.
You may choose to use a full sentence or a word or phrase here for your first 2nd-order sub-point.
If you used a sentence for your first 2nd-order sub-point, also use a sentence for your second 2nd-order sub-point. However, if you used a word or phrase for your first 2nd-order sub-point, use a word or phrase for your second 2nd-order sub-point.
Conclusion
Bibliography

Topic
Choose a topic that is significant, contemporary, meaningful, and relevant to the audience. Analyze the audience, link the topic to them in a way that will gain and hold attention and interest, and agreement.
Format
This outline must be at least 3 pages long and use 12-point font.
Use appropriate coordination and subordination. Use full sentences, including subjects and verbs for the main ideas or main points and the 1st order of subordinate ideas or sub-points. Consistently use either full-sentence or list form for 2nd -order sub-points supporting the same 1st order sub-point. Usually use list form for 3rd order, 4th order, and 5th order sub-points.
Enhance the readability of the outline. Use only one idea per point, only one sentence per point, single-space each point, and double-space vertically between points. Leave a line of white space between each point at every level.
Transitions between major sections and the main points should be provided in the outline (enclosed in parentheses). Use transitions to move the audiences attention from one section to another or from one main point to another.
Use a consistent pattern of indentation. Type main points flush with the left margin. Indent 5 spaces for 1st-order sub-points, 10 spaces for 2nd-order sub-points, 15 spaces for 3rd-order sub-points, 20 spaces for 4th-order sub-points.
Use the following system to label the points in the body:
Main Points: upper case Roman numerals [I, II, III, IV, V]
1st -order sub-points: upper case letters [A, B, C, D, E]
2nd -order sub-points: Arabic numerals [1, 2.3, 4, 5]
3rd -order sub-points: lower-case letters {a, b, c, d, e],
4th -order sub-points: Arabic numerals in parentheses [(1), (2), (3)]
Content
Specific Purpose: Formulated into one sentence, the specific purpose identifies the precise response the speaker desires from the audience (change in behavior). Do not use infinitive phrases, i.e., to inform or to persuade. Place the label for the specific purpose sentence flush with the left margin.
Thesis Sentence: The thesis sentence (addressed to the audience, not the instructor) summarizes everything the speaker intends to say during the speech. Place the label for the thesis sentence flush with the left margin.
The introduction should gain attention, orient the audience by stating the topic, offer a reason for listening, and preview the body of the speech. The introduction (which may be outlined or written word-for-word) is designed to
gain the attention of the audience;
establish the speaker’s credibility; and
orient the audience to the body of the speech.
Do not say I will tell the story of ____, or I will do X, Y, or Z. Actually outline or write the story here in the Introduction, such as Have you ever found yourself repeating mistakes you have made before? Actually outline or write the question here. Enclose transitions within parentheses ( ) on a line or lines separate from the rest of the outline. Transitions may link major sections OR main ideas OR subordinate ideas within the body of the speech.
The body must contain 2-5 main points using patterns of organization covered in the textbook; other patterns of organization must have prior approval by the instructor. Each main point must be well supported by 2-5 1st-order sub-points designed to illustrate the main points (examples, illustrations, facts, quotations, etc.) Don’t overload the audience with information. Move from simple to complex ideas. Move from familiar to unfamiliar ideas. Define your terms.
The body develops your ideas, condenses your thinking and research, ensuring that you have done an adequate job of preparation. The entire outline should contain more material than you have time to use in your speech and must be at least 3 pages in length [2 full + 1 partial). You must use two-five (2-5) main ideas and two-five (2-5) subordinate (sub-points) points for each main point or higher-level sub-point. The conclusion should restate or summarize the main points and communicate a sense of finality (verbally or nonverbally indicate that you have finished talking). You may end with a story or quotation.
The conclusion (which may be outline or written word-for-word) is designed to
provide the audience with a sense of finality,
leave the audience in the proper mood, and
focus the audience’s thinking on your topic.
Bibliography: The bibliography reports where you found the information for your speech. There are two general sources of information: your own personal experience and what you have learned from outside sources (reading or interviewing). You must indicate where you obtained your information. You are expected to provide at least six sources for this speech.
If some of your information came from your own experience, specify that personal experience in the bibliography. For example, I based this speech on water safety totally upon my personal experience as a lifeguard at Norms’ Resort, Cottage Lake, for the seven summers from 1959 until 1965.” Your personal experience will count as only one of six or more sources of information required.
You must include and cite properly (in APA format) at least one source from the Columbia College library database. Do not use Wikipedia as a source of information. However, if you cite electronic sources, provide enough information so that I could duplicate your search. Include at least the author or editor, title, date, publication medium, publisher, and the Universal Resource Locator, which includes protocol, site, path, and file.

