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Describe a challenging communication event with a patient or family member

Instructions Reflect on your clinical experiences in the Outpatient OB where NST, PIH Labs, BP checks, BPP , and OB US are done.

APA format

• Reflect on your experiences during your preceptorship rotation. For each entry, describe the situation, analyze your actions and their outcomes, and reflect on what you learned and how you could improve.

 • Write a journal entry for each prompt below. Each response should be about 200-300 words. 

• Ensure your journal is professionally formatted, proofread, and submitted by the due date. 

• Submit your journal as a single document, each entry titled and separated. 

Prompt 1: Therapeutic Communication Objective: Utilize therapeutic communication techniques to effectively support clients and their families, addressing their concerns with empathy and professionalism. 

• Describe a challenging communication event with a patient or family member. 

• Analyze the verbal and non-verbal strategies you used. 

• Reflect on the patient’s response and discuss how effectively your approach supported the patient’s emotional or psychological needs 

Prompt 2: Clinical Knowledge and Application Objective: Apply advanced knowledge of pathophysiology to prioritize and execute interventions for multiple clients, demonstrating a clear understanding of the physiological basis for each action.

• Reflect on a critical care situation involving multiple clients. 

• Detail the pathophysiological considerations that guided your prioritization of care. 

• Evaluate the effectiveness of the interventions you selected and identify any gaps in your knowledge that became apparent. 

Prompt 3: Client Care Prioritization Objective: Prioritize the delivery of client care by assessing the urgency and importance of various tasks and interventions, ensuring efficient and effective patient management. 

• Analyze a day with high patient turnover or multiple emergencies. 

• Describe how you managed your responsibilities and prioritized tasks. 

• Reflect on any ethical dilemmas you faced and how you resolved them. 

Prompt 4: Evaluation and Documentation Objective: Critically evaluate and accurately document the client’s treatment responses, focusing on managing side effects and adverse reactions to medications and therapies. 

• Discuss a specific instance where you had to monitor a patient closely for adverse reactions to medications or treatments. 

• Describe the documentation process and how it was used to adjust the care plan. 

• Reflect on the importance of detailed and accurate documentation in patient care. 

Prompt 5: Interprofessional Collaboration Objective: Collaborate with interprofessional team members to provide comprehensive client care, sharing insights and integrating feedback to enhance patient outcomes. 

• Provide an example of how you worked with another healthcare professional to manage a patient’s care. 

  • Analyze the dynamics of this collaboration and reflect on how interprofessional teamwork impacted the patient outcome.

Prompt 6: Delegation and Supervision Objective: Demonstrate understanding and application of the rights of delegation, ensuring tasks are appropriately assigned and supervised following client needs, situational demands, and team capabilities 

• Reflect on an experience where you delegated tasks to other team members. 

• Discuss the criteria you used to assign tasks and evaluate the effectiveness of the delegation, including any feedback you provided or received.

Prompt 7: Cultural Competence Objective: Display cultural sensitivity and competence in all interactions with clients and their families, tailoring communication and care practices to respect diverse backgrounds and values. 

• Describe an encounter with a patient whose cultural background differed significantly from yours. • Discuss how you adapted your communication and care approaches. 

• Reflect on this experience and how it has affected your approach to culturally competent care. 

Prompt 8: Communication of Care Tasks Objective: Effectively communicate tasks and critical client concerns to team members and supervisors promptly, ensuring clarity and timeliness in the delivery of care. 

• Analyze a situation where effective communication was crucial to patient safety. 

• Describe the specific communication techniques you used, the immediate outcomes, and how you could improve future communications. 

Prompt 9: Education Objective: Educate patients and their families about health conditions, care routines, and preventative measures, employing clear, understandable language and materials suitable for their levels of comprehension 

• Detail a situation where you educated a patient or their family about a health condition or care procedures. 

• Evaluate the clarity and effectiveness of your educational delivery and reflect on how you could enhance patient comprehension and engagement in the future. 

Prompt 10: Confidentiality and Privacy Objective: Maintain strict confidentiality and privacy of client information, adhering to ethical guidelines and legal requirements to protect patient rights and sensitive data. 

• Reflect on a situation where maintaining patient confidentiality and privacy was challenging. 

• Discuss the steps you took to secure patient information and evaluate how well you think you managed these responsibilities.

