Tag: Clinical-Nursing

  • NRS-433V Week 5 PICOT Question – Bariatric Surgery

    NRS-433V Week 5 PICOT Question – Bariatric Surgery

    NRS-433V Week 5 PICOT Question – Bariatric Surgery

    Introduction to Nursing Research – Characteristics of Nursing Research Utilization and Evidence-Based Practice

    Grand Canyon University

    The PICOT statement will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).

    Review the PICOT article “Evidence-Based Practice, Step by Step: Asking the Clinical

    Question: A Key Step in Evidence-Based Practice” along with the “Chapter 18: Using Research in Evidence-Based Nursing Practice” PowerPoint resource.

    http://library.gcu.edu:2048/loginurl=http://gateway.ovid.com.library.gcu.edu:2048/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00000446-201003000-00028&LSLINK=80&D=ovft

    The first step of the EBP process is to develop a question from the practice problem you drafted in Topic 1. Start with the patient and identify the clinical problems or issues that arise from clinical care. Consider the research and writing you completed in Topics 1-4.

    Following the PICOT format, write a PICOT statement in an area of interest to you, which is applicable to your proposed capstone project.

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

    NRS-433V Week 5 PICOT Question – Bariatric Surgery

  • NRS-433V Week 5 – Evidence-Based Practice Presentation – Surgical Site Infections

    NRS-433V Week 5 – Evidence-Based Practice Presentation – Surgical Site Infections

    Introduction to Nursing Research – Characteristics of Nursing Research Utilization and

    Evidence-Based Practice

    Grand Canyon University

    This is a CLC assignment.

    Choose a nursing problem from your current practice setting, and identify a possible solution to that problem.

    Conduct a search of the literature related to this problem.

    Analyze and critically appraise evidence-based literature to support the solution to

    the identified problem. A minimum of (5) articles must be identified. This may include guidelines from the National Guideline Clearinghouse, Joanna Briggs Institute, or a review from the Cochrane Database of Systematic Review.

    Prepare a 10-minute (8-10 slides; no larger than 5 MB) PowerPoint presentation related

    to the problem, evidence appraisal, and practice implications. NRS-433V Week 5 – Evidence-Based Practice Presentation – Surgical Site Infections

    Include the following components into the presentation:

    1. Present the nursing practice problem with the PICO question.

    2. Discuss your appraisal of the literature that addresses the problem.

    3. Present the proposed practice changes from an integration of the findings.

    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-433V Week 5 – Evidence-Based Practice Presentation – Surgical Site Infections

  • Nursing NR501 Concept Analysis Guidelines

    Nursing NR501 Concept Analysis Guidelines

    NR501 Concept Analysis Guidelines and Rubric

    Purpose

    This assignment provides the opportunity for the student to complete a concept analysis of a concept found in a
    nursing
    theory using an identified process. The assignment fosters analytical thinking related to the selected concept as well as application within the profession. Nursing NR501 Concept Analysis Guidelines.

    Course Outcomes

    Through this assignment, the student will demonstrate the ability to:

    ORDER A CUSTOM-WRITTEN PAPER NOW

    (CO#1) Analyze theories from nursing and relevant fields with respect to their components, relationships among the components, logic of the propositions, comprehensiveness, and utility to advanced nursing. (PO1)

    (CO#3) Communicate the analysis of and proposed strategies for the use of a theory in nursing practice. (PO3, 7, 10)

    (CO#4)

    Demonstrate logical and creative thinking in the analysis and application of a theory to nursing practice. (PO4. 7)

     

    Due Date
    Sunday 11:59 PM MT at the end of Week 4

    Total Points Possible
    : 250 Points. Nursing NR501 Concept Analysis Guidelines.

    Requirements

    Description of the Assignment

    This assignment presents a modified method for conducting a concept analysis of
    ONE
    concept found in a
    nursing
    theory.  The source of the concept for this assignment must be a published
    nursing
    theory. The selected concept is identified and then the elements of the analysis process are applied in order to synthesize knowledge for application within the model and alternative cases.  Non-nursing theories may
    NOT
    be used. The paper concludes with a synthesis of the student’s new knowledge about the concept. The scholarly literature is incorporated throughout the analysis. Nursing NR501 Concept Analysis Guidelines.

    Only the elements identified in this assignment should be used for this concept analysis.

    Criteria for Content

    Introduction

    The introduction substantively presents all following 4 (four) elements:

    Identifies the role of concept analysis within theory development,

    Identifies the selected
    nursing
    concept,

    Identifies the
    nursing
    theory from which the selected concept was obtained, and

    Names the sections of the paper.

     

    Definition/Explanation of the selected nursing concept

    This section includes:

    Defines/explains the concept using scholarly literature (a dictionary maybe used for this section ONLY, and additional scholarly nursing references are required), and

    Information about the concept as discussed by the theorist from the selected nursing theory is substantively presented. Nursing NR501 Concept Analysis Guidelines.

    A substantive discussion of this section with support from nursing literature is required.

     

    Literature review

    This section requires:

    A substantive discussion of
    at least 6 (six)
    scholarly nursing literature sources on the selected concept.

    Themes, ideas, and/or facts about the concept found in the reviewed sources are presented in an organized fashion. Nursing NR501 Concept Analysis Guidelines.

    Support from nursing literature is required.

    Please Note:
    Primary research articles about the selected nursing concept are the most useful resource for the literature review.

    Defining attributes

    For this section:

    A minimum of THREE (3) attributes are required.

     

    A substantive discussion of this section with support from nursing literature is required.

    Explanation
    :  An attribute identifies characteristics of a concept.  For this situation, the characteristics of the selected nursing concept are identified and discussed.

     

     

    Antecedent and Consequence

    This section requires the identification of:

    1 antecedent
    of the selected nursing concept, and

    1 consequence
    of the selected nursing concept.

     

    A substantive discussion of the element with support from nursing literature is required.

    Explanation:
      An antecedent is an identifiable occurrence that precedes an event.  In this situation, an antecedent precedes a selected nursing concept.

    A consequence follows or is the result of an event.  In this situation a consequence follows or is the result of the selected nursing concept. Nursing NR501 Concept Analysis Guidelines.

    Empirical Referents

    This section requires the identification of:

    2 (two)
    empirical referents of the selected nursing concept.

    A substantive discussion of the element with support from nursing literature is required.

    Explanation:
      An empirical referent is an objective ways to measure or determine the presence of the selected nursing concept.

     

    Model Cases

    1 model case
    is created by the student and discussed substantively by demonstrating within the case each of the following areas:

    Definition,

    All identified attributes,

    Antecedent,

    Consequence, and

    Empirical referent or Measurement

    Information from selected nursing theory is applied to the created model case. Nursing NR501 Concept Analysis Guidelines.

    A substantive discussion of the element with support from nursing literature is required.

    Explanation:
     A model case is an example of the hypothetical individual who demonstrates all of the attributes, antecedents, consequences, and referents noted previously in this assignment. Nursing NR501 Concept Analysis Guidelines.

    Alternative Cases

    This section requires:

    The identification of
    2
    (two) alternative cases correctly created and presented. The two required alternative cases are:

    Borderline (absence of one or two of previously identified attributes of the selected nursing concept.

    Contrary (demonstrates the complete opposite of selected nursing concept). Nursing NR501 Concept Analysis Guidelines.

    Applies information from selected nursing theory.

    Explanation:
      Alternative cases represent the opposite of the model case.

    For this assignment, two alternative cases are required.  These are:

    Borderline case which is a created case where one or two of the previously identified attributes are missing.

    Contrary case which is a created case that demonstrate the complete opposite of the selected nursing concept.

     

    Conclusion

    This section requires:

    Summarization of key information regarding:

    Selected nursing concept,

    Selected nursing theory, and

    Application of concept analysis findings to advanced nursing practice.

     

    The concluding statements include self-reflection on the new knowledge gained from conducting a concept analysis.

    Preparing the Assignment

    Criteria for Format and Special Instructions

    The paper (excluding the title page and reference page) should be at least 8, but no more than 10 pages. Points will be lost for not meeting these length requirements.

    Title page, running head, body of paper, and reference page must follow APA guidelines as found in the 6
    th
    edition of the manual. This includes the use of headings for each section of the paper except for the introduction where no heading is used. Nursing NR501 Concept Analysis Guidelines.

    The source of the concept for this assignment must be a published nursing theory. Non-nursing theories may
    NOT
    be used. Nursing NR501 Concept Analysis Guidelines.

    A minimum of
    6
    (six) scholarly references must be used. Required textbooks for this course, and Chamberlain College of Nursing lesson information may
    NOT
    be used as scholarly references for this assignment.  A dictionary maybe used as a reference for the section titled “Definition/Explanation of the selected nursing concept”, but it is
    NOT
    counted as one of the 6 required scholarly nursing references.  For additional assistance regarding scholarly nursing references, please see “What is a scholarly source” located in the Course Resources tab.  Be aware that information from .com websites may be incorrect and should be avoided.

    References are current – within a 5-year time frame unless a valid rationale is provided and the instructor has approved them. Nursing NR501 Concept Analysis Guidelines

    Ideas and information from scholarly, peer reviewed, nursing sources must be cited and referenced correctly.

    Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal, scientific writing.

    PLEASE note: Do not rely on .com sites to identify the nursing theory as they do not provide accurate information in all cases. Nursing NR501 Concept Analysis Guidelines.
     

    Possible Concepts: 
    The following concepts are not required; students may select one of these concepts or find another concept.  Each selected concept must be associated with a nursing theory; the use of non-nursing theories is
    NOT
    allowed.  If you have any questions regarding your concept or the nursing theory, please consult with your faculty member for assistance.
    Please note: the concepts of incivility and civility are not allowed for this assignment.

    ·         Behavioral system

    ·         Boundary lines

    ·         Caring

    ·         Empowerment

    ·         Homeostasis

    ·         Noise

    ·         Open system

    ·         Palliative care

    ·         Resources

    ·         Self-care

    Nursing NR501 Concept Analysis Guidelines

     

    ·         Adaptation

    ·         Comfort

    ·         Compassion

    ·         Engagement

    ·         Leadership

    ·         Meaningfulness

    ·         Modeling

    ·         Pain

    ·         Pattern

    ·         Transaction

     

     

    Nursing NR501 Concept Analysis Guidelines Directions and Assignment Criteria

    Assignment Criteria

    Points

    %

    Description

    Introduction

    10

    4

    The introduction substantively presents all following 4 (four) elements:

    ·         Identifies the role of concept analysis within theory development,

    ·         Identifies the selected
    nursing
    concept,

    ·         Identifies the
    nursing
    theory from which the selected concept was obtained, and

    ·         Identifies the sections of the paper

     

    References from nursing literature are required.

    Definition/Explanation of Selected Concept

    25

    10

    This section includes:

    ·         Defines/explains the concept using scholarly literature (a dictionary maybe used for this section ONLY, and additional scholarly nursing references are required), and

    ·         Information about the concept as discussed by the theorist from the selected nursing theory is substantively presented.

     

    References from nursing literature are required.

    Literature Review                                        Nursing NR501 Concept Analysis Guidelines   

    30

    12

    This section requires:

    ·         A substantive discussion of
    at least 6 (six)
    scholarly nursing literature sources on the selected concept.

    ·         Themes, ideas, and/or facts about the concept found in the reviewed sources are presented in an organized fashion.

    Defining Attributes

    25

    10

    For this section:

    ·         A minimum of THREE (3) attributes are required.

    References from nursing literature are required.

    Antecedents & Consequences

    25

    10

    This section requires the identification of:

    ·        
    1 antecedent
    of the selected nursing concept, and

    ·        
    1 consequence
    of the selected nursing concept.

    References from nursing literature are required.

    Empirical Referents

    25

    10

    This section requires the identification of:

    ·        
    2 (two)
    empirical referents of the selected nursing concept.

     

    References from nursing literature are required.

    Model Case

    30

    12

    This section requires:

    1 model case
    is created by the student and discussed substantively by demonstrating within the case each of the following areas: Nursing NR501 Concept Analysis Guidelines.

    ·         Definition,

    ·         All identified attributes,

    ·         Antecedent,

    ·         Consequence, and

    ·         Empirical referent or Measurement

    Information from selected nursing theory is applied to the created model case.

