Tag: Clinical-Nursing

Essay: Why EBP is an essential component of the practice of a BSN-prepared RN

GIVE A POSITIVE COMMENT BASED ON THIS ARGUMENT

Discuss why EBP is an essential component of the practice of a BSN-prepared RN. Identify two ways in which you will continue to integrate evidence into your practice and encourage it within your work environment. What obstacles could challenge this plan, and what steps will you take to minimize their impact?

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             The EBP is such an important part of the BSN-RN because it helps to show how important research is and it shows the other side of nursing and others ways we can stand up for our patients. Two ways that I will continue to use evidence in my practice are first I will continue to research ways to improve falls in the hospital. The second way I will use and encourage evidence into my practice is to try to educate the other nurses around me on the importance of evidence and research. If I can do this then it will continue to help the nursing field for years to come. The main obstacle that could stand in my way is the amount of work nurses already have on their shoulder. That being said the nurses will most likely resist the change because of the lack on time they have but if I continue to push the issue then I can get them to turn around little by little. It might take a while but as long as I’m persistent I can get them to change.

 

Reference:

Stevens, K. (May 13,2013). The Impact of Evidence-Based Practice in Nursing and the Next Big Ideas. http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-18-2013/No2-May-2013/Impact-of-Evidence-Based-Practice.html

Essay: Why EBP is an essential component of the practice of a BSN-prepared RN

Health Screening and History on an Adolescent or Young Adult Client – NRS-434VN Essay Assignment Paper

In this Health Screening and History on an Adolescent or Young Adult Client – NRS-434VN Essay Assignment Paper, you will be completing a comprehensive health screening and history on a young adult. To complete this assignment, do the following:

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Select an adolescent or young adult client on whom to perform a health screening and history. Students who do not work in an acute setting may “practice” these skills with a patient, community member, neighbor, friend, colleague, or loved one.

Complete the “Health History and Screening of an Adolescent or Young Adult Client”
worksheet.

Complete theHealth Screening and History on an Adolescent or Young Adult Client – NRS-434VN Essay Assignment Paper as outlined on the worksheet, including:

Biographical data

Past health history

Family history: Obstetrics history (if applicable) and well young adult behavioral health history screening

Review of systems

All components of the health history

Three nursing diagnoses for this client based on the health history and screening (one actual nursing diagnosis, one wellness nursing diagnosis, and one “risk for” nursing diagnosis)

Rationale for the choice of each nursing diagnosis.

A wellness plan for the adolescent/young adult client, using the three nursing diagnoses you have identified.

Format the write-up in a manner that is easily read, computer-generated, neat, and without spelling errors. Use correct acronyms or abbreviations when indicated.

While APA format is not required for the body of this Health Screening and History on an Adolescent or Young Adult Client – NRS-434VN Essay Assignment Paper, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center. Health Screening and History on an Adolescent or Young Adult Client – NRS-434VN Essay Assignment Paper

NUR 641E Advanced Pathophysiology and Pharmacology for Nurse Educators

NUR 641E Week 1 DQ 1 and 2 

Find an article on a genetic disorder and summarize in two or three paragraphs the genetic component causing the disorder and any multifactorial inheritance components that may contribute to the disorder. Discuss the usual age of disease onset and if the sex-specific threshold model fits the disorder. What education could you present to high-risk patients to reduce the risk of disease onset if a multifactorial component exists?

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Dq2 

Genetic screening has become widely available to the public including prenatal screening of the fetus in utero to screening adults for genetic disorders, such as Parkinson’s disease and breast cancer. Share your thoughts on the legal, ethical, and social implications that may be related to genetic screening. How would you educate your patient that is considering having genetic screening? NUR 641E Advanced Pathophysiology and Pharmacology for Nurse Educators

NUR 641E
 
Week 2 DQ 1 and 2

DQ 1

Choose an FDA-approved prescription medication and discuss the pharmacokinetics and pharmacodynamics of the medication, including any differences that would be expected based on the patient’s age, a condition of pregnancy, or lactation. Address any adverse effects the medication may have based on age, pregnancy, or lactation. NUR 641E Advanced Pathophysiology and Pharmacology for Nurse Educators

DQ2

Active acquired immunity can be achieved through the use of childhood immunizations. Many parents voice concerns regarding the safety of vaccinations. What is your opinion on the current use of vaccinations? How would you educate parents regarding the safety and effectiveness of vaccinations? Defend your answers with evidence-based research.

NUR 641E Week 3 Dq 1 and dq 2

DQ1

Share a case study of an electrolyte imbalance from your practice or from the literature. Summarize the case study in 1-2 paragraphs. Then discuss the clinical manifestations of the imbalance, the pathophysiology behind the imbalance, normal cell membrane transport of the electrolyte(s), and any alterations in cell membrane transport caused by the imbalance. How was the electrolyte imbalance resolved? Analyze the case study to determine any areas in which patient or staff education may have helped to prevent the electrolyte imbalance. NUR 641E Advanced Pathophysiology and Pharmacology for Nurse Educators.

Use at least three scholarly, peer-reviewed resources less than 5 years old in addition to course materials

DQ2 

A widespread belief is that caffeine has a diuretic effect when consumed and will induce dehydration if used by athletes or those who perform strenuous exercise. Discuss the pathophysiology behind this belief. Share your thoughts on whether you agree or disagree that caffeine can induce dehydration. Support your answer with evidence-based literature. NUR 641E Advanced Pathophysiology and Pharmacology for Nurse Educators

NUR 641E Week 4 DQ 1 and DQ 2

Compare and contrast the pathophysiology between chronic obstructive pulmonary disease (COPD) and pneumococcal pneumonia. Include any types of cellular injury or cellular adaptation that may occur. Evaluate if an inflammatory response is present and discuss the impact of that response. In the case of COPD, discuss the type of patient education you would implement to help with the patient’s understanding of the disease and to improve compliance with a treatment plan. NUR 641E Advanced Pathophysiology and Pharmacology for Nurse Educators

DQ 2

Find an evidence-based journal article on cystic fibrosis and summarize the article in one or two paragraphs. Address why you chose the article and how you might use the findings in your current or future practice setting.

NUR 641E Week 5 DQ 1 and DQ 2

DQ 1

Atherosclerosis is a common disorder of the arteries. A modifiable risk factor for the development of atherosclerosis is hypertension. Discuss the pathophysiology of both disorders and the mechanisms by which hypertension contributes to atherosclerosis. Discuss the current medications used to treat both disorders and the pharmacologic actions the medications have in altering the pathophysiology. How can you use this information in your current or future practice setting? NUR 641E Advanced Pathophysiology and Pharmacology for Nurse Educators

DQ2

Share a case from your personal practice or from the literature in which alternative therapies were used to facilitate the management of acute or chronic cardiovascular conditions.

NUR 641E Week 6 DQ 1 and DQ 2

DQ1

Find an article on an inflammatory condition of the lower genitourinary tract. Summarize the article in one or two paragraphs. Discuss the pathophysiology of the condition, the pharmacologic agent(s) used to treat the condition, and how the agent(s) alter the pathophysiology. Discuss the role of the nurse educator related to patient education of the reported condition and treatment.

Respond to another student’s posting on an inflammatory condition that is different from the condition you posted, comparing and contrasting the differences between the conditions.

DQ 2

Infertility is considered a disease process of the reproductive tract.  Find an article on an alteration of the genital tract that can lead to infertility.  Summarize the article in two or three paragraphs. Discuss any potential treatments.  What is the potential psychosocial impact for the patient with the condition?

NUR 641E Week 7 DQ 1 and DQ 2

Review the following case study:

Chief Complaint:

A 23-year-old woman presents with complaints of muscle weakness in the face.

