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This Health Policy & Politics Essay paper explores a nurses role in health care, policies implemented, and the legislative process in which they operate. Nurses are not only advocates for themselves; they are also an advocate for their patients. Health Policy & Politics Essay. Therefore, it is important for nurses to be active in lobbying for much needed policies that concern their healthcare and wellbeing. It sheds some light on various organizations set into place in which these nurses can come together and have a voice in which to enable the changes desired and needed for individual voices that may not have been heard otherwise. It explores a few specific healthcare policies that have had major influences on healthcare management as well as the nurses themselves. Health Policy & Politics Essay. In addition, it outlines some of the legislative processes, budgetary and bill policies, as well as some of the programs not otherwise known to have been started through nurses rallying together to allow citizens better healthcare regardless of race, socio-economic status, or age. Nurses truly are the apex of healthcare policy and legislature. Health Policy & Politics Essay.

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Legislature, by definition, is a powerful and intimidating body of officials that seem to do works above that of your everyday individual out in the workforce living pay check to paycheck. However, when closely examined, legislature starts with that very individual. It is said that it takes an entire village to raise a child; as is the case of health care policies and legislature. Health care is universal to everyone in the fact that everyone needs healthcare and is therefore, affected by its policies. Everyone has the power to make changes that can benefit them as an individual. These individuals bind with other like-minded individuals and form a united voice in which a platform is set for desired changes to be heard. Nurses are at the very apex of this voice as they are on the front-lines with these individuals giving the day to day care and have first-hand knowledge to help in health care policies and legislature…Health Policy & Politics Essay.

A healthcare policy is a set of rules and regulations that are put into effect to assist in the operation and the shape of health delivery. A healthcare policy covers a range of issue including public health, chronic illness and disability, long-term care, the financing of health care, preventive health care and mental health. There are two models of a healthcare which consist of the single payer and the social insurance system. In the single payer model, taxes are paid to the government which then pays healthcare providers such as nurses, doctors, and dentists to provide health services to individuals. In a social insurance system, citizens must purchase health insurance from non-profit insurance companies who will then use this health insurance to pay for services provided by healthcare providers. Healthcare is financed through private insurance companies which individuals can access through their employers and for the many Americans that are uninsured, there are three programs in which they can go through called Medicare, Medicaid, and The State Children’s Health Insurance Program. Health Policy & Politics Essay. Medicare mainly deals with Americans who are over the age of 65 or disabled. Medicaid deals with people who are of low income or maybe classified as being poor. The State Children’s Health Insurance Program deals with people who are uninsured or low income children. There are so many aspects that can make up healthcare policy and there will be many more that will have an impact on healthcare in the future…

The legislative process is a pivotal process that shapes the health care policy within the country. The US healthcare system requires a lot of influencing and lobbying in order to adopt or to implement the necessary health care reform policies. The nurses are the relevant people to push for these reforms through their associations or alliances e.g. The Nursing Organizations Alliance (NOA).

The nurses hold the most influential position in driving for the necessary healthcare reforms; this is because of their numbers, expertise and also their positions. The evidence of these numbers is demonstrated by a statistical report which shows that in every 44 female voters in the US there is one nurse. Secondly, in every 100 voters there is one nurse. Finally, there is evidence that there are 100,000 nurses in every congressional district (source: Leavitt, 2003)…

The Need for Nurses to Engage in Political Involvement There has been a pandemic apathy towards political activism among the nursing fraternity, despite the fact that politics to a greater extent affects the way these medical practitioners carry out their duty of providing care. Nurses have not seen any reason for political involvement citing that no direct relationship exists between nursing and political activism (Boswell, Canon and Miller 5). Health Policy & Politics Essay. They claim that nursing is about application and service, demonstration by involvement and more of ‘walking the walk’ rather than the political ‘talking the talk’ (Rains and Barton-Kriese 219). Political activism to them is a waste of the precious time that could be used to provide healthcare to…Health Policy & Politics Essay

The public policy issue selected is childhood obesity. I selected this issue because childhood obesity has a considerable longstanding impact on the health of the public as well as the cost of health care. This is becoming a more significant issue in the public realm because childhood obesity emanates from the main reason that these children grow up into obese adults who might end up suffering a great deal of health problems. According to the Centers for Disease Control and Prevention (CDC) (2015), childhood obesity has more than doubled and increased fourfold in adolescents in the past three decades. Statistics indicate that by 2012, more than 33% of the children and adolescents in the United States were obese or overweight. This implies that there is a need for policy intervention addressing this health hazard. Health Policy & Politics Essay.