   
1. Select one of the Healthy People 2020 Leading Health Indicators:

Injury and Violence
Nutrition, Physical Activity, and Obesity
Substance Abuse
Tobacco
2. Identify three sources of public information (health messages) related to the selected indicator. Sources can include health messages from social marketing campaigns, newspapers, journals, websites, TV or radio shows, advertisements, commercials, infomercials, etc.

3. Develop a 6 slide voice over PowerPoint discussing the following:

Slide 1 – Title slide
Slide 2 – the health indicator, the population(s) affected, and the health consequences.
Slides 3-5 – Use 1 slide for each source of public information and present:
The source of the health message.
What health message is the source trying to convey? Was the message clear?
Was the information presented valid (was the data/information presented accurately)?
Personally, did you find it useful?
As a member of the affected population, would you find it useful?
How could the health message be revised to be more clear or more accurate?
Slide 6 – Your references

Preparation Outline 3: Persuasive Belief
by
Students Name
Specific Purpose: (Example) I want the audience to understand the modes of delivery.
Thesis Sentence: (Example) There are four modes of delivery.
Introduction
Body
Use a full sentence for your first main point.
Use a full sentence for your first 1st-order sub-point.
Use a full sentence for your second 1st-order sub-point.
You may choose to use a full sentence or a word or phrase here for your first 2nd-order sub-point.
If you used a sentence for your first 2nd-order sub-point, also use a sentence for your second 2nd-order sub-point. However, if you used a word or phrase for your first 2nd-order sub-point, use a word or phrase for your second 2nd-order sub-point.
Use a full sentence for your first main point.
Use a full sentence for your first 1st-order sub-point.
Use a full sentence for your second 1st-order sub-point.
You may choose to use a full sentence or a word or phrase here for your first 2nd-order sub-point.
If you used a sentence for your first 2nd-order sub-point, also use a sentence for your second 2nd-order sub-point. However, if you used a word or phrase for your first 2nd-order sub-point, use a word or phrase for your second 2nd-order sub-point.
Conclusion
Bibliography (six sources)