    Alternative Cases (one borderline; one contrary)

    30

    12

    This section requires:

    ·         The identification of
    2
    (two) alternative cases correctly created and presented.  The two required alternative cases are:

    o   Borderline (absence of one or two of previously identified attributes of the selected nursing concept.

    o   Contrary (demonstrates the complete opposite of selected nursing concept

     

    Applies information from selected nursing theory.

    Conclusion

     

     

     

     

     

     

     

     

    10

    4

    This section requires:

    ·         Summarization of key information regarding:

    ·         Selected nursing concept,

    ·         Selected nursing theory, and

    ·         Application of concept analysis findings to advanced nursing practice.

    Paper Specifications

    20

    8

    A nursing theory was used.

     

    The source of the concept for this assignment was a published nursing theory.  Non-nursing theories may
    NOT
    be used.

    Paper meets length requirements of 8 to 10 pages

     

    Minimum of 6 scholarly nursing references

    A dictionary (except for Definition section), required textbooks for this course and Chamberlain College of Nursing lesson information, may
    NOT
    be used as scholarly references for this assignment.

     

    References are current – within a 5-year time frame unless a valid rationale is provided and the instructor has approved them.  Nursing NR501 Concept Analysis Guidelines

    APA Format (6
    th
    edition)

    10

    4

    Title page, running head, body of paper, and reference page must follow APA guidelines as found in the 6
    th
    edition of the manual. This includes the use of headings for each section of the paper except for the introduction where no heading is used.

    One deduction for each type of APA style error

    Citations in Text

    5

    2

    Ideas and information that come from readings must be cited and referenced correctly.

    Writing Mechanics

    5

    2

    Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal written work as found in the 6
    th
    edition of the APA manual.

    Total

     250

    100
    %

    A quality assignment will meet or exceed all of the above requirements.

     

     

     

     

              Nursing NR501 Concept Analysis Guidelines Grading Rubric

    Assignment Criteria

    Exceptional

    (100%)

    Outstanding or highest level of performance. Nursing NR501 Concept Analysis Guidelines

    Exceeds

    (88%)

    Very good or high level of performance

    Meets

    (80%)

    Competent or satisfactory level of performance

    Needs Improvement

    (38%)

    Poor or failing level of performance

    Developing

    (0)

    Unsatisfactory level of performance. Nursing NR501 Concept Analysis Guidelines

    Content

    Possible Points = 230 Points

     

     

     

     

     

    Introduction

     10 Points

    9 Points

    8 Points

    4  Points

    0 Points

    Presentation of information was exceptional and included
    all
    of the following elements:

     

    Identifies the role of concept analysis within theory development.

     

    Identifies the selected
    nursing
    concept.

     

    Identifies the
    nursing
    theory from which the selected concept was obtained.

     

    A nursing theory was used.

     

    Identifies the sections of the paper.

     

    References from nursing literature are required.

     

    Presentation of information was good, but was superficial in places and included
    all
    of the following elements:

     

    Identifies the role of concept analysis within theory development.

     

    Identifies the selected
    nursing
    concept.

     

    Identifies the
    nursing
    theory from which the selected concept was obtained.

     

    A nursing theory was used.

     

     

    Identifies the sections of the paper. Nursing NR501 Concept Analysis Guidelines

     

    References from nursing literature are required.

     

     

     

     

    Presentation of information was minimally demonstrated in the
    all
    of the following elements:

     

    Identifies the role of concept analysis within theory development.

     

    Identifies the selected
    nursing
    concept.

     

    Identifies the
    nursing
    theory from which the selected concept was obtained.

     

    A nursing theory was used. Nursing NR501 Concept Analysis Guidelines

     

    Identifies the sections of the paper.

     

    Limited references from nursing literature were provided.

     

    Presentation of

    information in
    one or two
    of the following elements fails to meet expectations:

     

    Identifies the role of concept analysis within theory development.

     

    Identifies the selected
    nursing
    concept.

     

    Identifies the
    nursing
    theory from which the selected concept was obtained.

     

    A nursing theory was used.

     

    Identifies the sections of the paper.

     

    Limited or no references from nursing literature were provided.

     

     

     

    Presentation of information is unsatisfactory in
    three or more
    of the following elements:

     

    Identifies the role of concept analysis within theory development.

     

    Identifies the selected
    nursing
    concept.

     

    Identifies the
    nursing
    theory from which the selected concept was obtained.

     

    A nursing theory was used.

     

    Identifies the sections of the paper.

     

     

    Limited or no references from nursing literature were provided.

     

    Definition/Explanation of Selected Concept

    25  Points

    22 Points

     20 Points

     10 Points

    0 Points

    Presentation of information was exceptional and included
    all
    of the following elements:

     

    Defines/explains the concept using scholarly literature (a dictionary maybe used for this section ONLY, and additional scholarly nursing references are required).

     

    Information about the concept as discussed by the theorist from the selected nursing theory.

     

    References from nursing literature are required.

     

     

     

     

     

    Presentation of information was good, but was superficial in places and included
    all
    of the following elements:

     

    Defines/explains the concept using scholarly literature (a dictionary maybe used for this section ONLY, and additional scholarly nursing references are required).

     

    Information about the concept as discussed by the theorist from the selected nursing theory.

     

    References from nursing literature are required.

     

    Presentation of information was minimally demonstrated in the
    all
    of the following elements:

     

    Defines/explains the concept using scholarly literature (a dictionary maybe used for this section ONLY, and additional scholarly nursing references are required), and

     

    Information about the concept as discussed by the theorist from the selected nursing theory.

     

    Limited references from nursing literature were provided.

    Presentation of

    information in
    one
     of the following elements fails to meet expectations: Nursing NR501 Concept Analysis Guidelines

     

    Defines/explains the concept using scholarly literature (a dictionary maybe used for this section ONLY, and additional scholarly nursing references are required), and

     

    Information about the concept as discussed by the theorist from the selected nursing theory.

     

    Limited or no references from nursing literature were provided.

     

    Presentation of information is unsatisfactory in
    two or more
    of the following elements:

     

    Defines/explains the concept using scholarly literature (a dictionary maybe used for this section ONLY, and additional scholarly nursing references are required), and

     

    Information about the concept as discussed by the theorist from the selected nursing theory.

     

    Limited or no references from nursing literature were provided.

     

     

     

    Literature Review

    30 Points

    26 Points

    24 Points

    11 Points

    0 Points

    Presentation of information was exceptional and included
    all
    of the following elements:

     

    A substantive discussion of
    at least 6 (six)
    nursing literature sources on the selected concept. Nursing NR501 Concept Analysis Guidelines

     

    Themes, ideas, and/or facts about the concept found in the reviewed sources are presented in an organized fashion.

    Presentation of information was good, but was superficial in places and included
    all
    of the following elements:

     

    A substantive discussion of
    at least 6 (six)
    nursing literature sources on the selected concept.

     

    Themes, ideas, and/or facts about the concept found in the reviewed sources are presented in an organized fashion.

    Presentation of information was minimally demonstrated in the
    all
    of the following elements:

     

    A substantive discussion of at
    least 6 (six)
    nursing literature sources on the selected concept.

     

    Themes, ideas, and/or facts about the concept found in the reviewed sources are presented in an organized fashion.

    Presentation of

    information in
    one
    of the following elements fails to meet expectations:

     

    A substantive discussion of at least
    6 (six)
    nursing literature sources on the selected concept.

     

    Themes, ideas, and/or facts about the concept found in the reviewed sources are presented in an organized fashion.

    Presentation of information is unsatisfactory in the following elements:

     

    A substantive discussion of at least
    6 (six)
    nursing literature sources on the selected concept.

     

    Themes, ideas, and/or facts about the concept found in the reviewed sources are presented in a disorganized fashion.

    Defining Attributes

    25  Points

    22 Points

     20 Points

     10 Points

    0 Points

     

    Presentation of information was exceptional and included
    all
    of the following elements:

     

    A minimum of 3 (three) attributes

     

    References from nursing literature are required.

     

    Presentation of information was good, but was superficial in places and included
    all
    of the following elements:

     

    A minimum of 3 (three) attributes are required.

     

    References from nursing literature are required.

     

    Presentation of information was minimally demonstrated in the
    all
    of the following elements:

     

    A minimum of 3 (three) attributes are required.

     

    Limited references from nursing literature were provided.

    Presentation of

    information from following elements fails to meet expectations:

     

    One or two attributes of the selected nursing concepts were presented.

     

    Limited or no references from nursing literature were provided.

     

     

     

    Presentation of information is unsatisfactory in the following elements:

     

    No attributes of the selected nursing concept were presented.

     

    Limited or no references from nursing literature were provided.

    Antecedents & Consequences

    25  Points

    22 Points

     20 Points

     10 Points

    0 Points

    Presentation of information was exceptional and included
    all
    of the following elements:

     

    1 antecedent
    of the selected nursing concept.

     

    1 consequence
    of the selected nursing concept.

     

    References from nursing literature are required.

     

    Presentation of information was good, but was superficial in places and included
    all
    of the following elements:

     

    1 antecedent
    of the selected nursing concept.

     

    1 consequence
    of the selected nursing concept.

     

    References from nursing literature are required.

     

    Presentation of information was minimally demonstrated in the
    all
    of the following elements:

     

    1 antecedent
    of the selected nursing concept.

     

    1 consequence
    of the selected nursing concept.

     

    Limited references from nursing literature were provided.

    Presentation of

    information in
    one
    of the following elements fails to meet expectations:

     

    1 antecedent
    of the selected nursing concept.

     

    1 consequence
    of the selected nursing concept.

     

    Limited or no references from nursing literature were provided.

     

    Presentation of information is unsatisfactory in
    two or more
    of the following elements:

     

    1 antecedent
    of the selected nursing concept. Nursing NR501 Concept Analysis Guidelines

    ·

    1 consequence
    of selected nursing concept.

     

    Limited or no references from nursing literature were provided.

     

    Empirical Referents

    25  Points

    22 Points

     20 Points

     10 Points

    0 Points

    Presentation of information was exceptional and included
    all
    of the following elements:

     

    2 (two)
    empirical referents of the selected nursing concept.

     

    References from nursing literature are required.

     

    Presentation of information was good, but was superficial in places and included
    all
    of the following elements:

     

    2 (two)
    empirical referents of the selected nursing concept.

     

    References from nursing literature are required.

     

    Presentation of information was minimally demonstrated in the
    all
    of the following elements:

     

    2 (two)
    empirical referents of the selected nursing concept. Nursing NR501 Concept Analysis Guidelines

     

    Limited references from nursing literature were provided.

    Presentation of

    information in
    one
    of the following elements fails to meet expectations:

     

    2(two)
    empirical referents of the selected nursing concept.

     

    Limited or no references from nursing literature were provided.

     

     

     

    Presentation of information is unsatisfactory in
    two
    of the following elements:

     

    2(two)
    empirical referents of the selected nursing concept.

     

     

    Limited or no references from nursing literature were provided.

     

    Model Case

     

     

    30 Points

    26 Points

    24 Points

    11 Points

    0 Points

    Presentation of information was exceptional and included
    all
    of the following elements:

     

    1 model case
    was created by the student and discussed substantively by demonstrating within the case each of the following areas:

    ·         Definition,

    ·         All identified attributes,

    ·         Antecedent,

    ·         Consequence, and

    ·         Empirical referent

                            

    Information from selected nursing theory is applied to the created model case.

     

    Presentation of information was good, but was superficial in places and included
    all
    of the following elements:

     

    1 model case
    is created by the student and discussed substantively by demonstrating within the case each of the following areas:

    ·         Definition,

    ·         All identified attributes,

    ·         Antecedent,

    ·         Consequence, and

    ·         Empirical referent

                            

    Information from selected nursing theory is applied to the created model case.

     

    Presentation of information was minimally demonstrated in the
    all
    of the following elements:

     

    1 model case
    was created by the student and
    1 or 2
    of the following are missing:

     

    ·         Definition,

    ·         All identified attributes,

    ·         Antecedent,

    ·         Consequence, and

    ·         Empirical referent

     

    Information from selected nursing theory is applied to the created model case.