Research studies undertaken have indicated that childhood obesity is a relevant public policy issue to the health of the general public. According to Karnik and Kanekar (2012), childhood obesity is a growing issue of concern with regard to the health and welfare of the child. The cause of childhood obesity is the disparity between calorie consumption and calories that are used up. There are several factors that are causal to this public policy issue, which include genetic, environmental and behavioral factors. Health Policy & Politics Essay. The pervasiveness of childhood obesity is increasing in both developed and developing nations. It is ranked as one of the major health problems indicating that incidence of childhood obesity has amplified over the years. The augmented pervasiveness of childhood obesity may have detrimental ill health and transience repercussions in the adult phase of the child. In particular, physical, psychosomatic, and social health complications are caused as a result of childhood obesity (Karnik and Kanekar, 2012)…Health Policy & Politics Essay.

Health Care Reform is a concern for people that have health insurance, for those that can’t afford health insurance and the price of healthcare for all of us. Health Policy & Politics Essay. There are the difference views on Health Care Reform: The healthcare view, the public opinion and The House and the Senate. The Center for Medicare and Medicaid will withhold 2% of base payments that would serve as incentive payments to hospital based on their total performance score derived from separate domains. The current domains include process measure, outcome and patient satisfaction…Health Policy & Politics Essay.

Management of Congestive Heart Failure (CHF) In African American Males in the Primary Care Clinics Essay

Health Promotion and Disease Prevention

Discuss health promotion and disease prevention as they pertain to MANAGEMENT OF CHF IN AFRICAN AMERICAN MALES IN THE PRIMARY CARE CLINICS. Everything we do in nursing should be supported by evidence. Whether we are looking for ways to improve a hospital department\’s internal efficiency or looking how to improve a population\’s outcome, there is underlying evidence that supports the principles of health promotion and disease prevention. Management of Congestive Heart Failure (CHF) In African American Males in the Primary Care Clinics Essay.

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• Retrieve two peer-reviewed articles pertaining to psychosocial research on MANAGEMENT OF CHF IN AFRICAN AMERICAN MALES IN THE PRIMARY CARE CLINICS.

• Critique each article, highlighting the strengths and the weaknesses of each article. Interpret the statistical analysis and significance of results. Management of Congestive Heart Failure (CHF) In African American Males in the Primary Care Clinics Essay.

• Finally, analyze the feasibility of applying this evidence to your topic (MANAGEMENT OF CHF IN AFRICAN AMERICAN MALES IN THE PRIMARY CARE CLINICS.

• Both articles should directly correlate MANAGEMENT OF CHF IN AFRICAN AMERICAN MALES IN THE PRIMARY CARE CLINICS and Objectives of Healthy People 2020 (US Department of Health and Human Services, 2014)

Write your initial response in 300 words. Management of Congestive Heart Failure (CHF) In African American Males in the Primary Care Clinics Essay.

Reference:

US Department of Health and Human Services. (2014). 2020 topics &

objectives – Objectives A–Z. Retrieved from http://www.healthy

people.gov/2020/topicsobjectives2020/

The discussion question is centered around the following assigned reading

PLEASE READ THIS ARTICLE

Shirey, M. R., Hauck, S. L., Embree, J. L., Kinner, T. J., Schaar, G. L., & Phillips,

L. A. (2011). Showcasing differences between quality improvement,

evidence-based practice, and research. The Journal of Continuing

Education in Nursing, 42(2), 57–68. doi:10.3928/00220124-20100701-

01

After you have read the article, respond to the following questions:

•Which category does Management of African American males with CHF in the primary care clinics project fit (quality improvement, evidence-based practice, or research)? Management of Congestive Heart Failure (CHF) In African American Males in the Primary Care Clinics Essay.

• Provide a rationale and evidence for your answer.

•Interprofessional collaboration has been shown to improve multiple outcomes.

