The latest UK Chief Medical Officers Physical Activity Guidelines for Adults* includes the following components:
1)    Adults should be physically active every day. Any activity is better than none, and more is better still.
2)    Muscle strengthening activities should be done on at least two days of the week, but any strengthening activity is better than none.
3)    Each adult should accumulate at least 150 minutes of moderate intensity activity; or 75 minutes of vigorous intensity activity; or even shorter durations of very vigorous intensity activity; or a combination of moderate, vigorous and very vigorous intensity activity.
4)    Adults should aim to minimise the amount of time spent sedentary and should break up long periods of inactivity with at least light physical activity.
Please provide a critical overview of the evidence behind each of the components of these physical activity guidelines.  In your answer, consider evidence from epidemiology; laboratory studies of the biological mechanisms underpinning how activity affects health; and intervention trials.  Please comment on the strengths and limitations of the available evidence, and how the guidelines might change in the future. 

This paper is 3-4 pages on Nursing burnout and dealing with ethical and legal issues regarding patient care.
I will have a few other assignments to be posted later on the same topic. Some will be 1 – 2 pages and the final project 8-10 pages on Nursing burnout. I have attached the references I need to be incorporated into this paper that is due this week. I have attached the rubric and my introduction and literature review I have done.
Heather

The nursing process is a tool that puts knowledge into practice. By utilizing this systematic problem-solving method, nurses can determine the health care needs of an individual and provide personalized care.

Write a paper (1,750-1900 words) on cancer and approach to care based on the utilization of the nursing process. Include the following in your paper:

    Describe the diagnosis and staging of cancer.
    Describe at least three complications of cancer, the side effects of treatment, and methods to lessen physical and psychological effects.
    Discuss what factors contribute to the yearly incidence and mortality rates of various cancers in Americans.
    Explain how the American Cancer Society (ACS) might provide education and support. What ACS services would you recommend and why?
    Explain how the nursing process is utilized to provide safe and effective care for cancer patients across the life span. Your explanation should include each of the five phases and demonstrate the delivery of holistic and patient-focused care.
    Discuss how undergraduate education in liberal arts and science studies contributes to the foundation of nursing knowledge and prepares nurses to work with patients utilizing the nursing process. Consider mathematics, social and physical sciences, and science studies as an interdisciplinary research area.

You are required to cite to a minimum of four sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide, An abstract is not required.

It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.

Evaluate the Health History and Medical Information for Mrs. J., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History:

Mrs. J. is a 63-year-old married woman who has a history of hypertension, chronic heart failure, and chronic obstructive pulmonary disease (COPD). Despite requiring 2L of oxygen/nasal cannula at home during activity, she continues to smoke two packs of cigarettes a day and has done so for 40 years. Three days ago, she had sudden onset of flu-like symptoms including fever, productive cough, nausea, and malaise. Over the past 3 days, she has been unable to perform ADLs and has required assistance in walking short distances. She has not taken her antihypertensive medications or medications to control her heart failure for 3 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure and acute exacerbation of COPD.

Subjective Data:

    Is very anxious and asks whether she is going to die.
    Denies pain but says she feels like she cannot get enough air.
    Says her heart feels like it is “running away.”
    Reports that she is exhausted and cannot eat or drink by herself.

Objective Data:

    Height 175 cm; Weight 95.5kg.
    Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58.
    Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint: all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation.
    Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%.
    Gastrointestinal: BS present: hepatomegaly 4cm below costal margin.

Interventions

The following medications administered through drug therapy control her symptoms:

    IV furosemide (Lasix)
    Enalapril (Vasotec)
    Metoprolol (Lopressor)
    IV morphine sulphate (Morphine)
    Inhaled short-acting bronchodilator (ProAir HFA)
    Inhaled corticosteroid (Flovent HFA)
    Oxygen delivered at 2L/ NC

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mrs. J.’s situation. Include the following:

    Describe the clinical manifestations present in Mrs. J.
    Discuss whether the nursing interventions at the time of her admissions were appropriate for Mrs. J. and explain the rationale for each of the medications listed.
    Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.
    Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide a rationale for each of the interventions you recommend.
    Provide a health promotion and restoration teaching plan for Mrs. J., including multidisciplinary resources for rehabilitation and any modifications that may be needed. Explain how the rehabilitation resources and modifications will assist the patients’ transition to independence.
    Describe a method for providing education for Mrs. J. regarding medications that need to be maintained to prevent future hospital admission. Provide rationale.
    Outline COPD triggers that can increase exacerbation frequency, resulting in return visits. Considering Mrs. J.’s current and long-term tobacco use, discuss what options for smoking cessation should be offered.

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide, An abstract is not required.

Select one Organization for Economic Cooperation and Development (OECD) country and answer the following questions:

. Does health insurance coverage for the country you selected offer the gold standard of care? Do revenues used to pay for health care come from a single source or many? Is there rationing of healthcare services? If so, how does this compare to rationing in the U.S.?
. To what extent do you think the crafting of the ACA relied on experiences of other countries? Does the country you selected possess healthcare policies that may have been influential? Should the U.S. adopt these healthcare policies? Why?

Directions
Select a current event article related to healthcare policy from a news website, newspaper, or news magazine (such as The Wall Street Journal, Time, Newsweek, The Economist).
1-Describe the healthcare policy issue.
2-Provide rationale for why you chose the article.
3-Provide a brief summary of the article.
4-Describe your reaction to the article.
5-Cite the reference using APA format.