A challenging communication event with a patient or family member often arises when delivering difficult news, such as a terminal diagnosis, or discussing treatment plans that conflict with the patient’s or family’s preferences, beliefs, or understanding. Here’s an example:

Scenario:

A physician meets with the family of an elderly patient with advanced-stage cancer. Despite the medical team’s recommendation for palliative care, the family insists on pursuing aggressive treatments, believing they will extend the patient’s life significantly. The patient, however, has expressed a desire for comfort-focused care.

Challenges:

  1. Emotional Dynamics: Family members are in denial about the prognosis and are driven by a strong desire to “fight for every option.”.………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………

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Describe the four phases of the resource allocation process

1) Describe the four phases of the resource allocation process. You need to explain the details of each phase (who, what, when, where, why).PPBEEnactmentApportionmentExecution Write a two-page paper, plus the title page and a reference page.Writing Instructions (Please do read this):•Written communication: Written communication is free of errors that detract from the overall message.•APA formatting: Resources and citations are formatted according to APA style and formatting.•Length of paper: typed, double-spaced pages with no less than a two page paper.•Font and font size: Times New Roman, 12 point.

DEFM310

2) Week 8 Research Paper(attached is the topic and abstract) 

Send in a 7–10 page report describing a significant initiative that has been overseen over the last ten years through the acquisition process. The paper’s content should show that you comprehend the program manager and acquisition procedures that have been covered during the last eight weeks. The abstract assignment turned in during Week 4 should serve as the basis for this essay.

Examine each and every learning objective. Look up the learning aim online and in the library.Together with the title page and reference page, write this 7–10 page paper.This implies that a document with seven pages would really have nine pages, while a paper with ten pages would actually have twelve pages. The title page and the reference page are never counted in a formal college paper.Writing Instructions (Please do read this):

•Written communication: Written communication is free of errors that detract from the overall message.

•APA formatting: Resources and citations are formatted according to APA style and formatting.

•Length of paper: typed, double-spaced pages of 7 to 10 page paper (the content section).

•Font and font size: Times New Roman, 12 point.

DEFM311

3) Instructions. Each student is required to read a journal article on issues addressing a contracting issue related to this course. The journals must be research oriented, such as those found at Air University or APUS library related journals. The selected article should cite references and have a bibliography at the end of the article. After reading the article, you should prepare a one-page single-spaced abstract of the article and provide the abstract, not the entire article, to the professor. At the beginning of your abstract, please include the bibliographic citation. Your abstract should be succinctly written in a descriptive and informative manner and not exceed one single-spaced typewritten page in APA format.

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Describe a situation in which you resisted a personal or an organizational

Organization Change and Transformation

Module 2 SLP  

Individual Resistance to Change

As we have established, resistance to change occurs at various levels: Individual, group, and organization. Moreover, resistance to change is both a workplace and a personal phenomenon. Therefore, organizational change theory applies in both contexts.

For Module 2 SLP, you will consider either a personal or workplace situation in which you resisted change.

In a well-written 3- to 4-page paper, to include 2 scholarly sources from the Module 2 Background and Required and Optional Readings List, please respond to the following:

Part One: (Description): Describe a situation in which you resisted a personal or an organizational (workplace) change.

Part Two (Application and Analysis):

  1. Identify the specific reasons that contributed to your resistance to change.
  2. What measures, if any, were taken (by yourself, by others, by top leadership, etc.) to decrease resistance to change?
  3. What was the outcome of the change, and how were the concerns you identified in question 1 of Part 2, resolved?

Part Three (Insights): Now that you have a better understanding as to why individuals resist change,

  1. What insights have you gained that would affect how you would approach this change today?
  2. What have you learned that you can use to enhance your ability to lead change?
  3. Will you approach the change process differently in the future?

SLP Assignment Expectations

  1. Your SLP should be 3 to 4 pages in length (not including Title and Reference pages).
  2. Be sure to cite and reference (using APA Style) a minimum of 2 scholarly sources listed in the Course Materials and Bibliography (Module 2 required and Optional Reading List), or in the Module 2 Background Page: Required and Optional Readings.
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Describe your recent experiences in the BA in Organizational Leadership program using contractions and first and second persons in writing your academic papers.  

