Tag: Clinical-Nursing

  • Chronic cardiovascular disease Case Study

    Chronic cardiovascular disease Case Study

    CASE STUDY 3
     – Reflecting on 
    week 4’s lessons in the syllabus
    ,
     select a patient population (pediatric, young adult, adult or geriatric), and briefly analyze a 
    chronic cardiovascular disease
     (HTN, Heart failure, Dyslipidemia, Heart murmur etc.…), that  may affect this population. Briefly tell how it impacts the patient’s  quality of life and analyze the current research evidence on this topic  and gold standard of care if any for your chosen population. (You may  use an example from your clinical rotation (past or present) that you  have encountered).

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    Describe how you, the FNP, can/or have made a  difference in the care of patients with this specific disease and tell  of one specific patient care teaching that he/she may do to help  minimize disease symptoms. Please post your  CS directly in the thread so that your colleagues can see it and be sure  to read and respond/comment on one of your colleagues posting. CASE STUDY 3 – Reflecting on week 4’s lessons in the syllabus. Chronic cardiovascular disease Case Study.

  • Health Promotion and Disease Prevention Essay Assignment Paper

    Health Promotion and Disease Prevention Essay Assignment Paper

    Create an educational program, event, or piece of literature (for example, a pamphlet) that incorporates best practices in health promotion and disease prevention for a diverse population. Then, explain how you developed your educational program, event, or piece of literature and address any barriers to disease prevention and health promotion for the population.

    By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

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    Competency 3: Nursing Research and Informatics – Incorporate evidence-based practice interventions (for example, information systems and patient care technologies) as appropriate for managing the acute and chronic care of patients, promoting health across the lifespan. Health Promotion and Disease Prevention Essay Assignment Paper.

    Use valid, scholarly research resources relevant to the field of nursing to support information presented.

    Competency 5: Communication – Communicate effectively with all members of the health care team, including interdepartmental and interdisciplinary collaboration for quality outcomes.

    Write coherently to support a central idea in appropriate APA format, with correct grammar, usage, and mechanics as expected of a nursing professional.

    Competency 7: Health Promotion and Disease Prevention – Apply and incorporate a basic understanding of the concepts of health promotion and disease prevention as a means of improving health at the individual, population, and community level. Health Promotion and Disease Prevention Essay Assignment Paper.

    (IMPORTANT) -Develop an educational program, event, or piece of literature to address health concerns of a diverse population.

    (IMPORTANT) -Explain how a specific educational approach to a health concern can overcome barriers to health promotion and disease prevention for a diverse population.

    Competency 8: Diversity – Incorporate a holistic, caring, culturally appropriate nursing approach that contributes to the wellness and the health of individuals, groups, and vulnerable populations.

    (IMPORTANT) -Describe barriers to health promotion and disease prevention for a diverse population. Health Promotion and Disease Prevention Essay Assignment Paper.

    Assessment Instructions

    Health Promotion and Disease Prevention Part I

    To prepare for the first part of the assessment, complete the following:

    Review the literature or use health assessments to determine health care needs of a diverse population in your community.

    Explore things that could influence success, such as cultural attitudes toward alternative forms of healing, religious beliefs, or other individuals.

    Examine the impact of current health promotion and wellness initiatives on health outcomes and health disparities.

    Review the literature to identify best practices.

    Once you have identified a diverse population, develop an educational program, event, or piece of literature that promotes wellness and disease prevention. Health Promotion and Disease Prevention Essay Assignment Paper. If you choose an educational program or event, be sure you outline the basic content of the program or event, as well as how you would structure it. If you choose a piece of literature, be deliberate in the points you highlight. Be sure that your choice is appropriate for the population.

    For an educational program or event, prepare and submit an outline of the content and structure.

    For a brochure or pamphlet, prepare and submit the brochure or pamphlet using a simple Word document or a Microsoft Publisher document, if you have that software available.

    Health Promotion and Disease Prevention Part II

    Explain how you developed your educational program, event, or piece of literature and address any barriers to disease prevention and health promotion for the population. Health Promotion and Disease Prevention Essay Assignment Paper.

    Complete the following:

    Explain why you chose the particular educational strategy. Why is it an effective strategy for the population?

    Describe cultural barriers to disease prevention and health promotion in the population. This might include things such as CAM, language, religious beliefs, and so on.

    Explain how your educational strategy can help overcome some of the barriers you described.

    Support your work with valid scholarly resources.

    Additional Requirements (Part II only)

    Format: Include a title page and reference page. Use APA format.

    References: Cite at least three current scholarly or professional resources.

    Font: Use double-spaced, 12-point, Times New Roman font.

    THIS IS HOS FEEDBACK FOR PREVIOUS WORK SUBMITTED ADDRESSING THE TOPICS THAT I MISSED AND NEED TO BE COVERED:

    COMPETENCY:Nursing Research and Informatics: Incorporate evidence-based practice interventions (e.g., information systems, patient care technologies) as appropriate for managing the acute and chronic care of patients, promoting health across the lifespan. Health Promotion and Disease Prevention Essay Assignment Paper.

    -Basic

    Uses research resources that are not valid, scholarly, or relevant to the field of nursing, such as Wikipedia or About.com.

    Faculty Comments:“

    Resources provided in this assessment were not scholarly, valid references that pertain to the nursing profession. Please visit the Research Resources page under the Course Tools located in the course room. If you need further help, please reach out to the course tutor or utilizing the

    ”

    COMPETENCY:Communication: Communicate effectively with all members of the healthcare team, including interdepartmental and interdisciplinary collaboration for quality outcomes.

    -Distinguished

    Writing is coherent, using evidence to support a central idea in a consistently appropriate APA format, with correct grammar, usage, and mechanics as expected of a nursing professional Health Promotion and Disease Prevention Essay Assignment Paper.

    Faculty Comments:“

    Very nice use of citations of relevant evidence to support central ideas. I like that your writing is clear and has good grammar, and punctuation. APA format has no errors.

    ”

    COMPETENCY:Health Promotion and Disease Prevention: Apply and incorporate a basic understanding of the concepts of health promotion and disease prevention as a means of improving health at the individual, population, and community level.

    CRITERION:Develop an educational program, event, or piece of literature to address health concerns of a diverse population.

    —-Non-Performance—-

    Does not develop an educational program, event, or piece of literature to address health concerns of a diverse population.

    Faculty Comments:“

    I could not locate an educational program, event, or piece of literature to address health concerns of a diverse population. Locate some scholarly resources to support your choice of population and their primary health concern and develop your content around those valid, scholarly resources.

    ”

    COMPETENCY:Diversity: Incorporate a holistic, caring, culturally appropriate nursing approach that contributes to the wellness and the health of individuals, groups, and vulnerable populations.

    CRITERION:Explain how a specific educational approach to a health concern can overcome identified barriers to health promotion and disease prevention for a diverse population.

    —Non-Performance—

    Does not explain how a specific educational approach to a health concern can overcome identified barriers to health promotion and disease prevention for a diverse population Health Promotion and Disease Prevention Essay Assignment Paper.

    Faculty Comments:“

    I could not locate a discussion on how a specific education approach can overcome barriers to health promotion and disease prevention efforts in a diverse population. Locate some scholarly resources to support your choice of population and what educational approach will be effective for them. Then develop your content around those valid, scholarly resources.

    ”

    CRITERION:Describe barriers to health promotion and disease prevention for a diverse population.

    —Non-Performance—

    Does not describe barriers to health promotion and disease prevention for a diverse population.

    Faculty Comments:“

    I could not locate a description on the barriers to health promotion and disease prevention for the specific population. Locate some scholarly resources, and see what the evidence suggests as barriers in this population, and develop your description from there Health Promotion and Disease Prevention Essay Assignment Paper.

  • Pediculus humanus (Head lice) Essay Assignment Paper

    Pediculus humanus (Head lice) Essay Assignment Paper

    Pediculus humanus (Head lice) Assignment

    1. Description of the Microorganism:

    a. Write a paragraph describing your organism. Please be sure to include the type of organism (bacterial, viral, fungal, protozoa, helminth, etc), morphology (shape, arrangement, colony morphology if applicable), description of structure (gram result, type of nucleic acid or virion structure, spore type, etc if applicable) and also the type of microscope and/or stain you would use to view the organism Pediculus humanus (Head lice) Essay Assignment Paper. Please use proper scientific terminology and good grammar and sentence structure throughout this project.

