Category: Nursing

MN568 Advanced Practice Nursing Essay – Discussion Board: UTI – Urinary Tract Infection, Overactive Bladder, Cystitis, Noninfectous Urethritis

Topic 1
K.N. is a 24-year-old woman who presents to the family practice clinic complaining of sudden urgency to urinate, back pain, frequent urination, and pain with urination. Symptoms began approximately 48 hours ago.

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She awoke from sleep with urgency and suprapubic discomfort 2 nights ago. Her urine now has a strong odor and a cloudy appearance. She has an allergy to Bactrim.

What are some appropriate questions to ask the patient?

What are three differential diagnoses for the patient?  
( Urinary Tract Infection,, Overactive Bladder, Cystitis, Noninfectous Urethritis)

What physical examination would you perform? (Urine culture

What diagnostics would you include?

Create an evidenced-based plan of care. Include pharmacological and non-pharmacological treatments.

Urine dipstick results: Color, dark yellow, specific gravity 1.035, ph 5.5, protein (-), Ketones (-), Bilirubin (-), Trace blood, Leukoesterase (+), Nitrites (+), Urobilinogen (-)

No Plegarism please,  will be checked with Turnitin.

Will need minimum of 300 words, APA Style, double spaced, times new roman, font 12, and and Include: (3 references within 2015-2018)with intext citations.

MN568 Advanced Practice Nursing Essay – Discussion Board: UTI – Urinary Tract Infection, Overactive Bladder, Cystitis, Noninfectous Urethritis

Nursing Theories Paper

Nursing Theories: An OverviewSource Link: 
http://currentnursing.com/nursing_theory/nursing_theories_overview.html

Prompt: 

What
 
is my experience with nursing theory?  Have I ever seen nursing theory in practice?  How important do I think
 
nursing
 
theory is to nursing practice? What do I find most interesting about what I am learning about nursing theory?
 
Is
 
my mind and heart open to learning to see nursing from a different perspective?

Summary:
 The purpose of the Reflective Journal is to allow for analysis, synthesis and evaluation of nursing theory using guided questions. Reflection in Action has been referred to as a process that happens internally, privately or in isolation (Hill & Watson, 2011). Also, a useful definition of reflection has been referred to as the examination of an issue of concern, as a consequence of experience, creating clarity and meaning in terms of self, and which results in a change of perspective ( Boyd & Fales, 1983).

Boyd, E. M., & Fales, A. W. (1983). Reflective learning: Key to learning from experience, Journal of Humanistic Psychology, 23(2), 99-117.

Hill, M. & Watson, J. (2011). Creating a Caring Science Curriculum. New York, NY: Springer Publishing.

Nursing Theories Paper

MN569 Advanced Practice Nursing-Discussion Board – Social Services

Topic: Social Services

Share what social services are available
 in your community (Miami, Florida)
 and give examples of when it is important to involve social services in the management of your patients
 (Elderly living alone unable to care for self) 
 in the primary care setting? Please give examples of what you have done in your clinic setting involving social services. Support your discussion with evidence based practice and recommendations.

No Plegarism please,  will be checked with Turnitin.

Will need minimum of 300 words, APA Style, double spaced, times new roman, font 12, and and Include: (3 references within 2015-2018)with intext citations.

MN569 Advanced Practice Nursing-Discussion Board – Social Services

Medicare Appeals Process Essay

It’s important to note differences in the Medicare Appeals Process. Download the PDF, Medicare Parts A and B Appeal ProcessPreview the document, and explore the process and its distinct characteristics.

Once you have read through the file, write one-to-two paragraphs, describing the following:

Differences in the process

Reasons why appeals are escalated from one level to the next

Questions you have about the process

Medicare Parts A and B Appeal Process

Enter your work into a Word document named “MedicareAppealsProcess” . Medicare Appeals Process Essay

Process Billing/Coding Scenario Essay

The process of reimbursement involves many responsibilities. For this writing assignment, imagine you are a reimbursement specialist in a physician’s office. In a one-page essay, describe the process of reimbursement step by step, starting at the point that the services have been coded and ending when the claim is paid in its entirety. Select one type of insurance (Private insurance such as Blue Cross/Blue Shield, or Medicare, Medicaid, etc.) and use it while completing your paper. Enter your work into a  Word document named “BillingProcess”. Process Billing/Coding Scenario Essay.

