Tag: Clinical-Nursing

Practice Issue and Evidence Summary Worksheet : Capstone Project: Milestone 1

Capstone Project Milestone 1: Practice Issue and Evidence Summary Guidelines

Purpose

Clear identification of the practice issue is the first step in evidence-based nursing. Next, the evidence is reviewed to determine the best intervention to change practice outcomes. Completion of the milestone will include identification of the practice issue using the ACE Star Model of Knowledge Transformation and a review of the evidence that will support an intervention that will change outcomes. The evidence summary will be conducted through the ‘breaking down’ of a systematic review on your topic for your change project.

Course Outcomes

This assignment enables the student to meet the following course outcomes:

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CO4: Develops and outlines a scientific, systematic decision-making process to integrate critical thinking with clinical judgment to assure safe and effective outcomes. (PO4)

CO8: Selects evidence for best practice when planning professional nursing care for individuals, families, aggregates, and communities. (PO8)

Due Dates

Milestone 1 consists of the completion of ONE form with two worksheets. Complete both worksheets and submit the form by Sunday, 11:59 p.m. MT at the end of Week 3. Practice Issue and Evidence Summary Worksheet : Capstone Project: Milestone 1.

Points

Milestone 1 is worth 
175 points
 (75 points for the Practice Issue and 100 points for the Evidence Summary).

You are required to use the linked article and Worksheets or you will earn a “0” for the assignment. In addition, assignments that do not follow the current guidelines or use the required Worksheet or article will be evaluated for evidence of an academic integrity violation. Practice Issue and Evidence Summary Worksheet : Capstone Project: Milestone 1

After the due date, there will be no opportunity for revision or resubmission of assignments that have been uploaded to the submission area. It is your responsibility to submit the correct assignment to the correct submission area.

Practice Issue Worksheet Directions

A tutorial with tips for completing this assignment may be viewed at 
https://atge.webex.com/atge/ldr.php?RCID=4905b26a67572323c11b839e3251c96a
 (Links to an external site.)
Links to an external site.
 (Links to an external site.)
Links to an external site.

Choose the 
ONE
 systematic review topic that is of most interest to you, or most relevant to your practice situation, from the required 
List of Approved Systematic Reviews
 (Links to an external site.)
Links to an external site.
. Practice Issue and Evidence Summary Worksheet : Capstone Project: Milestone 1

Follow the grading criteria below to formulate your practice issue, 
which must be based on the topic of the systematic review you have selected
.

Download the required 
Milestone 1 Practice Issue and Evidence Summary Worksheets
 (Links to an external site.)
Links to an external site.
 (both worksheets appear in ONE file) to document the practice issue presented and approved by your instructor in the Week 2 Discussions.

Your practice issue will be the same for all three Milestone assignments in this course.

Please type your answers directly into the worksheet.

Evidence Summary Worksheet Directions

Develop an evidence summary by following the grading criteria below.

Document this on the evidence summary portion of the worksheet.

You will use this worksheet to incorporate your evidence summary into your Week 4 Milestone 2 assignment.

Please type your answers directly into the worksheet.

**Academic Integrity Reminder**

Chamberlain College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments. Practice Issue and Evidence Summary Worksheet : Capstone Project: Milestone 1.

By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment.

Please see the grading criteria and rubrics on this page.

NOTE: Please use your browser’s File setting to save or print this page.

Rubric

NR451_Milestone_1_2

NR451_Milestone_1_2

Criteria

Ratings

Pts

This criterion is linked to a Learning Outcome
Practice Issue Statement, Scope of Practice, Practice Area

Identifies a practice issue statement that is an independent nursing decision, and is relevant to the systematic review topic chosen from among the approved list provided in the course. Describes the scope of practice issues. Example: The number of falls in your facility has been increasing, especially during shift change. What do you believe may be causing this? Are there any new interventions that could be put into place that would lessen or eliminate the falls? This is where you begin your initial search into the problem or practice issue identified. Identifies the practice area.

20.0
 pts

Practice issue is identified based on the approved systematic review topic chosen. Practice issue is an independent nursing decision. Scope of practice issue is fully described. Practice area identified.

18.0
 pts

Practice issue is identified but is not clear, however it is based on the approved systematic review topic chosen. Practice issue is an independent nursing decision. Scope of practice issue is described in simple terms. Practice area identified.

16.0
 pts

Practice issue is identified but is not clearly related to a nursing practice issue, however it is based on the approved systematic review topic chosen. Practice issue is not an independent nursing decision. Scope of practice issue is described but is not clear. Practice area identified.