    2. Virulence Factors:

    a. Include a paragraph on the virulence factors the pathogen has and how they affect the host. Please enhance this with detailed explanations of the virulence factors and how they affect the host as you gain a better understanding of them throughout the semester.

    3. Immunity:

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    a. Which defenses protect us from infection by this bacterium?

    b. Does this pathogen induce a specific type of immune response (example: delayed-type hypersensitivity)? If so, which one(s)?

    4. Infectious Disease Information:

    a. What condition(s) or infectious diseases does it cause?

    b. Which tissues or organs are affected, and how are they affected (for example, chronic TB is characterized by lung tubercles)?

    c. Describe the complications that can result if the infection is left untreated. Pediculus humanus (Head lice) Essay Assignment Paper.

    d. Are these acute, chronic, or latent infections?

    e. What organ system(s) does it infect?

    f. Is it an opportunistic pathogen? If so, where is it normally found in the body?

    5. Epidemiology:

    a. Draw and label diagram on how this organism is transmitted. Make sure you include the reservoirs of infection, and vectors in involved in transmission, the type of transmission and the portals of entry and exit Pediculus humanus (Head lice) Essay Assignment Paper.

    6. Presentations:

    a. Provide a written, detailed description of a hypothetical patient. Be imaginative and create a hypothetical situation that would correspond with your microorganism. This is expected to be at least 8-10 sentences in length and is expected to be comprehensive and detailed. You are expected to include descriptions of:

    i. Signs and symptoms, using correct terminology

    ii. Patient history, including any situation that could expect how the infection was acquired (for example, if a food-borne intoxication is involved, when and how it could have been ingested?).

    iii. Any data-specific indicators that would be important in a clinical setting, for example, urea or sugar levels in the blood or urine, elevated WBC, elevated CO2 levels, etc.

    7. Prevention:

    a. Is there a childhood vaccine against this microbe? Name the vaccine

    b. If so, when is it administered (the recommended schedule, including boosters)?

    c. If the vaccine is not recommended during childhood, which at-risk group should get the vaccine, and when?

    d. Describe the type of vaccine and how it works

    e. If there is no vaccine available, list at least three measures that can be implemented to prevent transmission of this infection. Pediculus humanus (Head lice) Essay Assignment Paper.

    8. Treatment:

    a. Chemotherapeutic agents:

    b. Mechanism of action for these chemotherapeutic agents:

    c. Why this agent is efficacious against this particular organism?

    d. Additional therapeutic agents or practices:

    9. Clinical Relevance:

    a. Are there any Multi-Drug Resistant strains of this microorganism? If so, name the strain(s).

    b. Is this strain a known healthcare-associated pathogen?

    c. Which persons/procedures within a clinical or healthcare-assisted settings are particularly at risk?

    d. Which antibiotics are used against the MDR strains? Be specific Pediculus humanus (Head lice) Essay Assignment Paper.

    10. References: Include at least 4 APA style references (scientifically appropriate, credible resources) that show where you found the information in this microorganism profile.

    Pediculus humanus (Head lice) Assignment

    Criteria

    Satisfactory

    Needs Improvement

    Unsatisfactory

    Fundamentals of microbiology
    (20 points)

    Student has demonstrated comprehensive knowledge of fundamental concepts of microbiology 
    throughout
     the project(
    Up to 20 points
    )

    Student has demonstrated comprehensive knowledge of fundamental concepts of microbiology 
    through at least 50%
     of the project. (
    Up to 10 points
    )

    Student has demonstrated comprehensive knowledge of fundamental concepts of microbiology 
    through at least 25%
     of the project.(
    Up to 5 points
    )

    Interaction between
    Microbe and Host

    (up to 40 points)

    All 
    aspects concerning the interactions between the chosen microorganism and the human host were 
    fully
    addressed. (all items or terms that are listed are described or explained in a verycomplete manner) (
    Up to 40 points
    )

    Some 
    aspects concerning the interactions between the chosen microorganism and the human host were 
    mostly
     addressed. (
    Up to 20 points
    )

    Few 
    aspects concerning the interactions between the chosen microorganism and the human host were addressed. (Itemsor terms listed with very little description or explanation)

    (
    Up to 10 points
    )

    Scientific literacy 
    (up to 20 points)

    Student 
    can
     
    accurately
    interpret and communicate information using scientific vocabulary using written and/or graphical means 
    consistently
     throughout the assignment. (
    Up to 20 points
    )

    Pediculus humanus (Head lice) Essay Assignment Paper

    Student 
    can
     accurately interpret and communicate information using scientific vocabulary using written and/or graphical means 
    mostly
    throughout the assignment. (
    Up to 10 points
    )

    Student 
    did not
    accurately interpret andcommunicate information using scientific vocabulary using written and/or graphical means 
    throughout
     the assignment. (
    Up to 5 points
    )

    Overall
    Presentation

    (10 points)

    Overall presentation is 
    100% complete
    , orderly, and demonstrates scholarly achievement and utilizes appropriate grammar and sentence structure. (
    Up to 10 points
    )

    Overall presentation is 
    complete
    , orderly, and demonstrates scholarly achievement and utilizes appropriate grammar and sentence structure. (
    Up to 7 points
    )

    Overall presentation is two or more of the following: incomplete, or does not demonstrates scholarly achievement or
    utilize
     appropriate grammar and sentence structure. (
    Up to 4 points
     )

    References 
    (10 points)

    At least 
    4 
    sources have been referenced, references are from 
    reputable 
    sources, and 
    proper 
    APA format was used, both for in text citation and for the reference section, with 
    no inaccuracies 
    in APA formatting. (
    Up to 10 points
    )

    At least 
    3 
    sources have been referenced, most references are from 
    reputable
     sources, and 
    proper
     APA format was used, both for in text citation and for thereference section, with 
    few inaccuracies
     in APA formatting. (
    Up to 7 points
    )

    Insufficient
     sources were referenced, or sources were from 
    biased 
    sources, with 
    many errors
     in APA style and formatting. (
    Up to 4 points
    )

    Pediculus humanus (Head lice) Essay Assignment Paper

  • Improvement Project Charter Essay Assignment Paper

    Improvement Project Charter Essay Assignment Paper

    Improvement Project Charter Assignment Paper Details  

    If you could download the ihi.org Improvement Project Charter form the information can be written in.

    I also need an 10 slide power point presentation that supports the Improvement Project Charter based upon current research data, benchmarks, evidence based practices. APA format, APA References

    My Charter is based upon Palliative care nurses knowledge .

    Project Title: What is your understanding about Palliative care? Improvement Project Charter Essay Assignment Paper.

    Team member:

    University: Farmingdale State College

    What are you trying to accomplish?

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    Problem:

    Describe in 2-3 sentences the existing conditions you hope to improve ( I.e., the gap in quality)

    I want to increase the understanding of the nurses in knowing the difference between Palliative care ,Comfort care and Hospice care. In this section “what are we trying to accomplish ” a project Charter is the statement of a scope or objectives and nures,patient, and other participants in the project

    It begins the process of defining roles and and responsibility of participants. Stakeholders are identified and the project sponsors are defined.

    Rationale: This section requires literature .This section should provide facts ,evidence based practices, research as to why this improvement Project Charter is important. **Supportive research needed to prove that without Charter Project: there would be decreased patient satisfaction, decreased Registered nurses satisfaction, lack of nurses knowledge of Palliative care practices, decreased patient outcomes , and decreased understanding of the nurses knowledge about the differences between Palliative care, Comfort care, and Hospice care Improvement Project Charter Essay Assignment Paper.

    AIM STATEMENT: By May 19, 2019 I aim to increase the Registered nurses knowledge of Palliative care and how it relates to their practice by 20%. I hope to achieve this by re-education the nurses on the inpatient Palliative Care Referral Assessment Tool, and provide a power point presentation that clearly states my Aim STATEMENT, that describes what Palliative Care Practices, define what comfort care measures represent, and state what Hospice Care represents. The power point will discuss barriers of the nurses in their knowledge of Palliative Care practices. The power point presentation will provide strategies for improving the implementation of obtaining inpatient Palliative care referrals. The power point presentation will also provide best practices, evidence based practices, and relevant literature to support the Improvement Project Charter. Improvement Project Charter Essay Assignment Paper.

    AIM STATEMENT: what outcome, in a measurable terms, what are you hoping to accomplish?Specify how good,for whom by when.