     

    Presentation of

    information in the following elements fails to meet expectations:

     

    1 model case
    was created by the student and
    3
    of the following are missing:

    ·         Definition,

    ·         All identified attributes,

    ·         Antecedent,

    ·         Consequence, and

    ·         Empirical referent

     

    Information from selected nursing theory is applied to the created model case.  Nursing NR501 Concept Analysis Guidelines

     

    Presentation of information is unsatisfactory in the following elements:

     

     

    1 model case
    was created by the student and
    4  or more
    of the following are missing:

    ·         Definition,

    ·         All identified attributes,

    ·         Antecedent,

    ·         Consequence, and

    ·         Empirical referent

     

    Information from selected nursing theory is applied to the created model case.

     

     

     

     

     

     

     

    Alternative Cases (one borderline; one contrary)

    30 Points

    26 Points

    24 Points

    11 Points

    0 Points

    Presentation of information was exceptional and included
    all
    of the following elements:

     

    The identification of
    2
    (two) alternative cases correctly created and presented.

     

    ·         Borderline (absence of one or two of previously identified attributes of the selected nursing concept.

     

    ·         Contrary (demonstrates the complete opposite of selected nursing concept)

     

    Applied information from selected nursing theory.

    Presentation of information was good, but was superficial in places and included
    all
    of the following elements:

     

    The identification of
    2
    (two) alternative cases correctly created and presented.

     

    ·         Borderline (absence of one or two of previously identified attributes of the selected nursing concept.

    ·         Contrary (demonstrates the complete opposite of selected nursing concept)

     

    Applied information from selected nursing theory.

     

    Presentation of information was minimally demonstrated in the
    all
    of the following elements:

     

    The identification of only ONE alternative cases correctly created and presented.

     

    ·         Borderline (absence of one or two of previously identified attributes of the selected nursing concept.

    ·         Contrary (demonstrates the complete opposite of selected nursing concept)

     

    Applied information from selected nursing theory

    Presentation of information in the following elements fails to meet expectations:

     

    The identification of only ONE alternative cases correctly created and presented.

     

    ·         Borderline (absence of one or two of previously identified attributes of the selected nursing concept.

    ·         Contrary (demonstrates the complete opposite of selected nursing concept)

     

    Applied information from selected nursing theory

     

    Presentation of information is unsatisfactory in the following elements:

    The identification of only ONE alternative cases correctly created and presented.

     

    ·         Borderline (absence of one or two of previously identified attributes of the selected nursing concept.

    ·         Contrary (demonstrates the complete opposite of selected nursing concept)

     

    Applied information from selected nursing theory

    Conclusion

     10 Points

    9 Points

    8 Points

    4  Points

    0 Points

    Presentation of information was exceptional and included
    all
    of the following elements:

     

    ·         Summarizing information on selected nursing concept,

    ·         Summarizing information on selected nursing theory, and

    ·         Summarizing the application of concept analysis findings to advanced nursing practice.

     

    Self-reflection on the new knowledge gained regarding concept analysis

     

    Presentation of information was good, but was superficial in places and included
    all
    of the following elements:

     

    ·         Summarizing information on selected nursing concept,

    ·         Summarizing information on selected nursing theory, and

    ·         Summarizing the application of concept analysis findings to advanced nursing practice.

     

    Self-reflection on the new knowledge gained regarding concept analysis

     

    Presentation of information was minimally demonstrated in the
    all
    of the following elements:

     

    ·         Summarizing information on selected nursing concept,

    ·         Summarizing information on selected nursing theory, and

    ·         Summarizing the application of concept analysis findings to advanced nursing practice.

     

    Self-reflection on the new knowledge gained regarding concept analysis

     

    Presentation of

    information in
    one or two
    of the following elements fails to meet expectations:

     

    ·         Summarizing information on selected nursing concept,

    ·         Summarizing information on selected nursing theory, and

    ·         Summarizing the application of concept analysis findings to advanced nursing practice.

     

    Self-reflection on the new knowledge gained regarding concept analysis

     

    Presentation of information is unsatisfactory in
    two or more
    of the following elements:

     

    ·         Summarizing information on selected nursing concept,

    ·         Summarizing information on selected nursing theory, and

    ·         Summarizing the application of concept analysis findings to advanced nursing practice. Nursing NR501 Concept Analysis Guidelines

     

    Self-reflection on the new knowledge gained regarding concept analysis

     

    Paper Specifications

    20  Points

    18 Points

     16 Points

     8 Points

    0 Points

    This section included
    all
    of the following:

     

    A nursing theory was used.

     

    The source of the concept for this assignment was a published nursing theory.

    Paper meet length requirements of 8 to 10 page.

     

    Minimum of 6 scholarly nursing references

     

    A dictionary (except for Definition section), required textbooks for this course and Chamberlain College of Nursing lesson information, were
    NOT
    used as scholarly references.

     

    References are current – within a 5-year time frame unless a valid rationale was provided and the instructor approved them.

    This section included
    three
    of the following:

     

    A nursing theory was used.

     

    The source of the concept for this assignment was a published nursing theory.

     

    Paper meet length requirements of 8 to 10 pages

     

    Minimum of 6 scholarly nursing references

    A dictionary (except for Definition section), required textbooks for this course and Chamberlain College of Nursing lesson information, were
    NOT
    used as scholarly references.

     

    References are current – within a 5-year time frame unless a valid rationale was provided and the instructor approved them.

    This section included only
    two
    of the following:

     

    A nursing theory was used.

     

    The source of the concept for this assignment was a published nursing theory.

    Paper meet length requirements of 8 to 10 pages

     

    Minimum of 6 scholarly nursing references

    A dictionary (except for Definition section), required textbooks for this course and Chamberlain College of Nursing lesson information, were
    NOT
    used as scholarly references.

     

    References are current – within a 5-year time frame unless a valid rationale was provided and the instructor approved them.

    This section included only
    one
    of the following:

     

    A nursing theory was used.

     

    The source of the concept for this assignment was a published nursing theory.

     

    Paper meet length requirements of 8 to 10 pages

     

    Minimum of 6 scholarly nursing references

    A dictionary (except for Definition section), required textbooks for this course and Chamberlain College of Nursing lesson information, were
    NOT
    used as scholarly references.

     

    References are current – within a 5-year time frame unless a valid rationale was provided and the instructor approved them.

    This section included
    none
    of the following:

     

    A nursing theory was used.

     

    The source of the concept for this assignment was a published nursing theory.

     

    Paper meet length requirements of 8 to 10 pages

     

    Minimum of 6 scholarly nursing references

    A dictionary (except for Definition section), required textbooks for this course and Chamberlain College of Nursing lesson information, were
    NOT
    used as scholarly references.

     

    References are current – within a 5-year time frame unless a valid rationale was provided and the instructor approved them.

     

     

    Content Subtotal

     

     

    _____of  230 points

    Format

    Possible Points =  20 Points

     

     

     

     

     

    APA Style

     10 Points

    9 Points

    8 Points

    4  Points

    0 Points

    APA guidelines, as per the 6
    th
    edition of the manual, are demonstrated for the

    ·         title page,

    ·         running head,

    ·         body of paper (including citations and headings), and

    ·         reference page

    One deduction for each type of APA format error

     

    0 to 1
    APA error was present

    APA guidelines, as per the 6
    th
    edition of the manual, are demonstrated for the

    ·         title page,

    ·         running head,

    ·         body of paper (including citations and headings), and

    ·         reference page

     

    One deduction for each type of APA format error

     

    2 –  3
    APA errors were present

    APA guidelines, as per the 6
    th
    edition of the manual, are demonstrated for the

    ·         title page,

    ·         running head,

    ·         body of paper (including citations and headings), and

    ·         reference page

     

    One deduction for each type of APA format error

     

    4 – 5
    APA were are present

    APA guidelines, as per the 6
    th
    edition of the manual, are demonstrated for the

    ·         title page,

    ·         running head,

    ·         body of paper (including citations and headings), and

    ·         reference page

     

    One deduction for each type of APA format error

     

    6 – 7
    APA were are  present

    Nursing NR501 Concept Analysis Guidelines. APA guidelines, as per the 6
    th
    edition of the manual, are demonstrated for the

    ·         title page,

    ·         running head,

    ·         body of paper (including citations and headings), and

    ·         reference page

     

    One deduction for each type of APA format error

     

    8 or greater
    APA errors were present

    Citations

    5  Points

    4  Points

    3 Points

     2 Points

    0 Points

    There were 0-1 errors in the crediting of ideas, and information  that contributed to knowledge

     

    Permission to use references older than 5 years was obtained from faculty.

    There were 2-3  errors in the crediting of ideas, and information that contributed to knowledge

     

    Permission to use references older than 5 years was
    NOT
    obtained from faculty.

    There were 4-5 errors in the crediting of ideas, and information that contributed to knowledge. Nursing NR501 Concept Analysis Guidelines

     

     

    There were 6-7 errors in the crediting of ideas, and information that contributed to knowledge

    There were 8 or greater errors in the crediting of ideas, and information that contributed to knowledge

    Writing Quality

    5  Points

    4  Points

    3 Points

     2 Points

    0 Points

    1–2
    errors or exceptions to the rules of grammar, spelling, word usage, punctuation and other aspects of formal written work as found in the 6
    th
    edition of the APA manual

    3 – 4
    errors or exceptions to the rules of grammar, spelling, word usage, punctuation and other aspects of formal written work as found in the 6
    th
    edition of the APA manual

     

    5 – 6
    errors or exceptions to the rules of grammar, spelling, word usage, punctuation and other aspects of formal written work as found in the 6
    th
    edition of the APA manual

     

    7 – 8
    errors or exceptions to the rules of grammar, spelling, word usage, punctuation and other aspects of formal written work as found in the 6
    th
    edition of the APA manual

     

    9 or greater
    errors
    or exceptions to the rules of grammar, spelling, word usage, punctuation and other aspects of formal written work as found in the 6
    th
    edition of the APA manual

     

    Format Subtotal

    _____of   20 points

    Total Points. Nursing NR501 Concept Analysis Guidelines

    _____of  250 points

  • Nursing Care Models Essay Assignment paper – NR447: RN Collaborative Healthcare

    Nursing Care Models Essay Assignment paper – NR447: RN Collaborative Healthcare

    Nursing Care Models Paper:

    Guidelines

    Purpose

    The purpose of this assignment is to identify nursing care models utilized in today’s various health care settings and enhance your knowledge of how models impact the management of care and may influence delegation. You will assess the effectiveness of models and determine how you would collaborate with a nurse leader to identify opportunities for improvement to ensure quality, safety and staff satisfaction. Nursing Care Models Essay Assignment paper – NR447: RN Collaborative Healthcare.

    ORDER A CUSTOM-WRITTEN PAPER NOW

    Course Outcomes

    Completion of this assignment enables the student to meet the following course outcomes.

    CO#1: Apply leadership concepts, skills, and decision making in the provision of high quality nursing care, healthcare team management, and the oversight and accountability for care delivery in a variety of settings. (PO #2)

    CO#2: Implement patient safety and quality improvement initiatives within the context of the interprofessional team through communication and relationship building. (PO #3)

    CO#3: Participate in the development and implementation of imaginative and creative strategies to enable systems to change. (PO #7)

    CO#6: Develop a personal awareness of complex organizational systems and integrate values and beliefs with organizational mission. (PO #7). Nursing Care Models Essay Assignment paper – NR447: RN Collaborative Healthcare.

    CO#7: Apply leadership concepts in the development and initiation of effective plans for the microsystems and/or system-wide practice improvements that will improve the quality of healthcare delivery. (PO #2, and #3)

    CO#8: Apply concepts of quality and safety using structure, process, and outcome measures to identify clinical questions as the beginning process of changing current practice. (PO#8)

    Due Dates

    This assignment is to be submitted to the Dropbox by Sunday, 11:59 p.m. MT, end of Week 5.

    Points

    This assignment is worth 200 points.

    Directions

    Read your text, Finkelman (2012), pp- 118- 127.

    Observe staff in delivery of nursing care provided. Practice settings may vary depending on availability.

    Identify the model of nursing care that you observed. Be specific about what you observed, who was doing what, when, how and what led you to identify the particular model. Nursing Care Models Essay Assignment paper – NR447: RN Collaborative Healthcare.

    Write a 5-7 page paper that includes the following:

    Review and summarize two scholarly resources (not including your text) related to the nursing care model you observed in the practice setting.