History:

The patient is a 23-year-old administrative assistant who complains of intermittent muscle weakness in her face that has been getting worse over the past 3 months. She also states that as she chews, her jaws feel tired. Swallowing has also become difficult. She reports episodes of double vision (diplopia), which seems to occur after reading for a few minutes in the late evening. With certain strenuous activities or after typing for long periods of time at work, she reports problems with bilateral arm weakness. NUR 641E Advanced Pathophysiology and Pharmacology for Nurse Educators

Physical Examination:

Notable ptosis (drooping) of the eyelids after repeated blinking exercises. When asked to smile, she appears to be snarling. Reflexes and sensation are normal in both upper and lower extremities. There is considerable weakness of the arms noted bilaterally after exercise.

Case Questions:

Is the patient’s condition neurological, musculoskeletal, or both? Explain why and support your thoughts with evidence-based literature. What would be a possible neurologic or musculoskeletal condition causing the symptoms?

2.Explain the pathophysiology behind the condition.

3.What pharmacological agent(s) are commonly used to treat the disorder and how do the agent(s) alter the pathophysiology of the condition?

4.What would be your educational plan for the patient?

DQ 2 

Parkinson’s disease is a progressive neurodegenerative disorder. The current treatment options for the disorder have focused on symptom control. Research is now focusing on developing ways to modify the disease progression and possibly provide a cure. Investigate the current research on Parkinson’s disease treatments, including stem-cell research and the use of fetal tissue implants. Share your thoughts on the evolving therapies. What are the current controversies? NUR 641E Advanced Pathophysiology and Pharmacology for Nurse Educators

NUR 641E Week 8 DQ 1 and DQ 2

DQ 1

Share a case study from your clinical practice or from the literature on an endocrine disorder. Discuss the pathophysiology of the disorder, including the effects on the endocrine feedback system, and the role of the hypothalamic-pituitary axis. Identify the pharmacologic agent(s) used to treat the disorder and how the pharmacologic agent(s) alters the pathophysiology. NUR 641E Advanced Pathophysiology and Pharmacology for Nurse Educators

DQ2 

Human chorionic gonadotropin (HCG) is currently being used as an aid to weight loss in conjunction with an extremely restricted caloric intake of 500 calories per day. Many people are buying the HCG through the Internet with no medical surveillance. Research the HCG diet and share your thoughts on the efficacy, safety, and validity of the diet. What strategies would you use to educate patients on the diet? NUR 641E Advanced Pathophysiology and Pharmacology for Nurse Educators

                     

NUR 641E Week 2 Patient Educational Flyer

Design a 1-2 page patient education flyer/pamphlet for an alternative medicine/herbal product.

Describe the product, its intended use, side effects, adverse reactions, and safety issues (risks and benefits of using an alternative medication/herbal product versus a prescription medication).

The flyer should include at least two community and/or online resources for the patient to obtain more information.NUR 641E Advanced Pathophysiology and Pharmacology for Nurse Educators

APA format is not required, but solid academic writing is expected.

NUR 641E Week 3 Acid-Base Case Study Paper

Read the “Resource 1: Case Study.” Read below

Answer the questions at the end of the case study in a paper of 750-1,000 words.

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. NUR 641E Advanced Pathophysiology and Pharmacology for Nurse Educators

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. NUR 641E Advanced Pathophysiology and Pharmacology for Nurse Educators

Case Study =

A 22-year-old woman reports being “sick with the flu” for the past 8 days. She is vomiting several times every day, having difficulty keeping liquids or food down, and has been using more than the recommended dose of antacids in an attempt to calm the nausea. She has become severely dehydrated. After fainting at home, she was taken to a local hospital. An arterial blood gas sample was drawn and then an IV was placed to help rehydrate her. The arterial blood gas revealed the following:

Test                                  Result                                 Normal levels

pH                                            7.5                                    7.35 – 7.45

PaCO2                                       40 mm Hg                  35-45 mm Hg

PaO2                                 95 mm Hg                  80-100 mm Hg

SaO2                         97%                           95-100%

HCO3-                                     32 meq/liter                22-26 meq/liter

How would you classify the patient’s acid-base disturbance and explain why?

Given the case study, what are the possible factors causing this acid-base disturbance? Explain the pathophysiology created by these factors.

How would the renal and respiratory systems try to compensate for this acid-base disturbance?

What pharmacologic intervention is commonly used to correct this acid-base disturbance? Describe the pharmacological actions.

Describe the educational needs for this patient and what your approach will be.

NUR 641E Week 4 Patient Interview Paper

Interview a patient with a chronic pulmonary health condition who is on at least two medications.

In a 1,350-1,600-word paper, discuss the following:

Obtain a complete health history.

Obtain a complete medication history, including prescription and over-the-counter drugs or supplements.

Analyze the client’s current knowledge level of medications and compliance with the prescribed dosing and administration.

For each medication, identify the pharmacokinetics, pharmacodynamics, dose, route of administration, side effects, adverse reactions, any drug interactions, potential safety issues, and the impact on the client’s health status.

Formulate possible interventions related to lack of drug efficacy, lack of client knowledge, or client compliance issues as identified during the interview.

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. NUR 641E Advanced Pathophysiology and Pharmacology for Nurse Educators

NUR 641E Week 5

(CLC – Staff In-Service Presentation – Part 1) This is a group assignment. I will instruct the writer as to which part I am assigned to do.

Develop a PowerPoint presentation with complete speaker notes for a staff in-service on the pathophysiology and pharmacologic agents for a select disease process. The total maximum number of slides is 30 (Parts 1 and 2 combined). Your group may determine how to divide the number of slides between Parts 1 and 2.

Each CLC will choose one disease process to present from the following list with the instructor’s approval:

1.Alzheimer’s disease. NUR 641E Advanced Pathophysiology and Pharmacology for Nurse Educators.

2.Asthma

3.Diabetes Type 2

4.Epilepsy

5.Gastroesophageal reflux disease (GERD)

6.Hypertension

7.Hypothyroidism

8.Multiple sclerosis

9.Peptic ulcer disease

10.Tuberculosis.

Part 1 of the presentation will focus on the physiology and pathophysiology of the disease, clinical manifestations, and evaluation (e.g., labs, imaging).

Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style. NUR 641E Advanced Pathophysiology and Pharmacology for Nurse Educators.

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NUR 641E Week 6 Commercial Critique Paper

In a 1,200-1,500-word NUR 641E Advanced Pathophysiology and Pharmacology for Nurse Educators paper:

1.Critique a TV or radio commercial, an Internet advertisement, or a print advertisement from a nonprofessional journal/magazine related to an FDA-regulated prescription drug for a gastrointestinal disorder.

2.Critique a TV or radio commercial, an Internet advertisement, or a print advertisement from a nonprofessional journal/magazine related to a non-FDA-regulated over-the-counter medication/herbal for a gastrointestinal (GI) disorder.

Include a description of the pathophysiology of the GI disorder and how the medication/herbal alters that pathophysiology.

Compare and contrast the two commercials, including their stated use of medication/herbal, patient safety issues, analysis of company claims for any drug benefits. Substantiate your thoughts and ideas with evidence-based research/articles.

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.

NUR 641E Week 8 CLC – Staff In-Service Presentation – Part 2

This is a Collaborative Learning Community (CLC) assignment. This is a group assignment. I will instruct the writer as to which part of the assignment I am assigned.

Part 2 of the presentation will focus on the pharmacologic treatment of the disease, including pharmacokinetics, pharmacodynamics, drug interactions, side effects, adverse reactions, and application of the nursing process in monitoring the drug therapy.

