EBP-Change Assignment

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EBP-Change Assignment

To Prepare:

  • Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT.
  • Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection.
  • Consider the best method of disseminating the results of your presentation to an audience. EBP-Change Assignment

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The Assignment: (Evidence-Based Project)

Part 4: Recommending an Evidence-Based Practice Change

Create an 8- to 9-slide narrated PowerPoint presentation in which you do the following:

  • Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)
  • Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.
  • Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.
  • Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.
  • Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.
  • Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.
  • Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.
  • Add a lessons learned section that includes the following:
    • A summary of the critical appraisal of the peer-reviewed articles you previously submitted
    • An explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides) EBP-Change Assignment

References x 4 to include:

 

Safer Opioid Use Nursing homework help

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Safer Opioid Use Nursing homework help

Have you empowered a patient to believe they could make needed lifestyle modifications irrespective of the barriers that exist in their environment? Please provide examples. If so, you were engaged in health promotion activities as part of your nursing role.

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Were there any strategies used in this simulation exercise that you use to improve patient health literacy? Are there any that you use that were not mentioned here? In your experience, how effective are these strategies?

What are some of the biggest challenges you encounter when trying to improve health literacy? What solutions can you offer to manage these challenges? Safer Opioid Use Nursing homework help

Factors that Might Impact the Client’s Pharmacokinetic and Pharmacodynamic Processes.

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Factors that Might Impact the Client’s Pharmacokinetic and Pharmacodynamic Processes

 

Case Study: https://cdn-media.waldenu.edu/2dett4d/Walden/NURS/6630/DT/week_08/index.html

 

You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.

At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature. Factors that Might Impact the Client’s Pharmacokinetic and Pharmacodynamic Processes.

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Introduction to the case (1 page)

  • Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.

Decision #1 (1 page)

  • Which decision did you select?
  • Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature. Factors that Might Impact the Client’s Pharmacokinetic and Pharmacodynamic Processes.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
  • Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #2 (1 page)

  • Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
  • Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #3 (1 page)

  • Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
  • Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples. Factors that Might Impact the Client’s Pharmacokinetic and Pharmacodynamic Processes.

Conclusion (1 page)

  • Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.

References to include:

 

  • Stahl, S. M. (2021). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (5th Ed.) Cambridge University Press.
    • Chapter 13, “Impulsivity, Compulsivity, and Addiction” (pp. 538-578)

 

  • Salmon, J. M., & Forester, B. (2012). Substance abuse and co-occurring psychiatric disorders in older adults: A clinical case and review of the relevant literature. Journal of Dual DiagnosisLinks to an external site., 8(1), 74–84. https://doi.org/10.1080/15504263.2012.648439. Factors that Might Impact the Client’s Pharmacokinetic and Pharmacodynamic Processes.

 

Nursing homework help

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Identify at least 3 key concepts from the selected part of the textbook and provide clear and correct explanations. Writing shows a clear logical link between those concepts. Synthesize information from multiple sources (lectures, readings, activities) and derive a conclusion in your own words. The terminology used is clearly defined. Notes: – The reflection should be 500-600 words. – A part of points will be taken off for each criterion that was not met. – A late submission will be subjected to a point reduction each day after the deadline until it runs down to zero.

Reflection Essay. This is an individual assignment. You need to write a short essay reflecting your thoughts on that section.

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Notes:

  • The reflection should be 500-600 words.
  • A part of points will be taken off for each criterion that was not met.
  • References (Cited properly, using APA citation style: library.cornell.edu/newhelp/res_strategy/citing/apa.html#apa)
  • Late submission will be subjected to a point reduction each day after the deadline until it runs down to zero. Nursing homework help

Rubric

Reflection Rubric (1)

Reflection Rubric (1)
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeDescription of criterion
50 pts

Full Marks

Identify at least 3 key concepts from the selected part of the textbook and provide clear and correct explanations. Writing shows a clear logical link between those concepts. Synthesize information from multiple sources (lectures, readings, activities) and derive a conclusion in your own words. The terminology used is clearly defined. Notes: – The reflection should be 500-600 words. – A part of points will be taken off for each criterion that was not met. – A late submission will be subjected to a point reduction each day after the deadline until it runs down to zero. Nursing homework help

 30 pts

Partial Marks

Response provides most of the content required by the prompt, but requires further improvement in clarity of argument and relevancy.