PART 1- WRITING DISCUSSION Module 1 – (SHEILA)- Use of Contractions & First & Second Persons in Formal Writing

·         Describe your recent experiences in the BA in Organizational Leadership program using contractions and first and second persons in writing your academic papers.  

·         Did you consistently write your academic and research papers using what is considered “formal writing”? That is, writing completely in the third person and without contractions.  

·         Did every professor demand and expect your papers to be written using “formal writing”.  Discuss the experience.

SUBMISSION INSTRUCTIONS: Your initial post should be at least 150 words, formatted and cited in current APA style with support from at least 2 academic sources.

PART 2- DISCUSSION Module 1 – (SHEILA)- The Nature of Competitive Rivalry 

Given the nature of competitive rivalry prevailing in the marketplace:

What strategies, resources, and competitive capabilities must your organization have to be successful?

SUBMISSION INSTRUCTIONS: Your initial post should be at least 150 words, formatted and cited in current APA style with support from at least 2 academic sources

PART 3- ASSIGNMENT Module 1- (SHEILA)- Strategic Planning

Describe the strategic planning process and explain the importance of strategic planning.

SUBMISSION INSTRUCTIONS: Assignment should be 2 pages, formatted and cited in current APA style, and incorporate a minimum of 3 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.

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Describe culture’s effect in international business

Learning Objectives: 1. Describe culture’s effect in international business. 2. Learn models and explanations of culture. 3. Understand managerial implications of culture. 

Directions: Visit the indicated websites and respond the following questions (10 points each question) 1. Based on the Hofstede Cultural Dimensions model (https://www.hofstedeinsights.com/country-comparison/) a. How does the US score in each of the 6 dimensions? b. What country shows the highest level of individualism? c. How is the Indulgence score of Latin American countries like Mexico and Venezuela compared to the US? What about China? d. How does the USA compare with China, Russia and Germany in all dimensions? e. Explain how a business person can use the model when doing business with people from other countries? Give examples 

2. Based on the Transparency International’s 2021 Corruption Index (https://www.transparency.org) a. According to Transparency International, what is corruption and what are its costs? b. Which countries top the list as the least corrupt? (name 5) c. Which are the 10 countries with the highest level of corruption? d. What is the score and the ranking of the USA in the corruption ranking? e. Do you see a correlation between corruption and economic development of a nation? Explain why this may be

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Describe what human relations means

The term “human relations” covers all types of interactions among people – their conflicts, cooperative efforts, and group relationships. It is the study of why our beliefs, attitudes, and behaviors sometimes cause relationship problems in our personal lives and in work-related situations. The study of human relations emphasized the analysis of human behavior, prevention strategies, resolution of behavior problems, and self-development.

Knowledge of human relations can help one manage human interactions and relationships. Human relations are incredibly important in the healthcare industry as they can help put clients and patients at ease, calm stressful situations, and resolve conflict.

For this discussion, conduct independent research to explore in more detail why human relations are important in the workplace. Use the insights you’ve gained to help you respond to the discussion prompts.

2. Initial Post: Create a new thread and answer all three parts of the initial prompt below

Introduce yourself to your instructor and classmates. Be sure to include the following:

  1. Based on your research, describe what human relations means.
  2. Describe one (1) new piece of information you learned about why human relations are important in the workplace.
  3. Explain how this knowledge can help you in your future career as an allied health professional.

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Describe where the physician practice and the hospital fall on the continuum of patient care

  • 3 PAGES
  • Times New Roman, 12 point.
  • Describe where the physician practice and the hospital fall on the continuum of patient care.
  • Analyze how providers at each location try to return their patients to their highest level of functioning.
  • Explain how a physician practice communicates with the hospital to foster high-quality, efficient, and effective patient care.
  • Analyze three peer-reviewed articles that each discuss one of the topics above.
    • Description or summary presents the what of the article, but analysis will pursue the question of so what?
    • Why do these ideas matter and/or how are these ideas connected?
    • What are the potential gaps or questions that remain?