8.0
 pts

Practice issue is unclear. Practice issue is not based on the approved systematic review topic. Practice Issue is not an independent nursing decision. Scope of practice issue is not described. Practice area identified.

0.0
 pts

Practice issue is not identified; practice issue is not an independent nursing decision; scope of practice issue is not described; practice area is not identified. Practice Issue and Evidence Summary Worksheet : Capstone Project: Milestone 1

20.0
 pts

This criterion is linked to a Learning Outcome
Practice Issue-Rationale for Selections

Identifies how rationale behind how the practice issue was selected as a practice issue/problem. Documents the practice issue in a logical manner.

35.0
 pts

Identifies and documents what types of evidence is needed for review. Thoroughly describes rationale for all checked types of evidence selected.

31.0
 pts

Identifies and documents what types of evidence is needed for review. Briefly describes rationale for all checked types of evidence selected.

28.0
 pts

Identifies and documents what types of evidence is needed but includes only a minimum description for rationale for selected evidence.

13.0
 pts

Does not document more than one type of evidence that is needed for review and does not include rationale for selected type of evidence.

0.0
 pts

Does not document types of evidence or rationale.

35.0
 pts

This criterion is linked to a Learning Outcome
Types of Evidence Gathered-Rationale for Selections

Identifies and documents types of evidence that must be gathered for review of the Practice Issue. Describes rationale for each type of evidence that is selected.

20.0
 pts

Identifies and documents what types of evidence is needed for review. Thoroughly describes rationale for all checked types of evidence selected

18.0
 pts

Identifies and documents what types of evidence is needed for review. Briefly describes rationale for all checked types of evidence selected.

16.0
 pts

Identifies and documents what types of evidence is needed but includes only a minimum description for rationale for selected evidence.

8.0
 pts

Does not document more than one type of evidence that is needed for review and does not include rationale for selected type of evidence.

0.0
 pts

Does not document types of evidence or rationale.

20.0
 pts Practice Issue and Evidence Summary Worksheet : Capstone Project: Milestone 1

This criterion is linked to a Learning Outcome
Practice Problem Description

States practice problem in own words, with reference to the population, setting, and magnitude and in measurable terms. Describes practice setting in measureable terms. Example: Consider the example given in the evidence summary above. The setting is the long term care facility where falls have been increasing and a trend has been identified that it seems to occur mainly during shift change. What do you believe may be causing this? What can be done to lessen or eliminate the falls? How does this number of falls relate to other months that have been tracked?

10.0
 pts

-Practice problem is in own words, with reference to the population of interest. -Setting of the problem is identified -Magnitude of problem is discussed. -The practice issue is stated in measurable terms.

9.0
 pts

-Practice problem is in own words, with reference to the population of interest. -Setting of the problem is not discussed. -Magnitude of problem is discussed. -The practice issue is stated in measurable terms.

8.0
 pts

-Practice problem is in own words, with reference to the population of interest. -Setting of the problem is not discussed. -Magnitude of problem is not discussed. -The practice issue is stated in measurable terms.

4.0
 pts

-Practice problem is in own words, with reference to the population of interest. -Setting of the problem is not discussed. -Magnitude of problem is not discussed. -The practice issue is stated but not measurable.

0.0
 pts

-Practice problem is not in own words -There are no references to the population of interest. -Setting and magnitude of problem is not discussed -The practice issue is not stated in measurable terms.

10.0
 pts

This criterion is linked to a Learning Outcome
Source(s) of Evidence

Identifies a source of evidence that is a nursing topic and is the subject of a systematic review article. Provides a complete reference for the systematic review article that was chosen from the list, as well as any optional scholarly source in support of the project topic.

20.0
 pts

Full Marks

-Source is a Systematic Review article chosen from the approved list (plus optional scholarly article of support). Complete APA formatted reference(s) is given for with no errors. The source (s) must be relevant to the practice issue identified.

18.0
 pts

-Source is a Systematic Review article chosen from the approved list (plus optional scholarly article of support). -A reference is given, but it has APA formatting errors. -The source must be relevant to the practice issue identified.

16.0
 pts

-Source is a Systematic Review article chosen from the approved list. (plus optional scholarly article of support). -No reference is provided. -The source must be relevant to the practice issue identified.

8.0
 pts

-Source of evidence is a research article or systematic review not on the approved list. -A reference for the article or systematic review is given. -The source is not relevant to the practice issue identified.

0.0
 pts

-Source of evidence is not provided, or is not a research article or systematic review. -Reference is missing.

