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What are some of the key pathophysiological differences between neurogenic and nephrogenic diabetes insipidus?

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Nursing homework help
Select one of the following discussion questions for your discussion response. Indicate which question you have chosen using the format displayed in the “Discussion Forum Sample.”
What are some of the key pathophysiological differences between neurogenic and nephrogenic diabetes insipidus?
Explain the diagnostic criteria for metabolic syndrome and explain the pathophysiology behind the systems seen.
Diabetic neuropathies are a major cause of morbidity and mortality. Explain the etiology, pathophysiology, and outcomes of one of the following: retinopathy, nephropathy, or neuropathy.
at least 250 words, reference no older than 5 years and intext citation
Explain the role of leptin in the role of obesity.

Addressing Barriers to Effective Communication

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Nursing homework help
APA format initial discussion needed 1 and half pages 4 references using the below 2 from Walden University Library, due October 10,2017 at 2100 EST will pay 10 dollars
Johansson, C., Miller, V. D., Hamrin, S. (2014). Conceptualizing communicative leadership: A framework for analyzing and developing leaders’ communication competence, Corporate Communications: An International Journal, 19 (2), 147–165.
Gifu, D., Dima, I. C., & Teodorescu, M. (2014). New communication approaches vs. traditional communication. International Letters of Social and Humanistic Sciences, (20), 46–55.
Retrieved from the Walden Library databases.
Discussion: Addressing Barriers to
Effective Communication
From moment to moment, a nurse leader’s day involves communication—with patients, families, colleagues, supervisors, and so on.
Think of a particular day you spent working in a health care environment, and consider three or four distinct points in time. For each point of time, consider the following: With whom did you interact? Which forms of communication did you use? What issues were communicated about—did they seem to be light-hearted or sensitive? Straightforward or complicated? How would you describe the pace of the interactions and your work?
As you consider these questions, it becomes clear that communication can be quite complex, with many layers of meaning that shape the experience for everyone involved. How could this awareness help you to understand instances of ineffective communication when they arise?
To prepare:
Review the information in Chapter 19 of the course text, as well as the assigned articles.
Reflect on an incident involving ineffective communication within your organization or another health care setting. Consider this incident through the lens of the communication process outlined in Figure 19.1 of the course text (p. 439).
What barriers contributed to this incident? What other challenges may have influenced this situation?
Using the information presented in the other Learning Resources, consider what could have been done to prevent or address the ineffective communication. Why do you think the use of these strategies would have resulted in better outcome(s)?