    I found 2 articles:

    1. Generalist plus Specialist Palliative Care-Creating a More Sustainable Model. Authors; Timothy E. Quill, MA, and Any P. Abernethy., New ENGL J MED 368.13 NEJM.org March 28, 2013

    2. AJN, American Journal of Nursing, April 2015, Volume 115 Issue 4- p13., doi: 10. 1097/01. NAJ 00046307

    Expectations: you need to authorize your Project, it serves as a primary sales documents. This is a document that stays with you throughout the life cycle of the project.** why have you chosen this AIM you’ve set forth? Explain, in specific terms, what you believe will be the beneficial outcomes of this Project? Provide supportive details of increased benefits for nurses gaining increased knowledge, patient increased satisfaction ,increased rates of referrals and improve patient outcomes. Improvement Project Charter Essay Assignment Paper.

    Improvement Project Charter Assignment

    HOW WILL WE KNOW A CHANGE IS AN IMPROVEMENT?**outcomes or Project measures. List measures that you ultimately want to affect? 1 increased knowledge base after educating, 2 increased RN satisfaction 3 Increased patient and family satisfaction and experience, 4 improve the application and use of the Palliative care referrals assessment tool.

    Process Measures: list the measures that will tell you if the parts or steps in the system are performing as planned to affect the outcome measures ( what is the goal of the project, how do you plan to reach these goals and objectives)**initial steps include: assess and interview with the staff nurses on their knowledge of Palliative care practices. 2 Create a questionnaire ( what is your understanding of Palliative care? What is your understanding of Hospice care? What does Comfort Care mean to you?)3 Education of the nurses

    Balancing Mesasures: list the measures you will track to determine whether you are introducing problems in other parts of the system. 1 re-education emphasize that you are not adding on any extra workload to the RN duties. 2. By reinforcing the use of the Inpatient Palliative Care assessment tool, you are not taking away from patient outcomes, safety measures, patients or families satisfaction. Stress that the RN workload will not increase.

    What Changes Can We Make to Improve? Key Stakeholders: whose input and support will this Project require? How will you engage these Stakeholders? (Stakeholders: are students, RN’s, health care providers, Leadership teams, Patient, and families )

    Change Ideas: Improvement Project Charter Essay Assignment Paper. how will you learn more about the process or system you’re trying to improve? ( e.g. interview with people who are within the process, cause and effect or ** driver diagrams, etc). Improvement Project Charter Assignment

    **What ideas do you have for the initial test of change (PDSA CYCLES)?

    Barriers: What are the barriers to the success of your Project? How will you overcome the barriers you have listed?

    1. Staff resistance

    2. Nurses noncompliant in completing the inpatient Palliative Care referrals tool

    3. Barriers related to ineffective communication among the health care team members.

    4. Staff reluctance to obtain Palliative Care referrals based upon their own fears and misconceptions. Improvement Project Charter Improvement Project Charter Essay Assignment Paper

  • Learning Theories Comparison Essay Example

    Learning Theories Comparison Essay Example

    Compare Two Learning Theories 
    Instructions

    GENERAL

    You will research two learning theories of your choice and write a paper, in which you compare the two theories — based on five factors. These five key points are: 
    how learning takes place, what influences learning, the role of the brain in learning, how the learner applies new knowledge, and how instruction is designed to guide learning 
    (Schunk, 1991).

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    SPECIFICS

    Briefly present the theories (no more than one and a half pages total).

    The paper is supported by at least three primary sources. 
    The text is
    not a primary resource. 
    Primary resources are essentially scholarly sources that discuss the theory and or the theorist. They can be written by the theorist or other scholars. Sources like Wikipedia or personal blogs, etc. would not be considered as primary sources. Learning Theories Comparison Essay Example Please consider publications that have gone through peer-review processes (e.g. journal articles, books, etc.)

    Identify ONE researcher (per theory), who is well-known for research in the theory. Give an approximate timeframe of when the works were published and how the theorist was able to substantiate the claims.

    Address the five key factors (approximately one full page per factor).

    Compare the theories side by side, within the paper.

    Stay organized and consistent.

    Include a brief introduction and conclusion. The brief conclusion can include your opinion and reflection Learning Theories Comparison Essay Example.

    SUGGESTIONS – Compare Two Learning Theories

    Include a subheading for each key factor in the paper.

    Under each subheading, address aspects of each theory which apply.

    Provide learning task examples (if it helps to make the point).

    Learning Theories Comparison Essay Example

    FORMAT – Compare Two Learning Theories

    Title page

    Body: Theories Description and Comparison by key factor (minimal 7 pages)

    References page

    Two sources minimum (at least one per theory)

    The text may be used as a tool to spark research, but not as a reference.

    Use APA style and cite references.

    Paraphrase wherever possible to demonstrate synthesis of the theories and critical analysis of the information.

    Adhere to rules of grammar Learning Theories Comparison Essay Example

    SIMPLE RUBRIC (50 Points) – Compare Two Learning Theories

    LEARNING THEORIES (up to 10 points)
    : Overview of the two theories

    SCHUNK’S FIVE KEY POINTS (up to 30 points)
    : Compare the theories by key factor i.e. cover all 2 theories and all 5 key factors

    RESOURCES AND MECHANICS (up to 10 points):
     Well researched and clearly written used two primary sources – not the text (up to 3 points); adhered to rules of grammar (up to 3.5 points); and adhered to APA format (up to 3.5 points).

    LEARNING THEORIES:
     An overview of Two theories 
    (up to 10 points)

    Each theory is clearly explained by these elements: Who is the theorist(s)?  When was the theory developed Learning Theories Comparison Essay Example?  By what processes do learners learn, as described by the theory? How does the evaluator determine learning occurs? (No more than one and a half pages for Section I)

    Theory Comparison: Cognitive Information Processing vs. Cognitive and Knowledge Development

    Introduction

                
    Within the field of cognitive psychology, there are numerous learning theories that have developed and become widely accepted across many disciplines. These theories vary greatly and can be compared and contrasted in order to come to a greater understanding of how individuals learn and develop. Namely, although both are focused on cognitive processes, Cognitive Information Processing and Cognitive and Knowledge Development are not as similar as one may assume. Learning Theories Comparison Essay Example. Through a comparison study, various similarities and differences will be revealed in order to come to a greater understanding of these learning theories.

    Cognitive Information Processing

    Although created collectively over time by many prominent developmental psychologists, this theory owes its credit to specific theorists. Atkinson and Shiffrin (1968) designed the memory duration model, composed of sensory, short-term, and long-term memory. They describe various properties, including the capacity, code, permanence, source, and memory loss during each stage, as well. They also developed the concept of parallel distributed processing, that information is processed simultaneously by several different parts of the memory system, not sequentially. In addition, Rumelhart and McClelland (1986) extended on this concept with the connectionist model, that memory is stored through a series of connections Learning Theories Comparison Essay Example. In addition, Craik and Lockhart (1972) were also prominent cognitive theorists. They developed three levels at which information was processed: Structural processing, phonetic processing, and semantic processing. Since these major accomplishments, many have elaborated on the Cognitive Information Processing theory. For instance, Sternberg (1998) argued for multiple intelligences. He believed that development is skills-based and continuous, not stages of discontinuous, and argued there were three types of intelligences: componential, experiential, and contextual (Sternberg, 1998) Learning Theories Comparison Essay Example.

    Cognitive Knowledge Development

    Cognitive Knowledge Development discusses how human cognition is developed from birth based on a series of stages Learning Theories Comparison Essay Example. This theory of development derives mainly from the psychologist, Jean Piaget (1936). He has been characterized as a biologist, philosopher, and child psychologist (Driscoll, 2015). Piaget believed knowledge is invented and reinvented as the child develops and interacts with the world surrounding them. He was able to distinguish among three types of knowledge that children acquire, which are physical, logical-mathematical, and social knowledge (Driscoll, 2015). Within those three types of knowledge on how we gain information to be processed, there are four stages to cognitive development: sensorimotor stage, pre-operational stage, concrete operational stage, and the formal operational stage. Learning Theories Comparison Essay Example Piaget took a step further with only the sensorimotor stage, which was categorized into six sub stages for the first two years of a child’s life. These sub stages consist of reflexes, primary circular reactions, secondary circular reactions, coordination of reactions, tertiary circular reactions, and early representational thought. Not only does Piaget distinguish on how we learn and the stages we reach to the appropriate developed levels, but he categorizes the process of how we learn into assimilation, accommodation, and equilibration. In order to determine whether learning occurs, Piaget believes that children must experience these processes in order to build and continue to build upon our existing schemas.