Organize your paper with the following headings:

  • Title Page.
  • Agenda.
  • Introduction.
    • Professional introduction (1 paragraph).
      • You have license to be creative as you imagine the background you would bring to a position like this one.
    • Agenda (bullet points).
      • Preview the main goals of the lunch-and-learn.
      • Refer to some of the scholarly sources you will summarize.
  • Continuum of Care.
    • Describe where the physician practice and the hospital fall on the continuum of patient care.
    • Analyze a peer-reviewed article that discusses where the physician practice and the hospital fall on the continuum of patient care.
  • Care Quality.
    • Describe how a physicians practice maximizes patient care quality to return them to the highest level of function, addressing quality standards such as:
      • Maximizing value-based reimbursement.
      • Positive patient experience.
      • Maintaining operational efficiency.
    • Analyze a peer-reviewed article that discusses how a physicians practice maximizes patient care quality to return them to the highest level of function.
  • • Operational Strategy. o Describe the communication between the hospital system and medical practices to provide effective, efficient, and high-quality care. o Examine a peer-reviewed publication that examines how hospital systems and medical practices interact to promote effective, efficient, and high-quality treatment. • Concluding. o Summarize the key points of your lunchtime lecture. o Make judgments based on data from at least two of the articles you summarized. o Provide concrete examples to illustrate how these concepts can be applied in real-world situations.
  • References

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view that scientific theories describe both the world’s observable and unobservable phenomena (French 90).

Timothy

Realism is the view that scientific theories describe both the world’s observable and unobservable phenomena (French 90). Realists assume with a reasonably high degree of certainty that scientific theories are true, correctly describe the world’s observable and unobservable phenomena, and define how those things are related (92). Theories must be time-tested, survive falsification, be supported by evidence, and be accepted as truth (or approximate truth) by the scientific community at large (93). Realism is supported by the no-miracles argument. This argument states that realism is the best explanation of scientific advancement due to the rigorous progress of theoretical science. Additionally, realism seeks to investigate the world independent of human observation and accurately describe observable and unobservable phenomena.

The counter to realism is anti-realism, of course. French focuses on three types anti-realists, constructive empiricists, entity realists, and structural realists. Each anti-realist position becomes progressively more defensible and closer in line with the realist position in accepting scientific theories. Constructive realists claim that science can only explain what’s visible to the naked eye and, thus, theories are only empirically adequate (109). Entity realists claim that scientific entities of theories (e.g., electrons) have truth value only if they can be manipulated in experimentation (112). Lastly, structural realists claim that scientific theories provide inside into the structure of unobservable phenomena, but not the nature of the unobservable (118).

In essence, anti-realists claim that scientific explanations of the world only offer a means of describing the world through processes and entities supposititiously created by humans. To the anti-realist, those “scientific” processes and entities are only linguistic labels to describe observations. For example, subatomic particles are labels used to describe perceptible physical occurrences. Science is only satisfactory so long as it helps us explain things. But if these observations are only observations and not the truth, then what is science explaining? There, we see a contradiction. It can’t simultaneously explain observation, and suppositious constructs, aka nothing.

While each anti-realist position seeks to meet the realist halfway, anti-realists all essentially claim to offer additional levels of skepticism to science, on top of the already rigorous skepticism imposed by scientists themselves. After all, scientific theories are only theories and are validated only through continuous experimentation. While theories offer considerable insight into the nature of the unobservable universe, they can be rejected and disproven. In my view, scientific theories are not only effective descriptors of the unobservable world but do offer insight into nature. If they are not describing the observable and unobservable natural world, what are theories describing? Although the structural realist position almost makes sense to me, is it necessary that we can never know the nature of observable phenomena? Is this also not a matter of technology and the progress of science?

Works Cited:

Steven French. Science: Key Concepts in Philosophy. Continuum, 2007. EBSCOhost,  https://search-ebscohost-com.ezproxy.umgc.edu/login.aspx?direct=true&db=e025xna&AN=377733&site=eds-live&scope=site

Jennifer

For this week’s discussion I chose the article “Did the pandemic change our personalities?” because I thought it was interesting and easier to analyze. I understand the concepts of realism and anti-realism, as well as instrumentalism, but I do not fully understand constructive empiricism. From what I do understand about it, I think that the article may have elements of that. The article does start off with realist assumptions because it states the environmental stress has never been known to have affected personality traits; however, the article does not point toward any past research regarding such a statement. Is the reading audience supposed to assume this is true because the article was written by the Public Library of Science?