Part 2 will also include the development of a creative patient education tool for the staff to use to assist in increasing patient knowledge of medications and medication compliance. NUR 641E Advanced Pathophysiology and Pharmacology for Nurse Educators

The total maximum number of slides is 30 (Parts 1 and 2 combined).

An abstract is not required.

Part 2 Class 
Advanced Pathophysiology and Pharmacology for Nurse Educators
: Power Point for Staff In-Service. NUR 641E Advanced Pathophysiology and Pharmacology for Nurse Educators.

(Part 2 focuses on the pharmacologic treatment of the Alzheimer’s disease)

Please include speaker notes with all slides and references (journals preferably)!!!!

Focus on the pharmacologic treatment of Alzheimer’s disease
/ Drug Interactions
, 
Side Effects
, 
Adverse Reactions
 (5-6 slides). Since it is 6 slides you can do two slides for each underlined section.

NUR 641E Advanced Pathophysiology and Pharmacology for Nurse Educators

National Alliance of the Mentally Illness essay

Comment 1

Contributing factors:

-Being victim of violence.

-Physical Disability,

-Negative impaction self-esteem.

-Abusing alcohol and another drugs.

-living in unsupported

-environment,

-Family conflicts and experiencing stressful events like loss of loved one,

-Imbalance or impairment of brain chemicals,

-Change in balance of hormone,

-inherited traits and acquired patterns of negative thinking.

Signs & Symptoms:

Emotional : Feeling hopeless,low self-esteem,begin irritable,extreme sensitivity to rejection,thinking of death/suicide frequently,getting trouble in thinking or remembering things,loss of interest in family and friends and feeling of sadness.

Behavior: Social isolation,Use of drugs, suicide attempts,self-harm,change in appetite,poor performance in school work,energy loss,sleepiness or insomnia,restlessness and other acting out manners.

Community & State   Resources:

National Alliance of the Mentally IllNESS: 1-800-950-6264:

NAMI  i
s an organization to support people affected by Mental Illness.

Toll-free, confidential hot line operating Mon.-Fri., 10 am- 6 pm (EST).

The Substance Abuse and Mental Health [SAML]
Is a program responsible for the oversight of a statewide system care for the Prevention, Treatment and recovery children and adult with Mental illness or Substance Abuse Disorder.

Help Line-1800-273-8255.

Nursing Interventions for depressed Teen:

PRIMARY PREVENTION
:Assess Risk factors and educate families how to prevent it, Educate families  how to identify signs and symptoms of depression.

SECONDARY PREVENTION
: Screening during assessment.

Refer to a counselor or support group.

Encourage feeling and open expression.

Medicate as ordered and document results.

TERTIARY PREVENTION
: Assess adolescent to identify  the precipitating event when sadness and feeling arose.

Encourage daily  physical activity.

Assist adolescent to focus on strengths rather than weaknesses.

Teach positive and effective coping strategies.

Comment 2

Teen pregnancies have always been an important issue for young adolescent females. This issue is important due to the risks of complications associated with early age pregnancies. There are some factors that play into teen pregnancy. Known factors that contribute to the rise in teen pregnancies is the absence of education for sexually active teens. Many teens do not have education on important topics like birth control, condoms, and plan B. Some teens do not have resources available to them that they can talk to about their questions. It is important to assess a teenager’s knowledge about sex and sexuality (“Risk and Protective factors”,n.d.). If the parent is with them, it is always good to ask if the patient would like privacy to discuss the topic.

It is believed certain situations such as family poverty, having parents who had children before age 20, single parent homes, early sexual activity, and use of alcohol and drugs play into teen pregnancies. In the state of Texas, the rate of teenage pregnancies has subtly decreased over the span of the past 10 years. In 2011, 27% of teens under the age of 18 experienced a pregnancy. Currently, it has dropped to 26% (“Total and Population”, n.d.).

“Power to Decide” is an organization designated to helping educate teens on their ways to prevent pregnancy so that they can ensure their future is all about them. In the event the teenager is pregnant, there are other resources to help aid during their time of need. “Brightright” is available 24/7 for pregnant teens. They also have a hot line teens can call if needed. Resources for teen pregnancy is important since most teens are likely to not seek medical attention early on due to emberassment or fear of telling their family. Which in turn puts them at risk for pregnancy complications like high blood pressure, eclampsia, and pre-term birth.

National Alliance of the Mentally Illness essay

NRS-440VN Trends and Issues in Today’s Healthcare

NRS 440VN 
Implementation of the IOM Future of Nursing Report

Details:

In a formal paper of 1,000-1,250 words you will discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.” Identify the importance of the IOM “Future of Nursing” report related to nursing practice, nursing education and nursing workforce development. What is the role of state-based action coalitions and how do they advance goals of the Future of Nursing: Campaign for Action?

Explore the Campaign for Action webpage (you may need to research your state’s website independently if it is not active on this site): http://campaignforaction.org/states

Review 
your 
state’s progress report by locating your state and clicking on one of the six progress icons for: education, leadership, practice, interpersonal collaboration, diversity, and data. You can also download a full progress report for your state by clicking on the box located at the bottom of the webpage.

In a paper of 1,000-1,250 words:

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Discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.”

Identify the importance of the IOM “Future of Nursing” report related to nursing practice, nursing education and nursing workforce development.

What is the role of state-based action coalitions and how do they advance goals of the Future of Nursing: Campaign for Action? NRS-440VN Trends and Issues in Today’s Healthcare

Summarize two initiatives spearheaded by 
your
 state’s action coalition. In what ways do these initiatives advance the nursing profession? What barriers to advancement currently exist in your state? How can nursing advocates in your state overcome these barriers?

A minimum of three scholarly references are required for this assignment.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. NRS-440VN Trends and Issues in Today’s Healthcare

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

NRS 440VN Week 2

NRS 440VN Evolving Practice of Nursing and Patient Care Delivery Models

Details:

As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals.

Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics. NRS-440VN Trends and Issues in Today’s Healthcare

Share your presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics, and medical homes.

In 800-1,000 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform.

A minimum of three scholarly references are required for this assignment. NRS-440VN Trends and Issues in Today’s Healthcare

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. NRS-440VN Trends and Issues in Today’s Healthcare

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

NRS 440VN week 3

NRS 440VN Reflection Paper

Details:

In a reflection of 450-600 words, explain how you see yourself fitting into the following IOM Future of Nursing recommendations: NRS-440VN Trends and Issues in Today’s Healthcare

Recommendation 4: Increase the proportion of nurses with a baccalaureate degree to 80% by 2020.

Recommendation 5: Double the number of nurses with a doctorate by 2020.

Recommendation 6: Ensure that nurses engage in lifelong learning.

Identify your options in the job market based on your educational level.

How will increasing your level of education affect how you compete in the current job market?

How will increasing your level of education affect your role in the future of nursing?

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center. NRS-440VN Trends and Issues in Today’s Healthcare

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center. NRS-440VN Trends and Issues in Today’s Healthcare

NRS 440VN Week 4

NRS 440VN CLC – Pros and Cons of Mandatory Continuing Nursing Education

Details:

This is a Collaborative Learning Community (CLC) assignment.

In your CLC group, create a PowerPoint presentation of 10-15 slides in which you compare the pros and cons of continuing nursing education related to the following:

Impact on competency.

Impact on knowledge and attitudes.

Relationship to professional certification.

Relationship to ANA Scope and Standards of Practice.

Relationship to ANA Code of Ethics.

Take a position with your CLC group: Should continuing nursing education be mandatory for all nurses? Support your position with rationale.

A minimum of three scholarly sources are required for this assignment.

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to Turnitin.