 0 pts

No Marks

No posting, or response but with minimum effort.
50 pts
Total Points: 50

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The Textbook is : Dixon B. (2016). Health information exchange. Academic Press. San Diego, CA. ISBN:
9780128031353

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Nursing homework help

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Discuss and submit your PICOT question.

What is the healthcare problem you propose to change?

What impact does it have on the patient, community, cost of care, quality of life, readmissions?

Be detailed about your population and setting. It should be a health problem identified in your clinical setting or community. It should be realistic. Nursing homework help

PICOT Guidelines

PICOT- Should be discussed in detail. This section should include your PICOT question but also should provide thorough descriptions of your population, intervention, comparison intervention, outcome, and timing (if appropriate to your question).

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The PICOT process begins with a case scenario, and the question is phrased to elicit an answer:

EXAMPLE: Will the implementation if (I)_____in a specific population of _______(P) compared to ______(C) improve _______(O) in a period of _______(T)?

The word PICOT is a mnemonic derived from the elements of a clinical research question – patient, intervention, comparison, outcome, and (sometimes) time. The PICOT process begins with a case scenario, and the question is phrased to elicit an answer. P – Patient/Problem I – Intervention C – Comparison O – Outcome T – Timeframe

NOTE: The goal of the MSN Capstone is to integrate Theory and Practice. Therefore, the Capstone is to present evidenced-based on a healthcare problem without needing IRB approval. The project should focus on quality improvement, a teaching plan or the development of a new policy and/or procedure within the clinical setting/community. IRB approval is needed when you have direct involvement with human subjects. Such as, interaction or intervention with human subjects or involve access to identifiable private information.

Examples of Capstone Topics

These are a few examples of health issues. However, I encourage you to identify your own Capstone problem at your workplace or community. You should have issues you can identify with your Capstone preceptors.  Nursing homework help

Importance of taking the health history

Disease common with the aged population

Strategies to ensure healthy aging

Reducing associated ventilator infections in hospitalized patients

Patient advocacy and advanced practice

Physical environmental risk factors for elderly falls

Examining mental health of a specific population

Improving the process of preventive care

The use of chlorhexidine to reduce hospital-acquired infections

The use of cognitive-behavioral therapy techniques in psychiatric facilities

Cultural-based mental health programs

How domestic violence affects the children

Using CBT for PTSD affected veterans

Impacts of bullying at the workplace for new nurses

Development of new mental health guide for educators

Link link between homelessness and mental health issues

Postpartum depression among women

Preeclampsia among women

Preventing pregnant women from Zika Virus

Infant mortality and preterm birth among African American women

Addressing mental health among pregnant women in rural areas

The link between HPV and cervical

Smoking and pregnancy

Diabetes management during pregnancy

Prevention of patient falls through education

Potential causes of falls in hospitals

Nursing interventions to prevent falls. Nursing homework help

Medications for Dementia Assignment

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Medications for Dementia Assignment

Unit 10 Medications for Dementia. 800w. 4 references. Due  10-28-23

Mrs. Taylor Outcome is a 73-year-old female currently living at her own residence; however, her daughter is worried that Mrs. Outcome may be “losing it” after she left a burner on and caused a small fire in her house.  After this event, Mrs. Outcome’s daughter, Teresa, stayed with her mother to make sure she was “all right”.  Teresa noted that during the night her mother once yelled out “help me, help me.”  Teresa also noted some confusion between day and night evidenced by her mother sleeping in the day and staying up at night.

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Mrs. Outcome and her daughter arrive at your practice.  As is standard, you have the nurse perform some standardized tests. Medications for Dementia Assignment

The scores on her tests are listed below:

  • FAQ = 13/30
  • GAD-7 = 7/21
  • PHQ-9 = 8/27
  • MMSE = 20/30
  • Clock drawing test = 2/5

Please answer the following questions about Mrs. Outcome.