    Review and summarize two scholarly resources (not including your text) related to a nursing care model that is
    different
    from the one you observed in the practice setting.

    Discuss your observations about how the current nursing care model is being implemented. Be specific.

    Recommend a
    different
    nursing care model that could be implemented to improve quality of nursing care, safety and staff satisfaction. Be specific.

    Provide a summary/conclusion about this experience/assignment and what you learned about nursing care models.

    Write your paper using APA format. Submit to the Dropbox.

    Grading Criteria: Nursing Care Models Paper

    Category

    Points

    %

    Description

    Identify Nursing Care Model in practice including specifics about who, what when, where, etc.

    60

    30%

    Identifies Nursing Care Model for delivery of nursing care.  Provides specifics. Nursing Care Models Essay Assignment paper – NR447: RN Collaborative Healthcare.

    Besides Finkelman, locate scholarly resources related to Nursing Care Models

    40

    20%

    In addition to Finkelman, locates four scholarly resources related to Nursing Care Models. Summarizes all resources in body of paper.

    Implementation and Recommendations

    60

    30%

    Describe implementation of current Nursing Care Model and recommend a
    different
    model that could be utilized to improve quality of nursing care, safety and staff satisfaction.

    Conclusion/ summary

    20

    10%

    Summarize what you learned about this experience including new knowledge about nursing care models.

    Clarity of writing

    20

    10%

    Content is organized, logical, and with correct grammar, punctuation, spelling, and sentence structure are correct.  APA formatting is apparent and CCN template is utilized. References are properly cited within the paper; reference page includes all citations; proper title page and introduction are present and evidence of spell and grammar check is obvious. Nursing Care Models Essay Assignment paper – NR447: RN Collaborative Healthcare.

    Total

    200 points

    100%

    A quality paper will meet or exceed all of the above requirements.

     

     

    Grading Rubric

    Assignment Criteria

    A (100%)

    Exceptional

     

    Outstanding or highest level of performance

    B (88%)

    Exceeds

     

    Very good or high level of performance

    C (80%)

    Meets

     

    Competent or satisfactory level of performance

    NI (38%)

    Needs Improvement

    Poor or failing level of performance

    F (0%)

    Developing

     

    Unsatisfactory level of performance

    Identify Nursing Care Model in practice including specifics about who, what when, where, etc.

    60 points

    After an introduction paragraph, thoroughly identifies Nursing Care Model in practice including all the specifics about who, what when, where, etc.

    60 points ☐

    After an introduction paragraph, generally identifies Nursing Care Model in practice including most of the specifics about who, what when, where, etc.

    53 points ☐

    After an introduction paragraph, briefly identifies Nursing Care Model in practice including minimum specifics about who, what when, where, etc. Nursing Care Models Essay Assignment paper – NR447: RN Collaborative Healthcare

    48 points ☐

    After an introduction paragraph, briefly identifies Nursing Care Model in practice, but describes only one or two specifics.

    23 points ☐

    Does not provide an introduction paragraph. Fails to identify a Nursing Care Model. Does not include any specifics.

    0 points ☐

    Besides Finkelman, locate scholarly resources related to

    40 points

    Thoroughly
    reviews and summarizes
    two
    scholarly resources (not including the course textbook) related to the nursing care model you observed in the practice setting. Also,
    thoroughly
    reviews and summarizes
    two
    scholarly resources (not including your text) related to a nursing care model that is
    different
    from the one you observed.

    40 points ☐
    s

    Generally
    reviews and summarizes
    two
    scholarly resources (not including the course textbook) related to the nursing care model you observed in the practice setting. Also,
    generally
    reviews and summarizes
    two
    scholarly resources (not including your text) related to a nursing care model that is
    different
    from the one you observed.

    35 points ☐

    Briefly
    reviews only
    one
    resource (besides the course textbook) related to nursing care model observed in practice setting.

    Also,
    briefly
    reviews only
    one
    resource (besides text) related to a nursing care model that is
    different
    from the one you observed. Nursing Care Models Essay Assignment paper – NR447: RN Collaborative Healthcare

    32 points ☐

    Reviews only one resource (besides the course textbook) related to the nursing care model observed in practice, and fails to review a resource (besides the course textbook) related to a nursing care model that is
    different
    from the one you observed.

    15 points ☐

    Fails to provide any resources related to the nursing care model that was observed and that was different.

    0 points ☐

    Implementation and Recommendations

    60 points

    Thoroughly describes implementation of current Nursing Care Model
    and
    recommends a
    different
    model that could be utilized to improve quality of nursing care, safety and staff satisfaction.

    60 points ☐

    Generally describes implementation of current Nursing Care Model
    and
    recommends a
    different
    model that could be utilized but omits quality or safety or staff satisfaction.

    53 points ☐

    Briefly describes implementation of current Nursing Care Model
    and
    recommends a
    different
    model that could be utilized but omits two of the following (quality/safety/staff satisfaction).

    48 points ☐

    Minimally describes implementation of current Nursing Care Model but does
    NOT
    recommend a
    different
    model that could be utilized. Various elements are missing related to improving quality of nursing care, safety and staff satisfaction.

    23 points ☐

    Does
    NOT
    describe a Nursing Care Model
    or
    a
    different
    model that could be utilized. Elements are missing related to improving quality of nursing care, safety and staff satisfaction. Nursing Care Models Essay Assignment paper – NR447: RN Collaborative Healthcare

    0 points ☐

    Conclusion and summary

    20 points

    Includes conclusion paragraph and thoroughly summarizes what you learned about this experience including new knowledge about nursing care models.

    20 points ☐

    Includes conclusion paragraph and clearly summarizes what you learned about this experience including new knowledge about nursing care models.

    18 points ☐

    Includes conclusion paragraph but briefly summarizes what you learned about this experience
    or
    includes new knowledge about nursing care models but not both.

    16 points ☐

    Conclusion/ summary is present but difficult to find in closing paragraphs of paper.

    8 points ☐

    Does not Include a conclusion paragraph

    0 points ☐

    Clarity of writing

    20 points

    Content is organized, logical, and grammar, punctuation, spelling, and sentence structure are correct. APA formatting is apparent, utilizing CCN template. References are properly cited within the paper. Reference page includes all citations; proper title page and introduction are present and evidence of spell and grammar check is obvious. Less than three errors are noted.

    20 points ☐

    Content is mostly organized, logical, and grammar, punctuation, spelling, and sentence structure are correct. APA formatting is apparent, utilizing CCN template. References are properly cited within the paper. Reference page includes all citations; proper title page and introduction are present and evidence of spell check and grammar check is obvious. Four to six errors are noted.

    18 points ☐

    Content is somewhat organized, logical and grammar, punctuation, spelling, and sentence structure are correct. Minor APA formatting errors exist. References are properly cited within the paper. Reference page includes all citations; proper title page and introduction are present and evidence of spell check and grammar check are
    not
    obvious. Seven to 10 errors are noted.

    16 points ☐

    Content is somewhat organized, but may lack logic. Several errors occur in grammar, punctuation, spelling, and sentence structure. Major APA formatting errors exist. Reference page does not match up with in-text citations, i.e., references may be missing for in-text citations, or references appear with no comparable in-text citation.

    Eleven to 15 errors are noted.

    8 points ☐

    Content is disorganized and writing has numerous grammar, spelling, or syntax errors. APA formatting was not used. Spell check and grammar check are
    not
    obvious. More than 15 errors are noted. Nursing Care Models Essay Assignment paper – NR447: RN Collaborative Healthcare

    0 points ☐

    Total Points Possible= 200

    Nursing Care Models Essay Assignment paper – NR447: RN Collaborative Healthcare

  • Research Critique PICOT Statement Paper Example

    Research Critique PICOT Statement Paper Example

    PICOT statement

    Population: Patients in an acute care setting

    Intervention: Does hourly rounding

    Comparison: Compared to responding to call lights

    Outcome: Reduce the rate of patient fall incidents

    Timeline: During patient stay at hospital

    Question: Does hourly rounding reduce the rate of patient fall incidents and consequential injuries?

    Patients in an acute care setting (P), does hourly rounding (I), compared to responding to call lights (C), reduce the rate of patient fall incidents (O), during patient stay at hospital (T)? Research critique picot statement paper example.

    ORDER A PLAGIARISM-FREE PAPER HERE

    Introduction

    Patient falls are a common occurrence within the hospitals especially within the critical care unit. Patient fall can be described as a situation in which a patient falls from a resting bed or falls as he or she attempts to walk within the unit. Patient fall may be caused by many factors such as polypharmacy, failure in diagnosis and failure in assessment of the patient by the care giver. All the same, there have been tireless efforts by the hospital administrators, nurses as well as researchers to try and get a lasting solution to minimize patient fall. There have been technological introductions such as the call lights which are fixed at the patient bed so that the patient may use them to seek for help from care givers or the nurses when they are feeling uncomfortable and need immediate attention. However, due to scarcity of nursing personnel in our hospitals, some call lights takes longer to be responded to. Another way boosting the hourly rounding is by increasing the number of staffs to increase the rate of rounding per day to ensure there is enough surveillance within the unit. These include monitoring and occasional assessment of the patient. However, there is no single most effective method of preventing patient fall and a combination of technology based methods as well as hourly rounding paramount in reducing patient fall. Research critique picot statement paper example.

    Quantitative Research Critique and Ethical Considerations

    The author sought to establish if the call light use rate and the average time to call light can affect the rate of falls and consequential injuries in an acute care setting. The author used archived data from the hospital to find out if the rate at which the call light was used and the average response time would contribute to patient falls and serious injuries as a result. The researchers were able to establish that high rate of patient calls resulted in less patient fall and prevented injuries (Tzeng & Yin, 2009). They also found that high rate of call light use led to longer response times, although the longer response to call light was lesser the fall rate and injuries. The authors were clear in the statement of the problem as well as the research questions (Tzeng & Yin, 2009). The methods used adequately adhered to the ethics of medical practice. The findings presented by the authors are meaningful and highly applicable in the acute care setting to prevent high patient fall and consequential injuries by responding to call lights as signaled by the patients. Research critique picot statement paper example.

    This paper will conduct an appraisal of the study Tzeng & Yin (2009) so as to determine its findings and how they can be applied in nursing practice. It shall also establish the methods of study and determine whether the researchers considered ethical issues while conducting the study.

     

    Research Critique Guidelines

    To write a critical appraisal that demonstrates comprehension of the research study conducted, address each component below for qualitative study in the Topic 2 assignment and the quantitative study in the Topic 3 assignment. Research critique picot statement paper example.

    Successful completion of this assignment requires that you provide a rationale, include examples, or reference content from the study in your responses.

    Qualitative Study

    Background of Study:

    · Identify the clinical problem and research problem that led to the study. What was not known about the clinical problem that, if understood, could be used to improve health care delivery or patient outcomes? This gap in knowledge is the research problem. Research critique picot statement paper example.

    · How did the author establish the significance of the study? In other words, why should the reader care about this study? Look for statements about human suffering, costs of treatment, or the number of people affected by the clinical problem.

    · Identify the purpose of the study. An author may clearly state the purpose of the study or may describe the purpose as the study goals, objectives, or aims.

    · List research questions that the study was designed to answer. If the author does not explicitly provide the questions, attempt to infer the questions from the answers.

    · Were the purpose and research questions related to the problem?

    Method of Study:

    · Were qualitative methods appropriate to answer the research questions?

    · Did the author identify a specific perspective from which the study was developed? If so, what was it?

    · Did the author cite quantitative and qualitative studies relevant to the focus of the study? What other types of literature did the author include?

    · Are the references current? For qualitative studies, the author may have included studies older than the 5-year limit typically used for quantitative studies. Findings of older qualitative studies may be relevant to a qualitative study. Research critique picot statement paper example.

    · Did the author evaluate or indicate the weaknesses of the available studies?

    · Did the literature review include adequate information to build a logical argument?

    · When a researcher uses the grounded theory method of qualitative inquiry, the researcher may develop a framework or diagram as part of the findings of the study. Was a framework developed from the study findings?

    Results of Study

    · What were the study findings?

    · What are the implications to nursing?

