Tag: Clinical-Nursing

In a short essay (500-750 words), answer the Question at the end of Case Study 1. Cite references to support your positions.

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

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment. You are required to submit this Ms. A. Case Study  assignment to Turnitin.

Ms. A. Case Study

Ms. A. is an apparently healthy 26-year-old white woman. Since the beginning of the current golf season, Ms. A has noted increased shortness of breath and low levels of energy and enthusiasm. These symptoms seem worse during her menses. Today, while playing in a golf tournament at a high, mountainous course, she became light-headed and was taken by her golfing partner to the emergency clinic. The attending physician’s notes indicated a temperature of 98 degrees F, an elevated heart rate and respiratory rate, and low blood pressure. Ms. A states, “Menorrhagia and dysmenorrheal have been a problem for 10-12 years, and I take 1,000 mg of aspirin every 3 to 4 hours for 6 days during menstruation.” During the summer months, while playing golf, she also takes aspirin to avoid “stiffness in my joints.”

Laboratory values are as follows:

Hemoglobin = 8 g/dl

Hematocrit = 32%

Erythrocyte count = 3.1 x 10/mm

RBC smear showed microcytic and hypochromic cells

Reticulocyte count = 1.5%

Other laboratory values were within normal limits.

Question

Considering the circumstances and the preliminary workup, what type of anemia does Ms. A most likely have? In an essay of 500-750 words, explain your answer and include rationale.

Ms. A. Case Study

Ms. A. Anemia Case Study

In a short essay (500-750 words), answer the Question at the end of Case Study 1. Cite references to support your positions.

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

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This Ms. A. Anemia Case Study  assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

You are required to submit this Ms. A. Anemia Case Study  assignment to Turnitin.

Ms. A. Anemia Case Study

Ms. A. is an apparently healthy 26-year-old white woman. Since the beginning of the current golf season, Ms. A has noted increased shortness of breath and low levels of energy and enthusiasm. These symptoms seem worse during her menses. Today, while playing in a golf tournament at a high, mountainous course, she became light-headed and was taken by her golfing partner to the emergency clinic. The attending physician’s notes indicated a temperature of 98 degrees F, an elevated heart rate and respiratory rate, and low blood pressure. Ms. A states, “Menorrhagia and dysmenorrheal have been a problem for 10-12 years, and I take 1,000 mg of aspirin every 3 to 4 hours for 6 days during menstruation.” During the summer months, while playing golf, she also takes aspirin to avoid “stiffness in my joints.” Ms. A. Anemia Case Study.

Laboratory values are as follows:

Hemoglobin = 8 g/dl

Hematocrit = 32%

Erythrocyte count = 3.1 x 10/mm

RBC smear showed microcytic and hypochromic cells

Reticulocyte count = 1.5%

Other laboratory values were within normal limits.

Question

Considering the circumstances and the preliminary workup, what type of anemia does Ms. A most likely have? In an essay of 500-750 words, explain your answer and include rationale. Ms. A. Anemia Case Study

Evidence-Based Practice Project Paper on Diabetes

Identify a research or evidence-based article that focuses comprehensively on a specific intervention or new diagnostic tool for the treatment of diabetes in adults or children.

In a Evidence-Based Practice Project Paper on Diabetes of 750-1,000 words, summarize the main idea of the research findings for a specific patient population. Research must include clinical findings that are current, thorough, and relevant to diabetes and the nursing practice.

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Prepare this Evidence-Based Practice Project Paper on Diabetes  assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This Evidence-Based Practice Project Paper on Diabetes  assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center. Only Word documents can be submitted to Turnitin. Evidence-Based Practice Project Paper on Diabetes

Evidence-Based Practice Project Paper on Diabetes Rubric

Benchmark – Evidence-Based Practice Project—Paper on Diabetes 

 

1 Unsatisfactory 0-71% 0.00%

2 Less Than Satisfactory 72-75% 75.00%

3 Satisfactory 76-79% 79.00%

4 Good 80-89% 89.00%

5 Excellent 90-100% 100.00%

80.0 %Content

 

30.0 %Research or Evidence-Based Article Identified. Article Focuses on a Specific Diabetic Intervention or New Diagnostic Tool.

Research or evidence-based article not identified. Evidence-Based Practice Project Paper on Diabetes

Research or evidence-based article identified but does not address a specific diabetic intervention or diagnostic tool.