• How will your project on Management of African American males with CHF in the primary care clinics include interprofessional collaboration? Management of Congestive Heart Failure (CHF) In African American Males in the Primary Care Clinics Essay.

. How will this collaboration occur after the project is complete

Overview of Project: Management of African American males with CHF in the primary care clinics

PLEASE USE HEADINGS TO ADDRESS EACH

Ø Create an overview of the PROJECT (Please be detailed)

Instruments; What instruments will you use? What evidence or research exists for the instruments? Have they been determined to be valid or reliable? If so, for what groups? If you are using an instrument or tool that has not been well studied, ensure that you provide evidence to justify its use in your project. Management of Congestive Heart Failure (CHF) In African American Males in the Primary Care Clinics Essay.

• Data collection methods: Are there any other points of data that you will be collecting that have not previously been mentioned? The emphasis in this section should be on fully describing specifically what data you will be using in your study. Part of the purpose of doing this is to detect flaws in the plan before they become problems in the project.

• Data analysis plan. Data Analysis Plan: How will you analyze your data? This section should explain in some detail how you will manipulate the data that you assembled to get at the information that you will use to answer your question. When describing statistical tests, ensure that you have specified the appropriate information, such as the significance level and type of confidence interval (one- or two sided). Management of Congestive Heart Failure (CHF) In African American Males in the Primary Care Clinics Essay.

Ø Describe what meaning the output of any statistical tests will help answer and how it relates to your PICOT/clinical problem.

Ø Please Create a substantive paper to develop a solid plan for the project that incorporates deliverable implementation.

PICOT question

PICOT QUESTION: In African American males with CHF, what are the tools needed for the effective management of this condition in the primary care clinics to help improve the overall outcome among? Management of Congestive Heart Failure (CHF) In African American Males in the Primary Care Clinics Essay.

P= Pt population: African American males with CHF

I= Interventions: Management of CHF among African American males in the US through effective educational and monitoring and evaluation tools in the primary care clinics,

C= Comparison: As compared to noneducational and monitoring tools in the management of CHF among African American males in the US in the primary care cl

O Outcome: Decrease in the frequency of adverse events and an improved overall outcome among this population of patients with CHF.

T= Time: Over one-year period.

PLEASE USE REFERENCES THAT ARE CURRENT AND LESS THAN 5 YEARS OLD

Informatics and Data Mining Evidence and Application

• In this assignment, you will discuss informatics or data mining evidence as it pertains to the topic. (Management of CHF in African American Males in the primary care clinics). Consider whether your site is a Stage 1 or 2 meaningful use site. How does this impact clinical quality? Management of Congestive Heart Failure (CHF) In African American Males in the Primary Care Clinics Essay.

• Retrieve two peer-reviewed articles pertaining to informatics research and your topic of interest (Management of CHF in African American Males in the primary care clinics). Critique each article, highlighting the strengths and the weaknesses of each article. Interpret the statistical analysis and significance of results. Management of Congestive Heart Failure (CHF) In African American Males in the Primary Care Clinics Essay.

• Finally, analyze the feasibility of applying this evidence to your topic of interest in your current practicum setting. Both articles should support nursing standards and patient safety within your chosen topic. Management of Congestive Heart Failure (CHF) In African American Males in the Primary Care Clinics Essay.

Quality Improvement and Evidence Application

In this assignment, you will discuss quality improvement evidence (research) as it pertains to your topic and clinical practicum. Everything we do in nursing should be supported by evidence. Quality improvement initiatives that address practice patterns, healthcare organizations, and variances in health outcomes, in order to promote safe, efficient, ethical, and patient-centered care are often the hallmark of many scholarly projects. Use authentic internet sources and retrieve two peer-reviewed articles pertaining to quality improvement (or quality improvement initiatives) related to your topic of interest(management of chf in african american males in the primary care clinic) Critique each article, highlighting the strengths and the weaknesses of each article. Interpret the statistical analysis and significance of results. Finally, analyze the feasibility of applying this evidence to your topic of interest in your current practicum setting. Management of Congestive Heart Failure (CHF) In African American Males in the Primary Care Clinics Essay.