    · Explain how the findings contribute to nursing knowledge/science. Would this impact practice, education, administration, or all areas of nursing? Research critique picot statement paper example.

    Ethical Considerations

    · Was the study approved by an Institutional Review Board?

    · Was patient privacy protected?

    · Were there ethical considerations regarding the treatment or lack of?

    Conclusion

    · Emphasize the importance and congruity of the thesis statement.

    · Provide a logical wrap-up to bring the appraisal to completion and to leave a lasting impression and take-away points useful in nursing practice.

    · Incorporate a critical appraisal and a brief analysis of the utility and applicability of the findings to nursing practice. Research critique picot statement paper example.

    · Integrate a summary of the knowledge learned.

    Quantitative Study

    Background of Study:

    · Identify the clinical problem and research problem that led to the study. What was not known about the clinical problem that, if understood, could be used to improve health care delivery or patient outcomes? This gap in knowledge is the research problem.

    · How did the author establish the significance of the study? In other words, why should the reader care about this study? Look for statements about human suffering, costs of treatment, or the number of people affected by the clinical problem. Research critique picot statement paper example.

    · Identify the purpose of the study. An author may clearly state the purpose of the study or may describe the purpose as the study goals, objectives, or aims.

    · List research questions that the study was designed to answer. If the author does not explicitly provide the questions, attempt to infer the questions from the answers.

    · Were the purpose and research questions related to the problem?

    Methods of Study

    · Identify the benefits and risks of participation addressed by the authors. Were there benefits or risks the authors do not identify?

    · Was informed consent obtained from the subjects or participants?

    · Did it seem that the subjects participated voluntarily in the study?

    · Was institutional review board approval obtained from the agency in which the study was conducted?

    · Are the major variables (independent and dependent variables) identified and defined? What were these variables?

    · How were data collected in this study?

    · What rationale did the author provide for using this data collection method?

    · Identify the time period for data collection of the study.

    · Describe the sequence of data collection events for a participant.

    · Describe the data management and analysis methods used in the study.

    · Did the author discuss how the rigor of the process was assured? For example, does the author describe maintaining a paper trail of critical decisions that were made during the analysis of the data? Was statistical software used to ensure accuracy of the analysis? Research critique picot statement paper example.

    · What measures were used to minimize the effects of researcher bias (their experiences and perspectives)? For example, did two researchers independently analyze the data and compare their analyses?

    Results of Study

    ORDER A PLAGIARISM-FREE PAPER HERE

    · What is the researcher’s interpretation of findings?

    · Are the findings valid or an accurate reflection of reality? Do you have confidence in the findings?

    · What limitations of the study were identified by researchers?

    · Was there a coherent logic to the presentation of findings?

    · What implications do the findings have for nursing practice? For example, can the findings of the study be applied to general nursing practice, to a specific population, or to a specific area of nursing? Research critique picot statement paper example.

    · What suggestions are made for further studies?

    Ethical Considerations

    · Was the study approved by an Institutional Review Board?

    · Was patient privacy protected?

    · Were there ethical considerations regarding the treatment or lack of?

    Conclusion

    · Emphasize the importance and congruity of the thesis statement.

    · Provide a logical wrap-up to bring the appraisal to completion and to leave a lasting impression and take-away points useful in nursing practice.

    · Incorporate a critical appraisal and a brief analysis of the utility and applicability of the findings to nursing practice.

    · Integrate a summary of the knowledge learned.

    Reference

    Burns, N., & Grove, S. (2011). 
    Understanding nursing research
     (5th ed.). St. Louis, MO: Elsevier.

    research critique picot statement paper example

     

    RESEARCH CRITIQUE AND PICOT (EBP)

    Evidence-based practice (EBP) is basically a framework for clinical decision making that motivates clinicians to integrate information from research that is highly qualitative and quantitative involving the expertise and the background of the clinician and the client respectively in addition to values and preferences. EBP is gaining popularity in most disciplines of health care. Among its characteristics is the dependence on the interaction between clinical expertise, complex scientific evidence and choices and needs of individual evidence. Librarians have crucial responsibility and are vital to the advancement of EBP in that they identify and retrieve correct and needed literature from different sources for making health care based decision. This paper gives a critical analysis an EBP article published in The New York Times that mainly writes about the rising preference of asthmatic cases in children and the probability of oil from fish lowering /preventing the problem. The critique also gives the article’s supporting content. The content of the article is of importance specially for clinicians who have interest in Evidence based practice (EBP) (McKibbon, 1998). Research critique picot statement paper example.

    Asthma is a chronic respiratory disease associated with acute pain. Acute pain is a chief health concern in the hospital and the clinicians find it difficult to manage the pain experiences of their patients. Right management and assessment of pain is required for all patients. For this reason, controlling pain in a poor manner can weaken and slow down the recovery of patients from such pain in addition to distressing members of the family and lowering well-being of the sense. Fear that overuse of analgesic might prolong recovery and pain is still there.  It is therefore of importance to learn the best ways to do away with the disease (Elsevier Nursing Suite, 2011)

    On December 28th last year, 2016, on the New York Times, Denise Grady wrote probability of oil from fish to lower the risks of expectant mothers giving birth to asthmatic children. On his article, he provides an account of a Danish study to determine the effect of pregnant women taking fish oil on their to-be-born children in relation to asthma. In this study, 2.4 grams of fish oil was fed to expectant mothers daily. The study showed that mothers who took the oil in their last trimester of pregnancy significantly lowered the probability of their children who have asthma. The Denmark study proved a seven percent reduction in the risk of suffering from asthma for children born out of mothers who had fed on fish oil (Grady, 2016). Research critique picot statement paper example.

    A later study that was released on 27th December 2016 advised against the regular taking of fish oil. This study found no associated complication resulting from the intake, but they claimed that the dosage was high, fifteen-twenty times more that the average daily consumption (Grady, 2016).

    In his article, Denise quotes Dr. Hans Bisgaard’s email that recommended a test in fish oils before accepting for use by pregnant mothers. Bisgaard is a pediatrics professor at the University of Copenhagen. The rise in the asthmatic cases has caused alarm leading to medics spending sleepless nights looking for the cure for the chronic disease. Dr. Bisgaard explained the lack of possibility to tell the benefit of expectant mothers taking more fish oil. Besides this, pregnant mothers are also advised against taking fish high in the food chain due to their high concentration of mercury (Grady, 2016).

    In the article another doctor and researcher, Dr. Christopher E. Ramsden praised the study and its findings but claimed that the researchers were too fast to make their findings public. The Danish researchers had been motivated by earlier researchers on the possibility of fish oil reducing risks to asthma. The researchers had not tested the idea. Hence the Danish researchers decided to test it(Grady, 2016).

    The study is of significant importance in the medical field, but as with any remedy, if not well practiced and applied, it may lead to more harm than good. Taking too much of the fish oil may saturate the body with it which may result in other health complications. The fact that no complications have been associated with the intake of fish oils does not make it clean free of any complications. Consumers of the oils should do so with caution and should avoid their over intake. Research critique picot statement paper example.

    The Danish study provides a significant ground to the study of the benefits of fish oil but on the other hand potentially exposes the individuals participating in the experiment into great danger. The researchers confess that the amount of fish oil take by the pregnant mothers under study is by far higher than the normal human consumption. This exposes the mothers as well as their expected children to unknown outcome, which may turn vital to their health due to the high levels of oil intake. Further, the researchers propose a continued intake of the oils without a proper inquest into the probable negative outcomes of its intake.

    Dr. Christopher view of the problem is of a more inclusive approach and more “mature”. He praises the study but recommends a deeper investigation of the matter before releasing it for public consumption. There is need for improvement in EBP and transformation of healthcare means there is an urgency efficient, effective and safe care redesigning. With several national experts’ recommendations which are aimed at setting directions, nurses have resorted to starting programs and initiatives that increase the nurses’ contributions which they have made are capable of making and are to make to meet the EBP promise. Such initiatives are realignment of education and curricular, development of model and theory, scientific research and practice adoption (Stevens, 2013).

    One of the most recent examples is reliable cardiac treatment through the administration of data feedback (Hyson, 2009). The study reports of a negative trial in an effort to improve the performance of hospitals on cardiac care key indicators using administrative data feedback.

    A recent article describes the challenges in implementing proof on the audit from scientific review and feedback interventions to cognitive process concerning the best feedback and audit to use in efforts of intervention in the future (Brown et al., 2009) . The authors explain their incapability to gather info on major aspects of conducting feedback and audit from their revealed literature. Due to this, very little knowledge is gained from previous studies apart from complete or semi-failure in their trials (Aarons et al., 2011). Research critique picot statement paper example.

    Once a theory is employed to regulate a study, it should then be for the most part unheeded within the growth of methods and choice of tools. An opposing  instance to the existing approach is that  of modeling method  in  analysis Implementation study, a uniting effort by researchers living in North American which, opens up researchers in Britain to engage in proposals  to construct and take a look at tools to live and operationalize ideas from a rigorously select class of behavior amendment theories, then take a look at the link between the ideas as theorized and therefore the quantity of amendment determined within the specific areas of the study.

    There are several various theories that describe processes contributive to structure amendment. However, structural amendment theories seldom apply to activities planned on the amendment, of most importance is that once  are done within the expected guideline they don’t bare a negative effect on the organization as a whole.

    Importance of theory in constructing models

    A completely developed theory, within the perspective of behavior amendment, answers the question: why does structure or folks depict such a behavior? Given the approach, they behave, what would inspire them to alter behavior? Additionally, it should incorporate structure problems, theory ought to give premises and steering to action at an individual level as well as better organizational levels. Research critique picot statement paper example.

    Necessity of strategy in identifying model

    A directing methodology which bolsters the basic hypothesis or speculations managing the study mapping technique to mediations is critical. Here the writing on intercessions in advancing confirmation based take after execution is valuable. There’s a broad catalog of involvements, with info regarding what seems to be a lot of or ineffective.

    Nevertheless, it’s open that ineffectiveness may be attributable to many factors, such as  Lack of tight linkage to theory, in addition to the loose linkage to drawback designation will lower the chance of thriving implementation (Naylor et al 2011).

    PICOT Question

    A  PICOT question rubs together the entire research into a simple precise statement.
    P
    in the mnemonic refer to the targeted population study,
    I
    is the projected intervention,
    C
    is the comparative research studies to other present studies,
    O
    is for the research study findings and T is the length of Time in doing the research. Research critique picot statement paper example.

    QUESTION:
    (ETIOLOGY RESEARCH DESIGN)
    : 
    In children at their early development age (P) how are parents who did not take fish oil in their later period of gestation(I) compare to those parents who took fish oil in their later period of pregnancy (C) at risk of giving birth to more asthmatic children (O) in their early lives of development (T).

     

     

    REFERENCES

     

    Aarons, G., Hurlburt, M., & Horwitz, M. (2011).Advancing a conceptual model of evidence-based practice implementation in public service sectors. 
    Administration and Policy in Mental Health and Mental Health Services Research
    , 
    38
    (1), 4-23.

    Brown, E., Wickline.,Ecoff, & Glaser, (2009). Nursing practice, knowledge, attitudes and perceived barriers to evidence‐based practice at an academic medical center. 
    Journal of advanced nursing
    , 
    65
    (2), 371-381.

    Evidence-Based Practice: Managing Acute Pain – Elsevier Nursing Suite. (2011, November). Retrieved from www.confidenceconnected.com/…/evidence-based_practice_managing_acute_pain/

    Grady, Denise. “Taking Fish Oil During Pregnancy Is Found to Lower Child’s Asthma Risk.”
    The New York Times
    .The New York Times, 2016.Web. 03 Jan. 2017. .

    Hysong, S. J. (2009). Meta-analysis: audit & feedback features impact effectiveness on care quality. 
    Medical care
    , 
    47
    (3), 356.

     

    PICOT Statement

    The PICOT statement will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).

    Read the PICOT article “Evidence-Based Practice, Step by Step: Asking the Clinical Question: A Key Step in Evidence-Based Practice” along with the “Chapter 18: Using Research in Evidence-Based

    Nursing Practice” PowerPoint resource. Research critique picot statement paper example.

    The first step of the EBP process is to develop a question from the practice problem you drafted in Topic 1. Start with the patient and identify the clinical problems or issues that arise from

    clinical care. Consider the research critique as you draft your PICOT statement.