20.0
 pts. Practice Issue and Evidence Summary Worksheet : Capstone Project: Milestone 1

This criterion is linked to a Learning Outcome
Article Objectives/Statement of Questions

Identifies the objectives of the article. Identifies questions being addressed by author/s. Explains relationship to the chosen practice issue. Practice Issue and Evidence Summary Worksheet : Capstone Project: Milestone 1

20.0
 pts

-Objectives of article are identified. -Questions addressed by author/s are thorough. -Relationship to your practice issue is explained.

18.0
 pts

-Objectives of article are identified. -Questions addressed by author/s are explained but not thorough. -Relationship to your practice issue is explained.

16.0
 pts

-Objectives of article are identified. -Questions addressed by author/s are not thorough. -Relationship to your practice issue is vague.

8.0
 pts

-Objectives of article are identified. -Questions addressed by author/s is missing. -Relationship to your practice issue is not explained.

0.0
 pts

-Objectives of article are not identified. -Questions addressed in article and relationship to own practice is not identified.

20.0
 pts

This criterion is linked to a Learning Outcome
Interventions/Main Findings Summary

Summarizes, in own words, suggested interventions by the author/s to improve patient outcomes. Summarizes main findings of the author/s including strength of evidence for each main outcome. Describes the relevance to the Milestone 2 paper. Practice Issue and Evidence Summary Worksheet : Capstone Project: Milestone 1

30.0
 pts

-Thoroughly summarized (in their own words) the interventions the author(s) suggest to improve patient outcomes. -Thoroughly summarized main findings of the author/s. -Included strength of evidence for each main outcome.

26.0
 pts

-Briefly summarized (in their own words) the interventions the author(s) suggest to improve patient outcomes. -Briefly summarized main findings of the author/s. -Included strength of evidence for each main outcome.

24.0
 pts

-Vaguely summarized (in their own words) the interventions the author(s) suggest to improve patient outcomes. -Vaguely summarized main findings of the author/s. -Included strength of evidence for most of main outcomes.

11.0
 pts

-Summary of interventions is not in own words. -Summarized main findings of the author/s is not apparent. -Did not include strength of evidence for any of the main outcomes.

0.0
 pts

-Summary of the interventions the author(s) suggest to improve patient outcomes is missing. -Summary of the main findings of the author is missing. -The strength of the evidence for outcomes are missing.

30.0
 pts

This criterion is linked to a Learning Outcome
Evidence-based Solutions and Limitations

Outlines evidence-based solutions to consider for the capstone project. Discusses any limitations to the studies included in the systematic review that he/she believes may impact use of the evidence provided in their project

20.0
 pts

-Outline of evidence-based solutions considered for project is documented and clear. Discussed any limitations to the studies performed. Documents limitations believed may impact use in project.

18.0
 pts

-Outline of evidence-based solutions being considered for project is documented but not clear. Discussed any limitations to the studies performed. Documents limitations believed may impact use in project.

16.0
 pts

-Outline of evidence-based solutions considered for project is documented but not clear. Discussed most limitations to the studies performed. Documents limitations believed may impact use in project.

8.0
 pts

-Outline of evidence-based solutions being considered for project is not documented. -Discussed most limitations to the studies performed. Documents limitations believed may impact use in project.

0.0
 pts

-Outline of evidence-based solutions, limitations of studies and potential impact to project is missing.

20.0
 pts

Total Points: 
175.0. Practice Issue and Evidence Summary Worksheet : Capstone Project: Milestone 1

NR451_W3_Milestone1_Worksheets

Capstone Project Milestone 1:

Practice Issue and Evidence Summary Worksheets

For Use

 

Student Name:
                                                        
Date:

Directions

Refer to the guidelines for specific details on how to complete this assignment.

Type your answers directly into the worksheets below.

Submit to the Dropbox by the end of Week 3, Sunday at 11:59 p.m. MT.

Post questions about this assignment to the Q & A Forum. You may also email questions to the instructor for a private response.

 

Practice Issue Worksheet

 

List the topic and include the citation for the systematic review you have selected from our approved list (optional: an additional scholarly source of support):

Topic:
Health-Associated Infection

Citation:
Cooper FPM, Alexander CE, Sinha S, Omar MI. Policies for replacing long-term indwelling urinary catheters in adults.
Cochrane Database of Systematic Reviews 2016
, Issue 7, Art. No.: CD011115. doi:10.1002/14651858.CD011115.pub2

What is the nursing practice issue you have identified related to the topic you have chosen?

The practice issue is to identify the policies for handling indwelling urinary catheters in adults that would reduce the risk of infection. It recognizes that there are different policies for handling catheters, but each policy has different strengths and weaknesses. As such, analyzing the merits and demerits of each policy would help in identifying the best policy for reducing the risk of infection for the patients and ensuring all round safety for the medical personnel.