Include at least the following in your document:

Claims completion (CMS-1500)

Describe the key pieces of the information needed, in a list

What should go into Box 1

What should go into Box 2

The claim verification process

Claims payment, including:

Verification/accuracy of payment

Possible rejections and how to appeal them

Payment posting. Process Billing/Coding Scenario Essay.

Billing/collection from patients

Reporting

Note: Write the paper as if they are instructions for a new employee.

Health Insurance Claim Form

Process Billing/Coding Scenario Essay

Ethical and Environmental Responsibility

In a Word document

Review the Debate Issue on page 192. Describe the pros and cons of each stance described. Your answers should total two to three paragraphs for each stance. Each paragraph should contain three to five complex sentences.

Write your answers to the following questions about Case 5, “New Belgium Brewing: Ethical and Environmental Responsibility,” beginning on page 434. Your answers should total one to two paragraphs for each question. Each paragraph should contain three to five complex sentences.

Describe the circumstances that led to New Belgium Brewing Company’s focus on social responsibility.

Explain whether you believe New Belgium Brewing Company’s focus on social responsibility provides a key competitive advantage. Ethical and Environmental Responsibility.

Describe the environmental issues New Belgium Brewing Company manages. Why has the company taken such a strong stance regarding sustainability?

Does New Belgium Brewing Company’s focus on sustainability come at the expense of other social responsibilities? Explain why or why not.

What lessons can be learned from New Belgium Brewing Company?

My book is Business Ethics: Ethical Decision Making and Cases; 10th ed, by O.C. Ferrell, J. Fraedrich, and L. Ferrell, 2015. Ethical and Environmental Responsibility.

Interprofessional Teams: Ethics and the Law- Robichaux article

Interprofessional Teams: Ethics and the Law  After reading the Robichaux article found here, http://ccn.aacnjournals.org/content/32/2/65.full, answer the following while considering an experience you have had (or might come across) when working with an interprofessional team:   •Identify your experience and discuss a real or potential ethical and legal aspect of the case which involved working collaboratively with health care professionals who were not nurses.

•Provide strategies that might have changed the outcome. Use Rest’s Four Component Model.

•Identify legal aspects that should have been considered in this situation.

Must be at least 150 words, and one APA formatted reference, throughout the discussion post and at the end. Interprofessional Teams: Ethics and the Law- Robichaux article

A 56-year-old male was brought to the emergency room with a chief complaint was right flank pain.

History of present Illness:

One day prior to admission, the patient developed a change in the color of his urine from pale yellow to red in color. There was no associated fever, painful urination, or penile discharge. He decided to consult with his primary physician the following day.

One hour prior to admission, the patient developed severe right flank pain associated with nausea. Upon admission, the patient was noted by the ER physician to be in severe pain, with a pain scale of 9 from a visual analog pain scale from 1  to 10. On physical exam, patient had the following findings:

Vital Signs BP: 140/90 mm Hg

Heart rate: 110 bpm

Respiration rate: 15 breaths per minute patient

Temperature: 98.6 deg C

All exam findings for the head, neck, heart, lungs, and abdomen were normal.

On examination of the back, patient had tenderness on the right flank upon palpation.

On examination of the genitalia, there was no penile discharge.

Note of a 1 x 1 cm tophus on right big toe.

The following diagnostic exams were ordered

CBC with WBC differential count

Urinalysis

Serum uric acid

KUB x-ray

MRI Scan abdominopelvic area

Past Medical History:

Diagnosed with gout one year prior to admission

On medication with allopurinol

No heart and lung disease

No diabetes or hypertension

Click here to review the results of the diagnostic exam.

Questions and topics for discussion:

After considering his signs, symptoms, findings, and diagnostic exams, what would be the clinical diagnosis in this patient? (1 pt)

What is causing the hematuria to occur?  (1 pt)

Why are his vitals (BP, HR, breathing) elevated? (1 pt)

What is causing the severe right flank pain? (1 pt)

How are the elevated levels of serum uric acid and positive uric acid crystals in the urinalysis related to your diagnosis? (1 pts)

What pain medication would you provide to this patient? Why would you choose this medication? (2 pts)

What treatment would you recommend for removing the cause of his pain?  Explain your answer.  (3 pts)

Application of Health Literacy & Motivational Interviewing Concepts to Promote Wellness

Application of Health Literacy & Motivational Interviewing Concepts to Promote Wellness

Health literacy is not simply the ability to read health information. The National Institutes of Health defines health literacy as the ability to read, comprehend, and analyze information; decode instructions, symbols, charts, and diagrams; weigh risks and benefits; and ultimately make decisions and take action.