    Following the PICOT format, write a PICOT statement in an area of interest to you, which is applicable to your proposed capstone project.

    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 assignment to Turnitin. Please refer to the directions in the Student Success Center. Research critique picot statement paper example.

    Question description

    Review the feedback from your instructor on the Topic 3 assignment, Benchmark – Research Critique and PICOT Statement Rough Draft. Use the feedback to make appropriate revisions and submit your final draft of 1,500-1,750 words.

    Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. Research critique picot statement paper example.

    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.

    Rubic

    Research Critique and PICOT Statement Final Draft 

    1

    Unsatisfactory 0-71%

    0.00%

    2

    Less Than Satisfactory 72-75%

    75.00%

    3

    Satisfactory 76-79%

    79.00%

    4

    Good 80-89%

    89.00%

    5

    Excellent 90-100%

    100.00%

    65.0 %
    Content

    3.0 %
     
    Research Problem and Purpose

    The research problem or purpose of study is not mentioned.

    There are some inaccuracies in describing the research problem.

    The research problem and purpose are present and mostly accurate. Research critique picot statement paper example.

    The research problem and purpose are described with reference to nursing.

    The problem and purpose of the study are clearly articulated, and their importance to nursing is addressed.

    3.0 %
     
    Research Objective, Questions, or Hypotheses

    The research objective, questions, or hypotheses are not mentioned. Does not mention research objective, questions or hypotheses.

    There are some inaccuracies describing the research objective, questions or hypotheses.

    The research objective, questions, or hypotheses are present and mostly accurate.

    The research objective, questions, or hypotheses are described and related to study methods.

    Research question is clearly and accurately described and is congruent with research purpose, method, and worldview of researcher.

    3.0 %
     
    Literature Review

    Literature review is not mentioned.

    There are some inaccuracies describing the literature review.

    The literature review elements are discussed and support the purpose of the study. Research critique picot statement paper example.

    The literature review and how it supports the purpose of the study are described.

    The literature review critique is thorough and clear, and supports the purpose and research question.

    3.0 %
    Conceptual/Theoretical Framework – Qualitative

    The conceptual/theoretical framework is not mentioned.

    There are some inaccuracies in describing the conceptual/theoretical framework.

    The conceptual/theoretical framework elements are present and mostly accurate.

    The conceptual/theoretical framework is described.

    The conceptual/theoretical framework is thorough, clear, and accurately described using research terminology.

    3.0 %
     
    Protection of Human Participants

    Protection of human participants is not critiqued.

    Some of the study tools are critiqued. Ethical issues are not addressed for quantitative design.

    The study tools are critiqued. Ethical issues are discussed for quantitative design.

    The study tools are critiqued using research terminology. Ethical issues are addressed for quantitative design.

    The study tools are thorough, clear and accurately critiqued using research terminology. Ethical issues are addressed for quantitative design.

    3.0 %
     
    Data Collection

    Data collection methods are not critiqued.

    Data collection methods are critiqued, but not to the full extent or not including ethical issues.

    Data collection methods and potential biases are reviewed. Ethical issues are described. Interview or data collection processes are presented.

    Data collection methods are critiqued and potential biases are reviewed. Ethical issues are described. Interview or data collection processes are critiqued.

    Data collection methods are fully critiqued, and potential biases are addressed. Potential ethical issues, interview or data collection processes are critiqued.

    5.0 %
     
    Problem Statement in PICOT Format

    No problem statement is provided.

    The critique of the problem statement is provided, but is missing criteria as indicated in the writing guidelines. There are some inaccuracies describing the elements associated with the PICOT statement.

    The critique of the problem statement meets all criteria of the writing guidelines. The PICOT is present and most of the elements and description are mostly accurate. Research critique picot statement paper example.

    The critique of the problem statement meets all criteria of the writing guidelines in a detailed and comprehensive manner. The PICOT statement is described and related to the research question or problem of the study.

    The critique of the problem statement meets all criteria of the writing guidelines in a detailed and comprehensive manner while demonstrating deeper understanding by incorporating prior learning or thoughtful reflection. The PICOT statement is clearly and accurately described and is congruent with the description of the research question or problem of the study.

    3.0 %
     
    Data Analysis or Data Management

    Data analysis or management is not critiqued.

    Data analysis is described. Significance and nonsignificance are explained; generalization and implications to nursing practice are not fully addressed. Conclusions are vague.

    Data analysis is described and linked to research questions. Results are explained, and implications to nursing practice are reviewed. Conclusions are presented.

    Data analysis is critiqued and tied to research questions. Results are explained. Generalization and implications to nursing practice are reviewed. Conclusions are tied back to purpose of study.

    Data analysis is accurately critiqued and linked to research questions. Significance and nonsignificance are explained. Generalization and implications to nursing practice are reviewed. Conclusions are tied back to purpose of study and literature review.

    6.0 %
     
    Implications for Practice and Future Research

    The quality of the study and implications for nursing practice and future research are not addressed.

    The quality of the study and implications for nursing practice and future research are mentioned but not fully addressed.

    The quality of the study and implications for nursing practice and future research are addressed and explained.

    The quality of the study and implications for nursing practice and future research are addressed and explained with specific suggestions mentioned.

    The quality of the study and implications for nursing practice and future research are addressed and explained in detail, including specific suggestions.

    3.0 %
     
    Conclusion

    Conclusion does not summarize a critical appraisal and applicability of findings.

    Conclusion is vague and does not discuss importance to nursing. Research critique picot statement paper example.

    Conclusion summarizes utility of the research and importance to nursing practice.

    Conclusion summarizes utility of the research from the critical appraisal and the findings importance to nursing practice.

    Conclusion summarizes utility of the research from the critical appraisal, knowledge learned, and the importance of the findings to nursing practice.

    5.0 %
     
    Identifies a Nursing Practice Problem

    A nursing practice problem is not clearly described.

    PICOT describes a nursing practice problem but lacks reliable sources.

    A nursing practice problem is described with a few reliable sources.

    PICOT articulates a nursing practice problem using supporting information from reliable sources.

    PICOT clearly articulates a problem relevant to nursing practice. PICOT supports the nursing practice problem with current research.

    5.0 %
     
    PICOT Statement, Research Article, and Nursing Practice Problem Link

    Discussion of the link between the PICOT statement, research articles, and nursing practice problem is not included.

    Discussion of the link between the PICOT statement, research articles, and nursing practice problem is incomplete or incorrect.

    Discussion of the link between the PICOT statement, research articles, and nursing practice problem is included but lacks relevant details and supporting explanation.

    Discussion of the link between the PICOT statement, research articles, and nursing practice problem is complete and includes relevant details and supporting explanation.

    Discussion of the link between the PICOT statement, research articles, and nursing practice problem is extremely thorough with substantial relevant details and extensive supporting explanation.

    5.0 %
     
    Proposed Evidence-Based Practice Change

    The proposed evidence-based practice change is not included.

    The proposed evidence-based practice change is incomplete or incorrect.

    The proposed evidence-based practice change is included but lacks supporting explanation and relevant details.

    The proposed evidence-based practice change is complete and includes supporting explanation and relevant details.

    The proposed evidence-based practice change is extremely thorough and includes substantial supporting explanation and numerous relevant details.

    15.0 %
     
    Evidence of Revision

    Final paper does not demonstrate incorporation of feedback or evidence of revision.

    Incorporation of feedback or evidence of revision is incomplete.

    Incorporation of feedback and evidence of revision are present.

    Evidence of incorporation of feedback and revision is clearly provided.

    Evidence of incorporation of feedback and revision is comprehensive and thoroughly developed.

    30.0 %
    Organization and Effectiveness

    Research critique picot statement paper example

    10.0 %
     
    Thesis Development and Purpose

    Paper lacks any discernible overall purpose or organizing claim.

    Thesis is insufficiently developed or vague. Purpose is not clear.

    Thesis is apparent and appropriate to purpose.

    Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.

    Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

    10.0 %
     
    Argument Logic and Construction

    Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.

    Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.

    Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.

    Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.

    Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

    10.0 %
     
    Mechanics of Writing (includes spelling, punctuation, grammar, language use)

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

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

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

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

    Writer is clearly in command of standard, written, academic English.

    5.0 %
    Format

    2.0 %
     
    Paper Format (use of appropriate style for the major and assignment)

    Template is not used appropriately or documentation format is rarely followed correctly.

    Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.

    Template is used, and formatting is correct, although some minor errors may be present.

    Template is fully used; There are virtually no errors in formatting style.

    All format elements are correct.

    3.0 %
     
    Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)Research critique picot statement paper example

    Sources are not documented. Research critique picot statement paper example

    Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.

    Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.

    Sources are documented, as appropriate to assignment and style, and format is mostly correct.

    Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

    100 %
     
    Total Weightage. Research critique picot statement paper example

  • Polypharmacy Discussion Essay

    Polypharmacy Discussion Essay

    Week 2: Polypharmacy Discussion

    Polypharmacy is a common concern, especially in the elderly.

    List the definitions of polypharmacy you encounter in your readings. There is more than one.

    Discuss three risk factors that can lead to polypharmacy. Explain the rationale for why each listed item is a risk factor. This is different than adverse drug reactions. ADRs can be a result of polypharmacy, and is important, but ADRs are not a risk factor. Polypharmacy Discussion Essay.

    Discuss three action steps that a provider can take to prevent polypharmacy.

    Provide an example of how your clinical preceptors have addressed polypharmacy.

    Week 2: ACC/AHA Guidelines Discussion

    ORDER A CUSTOM-WRITTEN PAPER NOW

    Please review the following case.

    Chief complaint: medication refill “ran out of medicine”

    HPI:
    BJ, a 68-year-old AA female presents to the clinic for prescription refills. The patient also indicates that she has noticed shortness of breath which started about 3 months ago. The SOB gets worse with activity, especially when she is playing with her grandchildren but it goes away once she sits down to rest. She reports that she is also bothered by shortness of breath that wakes her up at night, but it resolves after sitting upright on 3 pillows. She also has lower leg edema which started 1 week ago. She also indicates that she often feels light headed and faint while going up the stairs, but it subsides after sitting down to rest. She has not tried any OTC medications at home. She never filled her prescriptions, which she received at her checkup 6 months ago, she did not think it was important. Polypharmacy Discussion Essay.

    PMH:

    Hypertension

    Previous history of MI in 2010

    Surgeries:

    2010-Left Anterior Descending (LAD) cardiac stent placement

    Allergies
    :
    Amoxicillin

    Vaccination History:

    She receives an annual flu shot. Last flu shot was this year

    Has never had a Pneumovax

    Has not had a Td in over 20 years

    Has not had the herpes zoster vaccine

    Social history:

    High school graduate, a widow with one son who loves out of state. She drinks one 4-ounce glass of red wine daily. She is a former smoker that stopped 20 years ago. Polypharmacy Discussion Essay.

    Family history:

    Both parents are deceased. Father died of a heart attack; mother died of natural causes. She had one brother who died of a heart attack 20 years ago at the age of 52.

    ROS:

    Constitutional: Lightheaded and faint with exertion.

    Respiratory: Shortness of breath with exertion (playing with grandchildren and stairs). + Orthopnea

    Cardiovascular: + leg and ankle swelling x 1 week

    Psychiatric: Not taking medications for 6 months – “ran out”

    Physical examination:

    Vital Signs

    Height: 5 feet 2 inches Weight: 163 pounds BMI: 29.8 BP 150/86 T 98.0 oral P 100 R 22, non-labored;

    HEENT
    : normocephalic, symmetric. Bilateral cataracts; PERRLA, EOMI; Upper and lower dentures in place a fitting well. No tinnitus

    NECK
    : Neck supple; non-palpable lymph nodes; no carotid bruits. Thyroid non-palpable

    LUNGS
    : inspiratory crackles

    HEART
    : Normal S1 with S2 split during expiration. An S4 is noted at the apex; systolic murmur noted at the right upper sternal border without radiation to the carotids. Polypharmacy Discussion Essay.

    ABDOMEN
    : Normal contour; active bowel sounds all four quadrants; no palpable masses.