    Schunk’s Five Key Factors

                
    According to Dale Schunk (1991), there are five key factors that help explain each learning theory. These five key points are: how learning takes place, what influences learning, the role of the brain in learning, how the learner applies new knowledge, and how instruction is designed to guide learning (Schunk, 1991) Learning Theories Comparison Essay Example.

    Factor One: How learning takes place

    Cognitive Information Processing Theory argues that learning occurs through the progression of three stages: sensory memory, short-term memory, and long-term memory (Atkinson & Shiffron, 1968). Sensory memory represents the first stage of information processing and is associated with the five senses, hearing, seeing, smelling, tasting, and touching. It functions to hold information within one’s memory quite briefly, just long enough for the information to be processed further (Driscoll, 2015). Through selective attention, when one chooses to concentrate on one task or piece of information, the data moves towards long-term, or working, memory. At this stage, the information is selected for further processing and will allow the individual to study and focus on the data (Driscoll, 2015). Specifically, through rehearsal and encoding, the information will likely progress towards the long-term memory, is the storage of information over a long period of time. This type of memory is divided into two categories, episodic memory and semantic memory. The former refers to remembering details related to specific events, while the latter is signifies knowing general information. Through retrieval, recall, and recognition strategies, the goal is that this information stays in the long-term memory, otherwise it will be forgotten Learning Theories Comparison Essay Example.

    Through the cognitive knowledge development process, learning takes place by experiencing the processes of assimilation, accommodation, and equilibration through the three types of knowledge as stated previously. Learners, specifically young children, are able to manipulate and determine new information in order to build upon their existing schemas. As these learners begin to use types of knowledge and use processes of development, they experience the stages that Piaget had laid out for the psychological world. While the theory of cognitive information processing argues that learning occurs through specific memory processes, the cognitive knowledge development theory states that learning happens by the learner acquiring knowledge through experience. Piaget’s theory includes two major parts, an “ages and stages” component that predicts what children can and cannot understand at different ages, and a” theory of development” that describes how children develop cognitive abilities (Amineh & Asl, 2015). In addition, learning through experience tracks back to the idea of constructivism, which was considered one of Piaget’s strongest belief.

    Factor Two: What influences learning

    According to Cognitive Information Processing theory, learning is influenced by elaboration. When an individual deems information significant enough to elaborate on it, they should practice using various strategies to process and memorize the information. Learning Theories Comparison Essay Example. According to Lutz and Huitt (2003),  “As proposed by Hummel and Huitt (1994) if students are not required to demonstrate the results of elaboration on meaningful tasks such as examinations or projects, they are not likely to adequately develop the skills required for higher-level thinking” (Lutz and Huitt, 2003, pg. 15).”In other words, in order to use critical thinking skills, individuals must first have the opportunity to practice the material. Elaboration can occur through practice and review activities that require individuals to rehearse and encode the information. Of course, time also influences learning. It takes time to retain knowledge and over time, individuals are more likely to forget the information if it is not elaborated on or retrieved Learning Theories Comparison Essay Example.

    Learning is influenced by a variety of factors that Jean Piaget suggests, which are a human’s physical knowledge, logical-mathematical knowledge, and social knowledge. Each type of knowledge contributes to how the child learns based on their interactions with the world surrounding them. Physical knowledge focuses on the objects in the world, which can be gained through their perceptual properties (Driscoll, 2015). For example, a child experiencing the interaction with toy blocks will influence how that child categorizes information to develop at an increasingly deeper level. Logical-mathematical knowledge is abstract and must be invented, but through actions on objects that are fundamentally different from those actions enabling physical knowledge (Driscoll, 2015). For example, observing two different glass shapes full of water will appear to look as if they have different volumes, but in reality they have the same amount of water in each glass. Learning Theories Comparison Essay Example. Piaget suggests that children need to develop and acquire the logical-mathematical knowledge by experiencing the transition between one glass to the other to show that in fact it’s the same amount of water. The third type of knowledge that influences learners is social knowledge. Social knowledge is culture-specific and can be learned only from other people within one’s cultural group (Driscoll, 2015). Physical and logical-mathematical can only be influenced by other objects, but social knowledge is solely influenced by people and the interactions that the learner has with people. Examples of how a learner can develop through social knowledge is through language, moral rules (norms), values, culture, history, symbol systems, etc. While it’s argued that the cognitive information process learns through memorization, Piaget’s cognitive knowledge development theory states that learners learn through the experience of objects and interactions with people Learning Theories Comparison Essay Example..

    Factor Three: The role of the brain in learning

    Cognitive Information Processing theory argues that the brain is responsible for each of the three stages. Although the individual has control over how the material is accessed, encoded, and stored, much of the process is dictated by the brain, especially during the first stage. Sensory information is processed through the brain and there it is decided whether or not to be selected for attention. Then, the data is stored briefly in the working memory. The amount of cognitive attention one gives towards these processes, such as encoding, storing, and retrieving information, the more success they will have retaining that information for a great length of time. The individual can take measures to manage and retain the information but, ultimately, the brain controls the properties of each stage, namely the capacity, code, permanence, source, and loss (Driscoll, 2005). Learning Theories Comparison Essay Example. These characteristics are dictated by the brain and out of control of the individual.

    Based on the cognitive information process, the brain’s focus is to filter and store pertinent information that the human brain feels is worthy of knowing. On the other side, Piaget’s cognitive knowledge development theory suggests that the brain goes through a series of stages in order to help the cognitive mind of the learner. Recent research and theory in cognitive neuroscience have produced insights into how the development of the brain, especially the cerebral cortex, relates to thinking and learning (Boddington, 2009). During the cognitive development process, the brain experiences the four stages of development: sensorimotor, pre-operational, concrete operational, and formal operational. Each stage proceeds in a consecutive order and cannot be attained without the prior stage being achieved. For example, a child cannot develop to the pre-operational stage without their brain being developed enough from the sensorimotor stage. Each stage must represent a qualitative change in children’s cognition (Driscoll, 2015). This also relates to the learner’s schema, meaning their current knowledge based on the interactions and experiences the child has learned thus far. Through the cognitive development, Piaget reinforces that the mind continues to add more information and skills to the learner’s schemata, much like files being added to the filing cabinet Learning Theories Comparison Essay Example.

    Factor Four: How the learner applies new knowledge

    Within the Cognitive Information Processing theory, it is believed that the learner must apply the knowledge in order to store the information for any length of time. Specifically, during the working memory stage, individuals can use various strategies to practice and apply the new material. For instance, one should practice and elaborate on the information through various activities, such as chunking. By categorizing the data, one is more likely to remember it. Similarly, during the long term stage, one should use the information in a meaningful way and continuously assess the knowledge in order to achieve permanence. For example, individuals could apply their long term knowledge on a final exam. It is through this process that learning is occuring.

    As the cognitive information processing theory enforces the application of stored information to new skills, the cognitive knowledge development stage works similarly. As stated previously, Piaget believed that children use their schema to build upon current skills as well as apply their schema to learn new skills. Learners access prior knowledge in order to generate new information. Learners also use the three processes of development to apply new knowledge. Learning Theories Comparison Essay Example. Assimilation will occur when a child perceives new objects or events in terms of existing schemas or operations (Driscoll, 2015). Essentially, the child or learner will fit in new information into their filing cabinet. In addition, the accommodation process is when existing schemes or operations must be modified to account for a new experience (Driscoll, 2015). In order to develop new skills or variations of certain skills, the brain must modify current schemas to continue to apply new knowledge. The brain will eventually come to a hiccup in the learning process, which causes the brain to feel confused or disconnected. When the learner has overcome the disconnect and has made sense of the new knowledge presented to them, the learner will achieve equilibration Learning Theories Comparison Essay Example. Piaget emphasizes these processes of development are critical to the brain of human development.

    Factor Five: How instruction is designed to guide learning

    Cognitive Information Processing theory argues that proper instruction should guide this process and prompt students to apply new knowledge. One way for teachers to facilitate the learning process is to implement  Bloom’s Taxonomy, a system that encourages different levels of analytical and cognitive application (Bloom et al, 2003). For each daily assessment, students should be using increasing more challenging activities in order to eventually demonstrate mastery and critical thinking skills. Learning Theories Comparison Essay Example. It is only through application and practice that this new knowledge will can significance and become permanently storage. Another way for teachers to guide learning is to make thematic connections to previous material. This will make the information more meaningful and encourage elaboration ( Bloom et al, 2003) Learning Theories Comparison Essay Example.