Pessimistic Meta Induction (PMI)  – By the second paragraph, the article is claiming that previous studies have shown that there have not been any significant changes in participant personalities when a natural disaster, such as a hurricane or earthquake have occurred. I guess readers are expected to compare a global pandemic to natural disasters which are generally localized, such as occurring in a state, nation, or region. To me this was an example of using scientific history versus enacting the science itself because the researchers have based their findings on historical psychological studies (French 92).

Underdetermination of Evidence by Theory (UTE)  – If I am understanding UTE correctly, it is best described as two theories being equal in evidence, so theorists are unable to determine which theory is correct (French 96-97). The theories that the personality changes are based on are from participants in pre-pandemic studies and another study done during the height of the pandemic. The pre-pandemic studies were conducted from May 2014 to February 2020, and the second study was from March 2020 to December 2020, both of which showed little to no changes in personality traits. The results from both studies completed with similar results which gives good reason for researchers to believe that the pandemic and its aftermath were significant contributors to the present-day personality trait changes.

The No Miracles Argument (NMA)  – The NMA stance of the article was easy to spot. The best explanation for the personality trait changes was the simplest one – it was due to the pandemic. “And the realist insists that her argument for realism has the same form as the argument scientists themselves use for accepting one theory over another, namely that that theory offers the best explanation of the phenomenon.” (French 101). The results of the studies factored in with the results of past studies made it easier for the researchers to point the finger at the pandemic.

In conclusion, the article was evasive regarding the demographics of the participants in any of the studies. The only demographics that were listed were that they were American of which 41.2% of them were male, and participants ranged in ages 18 to 109. Admittedly, I had to chuckle at the fact that some of the participants were over 100 because they had already been through a pandemic, so of course they might a little more relaxed. With the lack of demographics listed for the study, the article comes off as biased. There were so many other significant factors during that time, especially on the social and political landscapes. This lead me to believe that researchers were being lazily dependent on mature theories.  The article further states that most of the changes for the worst appeared in younger adults, with a sharp increase in neuroticism as well as decreases in conscientiousness, while older adults experienced little to zero changes in personality. As an older adult, I can assure readers that today’s younger adults face numerous challenges on numerous levels, the least of which being a global pandemic, but that is an argument for another topic.

References:

Public Library of Science. “Did the pandemic change our personalities?”.  Phys.org. Accessed September 29, 2022.  https://medicalxpress.com/news/2022-09-pandemic-personalities.html

Steven French.  Science: Key Concepts in Philosophy. Continuum, 2007.  EBSCOhosthttps://search-ebscohost-com.ezproxy.umgc.edu/login.aspx?direct=true&db=e025xna&AN=377733&site=eds-live&scope=site

Supplemental Online Readings

(1) C hakravartty, Anjan, “Scientific Realism.” S tanford Encyclopedia of Philosophy. Plato.stanford.edu (2017)

An excellent overview of the issues and definitions of scientific realism.

(2)  Liston, Michael, “Scientific Realism and Antirealism.”  Internet Encyclopedia of Philosophy. Iep.utm.edu (2020)

A good overview of the realism / anti-realism debate.

(3) Musgrace, Alan, “The ‘Miracle Argument’ For Scientific Realism.”  The Rutherford Journal, rutherfordjournal.org (2008)

An overview of the No Miracles Argument for Scientific Realism using historical examples.

(4) S tanford, Kyle, “Underdetermination of Scientific Theory.” Stanford Encyclopedia of Philosophy. plato.stanford.edu (2017)

A good overview of the underdetermination of theory by evidence argument for scientific realism

Supplemental Online Audio/Video

(1) “What is Scientific Realism?” YouTube, uploaded by Carneades.org, Oct 18, 2015. [5:53]  https://www.youtube.com/watch?v=i3DlhNgeqZk&ab_channel=Carneades.org

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AACN Essentials and describe how you met each essential

AACN Essentials Summary Paper

Start Assignment

Write a paper in APA Style that discusses each of the AACN Essentials and describe how you met each essential. Incorporate evidence from your previous Nursing Evolution assignments, as well as detailed examples from your didactic, skills lab, and clinical rotations.

For each essential include the following:

· A brief summary explanation of the essential that is cited with at least one scholarly source

· At least one example of how you met the essential during your nursing program

Review the rubric for more information on how your assignment will be graded.