NRS 440VN How a Bill Becomes a Law

Details:

As you have discovered through this course, nurses are influential members of the community and the political system. Therefore, for the purposes of this assignment you will identify a problem or concern in your community, organization, etc. that has the capacity to be legislated. You will conduct research and state a proposal. Through the legislative process, your proposal for the problem or concern may influence an idea for change into a law.

First, refer to the “How a Bill Becomes a Law” media.

http://lc.gcumedia.com/zwebassets/courseMaterialPages/nrs440v_how-a-bill-becomes-a-law-v2.1.php/.

Then, view the “Bill to Law Process” to watch the scenario.

After viewing the scenario, refer to the “Legislative Assignment.” You will need to save the document first in order to use it.

Submit the assignment to the instructor. You also reserve the right to submit your completed proposal to the respective government official. However, this is optional. If you select to submit your proposal as a part of the legislative process, refer to “Find Your Representative” or research the contact information on your own.

APA format is not required, but solid academic writing is expected.

You are not required to submit this assignment to Turnitin.

NRS 440VN Week 5

NRS 440VN Combining Nurse Leader With Advocacy

Details:

Rate yourself using the results from the “Nurse Manager Skills Inventory”:

http://www.aone.org/resources/nurse-manager-skills-inventory.pdf

Write a reflection of 750-1,000 words in which you identify your strengths and weaknesses related to the four content areas below: NRS-440VN Trends and Issues in Today’s Healthcare.

Personal and professional accountability

Career planning

Personal journey disciplines

Reflective practice reference behaviors/tenets

Discuss how you will use your current leadership skill set to advocate for change in your workplace.

Identify one personal goal for your leadership growth and discuss your implementation plan to achieve that goal.

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center. NRS-440VN Trends and Issues in Today’s Healthcare

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center. NRS-440VN Trends and Issues in Today’s Healthcare

Argumentative Essay Paper – Technology and Social Isolation – ENG 136

I need help with an argumentative paper that should 6-8 pages long without cover and references (but please include in finale paper).  My topic is Technology and Social Isolation. You must have 5 references. I will include the rubric for the paper. Please start off using these two references and include three more.

Vroon, D. (2009, May/June). The distracted   generation victims of technology. 
American Record Guide
, 
72
(3).

Massimini, M., & Peterson, M. (2009). Information and communication technology: Affects [sic] on U.S. college students. 
Cyberpsychology: Journal of Psychosocial Research on Cyberspace

Argumentative Essay Paper – Technology and Social Isolation – ENG 136

Course Theme Reading List

ENGL136 Course Theme Reading List Student

Students:

Below you will find a reading list that includes 62 references on the theme and topics you will discuss and research in this class in preparation for the Course Project. Although you are not required to read all 62 of the references, you should plan to dedicate sufficient time to retrieve and preview sources on topics that are of interest to you. The list of readings will help you narrow a topic for your Course Project.

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These selections should be the first ones that you consult as you explore potential topics and begin your research process. Read and review the selections on topics that you are considering. Those that you do use will provide content that can be incorporated into your writing assignments as support or contrast for your thesis and your Final Project. Argumentative Essay Paper – Technology and Social Isolation – ENG 136

A final requirement of the Course Project is that all students must include at least
one
of the selected course readings below in their final research projects. Argumentative Essay Paper – Technology and Social Isolation – ENG 136

Once you are introduced to library search strategies, you will search for the remaining number of sources required for inclusion in-text and on the References page of the final assignment.

 

Each selection can be accessed in
Writing Today
or in the DeVry Library databases: EBSCOhost, LexisNexis, or ABI Inform.

 

For more information:
Talk to your professor or use the Ask the Librarian service.

 

Theme: Education (16 references)

 

Topics:

Articles

1. School Bullies

 

Cloud, J. (2012, March 12). The myths of bullying.
Time, 179
(10). Retrieved from http://www.time.com/time/magazine

Cornell, D. G., & Brockenbrough, K. (2004). Identification of bullies and victims: A comparison of methods.
Journal of School Violence, 3
(2-3), 63–87. doi:10.1300/J202v03n02_05

2. No Child Left Behind Act/ Race to the Top

 

Ravitch, D. (2011). Dictating to the schools: A look at the effect of the Bush and Obama administration on schools.
Education Digest, 76
(8), 4-9.

 

Onosko, J. (2011). Race to the Top leaves children and future citizens behind:  The devastating effects of centralization, standardization, and high stakes accountability. 
Democracy & Education, 19
(2), 1–11.

3. Grade Inflation

 

Kohn. A. (2013). From grading to degrading. In R. Johnson-Sheehan & C. Paine (Eds.),
Writing Today
(2nd ed., pp. 254–261). Boston, MA: Pearson Education.

Hall, R. A. (2012). A neglected reply to grade inflation in higher education.
Global Education Journal, 2012
(3), 144–165.

Argumentative Essay Paper – Technology and Social Isolation – ENG 136

4. College Students and Underage

Drinking

 

Office of Applied Studies, Substance Abuse and Mental Health Services Administration. (2013). Underage alcohol use among full-time college students. In R. Johnson-Sheehan & C. Paine (Eds.),
Writing Today
(2nd ed., pp. 743–745). Boston, MA: Pearson Education.

Wechsler, H., & Nelson, T.  F. (2010). Will increasing alcohol availability by lowering the minimum legal drinking age decrease drinking and related consequences among youths?
American Journal of Public Health, 100
(6), 986–992. doi:10.2105/AJPH.2009.178004.

5. Student Debt

 

McArdle, M. (2012, September 17). The college bubble.
Newsweek
,
160
(12).

Wenisch, M. (2012). The student loan crisis and the future of higher education.
Catholic Social Science Review, 17
, 345–350.

6. College Students, Cheating, and Plagiarism

 

Malesic, J. (2006, December 11). How dumb do they think we are
? The Chronicle of Higher Education
.

McCabe, D. L., Trevino, L., & Butterfield, K. D. (2001). Cheating in academic institutions: A decade of research.
Ethics & Behavior
,
11
(3), 219–232.

7. College Dropout Rates

 

 

 

 

 

Husain, S. (2012). Student success at the community college Level.
Diverse: Issues in Higher Education, 29
(7), 40–41.

Tuckman, B. W., & Kennedy, G. J. (2011). Teaching learning strategies to increase success of first-term college students.
Journal of Experimental Education, 79
(4), 478–504. doi:10.1080/00220973.2010.512318

8. High School Dropouts

 

Lubrano, A. (2012, December 30). Diminished diplomas: The job market is bleak even for millennials with college degrees. For those without, it’s a different world.
The Philadelphia Inquirer.
 Retrieved from http://articles.philly.com

Tavakolian, H. R., & Howell, N. (2012). Dropout dilemma and interventions.
Global Education Journal
,
2012
(1), 77–81.

 

Theme: Technology (16 references)

 

Topics:

Articles:

1. Multitasking and Technology

 

Willingham, D. T. (2010). Have technology and multitasking rewired how students learn?
American Educator
,
34
(2), 23–28, 42.

Ellis, Y., Daniels, B., & Jauregui, A. (2010). The effect of multitasking on the grade performance of business students.
Research in Higher Education Journal
,
8
, 1-10.

2. Technology and Social Isolation

 

Vroon, D. (2009, May/June). The distracted generation victims of technology.
American Record Guide
,
72
(3).

Massimini, M., & Peterson, M. (2009). Information and communication technology: Affects [sic] on U.S. college students.
Cyberpsychology: Journal of Psychosocial Research on Cyberspace
,
3
(1), 1–12.

3. Perils of Social Networking

 

Azriel, J. N. (2011). Using social media as a weapon to harm victims: Recent court cases show a need to amend section 230 of the Communications Decency Act.
Journal of Internet Law
,
15
(1), 3–10.