Financial and Operating Ratios as Performance Measures

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Nursing homework help
Baker, J. J., Baker, R. W., & Dworkin, N. R. (2018). Health care finance: Basic tools for nonfinancial managers (5th ed.). Burlington, MA: Jones and Bartlett Learning.
Chapter 12, “Financial and Operating Ratios as Performance Measures” (pp. 127-134)
This chapter introduces a number of different tools that can be used to measure the performance of an organization. These include liquidity ratios, solvency ratios, and profitability ratios.
Kleinpell, R. M. (2009). Analyzing economic outcomes in advanced practice learning. In Outcome assessment in advanced practice nursing (2nd ed.). New York, NY: Springer Publishing Company.
Outcome Assessment in Advanced Practice Nursing, 1st Edition by Kleinpell, R. M. Copyright 2009 by Springer Publishing Company. Reprinted by permission of Springer Publishing Company via the Copyright Clearance Center.
This chapter outlines five different types of economic outcomes that can be used by advanced practice nurses for assessing costs and determining performance benefits within a health care organization.
Serb, C. (2011). Effective dashboards: What to measure and how to show it. Hospitals & Health Networks, 85(6), 40.
Retrieved from the Walden Library databases.
In this article, the authors discuss automated systems known as executive dashboards, which are designed to highlight key data. Additionally, the article describes the components most experts agree should be included on an executive dashboard.
Nash, M., Pestrue, J., Geier, P., Sharp, K., Helder, A., & McAlearney, A. (2010). Leveraging information technology to drive improvement in patient satisfaction. Journal for Healthcare Quality: Promoting Excellence in Health care, 32(5), 30–40.
Retrieved from the Walden Library databases.
This article explores how senior leaders can facilitate improvement in patient experience and satisfaction by strategic improvement and setting goals. This article presents a case detailing how the Ohio State University Medical Center (OSUMC) used information technology to formulate a strategy to improve patient experience.
Barta, A. (2010). Dashboards: A required business management tool. Biomedical Instrumentation & Technology, 44(3), 228–30.
Retrieved from the Walden Library databases.
This article describes how dashboards became an integral financial and management tool for Trinity Health Clinical Engineering when it centralized the clinical engineering functions of five hospitals.
National Database of Nursing Quality Indicators. (2014). National Database of Nursing Quality Indicators. Retrieved from NDNQI :http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Volume122007/No3Sept07/NursingQualityIndicators.html
This website is a repository for nursing quality indicators.
Wadsworth, T., Graves, B., Glass, S., Harrison, A., Donovan, C., & Proctor, A. (2009). Using business intelligence to improve performance. Healthcare Financial Management, 63(10), 68–72.
Retrieved from the Walden Library databases.
In this article, the authors describe a case study involving the Cleveland Clinic Foundation’s management supervision and how they kept track of its key performance indicators (KPIs) to aid in reducing operational costs and improving quality of care.
Required Media
Laureate Education (Producer). (2012). Dashboards. Baltimore, MD: Author.
Note: The approximate length of this media piece is 6 minutes.
In this video, William Ward discusses the use of dashboards as a tool for tracking organizational performance. He compares different types of dashboards and describes how to select the most relevant data to include on a dashboard.
Accessible player –Downloads–Download Video w/CCDownload AudioDownload Transcript
Discussion: Performance Reports/Dashboards
Performance reports are a valuable tool for gauging the financial well-being and progress of a health care organization. When properly designed, these reports can provide data on key measures, quality indicators, performance of operations, patient satisfaction, personnel, and facility capacity.
Have you ever seen the cockpit of an airplane? The dashboard is covered with a variety of knobs and gauges. Having a pilot who understands the meaning of the data contained on the dashboard is essential for passenger safety and for reaching the correct destination in a timely fashion. Similarly, a dashboard for your organization can supply a wide variety of performance information to assist in the financial decision making process.
In this Discussion, you will describe a dashboard that would be useful for you in your current position and organization (or one with which you are familiar).
To prepare:
Review this week’s Media program, Dashboards.
Consider your own organization (or one with which you are familiar) and the key information that would be useful for decision making.
Develop a list of key performance indicators in the following categories that would be useful for your situation. Include:
2–3 financial indicators
2–3 operational indicators
2–3 satisfaction indicators
2–3 quality indicators
By Day 3
Post describe the specific indicators you selected for each category and explain why you chose those particular ones. Describe whether each indicator is a leading or trailing indicator and how this particular combination would provide the best overall view of

Assess clients presenting with addictive disorders

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Nursing homework help

  Addictive disorders can be particularly challenging for clients. Not only do these disorders typically interfere with a client’s ability to function in daily life, but they also often manifest as negative and sometimes criminal behaviors. Sometime clients with addictive disorders also suffer from other mental health issues, creating even greater struggles for them to overcome. In your role, you have the opportunity to help clients address their addictions and improve outcomes for both the clients and their families. For this Assignment, as you examine the Levy Family video in this week’s Learning Resources, consider how you might assess and treat clients presenting with addiction.
 
N: B EACH OF THE 5 EPISODES TO WATCH (REQIURED MEDIA) FOR THIS ASSIGNGMENT IS DOWNLOADEDN IN WORD FORMAT AS A TRANSCRIPT AND ATTACHED TO THIS ASSIGNMENT. 
 