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Rubric

Nursing Essentials Rubric

Nursing Essentials Rubric
CriteriaRatingsPts
This criterion is linked to a Learning OutcomeContent40 to >35.6 pts The student provides an accurate and concise summary paragraph for each Essential. All summary descriptions expertly identify key aspects of each essential. Every essential is supported with at least one scholarly source. 35.6 to >30.0 pts A summary paragraph is provided for each Essential. The summary descriptions satisfactorily identify key aspects of each essential, however 1 or 2 descriptions may be vague. One or two essentials may not be supported with at least one scholarly source. 30 to >23.6 pts A summary paragraph is not provided for each Essential. Several summary descriptions vaguely identify or inaccurately identify key aspects of each essential. Most essentials are not supported with at least one scholarly source. 23.6 to >0 pts Most or all summary descriptions are not provided. Scholarly sources are not used.40 pts
This criterion is linked to a Learning OutcomeExamples & Reflection40 to >35.6 pts At least one detailed and explicit example of how the student met each essential during the nursing program is provided for all nine Essentials. The student expertly synthesizes and incorporates significant feedback, concepts, and ideas from the week’s discussion into the assignment. It is evident that the student has thoroughly reflected upon and met the nine essentials. 35.6 to >30.0 pts At least one example of how the student met each essential during the nursing program is provided for all nine Essentials, but some examples may be vague. The student satisfactorily incorporates some feedback, concepts, and ideas from the week’s discussion into the assignment. It is evident that the student has satisfactorily reflected upon and met the nine essentials. 30 to >23.6 pts The student does not provide an example of how they met each of the nine essentials during the nursing program. The student incorporates little feedback, concepts, and ideas from the week’s discussion into the assignment. It is evident that the student did not fully reflect upon or provide evidence of meeting each essential. 23.6 to >0 pts The student provides two or fewer examples of how they met essentials during the nursing program. No reflection is provided.40 pts
This criterion is linked to a Learning OutcomeOrganization10 to >8.9 pts The assignment is organized in a clear, concise, and well-organized manner. 8.9 to >7.5 pts Most of the writing is concise and organized, but there may be one or two minor instances where it is not. 7.5 to >5.9 pts The writing lacks clarity, conciseness, and organization in many places. 5.9 to >0 pts The writing is unfocused and contains serious errors with organization.10 pts
This criterion is linked to a Learning OutcomeMechanics and APA Format10 to >8.9 pts The student uses APA Style accurately and consistently. The assignment meets all formatting requirements (length and style). Punctuation, spelling, and capitalization are all correct. There are minimal to no errors. 8.9 to >7.5 pts The student uses APA Style, but there are 1–2 errors. The assignment meets most formatting requirements (length and style). Punctuation, spelling, and capitalization are generally correct with a few minor errors. 7.5 to >5.9 pts The student does not use APA Style consistently and there are 3-4 errors. The assignment meets half of the formatting requirements (length and style). Errors in punctuation, spelling, and capitalization detract from the readability of the assignment. 5.9 to >0 pts Mechanical errors significantly interfere with the readability of the paper. No attempt to follow the required format is indicated. There are many distracting errors in punctuation, spelling, and capitalization.
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describe anatomical plane terminology

To successfully complete this exercise, first read Exercise 1: The Language of Anatomy; EXERCISE 2 Organ Systems Overview and EXERCISE 3 The Microscope in your Laboratory Manual and review universal precautions.

Student Discussion Assignment:

  1. Review, identify, and describe anatomical plane terminology. Figure 1.2, 1.3, 1.4, 1.5.
  2. Using Figure 3.1 of your text, identify the parts of the microscope and list the function of each.
  3. Describe universal precautions. Using information from current world events, locate and describe a situation that demonstrates why all healthcare professionals must be skilled in using universal precautions. Include information about proper disposal of bio-waste.

Write your responses in a minimum of 250 words in APA format.

As in all assignments, cite your sources in your work and provide references for the citations in APA format. Support your work, using your course lectures and textbook readings. Helpful APA guides and resources are available in the South University Online Library. Below are guides that are located in the library and can be accessed and downloaded via the South University Online Citation Resources: APA Style page. The American Psychological Association website also provides detailed guidance on formatting, citations, and references at APA Style

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