Fully describe the scope of the practice issue:

Catheter management is influenced by a range of factors, key of which is cost, convenience and risk. The catheters cost adds to the cost of care while convenience is concerned with how medical personnel plan their professional responsibilities. Risk includes its association with both the patients and medical personnel. Catheters should ideally be replaced when the old ones are no longer useful and the replacement should not place the medical personnel at risk. As such, any policy for managing catheter replacement should include considerations for cost and convenience, as well as risk to patients and medical personnel. In identifying a policy that combines the three factors, this research anticipates to present a viable catheter management policy that meets the mentioned needs to cost, convenience and risk.

What is the practice area?

_X_ Clinical

___ Education

___ Administration

___ Other (List):

How was the practice issue identified?
(check all that apply)

_X_ Safety/risk management concerns

_X_ Unsatisfactory patient outcomes

___ Wide variations in practice

___ Significant financial concerns

 

 

___ Difference between hospital and community practice

_X_ Clinical practice issue is a concern

___ Procedure or process is a time waster

___ Clinical practice issue has no scientific base

__ Other:

Describe the rationale for your checked selections:

Incorrect handling of catheters is likely to place the medical personnel at risk. Additionally, erroneous management of catheters increase the risk of the patients acquiring new urinary tract infections. As such, the research intends to reduce the possibility of unsatisfactory patient outcomes by improving the patients’ health outcomes.

Also, it intends to improve clinical practice by identifying the most efficiency way for handling catheters.

What evidence must be gathered?
(check all that apply)

_X_ Literature search

_X_ Guidelines

___ Expert Opinion

___ Patient Preferences

___ Clinical Expertise

_X_ Financial Analysis

_X_ Standards (Regulatory, professional, community)

_X_ Other – Medical records

Describe the rationale for your checked selections:

The literature search will explore publications that are relevant to the research topic.

The guidelines will be reviewed to see policies that govern catheter management.

Financial analysis will be conducted to review the costs of each policy option, particularly the cost of catheters and their use.

Standards will be identified to have a better awareness of the existing thresholds.

Medical records will be reviewed to evaluate the effect of each policy on urinary tract infection incidence.

 

Evidence Summary Worksheet

Directions
: Please type your answers directly into the worksheet.

 

Describe the practice problem in your own words with reference to the identified population, setting and magnitude of the problem in measurable terms:

The practice problem is that incorrect catheter management increases the risk of urinary tract infection. This is particularly true for adult patients since the large majority of them are comprised of elderly persons identified as high risk populations.

Type the complete APA reference for the systematic review article you chose from the list provided. It must be relevant to the practice issue you described above. Include the APA reference for any additional
optional
supplemental scholarly source related to the review you wish to use.

Cooper, F., Alexander, C., Sinha, S. & Omar, M. (2016). Policies for replacing long-term indwelling urinary catheters in adults.
Cochrane Database of Systematic Reviews
, 2016(7), Art. No.: CD011115. doi:10.1002/14651858.CD011115.pub2

Identify the objectives of the article:

The article’s objective was to evaluate the different policies for replacing long-term indwelling urinary catheters in adults with the focus being on their effectiveness.

Provide a statement of the questions being addressed in the work and how these relate to your practice issue:

The question asked in the research is: What are the policies for replacing long-term indwelling urinary catheters in adults and how effective are these policies?

This question relates to the current practice issue by providing evidence to support emphasis on specific policies. That is to say that it identifies the more effective policies, showing reason for their advantages.

Summarize (in your own words) the interventions the author(s) suggest to improve patient outcomes.

The article’s summary notes that the set objective was not met. Still, it made some good contributions towards understanding on the policies. In fact, it shows that an effective catheter management policy policies must consider the patients’ satisfaction, quality of life, convenience, type of trauma on the urinary tract, and economics. Additionally, the authors raise the question of whether or not catheters can be replaced.

Summarize the main findings by the authors of your systematic review including the strength of evidence for each main outcome.  Consider the relevance to your project proposal for the Milestone 2 project paper
.
(If an
optional
supplemental source is also used, include a statement of relevance to it as well.)

The article summarizes that it does not have sufficient evidence to reach a conclusion on the effectiveness of the difference catheter replacement policy.

Outline evidence-based solutions that you will consider for your project
.

The present project will consider the risk associated with each policy, particularly the infection incidence rate associated with each policy.

Discuss any limitations to the studies that you believe impacts your ability to utilize the research in your project.

The major limitation is that there are a lot of variables that could affect the research results. Some of these variables include differences in catheter brands, lubrication used, environment (whether in hospital or at home), and the catheter replacement strategy.