Dailey, K. (2013). Friends with benefits: Do
Facebook
friends provide the same support as those in real life? In R. Johnson-Sheehan & C. Paine (Eds.),
Writing Today
(2
nd
ed., pp. 218–221). Boston, MA: Pearson Education.

4. Online Dating/ Online Predators/Sex Offenders

 

Clark-Flory, T. (2013). Reconsidering Match.com’s sex offender ban. In R. Johnson-Sheehan & C. Paine (Eds.),
Writing Today
(2
nd
ed., pp. 707–709). Boston, MA: Pearson Education.

Essex, D. (2009). From deleting online predators to educating Internet users.
Young Adult Library Services
,
7
(3), 36–45.

5. Illegal Downloading of Protected Content

 

Hamilton, M. A. (2013). Why suing college students for illegal music downloading is right. In R. Johnson-Sheehan & C. Paine (Eds.),
Writing Today
(2
nd
ed., pp. 693–695). Boston, MA: Pearson Education.

Sheehan, B., Tsao, J., & Yang, S. (2010). Motivations for gratifications of digital music piracy among college students.
Atlantic Journal of Communication
,
18
(5), 241–258. doi:10.1080/15456870.2010.521471

Argumentative Essay Paper – Technology and Social Isolation – ENG 136

6. Internet Censorship/ Classified Information Leaks

 

 

Albanesius, C. (2012, August). Google sees spike in requests to censor political speech.
PC Magazine
.

Keen, R. (2012). Untangling the Web: Exploring Internet regulation schemes in Western democracies.
San Diego International Law Journal
,
13
(2), 351–382.

7. Identity Theft

 

Sullivan, M. (2012, August). Data snatchers!
PC World
,
30
(8).

Albrecht, C., Albrecht, C., & Tzafrir, S. (2011). How to protect and minimize consumer risk to identity theft.
Journal of Financial Crime, 18
(4), 405–414. doi:10.1108/13590791111173722

8. Texting and Driving

 

LaVallee, A. (2009, August 26). Tech journal: Firms racing to end texting and driving—as states pass new bans, companies build services to disable in-car cellphone messaging.
The Wall Street Journal
.  Retrieved from http://search.proquest.com

Pascual-Ferrá, P., Liu, Y., & Beatty, M. J. (2012). A meta-analytic comparison of the effects of text messaging to substance-induced impairment on driving performance.
Communication Research Reports
,
29
(3), 227–238. doi:10.1080/08824096.2012.696079

 

Theme:  Family (14 references)

 

Topics:

Articles:

1. Sexualization of Girls

 

Kaiser survey shows prevalence of abuse. (Cover story). (2005).
DATA: The Brown University Digest of Addiction Theory & Application
,
24
(S7), 1.

Zubriggen, E. L., Collins, R. L., Lamb, S., Roberts, T., Tolman, D. L., Ward, L. M., & Blake, J.  (2013). Report of the APA Task Force on the Sexualization of Girls: Executive summary. In R. Johnson-Sheehan & C. Paine (Eds.),
Writing Today
(2
nd
ed., pp. 293–302). Boston, MA: Pearson Education.

2. Gender Discrimination

 

Coy, P., & Dwoskin, E. (2012, June 25). Shortchanged: Why women get paid less than men.
Bloomberg Businessweek
,
4285
.

Nadler, J. T., & Stockdale, M. S. (2012). Workplace gender bias: Not just between strangers.
North American Journal of Psychology
,
14
(2), 281–291.

Argumentative Essay Paper – Technology and Social Isolation – ENG 136

3. Unequal Rights in Marriage, Children

 

Perrin, E., & Sprigg, P. (2013, March 21). Interview by A. Spiegel [Radio series episode]. Pediatric organization endorses same-sex marriage for its benefit to children.
All Things Considered (NPR)
.

Russo, C. J. (2011). Respect for me but not for thee: Reflections on the impact of same-sex marriage on education. 
Brigham Young University Education & Law Journal
, (2), 471–494.

4. Children of Divorce

 

Whitehead, B. D. (2013). The making of a divorce culture. In R. Johnson-Sheehan & C. Paine (Eds.),
Writing Today
(2
nd
ed., pp. 712–717). Boston, MA: Pearson Education.

Kim, H. S. (2011). Consequences of parental divorce for child development.
American Sociological Review
,
76
(3), 487–511. doi:10.1177/0003122411407748

5. Domestic Violence

 

Parachin, V. M. (2013). Terrorism in the home: Eleven myths and facts about domestic violence.
Priest
,
69
(1), 13-16.

Alhabib, S., Nur, U., & Jones, R. (2010). Domestic violence against women: Systematic review of prevalence studies.
Journal of Family Violence
,
25
(4), 369–382. doi:10.1007/s10896-009-9298-4

6. Cyberbullying

 

 

 

Bazelon, E. (2013, February 19). Interview by T. Gross [Radio series episode]. Today’s bullied teens subject to “sticks and stones” online, too.
Fresh Air (NPR)
.

Murray, S. S., Hewitt, P., Maniss, S., & Molinatti, J. (2012). “They’re Just Being Kids”: Recognizing and preventing bullying.
National Social Science Journal
,
39
(1), 56–64.

7. Life-Work (Im)balance/

Flexible Work Schedules

Pofeldt, E. (2011, October). Flex your day week year career.
Working Mother
,
34
(7).

Masuda, A. D., Poelmans, S. A. Y., Allen, T. D., Spector, P. E., Lapierre, L. M., Cooper, C. L., Moreno-Velazquez, I. (2012). Flexible work arrangements availability and their relationship with work-to-family conflict, job satisfaction, and turnover intentions: A comparison of three country clusters.
Applied Psychology: An International Review
,
61
(1), 1–29. doi:10.1111/j.1464-0597.2011.00453.x

 

Theme:  Health/Wellness (16 references)

 

Topics:

Articles:

1. College Students and Weight Issues

 

Kwiatkowski, J. (2009, August 22). Avoiding Fatter U: How not to gain the freshman 15: Managing the stress and lifestyle changes of college helps new students keep the weight off.
Buffalo News, The (NY)
. [EBSCOhost]

Carithers-Thomas, J. A. “Freshman fifteen: Fact or fiction.” [
Writing Today]

2. Childhood Obesity

 

Ludwig, D. S. (2010). Ending the childhood obesity epidemic.
Natural Foods Merchandiser
,
31
(5), 10–12. [EBSCOhost]

Larson, A. A. (2012). Childhood obesity in USA: A descriptive snapshot of current responses, disconnects, and what could hold promise for additional mitigation.
Movement & Sport Sciences / 78
61-74. doi:10.1051/sm/2012016 [EBSCOhost]

3. Fad Diets

 

Koch, R. (2010). Food fads.
Today’s Chiropractic Lifestyle
,
39
(5), 20–24. [EBSCOhost]

Whyte, J., Marting, R., & Pennachio, D. (2005). How to guide patients away from fad diets and toward healthy eating.
Patient Care
,
39
(5), 16–22. [EBSCOhost]

4. Junk Food

 

Lee, J. (2012). Nourishing change. Partnership enlists dozens of hospitals to put healthier food on their menus and kick junk food out of the cafeteria.
Modern Healthcare
,
42
(41), 6. [EBSCOhost]

Datar, A., & Nicosia, N. (2012). Junk food in schools and childhood obesity.
Journal of Policy Analysis and Management
,
31
(2), 312–337. doi:10.1002/pam.21602 [EBSCOhost]

5. Sedentary Lifestyles

 

Masters, M. (2010). Sentenced to the chair.
Men’s Health (10544836)
,
25
(7), 112–117. [EBSCOhost]

