150 words 1 nursing reference within 5 years. This is a response to a peer dbProblem- Pressure ulcers in the elderly.Intervention- Early intervention Comprehensive medical history medication history Initial skin assessment mobility and repositioning proper nutrition right mattress and efficacy of continence products.Comparison-medical history pain management plan of care for the aged regular assessment of continence mobility and nutrition.Outcome-decrease pressure ulcer in the elderly improve quality of life decrease mortality improve patient outcomeHow to decrease pressure ulcer in the elderly with proper intervention and plan care are to improve patient outcome.Determine how the research question could guide the nurses search of the literature to address the issue to implement a change in practice.The skin thins as we age and therefor elder people are at greater risk for skins tears and pressure ulcers. Pressure ulcers usually occurs on bony prominence the sick and people are immobile. The first step in alleviating pressure ulcer is the identification of the risk factors. Age and aging skin comorbidities mobility nutrition moisture and medication. As nurses we should be educated about the risk assessment and prevention. Nurses should be inspecting often to prevent ulcers and or identify them at an early stage (Barry & Nugent 2015). The Bradens scale is a very effective prevention tool therefore the proper assessment must be completed to get an accurate number. An example a 79-year-old female with multiple cormorbidities including Parkinson hypertension and emphysema. Her medication history includes prednisone and she wears diaper for incontinence. She is 45 Kilograms with a Braden scale of 10. These are all risk factors. The nutritionist was consulted for proper nutrition and wound care team for assessment of tissue viability to provide. Medication list was evaluated by physician to make recommendation for risk and benefit. Social worker and speech pathologist to help with the cognitive issue form the Parkinson disease. Age specific patient centered care plan with assessment tool to prevent any new pressure ulcers. The issue encounter implementing this change in the nursing practice was nursing ratio allowing time for each patient to complete a thorough assessment.Nurse staffing is a complex issue with no easy quick solution. This author concludes for the change to be implemented that support is the most important for safe nurse- patient ratio not regulations (Anders 2017).Explain the benefits to interprofessional research collaboration to improve patient health outcomes.The use of a interprofessional research collaboration leads to higher quality of care and patient outcome. The inter- disciplinary approach as shown with the patient in this authors research includes the nurse physician nutritionist social worker physical therapy and speech therapy. This research also involved the wound care team which is vital in wound prevention. Research has shown that collaborative care reduces health cost increases clinician empowerment and role satisfaction while increasing patient mortality and outcome (Anders 2017).

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Creswell (2009) described the theoretical framework as a rainbow arc, bridging the dependent and independent variables to provide an overarching explanation of how and why the independent variable may predict [or affect] the dependent variable. It will help to review Creswell’s definitions of dependent and independent variablesDiscussion about setting up your potential research questions using the relational model.
To further explain Creswell’s rainbow arc metaphor with an example: If theindependent variable in a relational research question is types of classroom educational practices and the dependent variable is student success in learning, envision how a theory like Gardner’s theory of multiple intelligences could be the theoretical framework or rainbow arc a researcher might use as a possible explanatory link for how one variable predicts the other. In this case, the theoretical perspective is that multiple intelligence theory applied to classroom educational practices could impact student success in learning. Since there are many possible theories that could connect these two variables, can you see how focusing on a single theory might focus this research question?
Another example from your recent article critique: Consider how Langer (2002) used theories about the concept of reflection, under his heading, “The Concept of Reflection in Learning,” as a theoretical/conceptual framework, or lens, as a way to frame the concept of journals as a learning tool for adults (p. 338), citing definitions of reflection from different researchers. He could have taken quite a different approach with different theories, for example, adult learning theories, for his ‘rainbow arc’ to connect the variables that framed the research question for his study.
As you read the literature on your own research topic, look at the different variables researchers have used in their research questions, and note how they have connected relevant theories to focus or frame the relationship between the variables. These are theoretical or conceptual frameworks at work!
The reading assignment for this week includes Chapter 3, “The Use of Theory,” in Creswell (2009), where theory is defined and framed, based on its uses in different kinds of empirical research, i.e. quantitative, qualitative, and mixed methods. Reviewing this carefully can help to give you a useful context for the concept of theory and theoretical framework, as well as his brief definitions of dependent and independent variables [p.50], as mentioned above.

By the due date assigned, post your response directly to the Discussion Area, considering the following ideas about the nature of a theoretical/conceptual framework.

Discuss why a theoretical framework is important for a research study and in developing a literature review.
What were the key variables in Langer’s study and how did having a clear theoretical framework help Langer (2002) focus his study more effectively?
Using the article you critiqued in Module 3 Assignment 2, identify the theoretical framework theauthor used to connect the key variables. Keep in mind that you should typically be able to find the theoretical framework in the literature review section if it is an empirical article.

Post your response directly to the Discussion in a narrative format. Respond to a minimum of two peer responses.

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Human population numbers have increased on earth at an alarming rate and it is our actions on the planet that affect the in the world around us.
Most notably we are responsible for the reduction of the world’s biodiversity by 50% as a recent World Wide Fund estimate shows (WWF 2014). Due to our increasing numbers we must frequently fragment species’ habitats for living space or destroy them completely. When species’ habitats are disrupted they often have nowhere else to go or some species die out and the food chain for others is disrupted and thus larger animals are affected
We also destroy species’ habitat to feed ourselves. Our growing numbers also demand that we need more food and our main methods of production is agriculture which clears great areas of land from its natural habitat to make way for our monocultures of single crops. The pesticides and fertilisers we use on these crops leech into the water ways and create algal blooms which deprive species of oxygen in the water. As species lower down in the food chain die so do larger ones.
An even larger culprit is animal agriculture which is the breeding of farm animals for meat dairy and eggs. It contributes the most to this pesticide and fertiliser pollution and also affects our grain status as great areas of land must be cleared to grow soy beans or other grains to feed the animals.
Perhaps one of the quickest and most alarming ways in which we affect the planet and hence the species around us is our burning of fossil fuels. We burn fossil fuels to run all the machines and industries around us releasing CO2 into the atmopshere. The levels in the atmosphere are higher than they have been in millions of years and are directly leading to the acidification of the of the oceans. This eats away at coral reefs and all the species that feed on or around the coral also suffer and may go extinct.
Another way in which we drive extinction is by introducing to other areas which change how the ecosystem works by becoming the dominant species or preying on another species until it goes extinct.
In addition we often hunt many animals to extinction. This is evident with the example of the black Rhino in Africa which recently went extinct because we hunted it for its horn which is illegal but a great black market. Many species go extinct because we exploit them for things such as their fur or tusks or something else we fancy. Through this they suffer and many go extinct.
Much of the extinction around us is directly due to our actions and our growing population numbers. It is also very dependent on the unsustainable ways in which we live.

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identify all the principles and discuss the pros
and cons of David Beckham endorsing different products and services.

Question 1
“Brand Beckham’s multiple personalities or identities are what makes him unique
and valuable and can add value to many different products and services.”
There are seven (7) principles in creating effective advertisements. Based on the
portion of case study quoted above, identify all the principles and discuss the pros
and cons of David Beckham endorsing different products and services.
(30 marks)
Question 2
Event marketing is similar to sponsorship marketing and the main difference is that
event marketing involves a company supporting a specific event. Assume ONE (1)
of the sponsors in the case study decides to carry out event marketing instead of
sponsorship, list FIVE (5) key steps in their preparing for events. Explain your
answers with specific examples based on the information in the case study.
(30 marks)

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