    As cognitive information processing focuses on the traditional instructional methods such as memorizing, demonstrating, and imitating, are considered incompatible (). This refers back to Piaget’s view on constructivism. He believes that learners need to develop new skills and learn new knowledge based on experience. Learning Theories Comparison Essay Example. Children must participate in hands-on activities in the classroom in order to gain meaningful learning. Strategies that guide learning consist of emphasis on learning rather than teaching, emphasis on active learning, use of discovery learning approaches, use of cooperative or collaborative learning activities, use of purposeful or authentic learning activities, support learner reflection, and support learner ownership of activities (Alessi & Trollip, 2000). These are few among the many strategies that Piaget enforces to his cognitive knowledge development theory Learning Theories Comparison Essay Example.

    Conclusion

    Based on various psychologists and their interpretation of learning theories, this paper compared and contrasted cognitive information processing and cognitive knowledge development. Through Schunk’s five key factors, each theory was explored and analyzed to determine what and how learning takes places. Even though each theory is based on cognition, they are separately known for their differences and how they have contributed to the magnitude of cognitive psychology Learning Theories Comparison Essay Example.

    Compare Two Learning Theories
     Rubric

    Unacceptable(0-1 points)

    Attempted(2-3 points)

    Adequate(4-5 points)

    Average to Above Average(6-8 points)

    Exemplary(9-10 points)

    The section does not describe all required elements.

    The paper has some or all required elements, but does not adequately describe them.

    The paper has all required elements, but does not completely describe them.

    The paper has presented all required elements with some analysis and synthesis of the theories/research.

    The paper has presented all required elements with a critical analysis and synthesis of the theories/research.

    SCHUNK’S FIVE KEY FACTORS
    : Comparison of the theories by key factors (
    up to 30 points
    ) Learning Theories Comparison Essay Example

    Factor One:
     how learning takes place

    Compares 0-1 theories (0-2 points)

    Compares theories poorly (3-4 points)

    Compares theories well (5-6 points)

    Factor Two :
     what influences learning

    Compares 0-1 theories (0-2 points)

    Compares theories poorly (3-4 points)

    Compares theories well (5-6 points)

    Learning Theories Comparison Essay Example

    Factor Three :
     the role of the brain in learning

    Compares 0-1 theories (0-2 points)

    Compares theories poorly (3-4 points)

    Compares theories well (5-6 points)

    Factor Four:
     how the learner applies new knowledge

    Compares 0-1 theories (0-2 points)

    Compares theories poorly (3-4 points)

    Compares theories well (5-6 points)

    Factor  Five :
     how instruction is designed to guide learning

    Compares 0-1 theories (0-2 points)

    Compares theories poorly (3-4 points)

    Compares theories well (5-6 points)

     

     

    III.            RESOURCES
    : The paper is supported by at least two primary resources – i.e.  One per theory. The text book is not a primary source.

    MECHANICS: 
    Well researched and clearly written 
    (up to 10 points)

     

    RESOURCES
    : The paper is supported by at least two primary resources (no text)

    Unacceptable (0 points)

    Acceptable (1-2 points)

    Exemplary (3 points)

    Fewer than 2 primary resources. No evidence the sources were used in the paper.

    Two  primary resources. Resources were used adequately.

    Two  or more primary resources. Resources are integrated and utilized well.

     

    GRAMMAR:
     The Learning Theories Comparison Essay Example paper is written with clarity and attention to the rules of grammar

    Unacceptable (0 points)

    Acceptable (1-2 points)

    Exemplary (3 – 3.5 points)

    The paper is unclear.  Student did not adhere to the rules of grammar.

    The paper is unclear in spots and or has “broken” several rules of grammar.

    The paper is written with clarity and with attention to the rules of grammar.

     

    APA:
     The paper is written in APA format.  The paper is submitted in Microsoft format.

    Unacceptable (0 points)

    Acceptable (1-2 points)

    Exemplary (3 – 3.5 points)

    Student did not adhere to APA format.

    The paper has a few APA format errors.

    Paper is written well with APA format.

    Learning Theories Comparison Essay Example

  • Differential Diagnosis Essay Assignment Example

    Differential Diagnosis Essay Assignment Example

    Differential Diagnosis Response 1

    This assignment is designed to expose you to the process of determining a diagnosis according to DSM-5 criteria. Many disorders share similarities or even co-occur, making it difficult to arrive at a diagnosis. Differential Diagnosis Essay Assignment Example. Clinicians have to identify the behaviors and thoughts that fit the established diagnosis criteria, ruling out alternative diagnoses.

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    For this exercise, you will read the clinical case excerpt presented below and assign a primary diagnosis based on the available evidence. Differential Diagnosis Essay Assignment Example.  Evidence from the passage that you may cite to support your diagnosis includes specific behaviors, patterns of thinking, and symptom duration. Cite at least 4 examples from the excerpt that align with the specific DSM criteria for your primary diagnosis. Each criteria should be supported with a specific behavior/cognition displayed by the individual. Please also identify distress and impairment to daily living. Then, you will engage in a process of eliminating
    two
     
    alternative diagnoses. You will offer two diagnoses that a clinician may consider based on the presented case and then use evidence from the case to state why these alternative diagnoses are 
    not
     correct. For example, later in the semester we will learn that Post-traumatic Stress Disorder (PTSD) requires symptoms to be present for longer than one month. Differential Diagnosis Essay Assignment Example. A similar diagnosis known as Acute Stress Disorder presents with similar features (e.g., distressing and intrusive thoughts about the trauma, flashbacks, inability to experience positive emotions, hypervigilance), but it has a duration of 3 days to 1 month. A clinician may consider an alternative diagnosis of PTSD but ultimately rule that the primary diagnosis should be Acute Stress Disorder if the client has only experienced symptoms
    for 2 weeks
    . Another clinician may be seeing a client who is in a current depressive episode. If this same client has experienced an episode of mania in the past, however, they would not meet criteria for Major Depressive Disorder (MDD). The clinician may consider MDD as an alternative diagnosis but ultimately, bipolar disorder would be the appropriate primary diagnosis. For each alternative diagnosis, please provide 
    one reason for and one reason against
    that diagnosis based on DSM criteria. Differential Diagnosis Essay Assignment Example.

    Now, please read the case below and write your response, providing a primary diagnosis and two alternative diagnoses, in paragraph form.

    Grading Rubric:

    15 points:

    correct diagnosis (5 points)

    at least 4 criteria from the DSM supported with evidence from the passage (8 points)

    identify distress and impairment in functioning (2 points)

    Differential Diagnosis Essay Assignment Example

    10 points:

    Alternative diagnosis #1 (1 point)

    Reason for and reason against Alternative #1 (4 points)

    Alternative diagnosis #2 (1 point)

    Reason for and reason against Alternative #2 (4 points)

    Differential Diagnosis Essay Assignment Example

    10 points:

    Times New Roman 12-point font

    1” margins

    Spelling

    Grammar

    Structural organization and clarity

    Full sentences

    Clinical Case Excerpt:

    Henry is a 23-year-old male attending New York University. He finally decided to seek psychological services at the suggestion of his friends and family who were worried about him because he rarely left his apartment. In discussing his symptoms and lifestyle with his therapist, he reported that he experienced intense anxiety at the thought of leaving his apartment and interacting with a large number of people. Being in crowds caused Henry to sweat profusely, his hands to shake, his stomach to feel nauseous, and his chest to pound. He reported that experiencing this intense anxiety made him feel like the world was not real or like he was dying. The first time Henry experienced this intense reaction to a crowd was at a concert when he was 20 where he felt panicked and was overcome with fear that he could not receive help if he needed it. Differential Diagnosis Essay Assignment Example. Since that time, he experienced similar feelings at sporting events. The intense anxiety about being in crowds now prevented him from attending class lectures, and his grades were suffering tremendously. Differential Diagnosis Essay Assignment Example. Additionally, Henry used to go out in NYC with all of his friends during his first two years at school, but now he could no longer bring himself to board the subway and only shopped at the nearby grocery store late at night when the fewest number of people were present. He also feared having a panic attack while on the subway and not being able to escape and get help. Because of his fear of public transportation, he did not apply for internships on the opposite side of the city. His relationship with his girlfriend from freshman year also ended because he could no longer tolerate participating in activities where they would be in a large groups. Henry was worried about his grades, future job prospects, and his social life. This constant worry was also causing problems with sleep. Differential Diagnosis Essay Assignment Example.