Sample Outline for Speech 3: Persuasive Belief
Preparation Outline # 3: Persuasive-Belief
by
Julie Smith
Specific Purpose: I want the audience to believe that the ability to communicate effectively is important to their success on the job.
Thesis Sentence: The ability to communicate effectively is important to your success on the job.
Introduction
Gain the attention of the audience, build your credibility if necessary, and get the audience ready to hear the rest of the speech.
Body
Almost everyone communicates at work.
Managers believe that oral communication ability is the most important factor in hiring decisions.
Workers in technical fields such as accounting need to be able to communicate the results of their work to people who are not technicians.
Even the most basic level of supervision requires that first line supervisors communicate with rank-and-file employees in order to get the job done.
(Sample transition: Communication is important, and also rewarding.)
People are rewarded for effective communication on the job.
The ability to communicate is the most important factor in promoting executives on the job.
When technicians are promoted into supervisory and management positions, their technical ability must be complemented by the ability to communicate.
There is a category of employees which is solely devoted to effective communication on the job.
public information officers
public relations officers
(Sample transition: This is why communication is important, but what’s the best way to do it?)
Workers need to choose which channels to use to communicate most effectively on the job.
Face-to-face communication is important for important projects.
Teleconferencing can be used when the communicators are physically located at different locations.
Communicating by telephone can provide for immediate contact with another person.
The telephone can also be used to leave messages on voice mail.
Email is good for providing documentation for communication.
Conclusion
Realistically speaking, almost all workers communicate on the job. Workers are rewarded for effective communication on the job; some workers are even promoted due to their ability to communicate effectively on the job. , focus the audiences thinking on your topic, and leave them in the proper mood.
Bibliography
Alder, R. B. and Elmhorst, J. M. (2005). Communicating at Work: Principles and Practices for Business and the Professions (8th edition). New York, NY: McGraw-Hill.
Beebe, S. A. and Beebe, S. J. (2003). Public Speaking: An Audience-Centered Approach (5th edition). Boston, MA: Pearson Education.
Conrad, C. and Poole, M. S. (2005). Strategic Organizational Communication: In a Global Economy (6th edition). Belmont, CA: Wadsworth, a Division of Thomson Learning, Inc.
Lucas, S. E. (2004). The Art of Public Speaking (8th edition). New York, NY: McGraw-Hill.
Osborn, M. and Osborn S. (2003). Public Speaking (6th edition). Boston, MA: Houghton Mifflin.
Penrose, Raspberry, and Myers. (2004).Business Communication for Managers: An Advanced Approach (6th edition). Mason, OH: South-Western College Publishing (An International Thomson Publishing Company).

Topic
Choose a topic that is significant, contemporary, meaningful, and relevant to the audience. Analyze the audience, link the topic to them in a way that will gain and hold attention and interest, and agreement.
Format
This outline must be at least 3 pages long and use 12-point font.
Use appropriate coordination and subordination. Use full sentences, including subjects and verbs for the main ideas or main points and the 1st order of subordinate ideas or sub-points. Consistently use either full-sentence or list form for 2nd -order sub-points supporting the same 1st order sub-point. Usually use list form for 3rd order, 4th order, and 5th order sub-points.
Enhance the readability of the outline. Use only one idea per point, only one sentence per point, single-space each point, and double-space vertically between points. Leave a line of white space between each point at every level.
Transitions between major sections and the main points should be provided in the outline (enclosed in parentheses). Use transitions to move the audiences attention from one section to another or from one main point to another.
Use a consistent pattern of indentation. Type main points flush with the left margin. Indent 5 spaces for 1st-order sub-points, 10 spaces for 2nd-order sub-points, 15 spaces for 3rd-order sub-points, 20 spaces for 4th-order sub-points.
Use the following system to label the points in the body:
Main Points: upper case Roman numerals [I, II, III, IV, V]
1st -order sub-points: upper case letters [A, B, C, D, E]
2nd -order sub-points: Arabic numerals [1, 2.3, 4, 5]
3rd -order sub-points: lower-case letters {a, b, c, d, e],
4th -order sub-points: Arabic numerals in parentheses [(1), (2), (3)]
Content
Specific Purpose: Formulated into one sentence, the specific purpose identifies the precise response the speaker desires from the audience (agree). Do not use infinitive phrases, i.e., to inform or to persuade. Place the label for the specific purpose sentence flush with the left margin.
Thesis Sentence: The thesis sentence (addressed to the audience, not the instructor) summarizes everything the speaker intends to say during the speech. Place the label for the thesis sentence flush with the left margin.
The introduction should gain attention, orient the audience by stating the topic, offer a reason for listening, and preview the body of the speech. The introduction (which may be outlined or written word-for-word) is designed to
gain the attention of the audience;
establish the speaker’s credibility; and
orient the audience to the body of the speech.
Do not say I will tell the story of ____, or I will do X, Y, or Z. Actually outline or write the story here in the Introduction, such as Have you ever found yourself repeating mistakes you have made before? Actually outline or write the question here.
Enclose transitions within parentheses ( ) on a line or lines separate from the rest of the outline. Transitions may link major sections OR main ideas OR subordinate ideas within the body of the speech.
The body must contain 2-5 main points using patterns of organization covered in the textbook; other patterns of organization must have prior approval by the instructor. Each main point must be well supported by 2-5 1st-order sub-points designed to illustrate the main points (examples, illustrations, facts, quotations, etc.) Don’t overload the audience with information. Move from simple to complex ideas. Move from familiar to unfamiliar ideas. Define your terms.
The body develops your ideas, condenses your thinking and research, ensuring that you have done an adequate job of preparation. The entire outline should contain more material than you have time to use in your speech and must be at least 3 pages in length [2 full + 1 partial). You must use two-five (2-5) main ideas and two-five (2-5) subordinate (sub-points) points for each main point or higher-level sub-point.
The conclusion should restate or summarize the main points and communicate a sense of finality (verbally or nonverbally indicate that you have finished talking). You may end with a story or quotation.
The conclusion (which may be outline or written word-for-word) is designed to
provide the audience with a sense of finality,
leave the audience in the proper mood, and
focus the audience’s thinking on your topic.
The bibliography reports where you found the information for your speech. There are two general sources of information: your own personal experience and what you have learned from outside sources (reading or interviewing). You must indicate where you obtained your information. You are expected to provide at least six sources for this speech.
If some of your information came from your own experience, specify that personal experience in the bibliography. For example, I based this speech on water safety totally upon my personal experience as a lifeguard at Norms’ Resort, Cottage Lake, for the seven summers from 1959 until 1965.” Your personal experience will count as only one of six or more sources of information required.
You must include and cite properly (in APA format) at least one source from the Columbia College library database. Do not use Wikipedia as a source of information. However, if you cite electronic sources, provide enough information so that I could duplicate your search. Include at least the author or editor, title, date, publication medium, publisher, and the Universal Resource Locator [URL], which includes protocol, site, path, and file.