Research or evidence-based article identified that focuses on a specific diabetic intervention or diagnostic tool in general.

Research or evidence-based article identified that focuses on a specific diabetic intervention and a diagnostic tool.

Research or evidence-based article identified that focuses on a specific diabetic intervention or diagnostic tool in a comprehensive manner, allowing all criteria of assignment to be fully addressed.

50.0 %Summary of Article Includes the Following Content: Discussion of Research Performed Clinical Findings, and Significance to Nursing Practice.

Content is incomplete or omits most of the requirements stated in the assignment criteria. Does not demonstrate an understanding of the basic principles. Does not demonstrate critical thinking and analysis of the overall program subject.

Content is incomplete or omits some requirements stated in the assignment criteria. Demonstrates shallow understanding of the basic principles only a surface level of evaluation is offered, methods are described but flawed or unrealistic and strategies are discussed, but incomplete.

Content is complete, but somewhat inaccurate and/or irrelevant. Demonstrates adequate understanding of the basic principles. Reasonable but limited inferences and conclusions are drawn but lack development. Supporting research is inadequate in relevance, quality, and/or currentness.

Content is comprehensive and accurate, and definitions are clearly stated. Sections form a cohesive logical and justified whole. Shows careful planning and attention to details and illuminates relationships. Research is adequate, current, and relevant, and addresses all of the issues stated in the assignment criteria.

Content is comprehensive. Presents ideas and information beyond that presented through the course, and substantiates their validity through solid, academic research where appropriate. Research is thorough, current, and relevant, and addresses all of the issues stated in assignment criteria. Final paper exhibits the process of creative thinking and development of proposal. Applies framework of knowledge, practice and sound research. Shows careful planning and attention to how disparate elements fit together.

15.0 %Organization and Effectiveness

 

5.0 %Thesis Development and Purpose

Paper lacks any discernible overall purpose or organizing claim.

Thesis and/or main claim are insufficiently developed and/or vague; purpose is not clear.

Thesis and/or main claim are apparent and appropriate to purpose.

Thesis and/or main claim are clear and forecast the development of the paper. It is descriptive and reflective of the arguments and appropriate to the purpose.

Thesis and/or main claim are comprehensive; contained within the thesis is the essence of the paper. Thesis statement makes the purpose of the paper clear.

5.0 %Paragraph Development and Transitions

Paragraphs and transitions consistently lack unity and coherence. No apparent connections between paragraphs are established. Transitions are inappropriate to purpose and scope. Organization is disjointed.

Some paragraphs and transitions may lack logical progression of ideas, unity, coherence, and/or cohesiveness. Some degree of organization is evident.

Paragraphs are generally competent, but ideas may show some inconsistency in organization and/or in their relationships to each other.

A logical progression of ideas between paragraphs is apparent. Paragraphs exhibit a unity, coherence, and cohesiveness. Topic sentences and concluding remarks are appropriate to purpose.

There is a sophisticated construction of paragraphs and transitions. Ideas progress and relate to each other. Paragraph and transition construction guide the reader. Paragraph structure is seamless.

5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use)

Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used.

Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, and/or word choice are present.

Some mechanical errors or typos are present, but are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.

Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.

Writer is clearly in command of standard, written, academic English. Evidence-Based Practice Project Paper on Diabetes

5.0 %Format

 

3.0 %Language Use and Audience Awareness (includes sentence construction, word choice, etc.)

Inappropriate word choice and lack of variety in language use are evident. Writer appears to be unaware of audience. Use of ‘primer prose’ indicates writer either does not apply figures of speech or uses them inappropriately.

Some distracting inconsistencies in language choice (register) and/or word choice are present. The writer exhibits some lack of control in using figures of speech appropriately.

Language is appropriate to the targeted audience for the most part.

The writer is clearly aware of audience, uses a variety of appropriate vocabulary for the targeted audience, and uses figures of speech to communicate clearly.

The writer uses a variety of sentence constructions, figures of speech, and word choice in distinctive and creative ways that are appropriate to purpose, discipline, and scope. Evidence-Based Practice Project Paper on Diabetes

2.0 %Research Citations (In-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment)

No reference page is included. No citations are used.

Reference page is present. Citations are inconsistently used.

Reference page is present. Citations are inconsistently used.