McCrady, S. K., & Levine, J. A. (2009). Sedentariness at work: How much do we really sit?
Obesity (19307381)
,
17
(11), 2103–2105. [EBSCOhost]

6. Teenage Pregnancy

 

Stanger-Hall, K. F., & Hall, D. W. (2011). Abstinence-only education and teen pregnancy rates: Why we need comprehensive sex education in the U.S.
PLOS ONE
,
6
(10), 1–11. doi:10.1371/journal.pone.0024658 [EBSCOhost]

Basch, C. E. (2011). Teen Pregnancy and the achievement gap among urban minority youth.
Journal Of School Health
, 81(10), 614-618. doi:10.1111/j.1746-1561.2011.00635.x Full text through [EBSCOhost]

7.Concussions in Athletes

 

Sander, L. (2010). Colleges struggle to protect athletes from concussion and its aftermath. (Cover story).
Chronicle of Higher Education
,
57
(6), A1–A10. [EBSCOhost] Argumentative Essay Paper – Technology and Social Isolation – ENG 136

Lueke, L. (2011). High school athletes and concussions.
The Journal of Legal Medicine
,
32
(4), 483–501. doi:10.1080/01947648.2011.632710 [EBSCOhost]

8. Insurance Premiums for Smokers and Obese Employees

 

Economic woes may ratchet up penalties for obesity, smoking. (2011).
Occupational Health Management
,
21
(10), 109–110. [EBSCOhost]

Li, J., Linnan, L., Finkelstein, E., Tate, D., Naseer, C., & Evenson, K. (2011). Knowledge and perceptions among overweight and obese employees about lifestyle-related health benefit changes.
North Carolina Medical Journal
,
72
(3), 183–190. [EBSCOhost]

Argumentative Essay Paper – Technology and Social Isolation – ENG 136

Case Study Assignment on Biomedical Ethics in the Christian Narrative

 

Case Study Assignment on Biomedical Ethics in the Christian Narrative

Case Study Assignment on Biomedical Ethics in the Christian Narrative

Write a 1,200-1,500 word analysis of “Case Study: Healing and Autonomy.” In light of the readings, be sure to address the following questions:

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Under the Christian narrative and Christian vision, what sorts of issues are most pressing in this case study?

Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James?

According to the Christian narrative and the discussion of the issues of treatment refusal, patient autonomy, and organ donation in the topic readings, how might one analyze this case?

According to the topic readings and lecture, how ought the Christian think about sickness and health? What should Mike as a Christian do? How should he reason about trusting God and treating James?

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

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this Case Study Assignment on Biomedical Ethics in the Christian Narrative to Turnitin. Please refer to the directions in the Student Success Center.

PHI-413V-RS-T3CaseStudy.docx
      
Please Note: Case Study Assignment on Biomedical Ethics in the Christian Narrative will not be submitted to the faculty member until the “Submit” button under “Final Submission” is clicked. 
Case Study Assignment on Biomedical Ethics in the Christian Narrative

Chronic Obstructive Pulmonary Disease (COPD) Essay Assignment Paper

Order a custom written Chronic Obstructive Pulmonary Disease (COPD) Essay Assignment Paper or any other paper that you require. Our nursing writing experts will sort you out.

Introduction:

This assignment discusses the anticipatory and alternative approaches for long-term conditions from different aspects. It consists of five patches explaining the importance of COPD self-management plan, response to COPD deterioration, the role of telehealth in managing those patients as well as philosophy of anticipatory care relating it to nursing models.

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Patch one – learning outcome one: self-management strategies.

Approximately three million people are believed to have chronic obstructive pulmonary disease (COPD) in England, with around 30,000 lives lost as a result each year making it the fifth biggest cause of mortality and morbidity in the UK (Stewart et al., 2011; Wilson et al., 2015). Self-management can play a vital part in the management of COPD and can also give the patient a greater sense of autonomy, thereby improving their quality of life (Robbins et al., 2013; Sallnow, Kumar, & Kellehear, 2013). Self-management plan should be comprehensive, individualized and tailored to suit each patient as they have varying symptoms and needs that require individualized plan in order to achieve optimum health outcome. For that reason, there should be a great cooperation, education and person-centered support from specialized health professionals who are COPD knowledgeable and properly trained (Cornforth,2013  ). Based on that, clinician’s goal should be directed towards working with COPD patients collaboratively to discuss and negotiate their tolerated healthy behaviors, the disease nature, its management and encouragement of possible life style modifications, for instance, more exercise, healthy eating, correct inhaler technique and basically smoking cessation (Cornforth,2013).

Patients who have early-stage COPD may not display their symptoms in a way that they recognise (Robbins et al., 2013; Sallnow, Kumar, & Kellehear, 2013); but as COPD worsens there is an increase seen in wheezing, coughing, sputum production, and dyspnoea (Sharp, Moran, & Kuhn, 2013). In some patients these symptoms may become so severe that long-term oxygen therapy is needed (Sharp, Moran, & Kuhn, 2013). It is important that patients are able to recognise their own symptoms and thus any changes in them, which can be done by keeping a daily record (Stewart et al., 2011).

It is important that patients take their medications as prescribed, even during periods of feeling well (Robbins et al., 2013). Continuous use of medication can help prevent exacerbations; but it is important to check for any interactions that may occur with medicines which are available without prescription (Sallnow, Kumar, & Kellehear, 2013). In addition to regular medications, it is also important that patients receive annual vaccinations such as the flu jab and an anti-pneumococcal vaccination which protects against serious infections caused by pneumococcal bacteria (Sallnow, Kumar, & Kellehear, 2013).

Self-monitoring in COPD is a key tool in preventing exacerbations (Sharp, Moran, & Kuhn, 2013). Evidence suggests that there is an increase in COPD symptoms about 24 hours before the onset of a full exacerbation (Robbins et al., 2013; Sallnow, Kumar, & Kellehear, 2013). If antibiotics and/or steroids are started promptly this could prevent a hospital admission (Sallnow, Kumar, & Kellehear, 2013). Although there is some debate about which parameters patients should measure, there are a number of parameters which are usually monitored, including symptom score, peak flow/FEV1, and pulse oximetry (Sallnow, Kumar, & Kellehear, 2013). Chronic Obstructive Pulmonary Disease (COPD) Essay Assignment Paper.

The most important lifestyle modification a patient with COPD can make is to stop smoking, or reduce the amount they smoke if they cannot stop completely (Robbins et al., 2013). Stopping or reducing smoking can reduce symptoms of COPD, reduce the rate of decline in lung function, and improve quality of life (Robbins et al., 2013; Sallnow, Kumar, & Kellehear, 2013). Patients may also benefit from a pulmonary rehabilitation programme which is usually delivered by a team of specialists and may include breathing exercises, a nutritional programme, and give educational advice about the disease and strategies to manage it (Robbins et al., 2013).

Patch two – learning outcome two:  care providers response to a deterioration in COPD patients.

Patients with COPD who have deteriorated or are reaching the end of their life often have an increase in symptoms, particularly coughing, dyspnoea, and anxiety and/or depression (Townsend, 2014). In order to provide effective care for these patients the interventions and responses should be aimed at easing symptoms such as breathlessness and pain and psychological symptoms such as anxiety and depression (Townsend, 2014). Palliative care should be thought of as a series of actions, interventions, and responses to treat the whole patient, including psychological factors, not just physical manifestations of the disease (Badger et al., 2012;Liaw, 2016). The goal of palliative care should be to prevent and relieve suffering and to reach the best possible quality of life for the patient (Badger et al., 2012; Liaw, 2016). In order to be able to meet this goal, care will be provided by a multidisciplinary team including, but not limited to, doctors, nurses, physiotherapists, and nutritionists (Elliott, 2011; Baker et al., 2012).