  • NURS 6052 Identifying a Researchable Problem

    NURS 6052 Identifying a Researchable Problem

    NURS 6052 PROJECT 1

    Course Project: Part 1—Identifying a Researchable Problem

    One of the most challenging aspects of EBP is to actually identify the answerable question.

    —Karen Sue Davies

    Formulating a question that targets the goal of your research is a challenging but essential task. The question plays a crucial role in all other aspects of the research, including the determination of the research design and theoretical perspective to be applied, which data will be collected, and which tools will be used for analysis. It is therefore essential to take the time to ensure that the research question addresses what you actually want to study. Doing so will increase your likelihood of obtaining meaningful results.

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    In this first component of the Course Project, you formulate questions to address a particular nursing issue or problem. You use the PICOT model—patient/population, intervention/issue, comparison, and outcome—outlined in the Learning Resources to design your questions NURS 6052 Identifying a Researchable Problem.

    To prepare:

    Review the article, “Formulating the Evidence Based Practice Question: A Review of the Frameworks,” found in the Learning Resources for this week. Focus on the PICOT model for guiding the development of research questions.

    Review the section beginning on page 71 of the course text Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Philadelphia, PA: Wolters Kluwer.

    titled, “Developing and Refining Research Problems” in the course text, which focuses on analyzing the feasibility of a research problem. NURS 6052 Identifying a Researchable Problem.

    Reflect on an issue or problem that you have noticed in your nursing practice. Consider the significance of this issue or problem.

    Generate at least five questions that relate to the issue which you have identified. Use the criteria in your course text to select one question that would be most appropriate in terms of significance, feasibility, and interest. Be prepared to explain your rationale.

    Formulate a preliminary PICO question—one that is answerable—based on your analysis. What are the PICO variables (patient/population, intervention/issue, comparison, and outcome) for this question?

    Note:
    Not all of these variables may be appropriate to every question. Be sure to analyze which are and are not relevant to your specific question. NURS 6052 Identifying a Researchable Problem.

    Using the PICOT variables that you determined for your question, develop a list of at least 10 keywords that could be used when conducting a literature search to investigate current research pertaining to the question.

    To complete Course Project: Part 1—Identifying a Researchable Problem:

    Write a 3- to 4-page paper that includes the following:

    A summary of your area of interest, an identification of the problem that you have selected, and an explanation of the significance of this problem for nursing practice

    The 5 questions you have generated and a description of how you analyzed them for feasibility

    Your preliminary PICOT question and a description of each PICOT variable relevant to your question

    At least 10 possible keywords that could be used when conducting a literature search for your PICOT question and a rationale for your selections

    This paper should be written in APA format

    This paper should have a purpose statement and a conclusion

    Paper should be written in basic vocabularies

    NURS 6052 Identifying a Researchable Problem

    Paper should cite at least 5 resources, 3 from the resources listed below and 2 scholarly sources from writer

    All the articles will be uploaded

    Resources

    Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Philadelphia, PA: Wolters Kluwer.

    Houde, S. C. (2009). The systematic review of literature: A tool for evidence-based policy. Journal of Gerontological Nursing, 35(9), 9–12.

    Krainovich-Miller, B., Haber, J., Yost, J., & Jacobs, S. K. (2009). Evidence-based practice challenge: Teaching critical appraisal of systematic reviews and clinical practice guidelines to graduate students. Journal of Nursing Education, 48(4), 186–195. NURS 6052 Identifying a Researchable Problem.

    Robeson, P., Dobbins, M., DeCorby, K., & Tirilis, D. (2010). Facilitating access to pre-processed research evidence in public health. BMC Public Health, 10, 95.

    Davies, K. S. (2011). Formulating the evidence based practice question: A review of the frameworks. Evidence Based Library and Information Practice, 6(2), 75–80. Retrieved from https://ejournals.library.ualberta.ca/index.php/EBLIP/article/vie wFile/9741/8144 NURS 6052 Identifying a Researchable Problem

  • Standardized Procedure Pediatrics Essay Assignment Example

    Standardized Procedure Pediatrics Essay Assignment Example

    Standardized Procedure Pediatrics

    Access CA BRN Website: 
    NP standardized Procedures

    Choose an Acute Health Problem for Pediatrics and write a complete SP. Follow guidelines per CA BRN examples.

    I attached example to write same way.

    Primary Health of Acute Clients/Families Across the Lifespan Standardized Procedure Pediatrics Essay Assignment Example

    Running head: STANDARDIZED PROCEDURE PEDIATRICS 1

    Standardized Procedure for Nurse Practitioners: General Policy

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    I Purpose

    A. To establish a standardized procedure, in compliance with the California Board of Registered Nursing (BRN) and the 11 components of the BRN’s guidelines for Nurse Practitioners (NPs) to perform specified functions without the immediate supervision of a Physician. Standardized Procedure Pediatrics Essay Assignment Example.

    II Development and Review

    A. All standardized procedures are developed through the collaborative efforts of the members of the organization’s established interdisciplinary committee (IDC). The IDC will consist of physicians, nurse practitioners, registered nurses and administrative representatives of the organization.

    B. All standardized procedures will be approved through the IDC made readily available and contain signed and dated approval sheets of all professionals covered by the procedures. Standardized Procedure Pediatrics Essay Assignment Example.

    C. All standardized procedures will be reviewed every 3 years or more often as necessary by the IDC.

    D. All NPs and their supervising physicians will signify agreement to the standardized procedures upon hire, annually and with changes as needed as evidenced by a signed and dated approval sheet.

    E. Signature on the statement of approval and agreement implies the following: Approval of all procedures in the document, intent to abide by the procedures and willingness to maintain a collegial and collaborative relationship with all parties. The signed statement of approval and agreement form will serve as the record of those NPs who have been authorized to perform the procedures Standardized Procedure Pediatrics Essay Assignment Example. The signature page will be kept on file and readily available together with Standardized Procedures.

    III Scope and Setting

    A NPs may manage those functions outlined in the standardized procedures, within their trained area of specialty and consistent with their experience and credentialing. Such functions include assessment, management and treatment of acute and chronic illness, contraception, health promotion and overall evaluation of health status. Additional functions include the ordering of diagnostic procedures, physical, occupational, speech therapies, diet and referral to specialty care as needed.

    B NPs are authorized to practice standardized procedures in the organization’s Outpatient Clinics.

    IV Education and Training/Qualifications

    A NPs must have the following

    1 Current California registered nurse (RN) license

    2 Certification by the State of California, BRN as an NP

    3 Board certification from the American Nurses Credentialing Center

    4 NP furnishing number

    5 DEA registration number

    6 Current Health Care Provider Card from the American Heart Association

    7 Credentialed by the organization’s medical staff

    B In addition to the required education and training all NPs will be required to complete competency validation upon hire and annually. The supervising physician is charged with observing the NP and documenting competency validation. The competency validation checklist is managed, maintained and made available by the Office of Medical Staff as a component of the privilege process. Checklist will be reviewed and updated annually by the IDC.

    V Supervision and Evaluation

    A NP is authorized to implement the approved standardized procedures without the direct or immediate observation or supervision of a physician unless otherwise specified within a particular procedure.

    B Supervising physicians will conduct a weekly case review of a minimum of 10% of each NPs cases for the week. The review will be documented within the electronic medical record and must be completed within 30 days of the visit selected for review. Cases will be selected randomly unless a request for review is received by a medical professional.

    C No single physician will supervise more than 4 NPs at any one time.

    VI Consultations

    A Physician consultation is to be obtained as specified in individual procedures or when deemed appropriate.

    VII Patient Records

    A NPs will be responsible for the documentation of a complete electronic medical record for each patient contact/encounter in accordance with existing clinic and medical staff policies.

    Protocol:

    Croup initial visit in the outpatient clinic setting

    I Rationale

    To assist Nurse Practitioners in the outpatient clinic setting in the differentiation between

    croup and other upper airway conditions and to establish guidelines for the management of croup in this setting.