**Please use current articles/source that are less than 5 years old

INTERPROFESIONAL COLLABORATION

Retrieve two peer-reviewed research articles from authentic internet sources highlighting interprofessional collaboration related to your topic. Critique each article, highlighting the strengths and the weaknesses of each article. Interpret the statistical analysis and significance of results. Finally, analyze the feasibility of applying this evidence to your topic of interest(management of African American males in the primary care clinics) in your current practicum setting (cardiologist clinic).Both articles should support nursing standards and patient safety within your chosen topic. Management of Congestive Heart Failure (CHF) In African American Males in the Primary Care Clinics Essay.

Management of African American Males with Congestive Heart Failure in the Primary Care Clinics Essay

Using the downloaded table, do a comprehensive literature review of 8 research articles on the Management of African American Males with congestive heart failure in the primary care clinics.

Important components to include in the assignment are:

Theoretical framework: Describe any theoretical or conceptual frameworks that serve as a guide for your project, summarize the frameworks, and explain how they relate to and provide support for your problem or population of interest.

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Synthesis and analysis of evidence (research) related to the problem or population of interest: Address the overall strengths, weaknesses, limitations, and gaps of the research. It is very important that this section provide a comprehensive review of the literature and contain a minimum of eight pages. Management of African American Males with Congestive Heart Failure in the Primary Care Clinics Essay

Assessing Context and Culture

• Kent and McCormack (2010) explore the importance of context and culture and their relationship to the implementation of evidence-based practice.

• After reading Developing Effective Research-Practice Partnerships for Creating a Culture of Evidence-Based Decision Making,

• Describe and demonstrate how context and culture affect the implementation of evidence with MANAGEMENT OF CHF IN AFRICAN AMERICAN MALES IN THE PRIMARY CARE CLINICS

Reference:

Riemer, M., Kelley, S., Casey, S., and Taylor Haynes, K. (2012). Developing effective research-practice partnerships for creating a culture of evidence-based decision making. Administration and Policy in Mental Health, 39(4), 248–257. doi: 10.1007/s10488-011-0368-6

Write your initial response in 300 words: Cite your sources in your work and provide references for the citations in APA format. Management of African American Males with Congestive Heart Failure in the Primary Care Clinics Essay.

 

ORGANIZATIONAL LEADERSHIP EVIDENCE AND APPLICATION

•Discuss organizational leadership evidence as it pertains to your topic MANAGEMENT OF CHF IN AFRICAN AMERICAN MALES IN THE PRIMARY CARE CLINICS. Everything we do in nursing should be supported by evidence. Whether we are looking to understand the organizational barriers that exist to change a policy or conduct a root-cause analysis to understand organizational failure, we know all too well that there are types of organizations that are more prone to success and those that are more prone to failure. Management of African American Males with Congestive Heart Failure in the Primary Care Clinics Essay.

•Discuss organizational leadership evidence as it pertains to your topic (MANAGEMENT OF CHF IN AFRICAN AMERICAN MALES IN THE PRIMARY CARE CLINICS)

•Retrieve two peer-reviewed articles pertaining to organizational research ON MANAGEMENT OF CHF IN AFRICAN AMERICAN MALES IN THE PRIMARY CARE CLINICS

•Critique each article, highlighting the strengths and the weaknesses of each article.

•Interpret the statistical analysis and significance of results.

•Lastly, analyze the feasibility of applying this evidence to your population/problem within MANAGEMENT OF CHF IN AFRICAN AMERICAN MALES IN THE PRIMARY CARE CLINICS primary care practicum setting. Management of African American Males with Congestive Heart Failure in the Primary Care Clinics Essay.

. Both articles should support nursing standards and patient safety within MANAGEMENT OF CHF IN AFRICAN AMERICAN MALES IN THE PRIMARY CARE CLINICS.

Write your initial Management of African American Males with Congestive Heart Failure in the Primary Care Clinics Essay response in 300 words

Management of Congestive Heart Failure in African American Males in the Primary Care Clinics Essay

Overview of Project Topic :Management of African American males with CHF in the primary care clinics

PLEASE USE HEADINGS TO ADDRESS EACH

Ø Create an overview of the PROJECT (Please be detailed)

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Ø Approach/design (This section should make clear to the reader the manner in which you intend to approach the clinical question and the techniques and logic that you will use to address it).