Clinical Question and Research-Practice Gap

This week’s graded discussion topic relates to the following Course Outcome (CO).

CO4 Develops and outlines a scientific, systematic decision-making process to integrate critical thinking with clinical judgment to assure safe and effective outcomes. (PO 4)

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Your capstone change project begins this week when you identify a practice issue that you believe needs to change. The practice issue must pertain to a systematic review that you must choose from a List of Approved Systematic Reviews for the capstone project, whose link may be found in the guidelines for the Week 3 Capstone Project: Milestone 1 assignment page. Clinical Question and Research-Practice Gap.

Choose a systematic review from the list of approved reviews based on your interests or your practice situation.

Formulate a significant clinical question related to the topic of the systematic review that will be the basis for your capstone change project. Clinical Question and Research-Practice Gap.

Relate how you developed the question.

Describe the importance of this question to your clinical practice previously, currently, or in the future.

Describe what a research-practice gap is. Clinical Question and Research-Practice Gap

Module 10 Lab Worksheet: Endocrine System lab report and essay assignment papers and questions

Module 10 Lab Worksheet: Endocrine System

Introduction

This week’s lab will focus on the major endocrine glands and the hormones they secrete.

Objectives

Objectives for this week’s lab include:  1) Identify the location of the major endocrine glands, 2) Map out the hormonal secretion of and influence of the major endocrine glands, and 3) Identify the role of major endocrine hormones, and 4) Describe the negative feedback mechanism to maintain homeostasis.

Overview

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The endocrine system regulates the body’s actions and metabolic activity through the use of chemical messengers called hormones.  Hormones, produced by endocrine glands, are secreted directly into the blood stream, travel throughout the body and influence the actions and activity of various cells.  It’s a complex mechanism of how a hormone directly influences a cell but a cell needs to have a specific receptor on its plasma membrane to bind a specific hormone.  If a cell has a specific hormone, it is referred to as a target cell. Module 10 Lab Worksheet: Endocrine System lab report and essay assignment papers and questions.

Each hormone will have a unique and specific influence on cellular activity that may include:  reproduction activities, growth and development, electrolyte, water and nutrient balance in the blood, metabolism and even influence our immune system.  Once a cell binds a hormone through its receptor, the response and impact of that hormone can vary greatly.  Some hormones have an almost instantaneous effect on that cell (such as epinephrine, aka- adrenaline) to an effect that can last days to even months (such as growth hormone).

Hormonal levels are maintained by a negative feedback mechanism.  As hormonal levels rise in the blood and affect the target cells, it causes a negative feedback loop to initiate the inhibition of further hormone production and secretion from its endocrine gland.  Through this mechanism, hormonal homeostasis is maintained within a very narrow range and is vital because any imbalances to hormonal levels can cause drastic changes in the body’s physiology and can cause conditions such as, type 2 diabetes and hypothyroidism. Module 10 Lab Worksheet: Endocrine System lab report and essay assignment papers and questions

Materials

Endocrine gland models

Pre-Lab Evaluation Questions

The pre-lab evaluation questions must be answered prior to lab and demonstrated to your lab instructor.  You must read through the assigned chapter readings, lab introduction, objectives, overview and procedure to answer these questions.

Please cite your work for any reference source you utilize in answering these questions.

In your own words, briefly describe how the endocrine system helps to maintain homeostasis within the body.

 

Explain how the thyroid gland and the parathyroid gland help to maintain homeostasis of blood calcium levels?

 

The thyroid gland also produces two hormones that influence our body’s metabolism. What are those two hormones and the difference between them?  What element/molecule is vital to provide proper function to these two hormones? In general and overall, what effect do these two hormones have on the body’s function?

 

The adrenal cortex synthesizes over two dozen steroid base hormones collectively called corticosteroids. Corticosteroids are also a class of medications.  Medically, what are corticosteroids, what are some examples of corticosteroid medications, what conditions do they treat and what are the complications of using them?

 

What is the importance of maintaining proper blood sugar levels? Why do the cells need glucose and what hormone helps transport glucose into the cells?  What are normal blood sugar levels within humans?  How does the pancreas and liver maintain blood sugar homeostasis? Module 10 Lab Worksheet: Endocrine System lab report and essay assignment papers and questions

Part 01 Procedure:  Endocrine Gland Location

1.   Identify the location of the major endocrine glands in the diagram below:

Answers:

 

A)

B)

C)

D)

E)

F)

G)

H)

I)

J)

 

Part 02 Procedure:  Endocrine Hormonal Secretion

Utilize “Appendix A” to map out the hormonal secretion and interaction of the major endocrine glands hormones. Utilize the word bank in “Appendix C” for to complete the chart.  Demonstrated are the hormones “Growth Hormone Releasing Hormone” and “Growth Hormone”.