Reference page is present and fully inclusive of all cited sources. Documentation is appropriate and GCU style is usually correct.

In-text citations and a reference page are complete. The documentation of cited sources is free of error.

100 %Total Weightage

 

Evidence-Based Practice Project Paper on Diabetes

Maladaptive Responses to Immune Disorders Discussion Paper

Maladaptive responses to disorders are compensatory mechanisms that ultimately have adverse health effects for patients. For instance, a patient’s allergic reaction to peanuts might lead to anaphylactic shock, or a patient struggling with depression might develop a substance abuse problem. To properly diagnose and treat patients, advanced practice nurses must understand both the pathophysiology of disorders and potential maladaptive responses that some disorders cause.

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Consider immune disorders such as HIV, psoriasis, inflammatory bowel disease, and systemic lupus E. What are resulting maladaptive responses for patients with these disorders? Maladaptive Responses to Immune Disorders Discussion Paper.

To Prepare

· Review Chapter 6 and Chapter 8 in the Huether and McCance text. Reflect on the concept of maladaptive responses to disorders.

· Select two of the following immune disorders: HIV, psoriasis, inflammatory bowel disease, or systemic lupus E (SLE). Maladaptive Responses to Immune Disorders Discussion Paper.

· Identify the pathophysiology of each disorder you selected. Consider the compensatory mechanisms that the disorders trigger. Then compare the resulting maladaptive and physiological responses of the two disorders.

· Select one of the following factors: genetics, gender, ethnicity, age, or behavior. Reflect on how the factor might impact your selected immune disorders. Maladaptive Responses to Immune Disorders Discussion Paper.

Post
 a brief description of the pathophysiology of your selected immune disorders. Explain how the maladaptive and physiological responses of the two disorders differ. Finally, explain how the factor you selected might impact the pathophysiology of each disorder. Maladaptive Responses to Immune Disorders Discussion Paper.

Breast Cancer Concept Map

Summary of three patient education priorities

Physical assessment

Based on CC’s assessment summary she is at high risk of breast cancer given the history of the disease in the family. It would be crucial that a physical assessment is carried out by a professional to determine the likelihood of a lump in her breasts. Research indicates that although people have been given a tutorial to understand how the physical examination is carried out, most may not do it right (Colditz & Bohlke, 2014).

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Health promotion

The BMI of the patient is high indicating a higher chance of acquiring breast cancer also given her age. The practitioner should propose a change of diet and more exercise to maintain a healthier body. Alcohol has also been shown to increase chances of acquiring breast cancer to those at risk (Scoccianti et al., 2014). The patient should, therefore, cut on the daily wine intake.

Coping Mechanisms

The patient is at high risk of getting breast cancer and presence of susceptibility gene can be detected using molecular diagnostics (Colditz & Bohlke, 2014). The patient should be educated on what to expect and the change in the quality of life after diagnosis. This helps in coping with the disease when it occurs. Breast Cancer Concept Map

Summary of three patient education priorities

Physical assessment

Based on CC’s assessment summary three patient priorities emerge: diabetes, heart disease and breast cancer. She is at high risk of breast cancer given the history of the disease in the family and the link between breast cancer and type 2 diabetes (Colditz & Bohlke, 2014). It would be crucial that a physical assessment is carried out by a professional because of the cystic breast disease and the likelihood of a lump in her breasts. A yearly mammogram is important to detect cancer early, when it is most treatable. Reliable self-breast examination, research indicates that although people have been given a tutorial to understand how the physical examination is carried out, most may not do it right (Colditz & Bohlke, 2014). Alcohol has also been shown to increase chances of acquiring breast cancer to those at risk (Scoccianti et al., 2014). CC should therefore, cut on the daily wine intake.

Health promotion

The hemoglobin A1c level predisposes her for high risk of diabetes, also given her family history. The practitioner should propose a life style change of diet and more exercise to maintain a healthier body.

Coping Mechanisms

With diabetes, CC is at high risk of getting heart disease. The complication that begins when the arteries get narrow (atherosclerosis), and reduce function in different parts of the body: heart, brain, legs. These complications include coronary heart disease (CHD), stroke, peripheral arterial disease, nephropathy, retinopathy, and possibly neuropathy and cardiomyopathy. Therefore, clinicians place diabetes alongside the other major risk factors as important causes of cardiovascular disease (CVD) (Colditz & Bohlke, 2014). CC should be educated on what to expect and the change in the quality of life after diagnosis. This helps in coping with the disease when it occurs. Breast Cancer Concept Map.