Ø Methods- What will you do? – This section should be clear, direct, and to the point, while including all information. Ensure that your methods describe a clear and feasible time frame. When others replicate your work, it allows for verification of your findings, an opportunity for improved quality, safety, or finances in another setting, or the potential for collaboration with colleagues who share your same interests. To make results verifiable, you need to give a complete and accurate description of the techniques that will be used for the project. Management of Congestive Heart Failure in African American Males in the Primary Care Clinics Essay

Ø Site (Primary care clinic) This section should include a description of key information related to the primary care setting

Ø Participant information (40-80-year old’s) This section should include a description of key information and key variables that describe any participants (often called the sample) included in the project. Management of Congestive Heart Failure in African American Males in the Primary Care Clinics Essay.

Ø Describe what meaning the output of any statistical tests will help answer and how it relates to your PICOT/clinical problem.

Ø Please Create a substantive paper to develop a solid plan for the project that incorporates deliverable implementation. Management of Congestive Heart Failure in African American Males in the Primary Care Clinics Essay.

PICOT question

PICOT QUESTION: In African American males with CHF, what are the tools needed for the effective management of this condition in the primary care clinics to help improve the overall outcome among? Management of Congestive Heart Failure in African American Males in the Primary Care Clinics Essay.

P= Pt population: African American males with CHF

I= Interventions: Management of CHF among African American males in the US through effective educational and monitoring and evaluation tools in the primary care clinics,

C= Comparison: As compared to noneducational and monitoring tools in the management of CHF among African American males in the US in the primary care cl

O = Outcome: Decrease in the frequency of adverse events and an improved overall outcome among this population of patients with CHF.

T= Time: Over one-year period. Management of Congestive Heart Failure in African American Males in the Primary Care Clinics Essay.

CHF PICOT Essay

Ø Create an overview of the PROJECT (Please be detailed)

Instruments; What instruments will you use? What evidence or research exists for the instruments? Have they been determined to be valid or reliable? If so, for what groups? If you are using an instrument or tool that has not been well studied, ensure that you provide evidence to justify its use in your project. CHF PICOT Essay.

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• Data collection methods: Are there any other points of data that you will be collecting that have not previously been mentioned? The emphasis in this section should be on fully describing specifically what data you will be using in your study. Part of the purpose of doing this is to detect flaws in the plan before they become problems in the project. CHF PICOT Essay.

• Data analysis plan. Data Analysis Plan: How will you analyze your data? This section should explain in some detail how you will manipulate the data that you assembled to get at the information that you will use to answer your question. When describing statistical tests, ensure that you have specified the appropriate information, such as the significance level and type of confidence interval (one- or two sided). CHF PICOT Essay.

Ø Describe what meaning the output of any statistical tests will help answer and how it relates to your PICOT/clinical problem.

Ø Please Create a substantive paper to develop a solid plan for the project that incorporates deliverable implementation.

PICOT question

PICOT QUESTION: In African American males with CHF, what are the tools needed for the effective management of this condition in the primary care clinics to help improve the overall outcome among?

P= Pt population: African American males with CHF

I= Interventions: Management of CHF among African American males in the US through effective educational and monitoring and evaluation tools in the primary care clinics, CHF PICOT Essay.

C= Comparison: As compared to noneducational and monitoring tools in the management of CHF among African American males in the US in the primary care cl

O Outcome: Decrease in the frequency of adverse events and an improved overall outcome among this population of patients with CHF.

T= Time: Over one-year period. CHF PICOT Essay.

Pediatric/Adolescent Obesity Picot Essay

Write concisely in detail.

Provide background information for the study including the objective of the proposed research, purpose, research question, hypothesis and other information deemed relevant.

• Provide background information on Childhood obesity. Pediatric/Adolescent Obesity Picot Essay.

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• Please number the objective of the proposed research (at least 4-5 objectives)

• Purpose of the project

• Research question

Describe the research design of the study (i.e., state whether the study is correlational, experimental, etc. and define the variables).

• The tools to use in research of CHILDHOOD OBESITY (6-18)

• State references backing the tools

• What is going to be measured. Pediatric/Adolescent Obesity Picot Essay.

• what will happen in the intervention.

• Will parents be part of the educational intervention?

PICOT QUESTION

• P – Population/ Patient = Obese or overweight child or adolescent who attended a primary care pediatric setting- 6-18-year-old.