Hint: The thyroid gland demonstrates two hormones that are secreted; one hormone is regulated by the pituitary gland, which is demonstrated by the line coming from the pituitary.  Please record your answers below:

A)

B)

C)

D)

E)

F)

G)

H)

I)

J)

K)

L)

M)

N)

O)

P)

Q)

R)

S)

T)

U)

V)

W)

X)

Part 03 Procedure:  Feedback Regulation of Hormones

Please match the appropriate hormone with the description provided in “Appendix B” utilizing the word bank provided in “Appendix C”. Please record your answers below.

 

A)

B)

C)

D)

E)

F)

G)

H)

I)

J)

Part 04 Procedure:  Feedback Regulation of Hormones

Utilizing the interaction of the thyroid releasing hormone (TRH), thyroid stimulating hormone (TSH), thyroxine (T4) and triiodothyronine (T3) hormones please demonstrate the role of the negative feedback loop to maintain proper thyroid hormone blood levels. Also, be able to explain how a goiter would develop too.

 

The pancreas plays a very dynamic and vital role in our body’s ability to maintain blood sugar homeostasis. Within your lab groups, discuss and describe the following situations using appropriate medical terminology, anatomy and hormones:

 

Your blood sugar levels are low, through what mechanism does your body increase blood sugar levels?

Your blood sugar levels are too high, through what mechanism does your body decrease blood sugar levels? Module 10 Lab Worksheet: Endocrine System lab report and essay assignment papers and questions

Why is it so vital for sugar to be transported from the blood vessels to the cells of the body? (Think back to cellular respiration.)

 

How does the imbalance of regulating blood sugar levels over time lead to the development of type 2 diabetes?

Post-Lab Evaluation Questions

The post lab evaluation questions must be completed prior to your submission of the lab.  Answers for these questions will be derived from the lab protocol, the weekly concepts associated with the lab and possibly research content from the book and/or online resources.

 

Please cite your work for any reference source you utilize in answering these questions.

 

Please answer the following questions regarding a mini-case study on Diabetes: Joe, a 58-year-old overweight male who is a widower, went through a routine physical which demonstrated a Hemoglobin A1c blood test of 8.5%.  His previous A1c test 6 months ago was 6.5%.  What is the significance of this test and value?  What is the most likely diagnosis (be specific)?

The doctor asked Joe about his diet and lifestyle; if Joe were honest, how would he have responded most likely? When the doctor asked Joe if he knew what Diabetes was, he responded, “I’ve heard of it, it’s that thing where I have to take some medication to fix it, right?”.  In a paragraph, how would you best explain what Diabetes is? Remember, you’re talking to a patient.

Module 10 Lab Worksheet: Endocrine System lab report and essay assignment papers and questions

After your explanation, Joe responded, “Oh, I remember now. Will I have to take those shots, before I eat all the time now?”  How do you respond to Joe’s question about treating this condition? Please include the lifestyle changes and the possibility of oral medication and the use of insulin.

Joe seems to be starting to understand his condition and asks a great question, “If I don’t do these sort of treatments, what can happen to me?”

Basically, Joe is asking about the various complications that can result from uncontrolled blood sugar levels.  What do you tell him?  Include short and long-term uncontrolled blood sugar level complications.

Joe sits quietly for a moment and then states, “I have a son in his late 20’s who’s a bit overweight too, what can I tell him so he can stop this from happening to him? What can I do to fix this problem too?”.  How do you respond to these questions? Module 10 Lab Worksheet: Endocrine System lab report and essay assignment papers and questions

Appendix A

 

Appendix B

 

Descriptions of hormones

 

Which hormone will assist the body in lowering blood sugar levels?

Which gland synthesizes a hormone that helps regulate the sleep cycle?

Which hormone leads to water conservation (reabsorption) in the kidneys and is produced by the hypothalamus? Module 10 Lab Worksheet: Endocrine System lab report and essay assignment papers and questions

Which hormone lowers blood calcium levels by decreasing absorption of calcium and stimulates osteoblast activity in bone tissue?

Which hormone(s) has/have potent anti-inflammatory effects, decreases the immune system function and is largely secreted during times of stress?

Which hormone secreted by the adrenal cortex helps regulates blood pressure by increasing reabsorption of various ions and water in the kidneys leading to increased water retention and ultimately increased blood pressure? Module 10 Lab Worksheet: Endocrine System lab report and essay assignment papers and questions

Which hormone acts upon the liver to assist in raising blood sugar levels?