    PV: Pulses are 2+ in upper extremities and 1+ in pedal pulses bilaterally. 2+ pitting edema to her knees noted bilaterally

    GENITOURINARY
    : no CVA tenderness; not examined

    MUSCULOSKELETAL
    : Heberden’s nodes at the DIP joints of all fingers and crepitus of the bilateral knees on flexion and extension with tenderness to palpation medially at both knees. Kyphosis and gait slow, but steady.

    PSYCH
    : normal affect; her Mini-Cog Score is 3. Her PHQ-9 score is 22. Polypharmacy Discussion Essay.

    SKIN
    : Sparse hair noted on lower legs and feet bilaterally with dry skin on her ankles and feet.

    Labs
    :: Hgb 12.2, Hct 37%, K+ 4.2, Na+140, Cholesterol 230, Triglycerides 188, HDL 37, LDL 190, TSH 3.7, glucose 98 BUN 12 Cr 0.8. Polypharmacy Discussion Essay.

    A:

    Primary Diagnosis:

    Congestive Heart Failure (CHF) (150.9)

    Secondary Diagnoses:

    Primary Hypertension (I10)

    Depression F32.3:

    Obesity (E66):

    Osteoarthritis (OA) (715.90)

    Differential Diagnosis:

    Peripheral Vascular Disease (PVD) (173.9)

    P:

    Medications:

    Sertraline 25 mg. Take 1 tab PO QD disp#30, 1 refill

    Tylenol 650 mg PO Q4 hours as needed for arthritis pain

    Labs:
    UA; Brain natriuretic peptide (BNP); LFTs and TSH.

    12-lead EKG, Chest X-ray; Initial 2D echo with Doppler; Ankle-brachial index

    Education:

    Congestive heart failure is caused by the inability of your heart to pump blood effectively enough to meet the demands of your body. If you think of your body as any other pump, if fluid does not move well through the system, then it will back up into other spaces. When blood backs up it puts a lot of pressure on the blood vessels, which forces fluid to leak out into the nearby tissue. With CHF, this fluid usually moves into your lungs, legs, or abdomen. Polypharmacy Discussion Essay.

    The signs of worsening CHF include decreased energy level, shortness of breath during your normal routine, increased swelling to your legs and feet, your clothes feel tight, or a wet sounding cough. Call the office if these symptoms occur.

    Weigh yourself every morning at the same time. If you have a 3 pound weight gain in 24 hours, or a 5 pound weight gain over a week, you should call the office. Polypharmacy Discussion Essay.

    Exercise and maintaining a normal weight is very important. You should try to exercise at least 20-30 minutes a day, more if possible. Start slow with walking.

    Decrease your salt intake. Do not add any extra salt to foods. Salt makes you retain fluid, and it makes you want to drink more fluid. Avoid fast food and prepared food as they are usually very high in sodium.

    If you notice your legs swelling, elevate them up and rest. Do not drink alcohol and continue to avoid smoking or second hand smoke.

    Take your medications as directed, with water. Do not stop them abruptly or skip doses.

    I have started you on a medication for depression. It can take 2 weeks to start to feel it working and up to a month until you can fell the real benefits. Polypharmacy Discussion Essay.

    If you start to feel more depressed, like you want to harm yourself or others, please contact me right away or got to the ER.

    Referrals
    : may refer based on lab results

    Follow up
    : return to office in 2 weeks

    Additional lab results:

    Echo results: LVEF 39%

    BNP – 682 pg/ml

    Questions: You determine the medications for CHF/ASCVD

    According to the ACC/AHA Guidelines, what is BJ’s heart failure stage?

    According to the ACC/AHA Guidelines, what medications should BJ be prescribed?

    Does she need any additional medication given her history of MI?

    Write her complete prescriptions using the prescription writing format. Polypharmacy Discussion Essay.

  • NSG6430 Women’s Health Case Study assignment

    NSG6430 Women’s Health Case Study assignment

    Week 7 assignment case study

    Women’s Health Case Study

    General Guidelines for Comprehensive Case Study – the due date assigned

    You will complete the iHuman case, “Nancy Campbell”. NSG6430 Women’s Health Case Study assignment.

    After completing the iHuman case, you will present the case and supporting evidence in a PowerPoint presentation with the following components:

    ORDER A PLAGIARISM-FREE PAPER HERE

    Slide 1: Title, Student Name, Course, Date

    Slide 2: Summary or synopsis of Ms. Campbell’s case

    Slide 3: HPI

    Slide 4: Medical History

    Slide 5: Family History

    Slide 6: Social History

    Slide 7: ROS

    Slide 8: Examination

    Slide 9: Labs (In-house)

    Slide 10: Primary Diagnosis and 3 Differential Diagnoses – ranked in priority

    Primary Diagnosis should be supported by data in the patient’s history and exam

    Slide 11: Management Plan: medication (dose, route, frequency), non-medication treatment, tests ordered, education, follow-up/referral. NSG6430 Women’s Health Case Study assignment.

    Slide 12-17: An evaluation of 5 evidence-based articles applicable to Ms. Campbell’s case: evaluate 1 article per slide

    Include title, author, and year of article

    Brief summary / purpose of the study

    How did the study support Ms. Campbell’s case?

    Course texts will not count as a scholarly source; if using data from websites you must go back to the literature source for the information-no secondary sources are allowed, i.e. Medscape, UptoDate, etc. NSG6430 Women’s Health Case Study assignment.

    Slide 18: Reference List

    You will submit the PowerPoint presentation in the Submissions Area by the due date assignbedName your Case Study Presentation SU_NSG6430_W7_A2_lastname_firstinitial.doc. NSG6430 Women’s Health Case Study assignment.

  • Cervicitis PowerPoint presentation

    Cervicitis PowerPoint presentation

    SUMMARY

    Sexually transmitted infections (STIs) continue to present major health, social, and economic problems in the developing world. Gonococcal infections and their complications are amongst the most frequent communicable diseases in many countries (Muthusamy & Elangovan, 2017). This presentation narrated a clinical presentation of a young female,  who is seeking medical care with urinary symptomatology. The presentation relevant physical exam findings, differential diagnosis, laboratory test, definitive diagnosis,  management and patient education.

    HPI

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    Chief Complaint: “Pain with urination”

    HPI: Ms. Campbell is a 25-year-old woman who presents with a 3-day history of dysuria, increases urinary frequency and yellow, kind of creamy vaginal discharge. She is sexually active, with recent, unprotected vaginal intercourse, and multiples sexual partners. Her past medical history is remarkable for urinary tract infection and candidiasis last year. Physical exam demonstrated cervical friability and discharge from the os; with a normal bimanual exam. Cervicitis PowerPoint presentation.

    MEDICAL HISTORY

    Medications:

    Ibuprofen OTC for menstrual pain and headache.

    Past Medical History (PMH)

    Allergies
    : None

    Medication Intolerance
    : None

    Chronic health problems
    : None

    Major traumas
    :  None

    Hospitalizations/Surgeries:
    None

    Family history

    SOCIAL HISTORY

    ROS

    R.O.S

    Physical Exam

    Physical Exam

    Lab Tests

    Lab Tests

    Human Immunodeficiency virus (HIV) antibody: Negative

    Human Chorionic Gonadotropin (hCG), plasma: Negative

    Cervicitis

    Chlamydia culture
    .: Negative

    Neisseria gonorrhea culture: Positive

    Cervical swab/Gram stain

    Amine/whiff test

    Urinary tract infection :

    Urine culture: no bacterial growth.

    Urinalysis: positive

    PRIMARY DIAGNOSIS

    CERVICITIS:
    supported by the presence of recent history of dysuria, increases urinary frequency and yellow, kind of creamy vaginal discharge. Physical examination revealed a mucopurulent discharge from os cervix with a normal bimanual exam. Laboratory test confirmation. Cervicitis PowerPoint presentation.

    DIFFERENTIAL DIAGNOSIS
    :

    1. URINARY TRACT INFECTION

    2. PELVIC INFLMATORY DISEASE

    3. BACTERIAL VAGINOSIS.

    u
    MANAGEMENT/PLAN

    Medication:

    Ceftriaxone 250 mg IM x 1 dose

    Azithromycin 1000 mg orally x 1 dose

    Non-medication treatment

    Avoid sexual activity during the treatment. Use condom on the future.

    tests ordered: No further test needed.

    Education: Contact and treatment of recent sexual partners, Counseling regarding use of barrier protection and risk of STIs, recommend pap smears per current guidelines, Recommend HIV, Hep B, and syphilis screening, and recommend HPV vaccination, as this patient is less than 26 years old. Cervicitis PowerPoint presentation.

    Follow-up/: in 2 weeks to evaluate medication effectiveness.

    Referral: None

    Evidence-based articles

    Title, author, and year of article:
    Update on treatment options for gonococcal infections. Lancaster, J. W., Mahoney, M. V., Mandal, S., & Lawrence, K. R. (2015). Cervicitis PowerPoint presentation.

    Brief summary / purpose of the study
    : The incidence of 
    Neisseria gonorrhoeae
     infections in the United States has grown over the past decade. The most recent data provided by the Centers for Disease Control and Prevention (CDC) indicate that reported cases have increased by almost 10% over the last 5 years. In conjunction with this rise, the presence of multidrug-resistant strains of 
    N. gonorrhoeae
     has also emerged. The 2015 CDC guidelines recommend dual therapy with intramuscular ceftriaxone and oral azithromycin as first-line treatment, although components of this regimen are met with a high level of resistance. Although ceftriaxone resistance has not yet been reported in the United States, it is only a matter of time before such isolates are detected, thus ushering in a new era of difficult-to-manage uncomplicated gonococcal infection. The potential public health crisis and patient-associated sequelae (e.g., pelvic inflammatory disease, epididymitis, and human immunodeficiency virus infection) linked with untreatable gonorrhea are cause for great concern. To try to stem this tide, a number of new agents targeted against 
    N. gonorrhoeae
     are being investigated in clinical trials. This article, we review the various agents, both currently available and under clinical investigation, and provide recommendations for the management of gonococcal infections. Cervicitis PowerPoint presentation.

    How did the study support Ms. Campbell’s case: This study is a good resource to create a plan of treatment for Ms. Campbell.

    Evidence-based articles

    Title, author, and year of article:
    A systematic review and appraisal of the quality of practice guidelines for the management of Neisseria gonorrhoeae infections. Dickson, C., Arnason, T., Friedman, D. S., Metz, G., & Grimshaw, J. M. (2017). Cervicitis PowerPoint presentation.

    Brief summary / purpose of the study
    :  Clinical guidelines help ensure consistent care informed by current evidence. As shifts in antimicrobial resistance continue to influence first-line treatment, up-to-date guidelines are important for preventing treatment failure. This study was conducted to assess the quality of current gonorrhea guidelines’ development processes. Multiple databases was used. As a result, the author identified 10 guidelines meeting the inclusion criteria. The quality of the gonorrhea treatment guidelines varied. The 
    WHO Guidelines for the Treatment of Neisseria gonorrhoeae
     and 
    UK National Guideline for the Management of Gonorrhea in Adults
     scored the highest on 
    Rigour of Development
    . Methods to address conflicts of interest were often not described in the materials reviewed. By limiting the study to English-language guidelines, a small number of guidelines we identified were excluded. The author concluded that Gonorrhoea treatment guidelines may slow antimicrobial resistance. Many current guidelines are not in line with the current guideline development best practices; this might undermine the perceived trustworthiness of guidelines. By identifying current limitations, this study can help improve the quality of future guidelines. Cervicitis PowerPoint presentation.

    How did the study support Ms. Campbell’s case: This study is a good resource to create a plan of treatment for Ms. Campbell.

    Evidence-based articles

    Title, author, and year of article:
    Gonorrhea treatment practices in the STD Surveillance Network, 2010–2012. Kerani, R. P., Stenger, M. R., Weinstock, H., Bernstein, K. T., Reed, M., Schumacher, C., … & Golden, M. (2015).