After the reading the following HRSA guideline https://www.hrsa.gov/advisorycommittees/bhpradvisory/actpcmd/Reports/twelfthreport.pdf

Discuss how shared decision making , motivational interviewing, and best practices of models of care can improve the health literacy of a especial popualtion ( children ,elderly, veterans).

Posting should be a minimum of one short paragraph and a maximum of two paragraphs.  Word totals for each post should be in the 
100-200 words range
.

APA 6th edition format for references as well as in-text citations is expected.

Application of Health Literacy & Motivational Interviewing Concepts to Promote Wellness

NRP 513 Guide to an Overall Critique of a Qualitative Research Report

Complete
 the 
NRP 513 Guide to an Overall Critique of a Qualitative Research Report
worksheet for the qualitative article you selected.

Qualitative article is being Attached, and the 
NRP 513 Guide to an Overall Critique of a Qualitative Research Report
is attached too.

Attention: What i need is to answer all the questions from the guide utilizing the article attached. Please read carefully the article. P;ease Dot Not invent. answers have to come from article. Professor will read article and compared with the answers in the guide. All questions needed to be answered. please do not miss questions. Yes or not plain answers not allowed. Needs to be explained why yes or why not. NRP 513 Guide to an Overall Critique of a Qualitative Research Report

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Another instruction:  1 st page start with a cover page, then answer all questions with not exemption and last page needs to have the references. NRP 513 Guide to an Overall Critique of a Qualitative Research Report.

University of Phoenix Material

 

Guide to an Overall Critique of a Qualitative Research Report

 

Aspect of the Report

Critiquing Questions

Title

Ø Is the title a good one, suggesting the key phenomenon and the group or community under study?

 

Abstract

Ø Does the abstract clearly and concisely summarize the main features of the report?

 

Introduction

Statement of the problem

 

Ø Was the problem stated unambiguously and is it easy to identify?

 

Ø Did the problem statement build a cogent and persuasive argument for the new study?

 

Ø Was the problem significant for nursing?

 

Ø Was there a good match between the research problem on the one hand and the paradigm, tradition, and methods on the other—that is, was a qualitative approach appropriate?

 

 

Research questions

Ø Were research questions explicitly stated? If not, was their absence justified?

 

Ø Were the questions consistent with the study’s philosophical basis, underlying tradition, conceptual framework, or ideologic orientation?

NRP 513 Guide to an Overall Critique of a Qualitative Research Report

 

Literature review

Ø Did the report adequately summarize the existing body of knowledge related to the problem or phenomenon of interest?

 

Ø Did the literature review provide a strong basis for the new study?

 

NRP 513 Guide to an Overall Critique of a Qualitative Research Report

Conceptual underpinnings

Ø Were key concepts adequately defined conceptually?

 

Ø Was the philosophical basis, underlying tradition, conceptual framework, or ideologic orientation made explicit and was it appropriate for the problem?

 

 

 

 

Method

Protection of participants’ rights

 

Ø Were appropriate procedures used to safeguard the rights of study participants?

 

Ø Was the study subject to external review by an IRB or ethics review board?

 

Ø Was the study designed to minimize risks and maximize benefits to participants?

 

Research design and research tradition

 

Ø Was the identified research tradition (if any) congruent with the methods used to collect and analyze data?

 

Ø Was an adequate amount of time spent with study participants?

 

Ø Did the design unfold during data collection, giving researchers opportunities to capitalize on early understandings?

 

Ø Was there an adequate number of contacts with study participants?

NRP 513 Guide to an Overall Critique of a Qualitative Research Report

Sample and setting

Ø Was the group or population of interest adequately described? Were the setting and sample described in sufficient detail?

 

Ø Was the approach used to recruit participants or gain access to the site productive and appropriate?

 

Ø Was the best possible method of sampling used to enhance information richness and address the needs of the study?

 

Ø Was the sample size adequate? Was saturation achieved?

NRP 513 Guide to an Overall Critique of a Qualitative Research Report

Data collection

Ø Were the methods of gathering data appropriate? Were data gathered through two or more methods to achieve triangulation?