Which hormone stimulates ovulation (release of an egg from the ovary) during the middle of the menstrual cycle?

Which hormone stimulates the production of breast milk post-birth?

Which hormone will stimulate the testes to produce sperm? Module 10 Lab Worksheet: Endocrine System lab report and essay assignment papers and questions

 

Appendix C

Word bank for Part 02 and Part 03 Procedures

Adrenocorticotrophic hormone (ACTH)

Aldosterone

Antidiuretic hormone (ADH)

Calcitonin

Corticotropin-releasing hormone (CRH)

Cortisol

Epinephrine (adrenaline)

Estrogen

Follicle stimulating hormone (FSH)

Glucagon

Glucocorticoids

Gonadocorticoids (androgens)

Gonadotropin-releasing hormone (GnRH)

Growth Hormone

Growth hormone-releasing hormone (GHRH)

Insulin

Luteinizing hormone (LH)

Melatonin

Mineralcorticoids

Norepinephrine (noradrenaline)

Oxytocin

Parathyroid hormone

Prolactin

Progesterone

Testosterone

Thyroid hormone (T3 and T4)

Thyroid stimulating hormone (TSH)

Thyrotropin-releasing hormone (TRH)

Module 10 Lab Worksheet: Endocrine System lab report and essay assignment papers and questions

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

ELISA and Western Blot HIV Tests Essay

You and your partner have been practicing safe sex for since the beginning of your sexual relationship two months ago. You both agree to an HIV test, and the results are negative for both of you. How will this influence your behavior? The ELISA that you received detects the presence or absence of antibodies against HIV. Antibodies can take one to six months to develop after exposure to HIV. During this time between exposure and antibody production the virus can reproduce rapidly and the amount of virus present in body fluids is high. How does this information influence your behavior? ELISA and Western Blot HIV Tests Essay

FB Pharmacological Interventions and Patient Education

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

NR439 Research Article Critique Paper

Research Article Critique Guidelines

Purpose

The purpose of this assignment completed as an APA Paper is for the student to learn to examine, analyze, critique, and summarize an original research article. 

Course Outcomes

Through this assignment, the student will demonstrate the ability to meet the following course outcomes:

CO1: Examine the sources of evidence that contribute to professional nursing practice. (PO7)

CO2: Apply research principles to the interpretation of the content of published research studies. (POs 4 and 8)

CO4: Evaluate published nursing research for credibility and lab significance related to evidence-based practice. (POs 4 and 8)

CO5: Recognize the role of research findings in evidence-based practice. (POs 7 and 8)

Requirements

Through this assignment, the student will:

Critique the required article found below and in your own words, describe the research question, sample, design of study, data collection method, findings, and limitations of each. (CO 1, CO2,)

Summarize the research article and evaluate the significance to nursing. Do not just quote the author’s words. Paraphrase the information. (CO 4, CO5). NR439 Research Article Critique Paper

You are required to use the article below or you will earn a “0” for the assignment. In addition, assignments that do not follow the current guidelines and use the required article will be evaluated for evidence of an academic integrity violation.

After the due date, there will be no opportunity for revision or resubmission of assignments that have been uploaded to the submission area. It is your responsibility to submit the correct assignment to the correct submission area. NR439 Research Article Critique Paper .

Guidelines to Writing the Paper

This assignment is completed as an APA paper.

Download the required article for analysis:

Lesiuk, T. (2015). The effect of mindfulness-based music therapy on attention and mood in women receiving adjuvant chemotherapy for breast cancer: A pilot study. 
Oncology Nursing Forum, 42
(3), 276-282.

https://chamberlainuniversity.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=edswsc&AN=000354233000010&site=eds-live&scope=site (Links to an external site.)Links to an external site.

Introduction (one paragraph): The introduction should be interesting and capture the reader’s attention.

Provide a brief description of the research article to be discussed. NR439 Research Article Critique Paper

Discuss the purpose of your paper. The purpose statement of the paper should relate to the research article reviewed and the implications that it has to evidence based nursing practice. NR439 Research Article Critique Paper .

You will need to summarize and analyze the information from the article in your own words

Describe the research question for this study in a paragraph.

Describe the research in greater detail.

Include your observations about this question.

Discuss events or trends that could have affected this question. NR439 Research Article Critique Paper

You will need to summarize and analyze the information from the article in your own words

Describe the research design of this study, and in your own words discuss the design.

Discuss the research design of the study.

Discuss the strengths and weaknesses of the type of design and hypothesize why the author utilized the design as opposed to others. NR439 Research Article Critique Paper

You will need to summarize the information from the article in your own words

Describe the sample. NR439 Research Article Critique Paper .