Bronchodilators are often used to relieve bronchospasm and non-invasive ventilation (NIV) can be particularly helpful to alleviate signs and symptoms of respiratory distress (Elliott, 2011; Baker et al., 2012). Multi-centre randomised control trials have shown NIV to reduce dyspnoea and respiratory rate faster than the control group, and these patients also required less morphine (Badger et al.,2012; Liaw, 2016). Mechanical ventilation can also be used; but the failure to wean patients from mechanical ventilation before death occurs is well documented and the primary goal of easing respiratory distress should be to avoid endotracheal intubation where possible without causing unnecessary discomfort (Badger et al.,2012; Liaw, 2016). The decision to begin mechanical ventilation should be made in conjunction with the patient, and it is also clear that one of the key parts of patient education should be about disease progression and what treatment options are available and may be considered at each stage in order to facilitate advanced care planning (Townsend, 2014). Chronic Obstructive Pulmonary Disease (COPD) Essay Assignment Paper.

Patients with end-stage COPD often also require significant pain management. Opioids are the only class of drugs which have a proven effect on dyspnoea by inhibiting the respiratory drive (Baker et al., 2012;  Diaz-Lobato, Smyth, & Curtis, 2015). The Global Initiative for Chronic Lung Disease (GOLD) guidelines state that opioids are contraindicated in the management of COPD because of the potential for inhibition of the respiratory drive and thereby increasing hypercapnia; however the American Thoracic Society clinical policy statement on palliative care states that the use of opioids to relieve suffering is adequate justification for their use (Lanken et al., 2008). The dose of opioid should be titrated for each patient and reviewed regularly for its effect on relieving dyspnoea (Lanken et al., 2008; Diaz-Lobato, Smyth, & Curtis, 2015). Patients with end-stage COPD often also develop congestive heart failure and the use of diuretics can be particularly helpful in removing excess fluid which in turn reduces breathlessness (Diaz-Lobato, Smyth, & Curtis, 2015).

Patch three – learning outcome three: The role of telehealth in supporting COPD patients.

Digital Health is an emerging industry arising from the intersection of healthcare services, information technology and mobile technology (Monitor Deloitte, 2015), providing patients and their families with remote access to accurate information in order to make effective choices about their care (National Information Board, 2014).  Consequently, digital health services have the power to improve health, give patients more control over their health and wellbeing, empower carers, and reduce the administrative burden for care professionals (National Information Board, 2014).  Current provision of digital health services in the U.K. can be categorised as tele-healthcare (including both remote care and support using ICT and the exchange of clinical data between patient and clinician), mobile-health (mhealth) apps related to health and well-being, and patient centric educational/assisted decision making websites.

Telehealth has been used to deliver multi-faceted support to patients with COPD, including web-based self-management and exercise programs, automated feedback on patients’ daily exercise levels, and tele-consultation via a web portal (Tabak et al., 2014).  Additional benefits of tele-health to patients with COPD include early recognition of worsening symptoms through real-time monitoring, quick feedback, and access to information and support (Nguyen et al., 2013). However, a case manager is required to interpret monitoring data or determine patient feedback and this could slow the care process (Tabak et al., 2014).

The proportion of mobile phone users who use their phones to look up health information increased significantly from 17% in 2010 to 31% in 2012 (Monitor Deloitte, 2015), however only 7% of consumers aged 55-64 reported using mHealth apps (Monitor Deloitte, 2015).  A survey of mhealth engagement reported that 10% of UK responders had downloaded an app to track their health, 17% had used an app to monitor and manage fitness and health improvement goals, 15% had used an app to manage health issues, 8% had used mobile technology to receive medically related alerts or reminders, and 5% had used mobile technology to send or receive a picture related to a health problem.  For patients with COPD, apps can be utilised to report respiratory measures (including peak expiratory flow) that are flagged as at-risk by an algorithm should they deviate over a threshold from a baseline measure.  Such measures can be reviewed by health care practitioners and same day treatment provided (Cordova et al., 2016). Chronic Obstructive Pulmonary Disease (COPD) Essay Assignment Paper.

Internet based resources can play an important role in supporting patients, and their carers, living with a chronic condition.  Patients utilise the internet to conduct searches for condition related information, register to receive updates about their condition, and read/share experiences with other people with the same condition via blogs (Mahler et al., 2015).  Additionally, patients can access tailored information within online patient education programs (Farmer et al., 2014; Hewitt et al., 2015) and any online support groups (Kuijpers et al., 2013).  Jones et al (2014) reported that 85% of patients with a chronic condition had either direct or indirect (family member or carer) access to the internet.  In the U.K., patients have access to a number of large national health websites that are delivered using a mass media format and generalizable across a diverse population despite evidence that more effective e-communications are tailored to specific patient populations (Jones et al, 2014).

Patch four – learning outcome four (a and b): philosophy of anticipatory care in relation to nursing models.

With an increasing elderly population and an increase in the number of people living with long-term health conditions such as COPD, there must be a change in the models of care which are used to support these patients (Sharp, Moran, & Kuhn, 2013). To this extent, anticipatory care planning seeks to establish shared decision making through a collaborative process to support a self-management approach to personal health.  This process should encourage individuals with long term chronic conditions to be aware of potential changes in their health status and to prioritise their desired future healthcare, including planning of dignity and care in practice (Steel,2015; Stewart et al., 2011; Sharp, Moran, & Kuhn, 2013).  This process should allow effective communication of personal choice, practical need and sharing of key information to those who provide care (Steel, 2015; Stewart et al., 2011; Sharp, Moran, & Kuhn, 2013).

Anticipatory care is essentially patient-centered, patient-focused, and patient-led (Steel, 2015) as demonstrated in Patch 1 through exploration of self-management strategies, symptom recognition, self-monitoring, and lifestyle modifications.  This discussion showed that self-management can play a vital part in the management of COPD, including prevention or reducing exacerbations (Paradis et al., 2011; Wilson et al., 2015), and can also give the patient a greater sense of autonomy, thereby improving their quality of life (Paradis et al., 2011; Wilson et al., 2015). Chronic Obstructive Pulmonary Disease (COPD) Essay Assignment Paper.

Anticipatory care planning was also evident within Patch 2 that discussed the actions, interventions, and responses that should be made when patients with COPD have a deterioration in their illness or reach end of life care. This discussion explored the use of non-invasive ventilation, mechanical ventilation, and medications such as opioids. This discussion is important because anticipatory care will allow patients to consider and discuss options about their care in advance of any deterioration (Badger et al.,2012; Liaw, 2016). The discussion also highlighted the need for thorough holistic assessment of patients, as palliative care should be thought of as a series of actions, interventions, and responses to treat the whole patient, including psychological factors, not just physical manifestations of the disease (Badger et al.,2012; Liaw, 2016). The goal of palliative care should be to prevent and relieve suffering and to reach the best possible quality of life for the patient (Badger et al.,2012; Liaw, 2016).

The role and extent of digital health, including tele-healthcare, mobile apps, and internet resources for individuals with chronic conditions is key to both self-management and timely care intervention in the event of a deterioration in patient health.  This was discussed in Patch 3 and is fundamental to the patient-led philosophy of anticipatory care.  The utilisation of digital resources can allow patients with chronic conditions to remain autonomous within their own home, and yet receive time appropriate treatment through real-time monitoring by remote heath care practitioners. Chronic Obstructive Pulmonary Disease (COPD) Essay Assignment Paper.