 

Ø Did the researcher ask the right questions or make the right observations, and were they recorded in an appropriate fashion?

 

Ø Was a sufficient amount of data gathered? Were the data of sufficient depth and richness?

 

Procedures

Ø Were data collection and recording procedures adequately described and do they appear appropriate?

 

Ø Were data collected in a manner that minimized bias or behavioral distortions? Were the staff who collected data appropriately trained?

NRP 513 Guide to an Overall Critique of a Qualitative Research Report

Enhancement of trustworthiness

Ø Did the researchers use effective strategies to enhance the trustworthiness/integrity of the study, and was there a good description of those strategies?

 

Ø Were the methods used to enhance trustworthiness adequate?

 

Ø Did the researcher document research procedures and decision processes sufficiently that findings are auditable and confirmable?

 

Ø Was there evidence of researcher reflexivity?

 

Ø Was there “thick description” of the context, participants, and findings, and was it at a sufficient level to support transferability?

NRP 513 Guide to an Overall Critique of a Qualitative Research Report

Results

Data analysis

 

Ø Were the data management and data analysis methods adequately described?

 

Ø Was the data analysis strategy compatible with the research tradition and with the nature and type of data gathered?

 

Ø Did the analysis yield an appropriate “product” (e.g., a theory, taxonomy, thematic pattern)?

 

Ø Did the analytic procedures suggest the possibility of biases?

NRP 513 Guide to an Overall Critique of a Qualitative Research Report

Findings

Ø Were the findings effectively summarized, with good use of excerpts and supporting arguments?

 

Ø Did the themes adequately capture the meaning of the data? Does it appear that the researcher satisfactorily conceptualized the themes or patterns in the data?

 

Ø Did the analysis yield an insightful, provocative, authentic, and meaningful picture of the phenomenon under investigation?

 

 

Theoretical integration

Ø Were the themes or patterns logically connected to each other to form a convincing and integrated whole?

 

Ø Were figures, maps, or models used effectively to summarize conceptualizations?

 

Ø If a conceptual framework or ideologic orientation guided the study, were the themes or patterns linked to it in a cogent manner?

 

NRP 513 Guide to an Overall Critique of a Qualitative Research Report

Discussion

Interpretation of the findings

 

Ø Were the findings interpreted within an appropriate social or cultural context?

 

Ø Were major findings interpreted and discussed within the context of prior studies?

 

Ø Were the interpretations consistent with the study’s limitations?

 

Implications/recommendations

Ø Did the researchers discuss the implications of the study for clinical practice or further research—and are those implications reasonable and complete?

 

 

General Issues

Presentation

 

Ø Was the report well-written, well-organized, and sufficiently detailed for critical analysis?

 

Ø Was the description of the methods, findings, and interpretations sufficiently rich and vivid?

 

Researcher credibility

Ø Do the researchers’ clinical, substantive, or methodologic qualifications and experience enhance confidence in the findings and their interpretation?

 

 

Summary assessment

1.       Did the report discuss efforts to enhance or evaluate the quality of the data and the overall inquiry?  If so, is the description sufficiently detailed and clear?  If not, was there other information that allows you to draw inferences about the quality of the data, the analysis and interpretation?

2.      Which specific techniques (if any) did the researcher use to enhance the quality of the inquiry? Were these strategies used judiciously and to good effect?

3.      What quality-enhancement strategies were not used?  Would supplementary strategies have strengthened your confidence in the study and its evidence?

4.      Given the efforts to enhance data quality, what can you conclude about the study’s integrity, rigor, or trustworthiness?

 

Ø Do the study findings appear to be trustworthy—do you have confidence in the
truth
value of the results?

 

Ø Does the study contribute any meaningful evidence that can be used in nursing practice or that is useful to the nursing discipline?

 

NRP 513 Guide to an Overall Critique of a Qualitative Research Report

 

Note: The Guide to an Overall Critique of a Qualitative Research Report worksheet is adopted from Nursing research: Generating and assessing evidence for nursing practice (pp. 101 & 501), by D. F. Polit, and C. T. Beck, 2017, Philadelphia, PA: Wolters Kluwer. Copyright 2017 by Wolters Kluwer. Adapted with permission. NRP 513 Guide to an Overall Critique of a Qualitative Research Report