Briefly describe the sample size used for this study

Make a judgment as to whether the sample size was adequate and defend your answer.

Describe the number or participants and determine if the number of participants was adequate compared to the research question and the intent of the study. NR439 Research Article Critique Paper .

Are these numbers adequate? Discuss gaps in that you identified.

You will need to summarize and analyze the information from the article in your own words

Describe the data collection method(s)’

Who collected the data?

What tools were used?

What were the ethical considerations addressed and discuss gaps you identified.

You will need to summarize and analyze the information from the article in your own words

Describe the limitations of the study.

Identify the limitations within the study. NR439 Research Article Critique Paper

Describe how the limitations could be overcome in subsequent studies

Comment on why limitations are important to list and discuss within a study

You will need to summarize and analyze the information from the article in your own words

Describe the findings reported in the study.

Describe the findings reported in the study

Discuss whether the findings of the study answered the research question posed within the study

Discuss the credibility of the findings

If the findings do not support the research question posed within the study, what do you believe is the reason?

You will need to summarize and analyze the information from the article in your own words

Summary. NR439 Research Article Critique Paper

Summarize important points from the body of your paper including the key components of the paper.

Include a statement about the research question and the findings.

Discuss the probability of implementation into practice. Based on these findings, is the evidence that you found on your topic strong enough to suggest a change in practice, or an idea for practice?

End with a concluding statement. NR439 Research Article Critique Paper .

Citations and References
must be included
 to support the information within each topic area. Refer to the APA manual, Chapter 7, for examples of proper reference format. In-text citations are to be noted for all information contained in your paper that is not your original idea or thought. Ask yourself, “How do I know this?” and then cite the source. NR439 Research Article Critique Paper .

Reference Page: The Reference Page should start on a new page (insert a page break). All references should be cited within the body of the paper as (Author, year) and the full reference should be included in APA format on the reference page. A url link alone is not an adequate reference. See the APA Guidelines in Course Resources for examples of properly formatted references. NR439 Research Article Critique Paper

Review
 the 
hypertension
 and 
type 2 diabetes
 concept map exemplars for guidance.

Create
 a concept map illustrating the pathophysiology of breast cancer. Consider the following:

Predisposing factors

Precipitating factors

Cellular involvement

Genetic changes

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Note:
 There are several web-based concept map builders, such as Lucidchart and Popplet. Use one of those programs or develop your concept map in Microsoft® Word, Microsoft® PowerPoint®, Microsoft® Visio®, or Prezi®. Hand-drawn assignments will not be accepted.

Write
 a 175-word summary of CC’s three patient education priorities based on the results of your assessment.

Cite
 a minimum of two sources in an APA-formatted reference page.

Click
 the Assignment Files tab to submit your concept map and summary.

Leader as Change Agent, Understanding Culture – Organizational Culture Essay Assignment Paper

Organizational Culture

Leaders have several strategies that they can use to create a culture of change in an organization. Leaders can utilize the mechanisms identified by Schein to educate current and prospective staff on the organization’s culture and how to maintain that awareness.

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Review
 “Understanding cultural and linguistic barriers to health literacy” from this week’s Electronic Reserve Readings.

Evaluate
 the primary embedding mechanisms and the secondary articulation and reinforcement mechanisms discussed in Ch. 9, Challenges of Change on p. 229 of your textbook.

Write
 a 700 to 1,000 word paper in which you will address the following:

Which of the five primary mechanisms can be used within your organization to refine, maintain, or change the organizations culture?

Which of the five secondary mechanisms can be used to reinforce the primary embedding mechanisms?

What impact does an organization’s culture have on the ability of a leader to drive change?

Provide
 in-text citations and references for all sources cited; format according to APA guidelines.

Click
 the Assignment Files tab to submit your assignment.

Leader as Change Agent, Understanding Culture – Organizational Culture Essay Assignment Paper

Patient Satisfaction Learning Team Project Summary: Decision Making Models

Week 3

Keeping the issue identified in Week 2 in mind, research decision-making models used in healthcare.

Discuss your findings on the team discussion board

As a team, choose two or three decision-making models to address the quality measure, using the issue you identified to illustrate the model.

Include discussion of why the model would be useful in this situation.

Write 
a 350 to 500 word paper summarizing the models chosen and applying them to the issue you identified in week 2

Format
 your summary consistent with APA guidelines.

Note.
 Points are awarded based on the quality of the content submitted and the degree to which assignment expectations are met.

Leader as Change Agent, Understanding Culture – Organizational Culture Essay Assignment Paper