  1. Based on the test scores above, do you believe that Mrs. Outcome does have dementia?
  2. What are the differences between delirium and dementia?
  3. What two categories of medications are often used to treat dementia and how do these medications work?

Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format. Medications for Dementia Assignment

Please only use this as a guide as the instructor checks for plagiarism. Use the textbook Thank you

Based on the results of the test scores above, Mrs. Outcomes have moderate dementia. This is clarified by the scores in the standardized tests above. For example, The FAQ(Frequently Asked Questions) indicates a score of 13 out of 30. According to the scoresheet, a score of between 13 to 20 indicate moderate dementia.(Alzheimer’s Association, 2022). The GAD(Glutamic Acid Decarboxylase Autoantibodies) tests of 7 out of 21 indicates moderate dementia. This is because according to the score tests of 21 any score between 6 to 10 indicates moderate dementia. PHQ-9 has a scale form 0 to 24. the scores are interpreted with cut points which has different interpretations for example, it has cuts points of 5, which is mild, 10, which is moderate, 15 which is moderately severe and 20 which is severe condition.(Kurt Kroenke, et al. 2001). Therefore, in this case Mrs. Outcome has moderate dementia because her cut point scores lies at 10. Additionally, the MMSE(Mini-Mental State Exam) test is used to test the cognitive functioning of the elderly. In this case, the test scores indicates moderate dementia. That is, a score of 0 to 12 indicates severe, 13 to 20 suggests a moderate dementia and a score of 20 to 24 indicates 24 indicates mild dementia as explained by Alzheimer’s Association(2022). Lastly the Clock-drawing tests is used to determine the mental performance by asking the patient to draw a clock and place all number in place. In this case Mrs. Outcome scores 2 out of 5 which  suggests mild to moderate dementia. Medications for Dementia Assignment

Question 2;

It would be important to note that Delirium and dementia are mental health conditions which different characteristics and manifestation. Delirium is commonly caused by factors such as drug toxicity or event of acute illness. In most cases, delirium manifests in signs and symptoms that occurs suddenly and changes frequently within a short time. This condition is reversible although it can be fatal if not managed early.

on the other hand, dementia is a mental condition that occurs due to anatomical changes in the brain  which takes time to manifest. this condition is irreversible in nature and can only be managed and controlled. However, the manifestation of delirium could be mistaken as dementia but the main difference is that dementia is slow but regressive.(Tamara G. Fong, et al. 2016).

Question 3;

The two commonly used drug category to treat dementia includes the N-methyl-D-aspartate receptors (NMDA). For example memantine, amantadine and dextromethorphan. These drugs work by inhibiting the actions of glutamate by binding to the glutamate site in the N-methyl-D-aspartate antagonists receptors. This helps in opening the ion-channel.(Mayo Clinic, 2022). Secondly, Cholinesterase inhibitors (ChEIs) is another category that is used to treat dementia in its moderate level. This category includes drugs such as galantamine, rivastigmine and donepezil. The ChEIs work to modify the manifestation of dementia conditions or the Alzheimer’s which is associated with dementia. This occurs when the ChEIs drugs inhibit the breakdown of acetylcholine chemical in the rain this chemical is an important components in neurotransmission which is associated with memory as explained by Mayo Clinic(2022).

Step-by-step explanation

Additionally, dementia is condition that is progressive meaning that it would take months to years to start seeing the sign and symptoms of the conditions. However, the conditions progress in stages which starts from mild, moderate, severely moderate and severe depending on the characteristics of the manifestation and standard tests scores. In this case, the tests cores for Mrs. Outcome indicates moderate dementia. This is because in most scores of the standard tests indicate so as described above. However, these condition can be mistaken with delirium. This is because they have similar sign and symptom. The differential characteristics between the two is that, Delirium occurs suddenly and takes hours to days while dementia takes months to years to manifest. Delirium is most associated with acute mental illness and drug toxicity accumulation in the brain hence affecting how the brain functions when it it comes to its cognitive functions. On the other hand, dementia is caused with anatomical modifications and conditions such as the Alzheimer’s disease. This condition is irreversible is nature but can be treated and managed when realized earlier enough.  Medications for Dementia Assignment