Anticipatory care is fundamentally located within a humanistic philosophy that acknowledges the needs of the ‘whole person’.  This underlying principle has given rise to several models of nursing that identify the individual as a biopsychosocial being within an ever changing environment.  A nursing model has been defined as set of concepts which are formulated efficiently , inter-related in a logical manner and based on science that describe the main elements of nursing practice along with the theoretical basis behind those concepts as well as the required values for their practice by the health care provider (McCrae et al., 2012).  An example of such a model is Roy’s Adaptation model that challenges nursing to support both the individual’s biological needs and self-perception as they adapt to a changing environment.  Similarly, Rogers theory encouraged nursing to deal with patients as a whole unit in both care design and provision.  Therefore, it could be argued that nursing differentiates itself from a medical model by seeing a person’s health as more than their biological status or presence of disease.  Consequently, the nursing process needs to be multi-dimensional in order to address the biological, psychological, sexual, and spiritual needs of patients.  Roper, Logan & Tierney’s model of nursing is widely used in the U.K. and promotes maximum independence through complete assessment of activities of living that further support independence.  Such a framework supports nurses to fulfill their duties bestowed upon them by the Nursing and Midwifery Council (2015) that registered nurses are expected to be able to make holistic and systematic assessments of their patients, which includes physical, emotional, psychological, and other needs. Chronic Obstructive Pulmonary Disease (COPD) Essay Assignment Paper.

Roper’s holistic model of nursing sought to assess the biological, psychological, sociocultural, environmental, and politic economic aspects of care and how they influenced an individual’s independence.  In Patch 1, the psychological element of Roper’s model is demonstrated by increasing patient independence through self-management strategies.  Patch 2 referred to healthcare interventions required as a result of deterioration in health and can be referenced to the biological assessment noted in Roper’s model.  Patch 3 identified the role of digital health services to support patients and families and is closely associated with both biological and psychological elements of Roper’s model of nursing.  It could be argued that a lack of literacy, including IT skills, may inhibit patients from accessing the full benefits of digital health services, and additional interventions (or adaptations) to address independence may need to be considered. Chronic Obstructive Pulmonary Disease (COPD) Essay Assignment Paper.

NR439 Research Article Critique Paper – Evidence-Based Practice (EBP)

Requirements

Through this assignment, the student will:

Critique a peer-reviewed study, 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).

Guidelines to writing the NR439 Research Article Critique Paper – Evidence-Based Practice (EBP)

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Tips on how to complete this assignment may be found at http://www.brainshark.com/devry/vu?pi=zFmz5THHgzHr05z0&intk=406182077 (Links to an external site.)Links to an external site.

Download the Research Article Critique List of Articles (Links to an external site.)Links to an external site. and select ONE to analyze.

Retrieve the full-text version of the article from the library. Read it thoroughly.

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.

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.

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.

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. NR439 Research Article Critique Paper – Evidence-Based Practice (EBP).

Discuss the strengths and weaknesses of the type of design and hypothesize why the author utilized the design as opposed to others.

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

Describe the sample. NR439 Research Article Critique Paper – Evidence-Based Practice (EBP)

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.

Are these numbers adequate? Discuss gaps in that you identified. NR439 Research Article Critique Paper – Evidence-Based Practice (EBP).

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

Describe how the limitations could be overcome in subsequent studies

Comment on why limitations are important to list and discuss within a study. NR439 Research Article Critique Paper – Evidence-Based Practice (EBP)

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. NR439 Research Article Critique Paper – Evidence-Based Practice (EBP)

Summary

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.

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 – Evidence-Based Practice (EBP).

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 – Evidence-Based Practice (EBP)

NR439 Research Article Critique Paper Rubric

Rubric -Research Article Paper

Criteria

Ratings

Pts

Research Question

(Describe, analyze, and summarize the research question for this study your own words.)

Fully describes, analyzes, and summarizes the research question in detail

20.0 pts

Generally, describes, and analyzes the research question.

18.0 pts

Briefly summarizes the research question, but omits some aspects of the question.

16.0 pts

Incorrectly describes the research question.

8.0 pts

Does not describe the research question.

0.0 pts

20.0 pts

Design of Study

(Describe, analyze, and summarize the research design of this study in your own words.)

 

Fully describes, analyzes, and summarizes the design of the study in detail.

20.0 pts

Generally, describes, and analyzes the design of the study.

18.0 pts

Briefly summarizes the design of the study, but omits some aspects of the design.

16.0 pts

Incorrectly describes the design of the study.

8.0 pts

Does not describe the design of the study.

0.0 pts

20.0 pts

Sample/Population of the Study

(Describe, analyze, and summarize the sample in your own words.) NR439 Research Article Critique Paper – Evidence-Based Practice (EBP)

 

Fully describes, analyzes, and summarizes the sample used in the study in detail.

25.0 pts

Generally, describes, and analyzes the sample used in the study.

22.0 pts

Briefly summarizes the sample used in the study, but omits some details.

20.0 pts

Incorrectly describes the sample in the study, or omits major details

10.0 pts

Does not describe the sample used in the study.

0.0 pts

25.0 pts

Data Collection Methods

(Describe, analyze, and summarize the data collection method(s)’ in your own words.)

NR439 Research Article Critique Paper – Evidence-Based Practice (EBP)

 

Fully describes, analyzes, and summarizes all of the data collection methods used in the study.

25.0 pts

Generally, describes, and analyzes the majority of data collection methods used in the study.

22.0 pts

Briefly summarizes and describes parts of the data collection method used in the study.

20.0 pts

Incorrectly describes the data collection method used in the study. NR439 Research Article Critique Paper – Evidence-Based Practice (EBP)

10.0 pts

Does not describe the data collection method used in the study.

0.0 pts

25.0 pts

Limitations

(Describe, analyze, and summarize the limitations of the study in your own words.)

Fully describes, analyzes, and summarizes the limitations found in the study in detail.

20.0 pts

Generally, describes, and analyzes the limitations found in the study.

18.0 pts

Briefly summarizes the limitations found in the study.

16.0 pts

Incorrectly describes the limitations found in the study.

8.0 pts

Does not describe the limitations found in the study.

0.0 pts

20.0 pts

Findings

(Describe, analyze, and summarize the findings reported in the study in your own words). NR439 Research Article Critique Paper – Evidence-Based Practice (EBP)

Fully describes, analyzes, and summarizes the findings of the study in detail.

20.0 pts

Generally, describes, and analyzes the findings of the study.

18.0 pts

Briefly summarizes the findings of the study. NR439 Research Article Critique Paper – Evidence-Based Practice (EBP)

16.0 pts

Incorrectly identifies the findings from the study

8.0 pts

Does not describe the findings of the study.

0.0 pts

20.0 pts

Summary of Article

(Summarize important points from the body of your paper including the key components of the paper and discuss the probability of implementation into practice.)

Summarizes study in detail and states specific rationale for whether a change in practice is warranted.

25.0 pts

Generally, summarizes study. Gives broad rationale for whether a change in practice is warranted.

22.0 pts

Briefly summarizes study and states rationale for whether a change in practice is warranted.

20.0 pts

Minimally summarizes study. Gives poor rationale for whether a change in practice is warranted.

10.0 pts

Does not summarize study and does not give rationale for whether a change in practice is warranted.

0.0 pts

25.0 pts

Grammar, Punctuation, and Spelling/ APA Formatting

(No errors in grammar, punctuation, spelling, and APA formatting.)

No errors in grammar, punctuation, APA, and spelling. NR439 Research Article Critique Paper – Evidence-Based Practice (EBP)

20.0 pts

One to four errors in grammar, spelling.

18.0 pts

Five to eight errors in grammar, spelling, and syntax.

16.0 pts

Nine to twelve errors in grammar, spelling, and syntax.

8.0 pts

Thirteen or more errors to the point where it is difficult to understand the meaning of the student’s writing.

0.0 pts

20.0 pts

NR439 Research Article Critique Paper – Evidence-Based Practice (EBP)