• I – Intervention/ Indicator = Implementation of a multidisciplinary pediatric obesity program.

• C – Comparator/control = no pediatric obesity program

• O – Outcome = 5 % decrease in Body Mass Index (BMI) and reduction in childhood obesity.

• T – Time = over a period of 6 months. Pediatric/Adolescent Obesity Picot Essay

NSG 6999

State your PICOT question
.
 
Indicate in parentheses after each segment, what part of PICOT 
the preceding words represen
t
.
 
For example: In patients recently discharged from the 
hospital following care for heart failure (P), do hand-off calls by the nurse to the primary 
care provider using the SBAR format (situation, background, assessment, recommendation)
(I) compared to no calls (C) decrease readmission rates (O) over a one year period (T
)
.
 
Discuss which process model resonates with you and will help keep you focused during the
projec
t
.
 
Process models included in your text (Melnyk & Fineout-Overholt, 2011) are:
Clinical scholar model 
Stetler model of evidence-based practice 
Iowa model of evidence-based practice to promote quality care 
Model for evidence-based practice change by Rosswurm and Larrabee 
Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) Model
Provide feedback to your classmates that focuses on:
The use of correct PICOT format for the question to guide the literature search
.
 
Does the question reflect a clinical research question or one appropriate for an evidence-
based practice project?

Week 3 – NSG 6999 Assignment 1 Discussion

 
In this discussion, you will share your search strategies that you have employed to find
evidence for your study
.
For this discussion:
State your PICOT question
.
 
Did using the terms used in this question lead you to useful
research studies?
What MESH terms have you tried? Did they help you find additional studies? Are you finding
MESH terms useful to expand or delimit your search?
Are you finding relevant articles? If not, how did you modify your search to increase
productivity?
Indicate which databases you used

—

those you found useful and those that were no
t
.
 
What levels of evidence do the studies you are finding represent?
Post any questions or concerns you may have and provide feedback and recommendations
to your classmate
s
.
Working together and sharing search strategies is very helpfu
l
.
 
Use the Search Tracker to keep track of search term
s
.
 
Using the appropriate Rapid Clinical Appraisal (RCA) Tools, appraise one or two articles and
add the information to your Evaluation Table to receive feedback from faculty
.
 
At this
 juncture, your ta
ble is a work in progress
.
 
You will complete it in Week 4
.
 
The RCA Tools
and Evaluation Table in Word for you to complete can be found in the Week 3 Overview
section
.
 

Week 4 – NSG 6999 Assignment 1 Discussion

 
Discuss your experience completing the rapid critical appraisal proces
s
.
 

Was it really “rapid” or was it more of a laborious process?

 

iii

 

Did reading the abstract help you make quick decisions about including or excluding the
study?
What worked best for you in terms of the approach you decided to use to complete the

appraisal and Evaluation Table? What didn’t work?

 
Post any questions or concerns you may have and provide feedback and recommendations
to your classmate
s
.
Working together and sharing search strategies is very helpfu
l
.
 

Week 5 – Assignment 1 Discussion

 
This week the discussion focuses on creating a Synthesis Table(s) as a means to summarize
and organize the body of evidence from the Evaluation Table
.
 
The Synthesis tables will be
included in your formal proposal in the Appendix
.
 
In the body of the paper, you will describe 
the “keeper” studies in narrative forma
t

.
 
For this NSG 6999 discussion, include the following:
Share your approach to synthesizing the evidence
.
 
What were the variables of interest you
identified?
Learning to write in a scholarly fashion requires that you are able to succinctly summarize
an article in a sentence or two and cite it appropriately using APA forma
t
.
 
In this discussion,
practice summarizing 2 articles you have identified from the Synthesis Table as pertinent to
your proposa
l
.
 
Include the level of evidence, study design, and evidence of rigor
.
 
Use
appropriate APA citation in text and references
.
 
Incorporate feedback from peers and faculty
in your Dropbox assignment for this week
.
 
In addition to research studies, patient preference and clinical expertise should also be
considered
.
 
Discuss how you will incorporate these important perspectives into your project
proposa
l
.
 