    II Definition

    Swelling and erythema of the upper airway resulting in narrowing of these airways, usually as a result of viral infection and in some instances bacterial. Most cases are usually mild and self-limiting however, children can be seriously ill or at risk for rapid progression of disease leading to further narrowing of the airways and respiratory compromise.

    III Epidemiology – Standardized Procedure Pediatrics

    A Typically occurs in children between the ages of 6 months to 6 years, with a peak

    incidence between 6 and 36 months.

    B Most often occurs in the fall and is usually but not limited to parainfluenza type 1 viral infection.

    C Cases occurring in winter are usually but not limited to influenza A and B viruses

    D Risk factors include familiar history, parental smoking and male gender.

    IV History

    A Symptoms of upper respiratory infection for several days.

    B Rhinorrhea

    C Cough

    D Low grade fever

    E Symptoms occurring most often at night

    F Sore throat

    G Stridor

    H Intermittent barking, seal like cough

    V Physical Exam

    A Barking seal like cough, stridor

    B Tachypnea

    C Use of accessory muscles for respiration

    D Tachycardia

    E Wheezing

    F Low grade fever however, can be elevated to 104F

    G Visualization of mouth and epiglottis normal

    VI Diagnostic tests

    A Diagnosis typically made based on clinical presentation

    B Plain imaging of soft tissue of the neck may display classic pattern of subglottic narrowing (steeple sign) on posteroanterior view. Standardized Procedure Pediatrics Essay Assignment Example.

    C Pulse oximetry

    D Laboratory tests are not necessary for the diagnosis of croup however, may be used to assist with differential diagnosis.

    1 CBC

    2 Viral Serology

    3 Tissue culture

    VII Differential Diagnosis

    A Epiglottitis

    B Foreign body aspiration

    C Retropharyngeal or peritonsillar abscess

    D Compression due to tumors, trauma or congenital malformations

    E Angioedema

    F Asthma exacerbation

    G Bacterial traceitis

    VIII Management – According to severity of disease by means of the Westley Croup Score based on the presence or absence of stridor at rest, degree of chest wall retractions, air entry, the presence or absence of pallor or cyanosis and the mental status. Standardized Procedure Pediatrics Essay Assignment Example.

    A Mild croup (Westley croup score of ≤2)

    No stridor at rest (although stridor may be present when upset or crying), a barking cough, hoarse cry, and either no, or only mild, chest wall/subcostal retractions.

    B Moderate croup (Westley croup score of 3 to 7)

    Stridor at rest, has at least mild retractions, and may have other symptoms or signs of respiratory distress, but little or no agitation.

    C Severe croup (Westley croup score of ≥8)

    Significant stridor at rest, although the loudness of the stridor may decrease with worsening upper airway obstruction and decreased air entry. Retractions are severe (including indrawing of the sternum) and the child may appear anxious, agitated, or pale and fatigued Standardized Procedure Pediatrics Essay Assignment Example.

    D Impending respiratory failure (Westley croup score of ≥12)

    Fatigue and listlessness- Standardized Procedure Pediatrics

    Marked retractions (although retractions may decrease with increased obstruction and decreased air entry)

    Decreased or absent breath sounds

    Depressed level of consciousness

    Tachycardia out of proportion to fever

    Cyanosis or pallor

    E Treatment

    Mild Croup:

    1 Single dose of dexamethasone 0.15 to 0.6 mg/kg orally or parentally to a max dose of 10mg.

    2 Disposition home with the following instructions:

    a Fever management with acetaminophen 15mg/kg po every 4-6hrs as needed not to exceed 75mg/kg/day.

    b Anticipatory guidance of potential worsening and instructions on when to seek care. Standardized Procedure Pediatrics Essay Assignment Example.

    c Use of humidified air, cool mist or hot stream

    d Return for follow-up next day.

    Moderate Croup

    1 Follow mild croup guidelines

    2 Observe patient for up to 4 hours

    If improved

    3 Disposition home following instructions for mild croup

    If no improvement

    a Consult with supervising physician and prepare to administer

    b Inhaled racemic epinephrine 0.05 ml/kg per dose (maximum of 0.5 ml) of a 2.25% solution diluted with normal saline for a 3ml total volume via nebulizer.

    c If pulse oximetry is <92% provide supplemental oxygen at a rate to maintain 02 Sat < 92% d Refer or disposition child via emergency transport to emergency department Severe croup and impending respiratory failure a Activate 911 and provide the following until emergency transport arrives: b Ensure open airway c Administer supplemental 02 to maintain 0s sat 92% d Single dose of dexamethasone 0.15 to 0.6 mg/kg parentally. e Inhaled racemic epinephrine 0.05 ml/kg per dose (maximum of 0.5 ml) of a 2.25% solution diluted with normal saline for a 3ml total volume via nebulizer. Standardized Procedure Pediatrics Essay Assignment Example. f Notify supervising physician of need for emergency transport IX Development and Approval of the Standardized Procedure This standardized procedure was developed and approved through the organization’s Interdisciplinary Committee and will be reviewed and approved every 3 years or more often as needed. Revision Date_____________ Review Date______________ X Standardized procedure was approved by the following members of the Interdisciplinary Committee. _______________________________ Date_______________________ Pediatric Department Chair _______________________________ Date_______________________ Supervising Physician _______________________________ Date_______________________ Director of Nursing Practice _______________________________ Date_______________________ Administration XI Practitioners authorized to function under this standardized procedure: This list of Nurse Practitioners will be maintained on file in the department in which Nurse Practitioners practice and hospital administration. Standardized Procedure Pediatrics Essay Assignment Example. References An explanation of standardized procedure requirements for nurse practitioner practice. (1998). Retrieved from http://www.rn.ca.gov/pdfs/regulations/npr-b-20.pdf Standardized Procedure Pediatrics Bjornson, C., & Johnson, D. (2015). Croup. Retrieved from https://online.epocrates.com/diseases/68111/Croup/Key-Highlights Burns, C. E., Dunn, A. M., Brady, M. A., Starr, N. B., & Blosser, C. G. (2013). Pediatric Primary Care (5th ed.). Philadelphia, PA: Elsevier. Ferri, F. F. (2016). Ferri’s Clinical Advisor. Philadelphia, PA: Elsevier. Woods, C. R. (2015). Croup. Retrieved from https://www.uptodate.com/contents/croup-approach-to-management?source=see_link&sectionName=Respiratory+care&anchor=H91700#H1 Zoorob, R., Sidani, M., & Murray, J. (2011). Croup: An overview. Retrieved from http://www.aafp.org/afp/2011/0501/p1067.html. Standardized Procedure Pediatrics Standardized Procedure Pediatrics Essay Assignment Example

  • Working With Children and Adolescents versus Adults Sample Essay

    Working With Children and Adolescents versus Adults Sample Essay

    Discussion: Working With Children and Adolescents Versus Adults

    Post your answers to the following:

    Explain why a developmental assessment of children and adolescents is important.

    Describe two assessment instruments and explain why they are used for children and adolescents but not adults. Working With Children and Adolescents versus Adults Sample Essay.

    Describe two treatment options for children and adolescents that may not be used when treating adults.

    Explain the role parents play in assessment and treatment.

    Required Readings

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    Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.

    · Chapter 2, “Contributions of the Psychosocial Sciences” (pp. 93–130)

    · Chapter 6, “Classification in Psychiatry” (pp. 290–299)

    · Chapter 31, “Child Psychiatry” (pp. 1107–1152)

    American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author. Working With Children and Adolescents versus Adults Sample Essay.

    · “Neurodevelopmental Disorders”

    · “Intellectual Disabilities”

    · “Communication Disorders”

    Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (2015). Rutter’s child and adolescent psychiatry (6th ed.). Hoboken, NJ: Wiley Blackwell Working With Children and Adolescents versus Adults Sample Essay.

    · Chapter 2, “Diagnosis, Diagnostic Formulations, and Classification” (pp. 17–30)

    Discussion: Working With Children and Adolescents Versus Adults

    Pediatric Screening, Treatment, and Parents Role in Mental Health

    The human brain is amazing. Our brains continue to grow as we age, learn, and interact with our environment. The human brain is not fully formed until one’s early 20’s (Giedd, 2004). This means the brain appears different on imaging during different stages of childhood and adolescents. A child could be developing on time, then start deteriorating and losing milestones it once had. An assessment would be needed to identify areas the child was no longer developing on par in. Working With Children and Adolescents versus Adults Sample Essay. The assessment would identify what is wrong, give a diagnosis which could open means to fund treatment and get the child back on course. Children and adolescents think differently from each other and adults. It is important to speak to these kids at their level, which is impossible to do unless the provider does a brief assessment of where the client is intellectually and emotional and developmental age. Then the provider can alter their approach to meet the client where they are at. How these kids think influences the approach to treatment Working With Children and Adolescents versus Adults Sample Essay.