The student will develop a PowerPoint presentation on a cardiovascular/pulmonary disorder/disease discussed in the McCance text. The presentation must provide information about the incidence, prevalence, and pathophysiology of the disease/disorder to the cellular level. The presentation must educate advanced practice nurses on assessment and care/treatment, including genetics/genomicsspecific for this disorder. Patient education for management, cultural, and spiritual considerations for care must also be addressed. The presentation must specifically address how the disease/disorder affects 1 of the following age groups: infant/child, adult, or elderly.

Begin working on this assignment.  Complete and submit the assignment by 23:59 ET Sunday.

Instructions:
Insert rationale, set-up, background, or general instructions for this assignment. Complete and submit the assignment by 23:59 CST Sunday.

Subtitle or Section:
Insert specific instructions.

Submission Instructions:
Include assignment-specific and university/program policies related to the assignment here. These can include late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations. 

Write about using effective promotions including the followings topics:
Steps in promotional campaign
Promotion Mix
Advertising ( advantages and disadvantages of various advertising media)
Product Placement
Infomercials
Social media advertising
Global advertising
Personal selling
Steps in the Selling Process ( Prospect and Qualify, Pre approach, Approach, Make a presentation, Answer Objections,Close the Sale, Follow up)
B2B SELLING PROCESS
B2C SELLING PROCESS
Publicity

Create a 350- to 525-word paper or handout summarizing the process of addressing facility planning needs in which you:
o    Describe the steps of facility planning.
o    Consider listing the steps involved in facility planning as part of your description.
o    Explain the importance of pre-design planning.
o    Explain the rationale (or decision process) when determining whether to renovate or replace a health care facility.

Note: A handout can be a flyer, brochure, poster, etc.