Epidemiology is derived from the observations and inquiries of pioneers, such as Hippocrates, John Snow, Pasteur, and Koch, who have contributed immeasurably to the history of epidemiology. The discoveries and achievements of these epidemiological pioneers have played an important role in evolving epidemiology and disease control.

Discuss the impact of at least one major historical contribution on current epidemiological practices. Explain how history can potentially shape and impact our future work in public health and clinical medicine. Epidemiology.

FB Patient Encounter – Florence Blackman iHuman Case

Step 1: Complete
 i-Human Patients® Case for Florence Blackman.

Access
 i-Human Patients® by clicking the Exercise tab.

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Click
 the Cases tab to complete the i-Human Patients® Case for FB.

Interview FB to obtain her complete patient history.

Document your findings in i-Human Patients®.

Complete a health assessment and focused physical exam based on current evidence.

Document your health assessment and focused physical exam findings and develop a problem list for FB.

Note:
 You must attempt and score a cumulative 70% on the i-Human Patients® assessments in weeks 1, 3, and 5 to successfully complete the required lab component of the course.

Step 2: Interpret
 the data.

Determine
 which tests you would expect to see for FB based on the results of the history, exam, and problem list.

Evaluate
 the test results to determine the actual and/or potential diseases for which FB is at risk.

Create
 a 350-word summary note explaining how you arrived at FB’s problem list.

Provide relevant assessment results (questions and answers).

Cite the lab results that correlate with the assessment findings.

Click
 the Assignment Files tab to submit your summary, evidence-based assessment guidance, and interview results documentation. FB Patient Encounter – Florence Blackman iHuman Case.

Nursing: Demand for safe, high-quality, and effective health care services

As health care delivery in the United States continues to evolve, either through mandates, improved technologies and training, or other drivers, nurses remain at the forefront in facilitating the success of new initiatives. In 2010, the Institute of Medicine formed a committee of experts to address the following question:

“What roles can nursing assume to address the increasing demand for safe, high-quality, and effective health care services?”

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 In the final report of the committee, The Future of Nursing: Leading Change, Advancing Health, the authors stated:

This report offers recommendations that collectively serve as a blueprint to

(1) ensure that nurses can practice to the full extent of their education and training,

(2) improve nursing education,

(3) provide opportunities for nurses to assume leadership positions and to serve as full partners in health care redesign and improvement efforts, and

(4) improve data collection for workforce planning and policy making. (p. 10)

For this Discussion, you will focus on the research recommendations presented by the committee concerning the role of nurses as leaders. The committee members believe that answers to these research questions are needed to advance the profession of nursing and to further expand their role in health care reform and improvement. Nursing: demand for safe, high-quality, and effective health care services.

To prepare:

•Review Chapter 7 in The Future of Nursing: Leading Change, Advancing Health report provided in the Learning Resources. Focus on the information in Box 7.3, “Research Priorities for Transforming Nursing Leadership.”

(I am leaning toward one of these 2 – • Identification of the characteristics of mentors that have been (or could be) most successful in recruiting and training diverse nurses and nurse faculty. • Identification of the influence of nursing on important health care decisions at all levels.)

•Select one of the research priorities listed in Box 7.3 that is of particular interest to you and applicable to your career interests. Consider the benefits and challenges of researching and addressing this priority in nursing.

•Using the Walden library, identify two to three current articles that address your selected research priority. Consider the current state of research efforts on this priority. Nursing: demand for safe, high-quality, and effective health care services.

•Reflect on how the research findings for your area of priority impact nurses as leaders in organizations and health care reform. Why is research on this priority important?

Post a description of the priority you selected and the benefits and challenges of further researching this area. Provide an overview of the articles you found (using appropriate APA citations) relating to this priority, and highlight any key findings. Explain how continued research in this area could strengthen the ability of nurses to lead in both individual organizations and as advocates of health care reform. Nursing: demand for safe, high-quality, and effective health care services

FB Pharmacological Interventions and Patient Education Essay Assignment Papers

FB Pharmacological Interventions

Review
 the medications FB was prescribed.