Week 6 – NSG 6999 Assignment 1 Discussion

 

For this week’s NSG 6999 discussion, please address the following:

 
Briefly describe the clinical issue or problem for your project, the setting, and population of
interest to orient classmates and faculty
Write your clinical question
Describe the intervention you plan to test
What type of study will you conduct? Will it be experimental? Quasi-experimental? Provide a
rationale for your answe
r
.
 
Provide feedback on the clinical questions of your colleagues

Week 7 – NSG 6999 Assignment 1 Discussion

 
This discussion will focus on the measurement tools you will use to evaluate change from 
the intervention
.
 
The purpose of this discussion is to fine-tune your thinking about 
evaluation by receiving feedback from colleagues and faculty
.
 
Include in your discussion:
Write a brief description of your project that starts by stating your clinical question and 
succinctly explaining your planned intervention in order to orient everyone
.
 
Will you need to develop your own evaluation tools or are valid and reliable tools available? NSG 6999.

Mr. P is a 76-year-old male with cardiomyopathy and congestive heart failure

In a short essay (500-750 words), answer the Question at the end of Case Study 2. Cite references to support your positions.

Case Study 2

Mr. P is a 76-year-old male with cardiomyopathy and congestive heart failure who has been hospitalized frequently to treat CHF symptoms. He has difficulty maintaining diet restrictions and managing his polypharmacy. He has 4+ pitting edema, moist crackles throughout lung fields, and labored breathing. He has no family other than his wife, who verbalizes sadness over his declining health and over her inability to get out of the house. She is overwhelmed with the stack of medical bills, as Mr. P always took care of the financial issues. Mr. P is despondent and asks why God has not taken him.

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Question

Considering Mr. P’s condition and circumstance, write an essay of 500-750 words that includes the following:

• Describe your approach to care.

• Recommend a treatment plan.

• Describe a method for providing both the patient and family with education and explain your rationale.

• Provide a teaching plan (avoid using terminology that the patient and family may not understand). Mr. P is a 76-year-old male with cardiomyopathy and congestive heart failure.

Narcolepsy Sleep/ Wake Disorder

1 .Explain the diagnostic criteria for your assigned sleep/wake disorder. (NARCOLEPSY)

2. Explain the evidenced-based psychotherapy and psychopharmacologic treatment for your assigned Narcolepsy Sleep/ Wake Disorder

3 .Describe at what point you would refer the client to their primary care physician for an additional referral to a neurologist, pulmonologist, or physician specializing in sleep disorders and explain why. ( NARCOLEPSY)

4 .Support your rationale with references to the Learning Resources or other academic resource. Narcolepsy Sleep/ Wake Disorder.

NSG 5003 – Advanced pathophysiology

Nephron

Functional unit of kidney, forms a filtrate of protein free plasma, regulates infiltrate, maintains body fluid volume, electrolyte composition, and pH.

Tubular reabsorbtion

retains substances that are needed by the body, movement of fluids and solutes from tubular lumen to peritubular capillary plasma. H2O, glucose, Na, K, and HCO3

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Tubular secretion

excretes chemicals not needed, transfer of substances from plasma of pertibular capillary to tubular lumen. H, urea, creatine, amino acids and some drugs. NSG 5003 – Advanced pathophysiology.

Juxtaglomerular apparatus

control of renal blood flow, glomerular filtration and renin secretion occur here.

Urea

End produce of protein metabolism

Glomerular Filtration

first step in urine production in which permeable substances from the blood are filtered at the endothelial capsular membrane and the filtrate enters the proximal convoluted tubule.

Glomerular Filtration

directly related to perfusion pressure in glomerular capillaries, provides best estimate of functioning renal tissue. NSG 5003 – Advanced pathophysiology.

Glomerulonephritis

inflammation of the glomerulus, clinical manifestations include gross hematuria with casts, proteinuria, edema, HTN

Pylelonephritis

kidney infection, infection of the ureter, renal pelvis or renal parenchyma. Clinical manifestations include flank pain, fever, chills, costovertebral tenderness, purelent urine. Associated with severe strep infections, WBC, bacteria, WBC casts present in urine, and flank pain. Most commonly caused by E. Coli infections and strep infections in peds.

Cystitis

inflammation of the bladder. Clinical manifestations include frequency, dysuria, urgency, lower abdominal or suprapubic pain. WBC’s and bacteria present in urine. NSG 5003 – Advanced pathophysiology.