Reference

  1. Medical Tests for Diagnosing Alzheimer’s By Alzheimer’s Association, (2022). Link: https://www.alz.org/alzheimers-dementia/diagnosis/medical_tests#:~:text=During%20the%20MMSE%2C%20a%20health,than%2012%20indicates%20severe%20dementia.
  2. The PHQ-9; Validity of a Brief Depression Severity Measure By Kurt Kroenke, Robert L Spitzer, and Janet B W Williams, (2001). Link: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1495268/
  3. The Interface of Delirium and Dementia in Older Persons By Tamara G. Fong, PhD, Daniel Davis, PhD, Matthew E. Growdon, Asha Albuquerque, and Sharon K. Inouye, (2016). Link: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4535349/
  4. Dementia By Mayo Clinic, (2022). Link: https://www.mayoclinic.org/diseases-conditions/dementia/diagnosis-treatment/drc-20352019. Medications for Dementia Assignment 

 

 

SOCIAL DETERMINANTS OF HEALTH PAPER

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SOCIAL DETERMINANTS OF HEALTH PAPER

SOCIAL DETERMINANTS OF HEALTH

Introduction: Use Walden White paper or the CDC

According to the Centers for Disease Control and Prevention (2022), “Social determinants of health (SDOH) are the nonmedical factors that influence health outcomes. They are the conditions in which people are born, grow, work, live, and age, and the wider set of forces and systems shaping the conditions of daily life… SDOH are one of three priority areas for Healthy People 2030, along with health equity and health literacy. Healthy People 2030 sets data-driven national objectives in five key areas of SDOH: healthcare access and quality, education access and quality, social and community context, economic stability, and neighborhood and built environment. Some examples of SDOH included in Healthy People 2030 are safe housing, transportation, and neighborhoods; polluted air and water; and access to nutritious foods and physical health opportunities”.  SOCIAL DETERMINANTS OF HEALTH PAPER

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https://www.cdc.gov/about/sdoh/index.html

 

To Prepare:

  • Reflect on the concept of social determinants of health as presented in the resources.
  • Contemplate whether digital inclusion or broadband access should be added to the 5 key areas of social determinants of health.
  • Using the optional outside resources or other peer reviewed journal articles, consider how electronic health records, mobile health, patient portals, or telemedicine can impact and be impacted by the social determinants of health.

Post a description of your views on whether or not digital inclusion or broadband access should be added as a key area to the social determinants of health. Be specific and provide examples that support your position. Explain how electronic health records, mobile health, patient portals, or telemedicine can impact and be impacted by the social determinants of health. Support your explanation with the required or optional resources.  SOCIAL DETERMINANTS OF HEALTH PAPER

LEARNING RESOURCES

Required Readings

 

LITERATURE REVIEW: THE USE OF CLINICAL SYSTEMS TO IMPROVE OUTCOMES AND EFFICIENCIES

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LITERATURE REVIEW: THE USE OF CLINICAL SYSTEMS TO IMPROVE OUTCOMES AND EFFICIENCIES

LITERATURE REVIEW: THE USE OF CLINICAL SYSTEMS TO IMPROVE OUTCOMES AND EFFICIENCIES

New technology—and the application of existing technology—only appears in healthcare settings after careful and significant research. The stakes are high, and new clinical systems need to offer evidence of positive impact on outcomes or efficiencies.

Nurse informaticists and healthcare leaders formulate clinical system strategies. As these strategies are often based on technological trends, informaticists and others have then benefited from consulting existing research to inform their thinking.