Write
 a 175-word medication summary, analyzing FB’s medications. Include the following:

Class

Why it was selected over other medications

Mechanism of action/effect on the disease

Interaction with other medications, vitamins and herbal supplements, and food

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FB Patient Education Priorities

Identify
 FB’s patient education priorities.

Summarize
 each of the education priorities and explain FB’s risk(s).

Find
 a patient education pamphlet, module, website, or video that pertains to at least one of FB’s priorities.

Assess
 the patient education information using the CDC’s Index Widget.

Review the 
user guide
 to ensure you are using the tool as intended.

Follow the prompts to evaluate the patient education.

Include notes explaining each of your selections in the tool.

Save your results as a PDF for upload with your assignment.

Write 
a 260-word summary explaining:

Your experience with the tool

What surprised you about the assessment

A determination of whether this patient education is appropriate for FB based on the Index Widget score and the information you know about her

Click
 the Assignment Files tab to submit your assessment results and summaries. FB Pharmacological Interventions and Patient Education Essay Assignment Papers.

Self-care evidence-based practice

Please respond to this Self-care evidence-based practice post. APA, citation and reference need it.

Researching self-care evidence-based practice is significant in ensuring patients meet their self-care deficit demands. According to Ambrosy et al. (2014), registered heart failure readmissions in the globe account for a total of 26 million individuals. In U.S and Europe, the readmissions were 1 million (Merkow et al., 2015, p.1123). The evidence-based practice of the study formulating education-based intervention for outpatient heart failure health facilities that aim at lowering hospital readmissions.

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 The sample will include patients that were previously discharged in heart failure clinics and their families. Discharged heart failure patients and their families reflect the population as identified for the purposes of study because they are the most affected stakeholders. Also, families of the patients take nursing roles at home. The sample will be selected using stratified and theoretical sampling techniques. Theoretical sampling focus on collecting a series of data with an aim of developing theory (Etikan, & Bala, 2017, p.2). The technique is appropriate for the study because, in this type of sampling, a research has to have information about the general perspective of the study area and identify key concepts of the research. It allows a high degree of flexibility when determining concepts of a theory because it prevents limiting one-self to a particular concept of an evidence-based practice that results in researchers overlooking other concepts. It involves grouping an entire population into homogenous subgroups deepening on the factors of study. Stratified sampling is appropriate because it reduces sampling errors that lead to improved precision during the study. According to Etikan and Bala (2017), it produces less variability in the study because each stratum selected for the study is mutually exclusive depending on their characteristics or factors of study (p.2). Therefore, stratified and theoretical sampling methods are appropriate for descriptive, meta-analytic, experimental and correlational research design. Self-care evidence-based practice.

The sample size of 70 discharged patients is appropriate because it allows conducting statistical analysis such as t-test and multi-variant regression analysis. Considering that random sampling is used when selecting the population from a particular stratum, the sample size can be used to represent the findings of the entire generalized group. The population size is generalized to Omaha city. The study used analytical generalization whose generalizability is restricted by casual extrapolation on whether the organized variance between control and experimental groups are reinforced by statistical evidence. Also, the degree to which an experiment can be conducted in such a way that the experimental group results can be ascribed to a particular operating cause-driven from EBP intervention limit the generalizability. Self-care evidence-based practice.

The design used was descriptive, meta-analytic, experimental and correlational research design. Combination of the study design flow with the previously discussed parts of the research because it involved trying to lower the increased rate of hospital readmissions of heart failure patients by focusing on developing an EBP that can be proved theoretically. Also, it may help the participants to fulfill self-care deficit. Self-care evidence-based practice. Self-care evidence-based practice.

References

Ambrosy, A. P., Fonarow, G. C., Butler, J., Chioncel, O., Greene, S. J., Vaduganathan, M., … & Gheorghiade, M. (2014). The global health and economic burden of hospitalizations for heart failure: Lessons learned from hospitalized heart failure registries. 
Journal of the American College of Cardiology
, 
63
(12).

Etikan I, Bala K. (2017). Sampling and Sampling Methods. 
Biometrics & Biostatistics International Journal.

Merkow, R. P., Ju, M. H., Chung, J. W., Hall, B. L., Cohen, M. E., Williams, M. V., … & Bilimoria, K. Y. (2015). Underlying reasons associated with hospital readmission following surgery in the United States. 
Jama
, 
313
(5). Self-care evidence-based practice.