    Pediatric Assessments and Screening Tools

    The 
    Vanderbilt Assessment Scale Parent Informant
    helps providers identify symptoms of ADHD. The questions listed address specific symptoms that occur in childhood ADHD, like climbing on things and running around when supposed to be sitting. If this tool was used on adults, adult ADHD could be missed because the Vanderbilt Assessment Scale Parent Informant does not target adult ADHD’s symptoms thus missing key symptoms of ADHD in adults. Adults might not climb on the furniture, but they may be forgetful and disorganized a lot. Working With Children and Adolescents versus Adults Sample Essay.

    CRAFFT
    is a screening tool for risky behaviors associated with substances. This tool addresses risky behavior teens may take part in. Alcohol is illegal for teens to consume, but adults can legally drink. What is considered a risky behavior for teens may not be for adults. CRAFFT is not ideal for adults. There are other assessment tools specific to the risky behaviors adult present Working With Children and Adolescents versus Adults Sample Essay. Leslie (2008) stressed the importance of routine screening for substances and risky behavior among teens. CRAFFT was found to be a valid screening tool to identify substance-related problems and disorders (Knight, Sherritt, Shrier, Harris, & Chang, 2002).
    Discussion: Working With Children and Adolescents Versus Adults

    Pediatric Treatment Options

    Play therapy is a type of therapy targeting the developmental age of the client. One large meta-analysis found play therapy to be efficacious and equally effective across ages, gender and presenting problems (Bratton, Ray, Rhine, & Jones, 2005). The greatest improvement was seen when parents were involved with play therapy (Bratton et al., 2005). Working With Children and Adolescents versus Adults Sample Essay.

    Many studies use elementary school as the medium or location to treat children. Prevention of negative outcomes is a common theme in schools. Children have little to no control over their home environment. So public schools have made changes to help students have higher chances of succeeding. Mental health problems prevention strategies can be implemented in schools. There is often a psychotherapist in the school and a free period at school to allow teens to make up homework that was not done at home. Tol, Komproe, Susanty, Jordans, … & De Jong (2008) conducted multiple control trials with interventions targeting mental health in schools for kids affected by political violence. The unique aspect of providing interventions and treatment in school is it is a safe, consistent, structured environment the child attends on a regular basis. And there are plenty of adults in the school that may be able to help with the interventions. 
    Discussion: Working With Children and Adolescents Versus Adults

    School is an ideal location to promote healthy development in children and provide prevention interventions to help children have positive outcomes. Adults are not treated like this. There is not one location nearly everyone goes to on a regular basis, which is a consistently safe environment. Adults work at different businesses and on different days. Often, mental health prevention is not addressed in adults to the degree it is in children and adolescents. 
    Discussion: Working With Children and Adolescents Versus Adults. Working With Children and Adolescents versus Adults Sample Essay.

    Parent’s Role in Treatment

    Parents are vital when working with children and adolescents. When parents are involved and support their child, the child has better chances of succeeding and healing. One way parents can help is by providing information to practitioners in the form of screening and assessment dah data. Parents may need to give feedback because the client lacks insight, awareness, ability to express or even define complex feelings. The parent can provide assessment tools or screening tools to the child’s teacher, thus allowing for more data to be gathered in another environment the child is in.

    Parents can also encourage teens to participate in the assessment. Parents may bring up symptoms or events the teen or child does not want to talk about, allowing for more data or an alternate perspective on their situation. Information gathered from parents of adolescents may or may not be accurate because teens often filter details of their lives to parents Working With Children and Adolescents versus Adults Sample Essay.

    Parents can help children and teens follow through getting needed treatment, provide reminders and transportation to their children, and refill prescriptions.

    Discussion: Working With Children and Adolescents Versus Adults References

    Bratton, S. C., Ray, D., Rhine, T., & Jones, L. (2005). The efficacy of play therapy with children: A meta-analytic review of treatment outcomes. 
    Professional Psychology: Research and Practice
    , 
    36
    (4), 376.

    Giedd, J. N. (2004). Structural magnetic resonance imaging of the adolescent brain. 
    Annals of the new york academy of sciences
    , 
    1021
    (1), 77-85. Working With Children and Adolescents versus Adults Sample Essay.

    Knight, J. R., Sherritt, L., Shrier, L. A., Harris, S. K., & Chang, G. (2002). Validity of the CRAFFT substance abuse screening test among adolescent clinic patients. 
    Archives of pediatrics & adolescent medicine
    , 
    156
    (6), 607-614.

    Tol, W. A., Komproe, I. H., Susanty, D., Jordans, M. J., Macy, R. D., & De Jong, J. T. (2008). School-based mental health intervention for children affected by political violence in Indonesia: a cluster randomized trial. 
    Jama
    , 
    300
    (6), 655-662.Leslie, K. (2008). Youth substance use and abuse: challenges and strategies for identification and intervention. 
    Cmaj
    , 
    178
    (2), 145-148. 
    Discussion: Working With Children and Adolescents Versus Adults. Working With Children and Adolescents versus Adults Sample Essay.

  • Introduction to Theory in Healthcare Informatics Essay Assignment

    Introduction to Theory in Healthcare Informatics Essay Assignment

    Assignment: Introduction to Theory in Healthcare Informatics

    Part one:

    Discuss your current practice setting (I work on a cardiac unit) and how informatics is involved in your practice. Include what work-related tasks you complete using healthcare informatics and what server your facility uses (We use epic) . Introduction to Theory in Healthcare Informatics Essay Assignment. Lastly, think of one or two topics for the Signature Assignment project (look ahead to Module 8 for details) you will complete during this course and provide a brief description.

    Please provide a brief description of Electronic Health Records: as this would be the topic for my project. Introduction to Theory in Healthcare Informatics Essay Assignment.

    Assignment: Introduction to Theory in Healthcare Informatics Part two:

    Assignment: Introduction to Theory in Healthcare Informatics

    Write an essay addressing each of the following points/questions. Be sure to completely answer all the questions for each number item. There should be three sections, one for each item number below, as well the introduction (heading is the title of the essay) and conclusion paragraphs. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least three (3) citations in your essay. Make sure to reference the citations using the APA writing style for the essay. The cover page and reference page do not count towards the minimum word amount. Review the rubric criteria for this assignment. Introduction to Theory in Healthcare Informatics Essay Assignment.

    ORDER A PLAGIARISM-FREE PAPER HERE

    Write an essay addressing the following prompts:

    Electronic health records (EHRs) are easier to read than the paper charts of the past, but many complain that healthcare providers are focusing too much on the computer screen instead of the patient.

    Is this due to lack of skill or training, poor computer system design, or just the nature of computer charting?

    Is patient care suffering from the implementation of EHRs? Introduction to Theory in Healthcare Informatics Essay Assignment.

    Charting in an EHR consist of clicking boxes, do you feel this provides enough detail about the patient, condition, and events if there was a law suit?

    Hebda, Hunter and Czar (2019) identify three types of data that is currently being tracked by organizations (p. 46).

    Identify and explain another type of data, specific to your practice, that is being tracked by an organization.

    Why do you feel this data is important to track?

    Identify and discuss the organization that is tracking the data.

    Are there any ethical concerns with an outside organization tracking this data, explain and give examples?

    In this week’s discussion post, you identified and explain the topic selected for the project Introduction to Theory in Healthcare Informatics Essay Assignment.

    Provide a description of your selected topic based on input from the discussion forum. What is your project, why is it relevant to this class, and why is it important to you?

    Identify an informatics/healthcare theory from pages 29-30 of the textbook that aligns with the project and explain why. Introduction to Theory in Healthcare Informatics Essay Assignment.

    Assignment Expectations:

    Length: 500 words per essay prompt/each section (1500 total for this assignment)

    Structure: Include a title page and reference page in APA style. These do not count towards the minimal word amount for this assignment. All APA Papers should include an introduction and conclusion. Introduction to Theory in Healthcare Informatics Essay Assignment.

    References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources to support your claims.

    Attached are pages from the textbook to help with the Introduction to Theory in Healthcare Informatics Essay Assignment