In this Assignment, you will review existing research focused on the application of clinical systems. After reviewing, you will summarize your findings. LITERATURE REVIEW: THE USE OF CLINICAL SYSTEMS TO IMPROVE OUTCOMES AND EFFICIENCIES

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To Prepare:

  • Review the Resources and reflect on the impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery.
  • Conduct a search for recent (within the last 5 years) research focused on the application of clinical systems. The research should provide evidence to support the use of one type of clinical system to improve outcomes and/or efficiencies, such as “the use of personal health records or portals to support patients newly diagnosed with diabetes.”
  • Identify and select 4 peer-reviewed research articles from your research.
  • For information about annotated bibliographies, visit https://academicguides.waldenu.edu/writingcenter/assignments/annotatedbibliographiesLinks to an external site.

The Assignment: (4-5 pages not including the title and reference page)

In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Format your Assignment as an Annotated Bibliography. Be sure to address the following:

  • Identify the 4 peer-reviewed research articles you reviewed, citing each in APA format.
  • Include an introduction explaining the purpose of the paper.
  • Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples. LITERATURE REVIEW: THE USE OF CLINICAL SYSTEMS TO IMPROVE OUTCOMES AND EFFICIENCIES
  • In your conclusion, synthesize the findings from the 4 peer-reviewed research articles.
  • Use APA format and include a title page.
  • Use the Safe Assign Drafts to check your match percentage before submitting your work.

LEARNING RESOURCES

Required Readings

 

 

Health Promotion: Prevention Of Disease Assignment

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Health Promotion: Prevention Of Disease Assignment

Discuss the safety and effectiveness of alternative and complementary medicine for the treatment of specific

illnesses such as cancer, diabetes, and hypertension.  Share your opinions about holistic and allopathic care. Health Promotion: Prevention Of Disease Assignment

Would have any conflicts or concerns supporting a patient who chooses holistic or allopathic medicine?

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Instructions: 

Post your discussion to the Moodle Discussion Forum.  Initial post must be made by Day #3.  Word limit 500 words.  Reply to at least two other student posts with a reflection of their response.  Please make sure to provide citations and references (in APA, 7th ed. format) for your work. Health Promotion: Prevention Of Disease Assignment

Week 3 Assignment 3.1: Literature Review in Action

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Week 3 Assignment 3.1: Literature Review in Action

In this assignment, you will create a presentation that reflects on your own future proposed problem of interest you are thinking of and explain how the purpose of a literature review as it relates to this problem. Look at the rubric, and note that most of this power point relates to the literature review (The bolded sections must be part of your power point; refrain from doing power points that directly present your problem of interest. Doing a power point presentation for example on prevention of falls is not the purpose of this week 2 power point assignment.  Week 3 Assignment 3.1: Literature Review in Action

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Step 1: Reflect on your proposed problem of interest.

Critically think about your research question or problem of interest as your primary and secondary questions relate to this.

Step 2: Consider the following questions:

· What is the purpose of conducting a literature review?

· What are the steps a nurse researcher would take to conduct a literature review?

· What would be the primary and secondary questions regarding the research question or problem of interest?

· Consider the importance of including sources with a variety of results when identifying sources pertaining to your proposed problem of interest.

· Who is your audience?

Step 3: Consider who your audience might be if you were to deliver your presentation in person.

· What would you want them to know about this topic?

· What would you expect them to already know?

Step 4: Create a seven- to ten-slide presentation that summarizes the purpose of a literature review.

Explain the steps in conducting a literature review. In your presentation, describe how you would approach conducting a literature review pertaining to your problem of interest. Identify one primary question and one secondary question regarding the problem of interest. Week 3 Assignment 3.1: Literature Review in Action

Step 5: Review your presentation.

Ensure that you are using best practices for formatting slides.

· Include a title screen and summary screen.

· Avoid making slides too text heavy or dense with text. As a guideline, limit text on each slide to five bullet points of six words each.

· If using graphics, be sure that they are professional, reinforce your points, and are not used merely for decoration.

· Be sure to add what you would say if delivering the presentation to a live audience in the notes section of each slide.

Cite references in APA format with link of webpage. Week 3 Assignment 3.1: Literature Review in Action