 
Learning Objectives
Students will:
· Assess clients presenting with addictive disorders
· Analyze therapeutic approaches for treating clients with addictive disorders
· Evaluate outcomes for clients with addictive disorders
To prepare:
· Review this week’s Learning Resources and consider the insights they provide.
· Review the Levy Family video Episodes 1 through 5.
 
The Assignment
In a 2- to 3-page paper, address the following:
· After watching Episode 1, describe:
o What is Mr. Levy’s perception of the problem?
o What is Mrs. Levy’s perception of the problem?
o What can be some of the implications of the problem on the family as a whole?
· After watching Episode 2, describe:
o What did you think of Mr. Levy’s social worker’s ideas?
o What were your thoughts of her supervisor’s questions about her suggested therapies and his advice to Mr. Levy’s supervisor?
· After watching Episode 3, discuss the following:
o What were your thoughts about the way Mr. Levy’s therapist responded to what Mr. Levy had to say?
o What were your impressions of how the therapist worked with Mr. Levy? What did you think about the therapy session as a whole?
o Informed by your knowledge of pathophysiology, explain the physiology of deep breathing (a common technique that we use in helping clients to manage anxiety). Explain how changing breathing mechanics can alter blood chemistry.
o Describe the therapeutic approach his therapist selected. Would you use exposure therapy with Mr. Levy? Why or why not? What evidence exists to support the use of exposure therapy (or the therapeutic approach you would consider if you disagree with exposure therapy)?
· In Episode 4, Mr. Levy tells a very difficult story about Kurt, his platoon officer.
o Discuss how you would have responded to this revelation.
o Describe how this information would inform your therapeutic approach. What would you say/do next?
· In Episode 5, Mr. Levy’s therapist is having issues with his story.
o Imagine that you were providing supervision to this therapist, how would you respond to her concerns?
· Support your approach with evidence-based literature. AND INCLUDE INTRODUCTION, CONCLUSION WITH REFERENCES.
Required Readings
Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.

  • Chapter 7, “Motivational Interviewing” (pp. 299–312)
  • Chapter      16, “Psychotherapeutic Approaches for Addictions and Related Disorders”      (pp. 565–596)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
Albrecht, U., Kirschner, N. E., & Grusser, S. M. (2007). Diagnostic instruments for behavioral addiction: An overview. German Medical Science Psycho-Social-Medicine, 4, 1–11. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2736529/
Fisher, M. A. (2016). The ethical ABCs of conditional confidentiality. In Confidentiality limits in psychotherapy: Ethics checklists for mental health professionals (pp. 13–25). Washington, DC: American Psychological Association. doi:10.1037/14860-002
 
Required Media 
N: B EACH OF THE 5 EPISODES TO WATCH (REQIURED MEDIA) FOR THIS ASSIGNGMENT IS DOWNLOADEDN IN WORD FORMAT AS A TRANSCRIPT AND ATTACHED TO THIS ASSIGNMENT. 
Laureate Education (Producer). (2013c). Levy family: Episodes 1 [Video file]. Baltimore, MD: Author.
Note: The approximate length of this media piece is 2 minutes.
Laureate Education (Producer). (2013c). Levy family: Episodes 2 [Video file]. Baltimore, MD: Author.
Note: The approximate length of this media piece is 2 minutes.
Laureate Education (Producer). (2013c). Levy family: Episodes 3 [Video file]. Baltimore, MD: Author.
Note: The approximate length of this media piece is 6 minutes.
Laureate Education (Producer). (2013c). Levy family: Episodes 4 [Video file]. Baltimore, MD: Author.
Note: The approximate length of this media piece is 5 minutes.
Laureate Education (Producer). (2013c). Levy family: Episodes 5 [Video file]. Baltimore, MD: Author.
Note: The approximate length of this media piece is 2 minutes.
Laureate Education (Producer). (2012c). In their own words [Video file]. Baltimore, MD: Author.
Note: The approximate length of this media piece is 23 minutes