    Brief summary / purpose of the study
    :
    Neisseria
     
    gonorrhoeae
     has retained antimicrobial resistance to drugs previously recommended for first-line empiric treatment of gonorrhea, and resistance to ceftriaxone, the last option for monotherapy, is evolving. Crucial actions to combat this developing situation include implementing response plans; considering use of dual antimicrobial regimens; enhancing surveillance of gonorrhea, gonococcal antimicrobial resistance, treatment failures and antimicrobial use/misuse and improving prevention, early diagnosis, contact tracing and treatment. The ways forward also include an intensified research to identify novel antimicrobial resistance determinants and develop and evaluate appropriate use of molecular antimicrobial resistance testing, ideally point-of-care and with simultaneous detection of gonococci, to supplement culture-based methods and ideally guide tailored treatment. Cervicitis PowerPoint presentation. Replacing oral treatments with ceftriaxone is a central component of public health efforts to slow the emergence of cephalosporin-resistant 
    Neisseria gonorrhoeae
     in the United States. Six city and state health departments contributed data on all gonorrhea cases reported in 101 counties and independent cities. Treatment data were obtained through local public health surveillance and interviews with a random sample of patients. Cases were weighted to adjust for site-specific sample fractions and for differential nonresponse by age, sex, and provider type. From 2010 to 2012, 135,984 gonorrhea cases were reported in participating areas, 15,246 (11.2%) of which were randomly sampled. Of these, 7,851 (51.5%) patients were interviewed. Among patients with complete treatment data, 76.8% received ceftriaxone, 16.4% received an oral cephalosporin, and 6.9% did not receive a cephalosporin; 51.9% of persons were treated with a regimen containing ceftriaxone and either doxycycline or azithromycin. Ceftriaxone treatment increased significantly by year (64.1% of patients in 2010, 79.3% in 2011, 85.4% in 2012; 
    P
     = 0.0001). Ceftriaxone use varied widely by STD Surveillance Network site (from 44.6% to 95.1% in 2012). Most persons diagnosed as having gonorrhea between 2010 and 2012 in the United States received ceftriaxone, and its use has increased since the release of the 2010 Centers for Disease Control and Prevention STD Treatment Guidelines. Cervicitis PowerPoint presentation.

    How did the study support Ms. Campbell’s case: This study is a good resource to create a plan of treatment for Ms. Campbell
    .

    uEvidence-based articles

    Title, author, and year of article:
    Cervicitis: a prospective observational study of empiric azithromycin treatment in women with cervicitis and non-specific cervicitis. Lusk, M. J., Garden, F. L., Cumming, R. G., Rawlinson, W. D., Naing, Z. W., & Konecny, P. (2017).Cervicitis PowerPoint presentation.

    Brief summary / purpose of the study
    : Treatment with 1 G azithromycin was observed prospectively in 130 women with cervicitis enrolled in a cervicitis etiology study of 558 women at three sexually transmitted infection clinics in Sydney, Australia. Two overlapping groups of women with cervicitis were considered: ‘cervicitis group 1’ (n = 116) excluded women with 
    Trichomonas vaginalis
     and a subgroup of this, ‘cervicitis group 2’ (non-specific cervicitis) (n = 96) further excluded women with 
    Neisseria
    gonorrhoea
    , 
    Chlamydia trachomatis
     and 
    Mycoplasma genitalium
     at enrolment. Testing for 
    Chlamydia trachomatis
    , 
    Mycoplasma genitalium
     and 
    Trichomonas vaginalis
     was by PCR and 
    Neisseria
    gonorrhoea
     by PCR and culture. Treatment outcomes were cervicitis or vaginal symptoms at follow-up. Effect on cervicitis at follow-up was also assessed after additional reported partner treatment. In ‘cervicitis group 1’ where prevalence of 
    Mycoplasma genitalium
     and/or 
    Chlamydia trachomatis
     was 23/116 (19.8%), azithromycin reduced cervicitis at follow-up (RR = 0.62 (95% CI 0.39–0.97) 
    p
     = 0.035), but there was no significant effect in non-specific cervicitis (‘cervicitis group 2’) (RR = 0.60 (95% CI 0.35–1.01) 
    p
     = 0.056).  Empiric treatment did not reduce vaginal symptoms at follow-up in either group. No effect of empiric partner treatment was seen. The conclusion was that empiric azithromycin treatment of cervicitis reduces cervicitis at follow-up in populations with high prevalence of 
    Chlamydia trachomatis
     and/or 
    Mycoplasma genitalium
    . There are no benefits of empiric azithromycin for non-specific cervicitis or empiric partner treatment. Cervicitis PowerPoint presentation.

    .
    How did the study support Ms. Campbell’s case: This study is a good resource to follow appropriate treatment for Ms. Campbell.

    uEvidence-based articles

    Title, author, and year of article:
    Screening for gonorrhea and chlamydia: an update for the US Preventive Services Task Force. Zakher, B., Cantor, A. G., Pappas, M., Daegas, M., & Nelson, H. D. (2014).

    Brief summary / purpose of the study
    : Objective: Observational studies about screening effectiveness, test accuracy, and screening harms was conducted to update the 2005 and 2007 systematic reviews for the U.S. Preventive Services Task Force on screening for gonorrhea and chlamydia in men and women, including pregnant women and adolescents. Data Sources revised included MEDLINE, and Cochrane databases, including only randomized, controlled trials (RCTs) and controlled observational studies. In 10 new studies of asymptomatic patients, nucleic acid amplification tests demonstrated sensitivity of 86% or greater and specificity of 97% or greater for diagnosing gonorrhea and chlamydia, regardless of specimen type or test. The target populations included asymptomatic, sexually active men and women, including pregnant women and adolescents. There were few relevant studies of screening benefits and harms. Only screening tests and methods cleared by the U.S. Food and Drug Administration for current clinical practice were included to determine diagnostic accuracy. As a conclusion, Chlamydia screening in young women may reduce the incidence of pelvic inflammatory disease. Nucleic acid amplification tests are accurate for diagnosing gonorrhea and chlamydia in asymptomatic persons.  Gonorrhea Tests for women included 4 studies testing endocervical specimens using transcription-mediated amplification (TMA); polymerase chain reaction (PCR), including a new rapid test (27); or strand displacement amplification (SDA) reported sensitivities ranging from 90.0% to 100.0%. Sensitivity using self-collected vaginal specimens obtained in a clinician’s office was 98.0% by TMA (26) and 100% by PCR (27). Results of female urine specimens using TMA, PCR, or SDA ranged from 78.6% to 100% (24, 25, 27). However, the study reporting the lowest sensitivities for urine used urine volumes larger than recommended by the manufacturer of the screening test. Chlamydia Tests Among 5 studies of endocervical specimens, sensitivity of TMA was 89.0% to 97.1%, SDA was 86.4% to 96.2%, and PCR was 86.4% to 95.8% (24, 27, 28, 30, 31). Clinician-collected vaginal swabs tested with TMA and PCR provided sensitivities of 89.9% and 98.8% (28), and self-collected vaginal swabs from clinical settings provided sensitivities of 97.0% with TMA (31) and 90.7% (28) and 98.0% (27) with PCR. Cervicitis PowerPoint presentation.

    How did the study support Ms. Campbell’s case: This study is a good resource to order the right laboratory test to confirm diagnosis in  Ms. Campbell.

    Cervicitis PowerPoint presentation

    References

    Dickson, C., Arnason, T., Friedman, D. S., Metz, G., & Grimshaw, J. M. (2017). A systematic review and appraisal of the quality of practice guidelines for the management of Neisseria gonorrhoeae infections. 
    Sex
    Transm
    Infect
    , sextrans-2016

    uKerani, R. P., Stenger, M. R., Weinstock, H., Bernstein, K. T., Reed, M., Schumacher, C., … & Golden, M. (2015). Gonorrhea treatment practices in the STD Surveillance Network, 2010–2012. 
    Sexually transmitted diseases
    , 
    42
    (1), 6-12. Cervicitis PowerPoint presentation.

    uLancaster, J. W., Mahoney, M. V., Mandal, S., & Lawrence, K. R. (2015). Update on treatment options for gonococcal infections. 
    Pharmacotherapy: The Journal of Human Pharmacology and Drug Therapy
    , 
    35
    (9), 856-868.

    u  Lusk, M. J., Garden, F. L., Cumming, R. G., Rawlinson, W. D., Naing, Z. W., & Konecny, P. (2017). Cervicitis: a prospective observational study of empiric azithromycin treatment in women with cervicitis and non-specific cervicitis. Cervicitis PowerPoint presentation.

    uMuthusamy, S., & Elangovan, S. (2017). A study on prevalence and antibiotic sensitivity testing methods for Neisseria gonorrhoeae isolates among female outpatients of sexually transmitted infection clinic. 
    International Journal of Health & Allied Sciences
    , 
    6
    (1), 11.

    uZakher, B., Cantor, A. G., Pappas, M., Daegas, M., & Nelson, H. D. (2014). Screening for gonorrhea and chlamydia: an update for the US Preventive Services Task Force. 
    Ann Intern Med
    , 
    23
    . Cervicitis PowerPoint presentation.

  • NR 601 Discussion

    NR 601 Discussion

    B.J., a 70-year-old black female has been seen in the clinic several times. The last time she was in for a check-up was 6 months ago to get her prescriptions refilled. She has returned to the clinic today because she “ran out of blood pressure medicine” and would like to get her prescriptions renewed. She has not taken any prescription medicine in approximately 6 months

    ORDER A PLAGIARISM-FREE PAPER HERE

    Background:

    The patient indicates that she has noticed shortness of breath, especially when she is playing with her grandchildren. But, it goes away once she sits down to rest. She reports that she is also bothered by shortness of breath that wakes her up at night, but it resolves after sitting upright on 3 pillows. She also tells you that “I noticed over the last week that my legs and ankles have been swollen”. She also indicates that she often feels light headed and faint while going up the stairs, but it subsides after sitting down to rest. NR 601 Discussion.

    PMH:

    Hypertension

    Previous history of MI in 2010

    Current medications:

    Coreg 6.25 mg PO BID

    Colace 100 mg PO BID

    K-dur 20 mEq PO QD

    Furosemide 40 mg PO QD

    Surgeries:

    2010-Left Anterior Descending (LAD) cardiac stent placement

    Allergies
    : Amoxicillin

    Vaccination History:

    She receives an annual flu shot. Last flu shot was this year

    Has never had a Pneumovax

    Has not had a Td in over 20 years

    Has not had the herpes zoster vaccine

    Other:

    Last colorectal screening was 11 years ago

    Last mammogram was 5 years ago

    Has never had a DEXA/Bone Density Test

    Last dilated eye exam was 4 years ago

    Labs from last year’s visit: Hgb 12.2, Hct 37%, K+ 4.2,

    Na+140 Cholesterol 186, Triglycerides 188, HDL 37, LDL 190, TSH 3.7

    Blood pressure on day of visit: 150/90

    Social history:

    She graduated from high school, and thought about college, but got married right away and then had kids a short time later. Her son lives in another state,

    Family history:

    Both parents are deceased. Father died of a heart attack; mother died of natural causes. She had one brother who died of a heart attack 20 years ago at the age of 52. NR 601 Discussion.

    Habits:

    She drinks one 4-ounce glass of red wine daily. She is a former smoker that stopped 20 years ago.

    Discussion Part One:

    • Summarize the important data from the patient’s history and reason for the visit today.

    • Provide a minimum of three differential diagnoses (DD) with rationale for the chief complaint.

    • Include OLDCARTS and additional ROS questions needed to develop DD. NR 601 Discussion.

    • Based on the LDL level above, indicate if you need to order a statin for this patient? Provide a rationale for your decision based on evidence based clinical guidelines.

    • What other patient risk factors put the patient at risk for arteriosclerotic coronary vascular disease (ASCVD)? Reference the guidelines in your response.

    • Based on the patient data provided, choose two geriatric assessment tools that would be appropriate to use in conducting a thorough geriatric assessment. Provide a rationale on why you are choosing these particular tools. NR 601 Discussion.

    Physical Exam

    Vital signs
    : BP 138/88; HR 88 (regular), RR 18, T 98.8 height 5’7″, weight 175 pounds

    General appearance:
    Thin and mildly dyspneic

    Lungs
    : Mild end-expiratory wheezing. Pursed-lip breathing noted and has a prolonged expiratory phase. Heart: S1 and S2 RRR with distant heart tones. No murmurs

    Abdomen:
    Soft, non-tender with positive bowel sounds. No abdominal bruits

    Extremities:
    Full ROM of all extremities. No edema. All pulses 2+

    Labs/diagnostics:
    Chest x-ray shows pulmonary hyperinflation, flattening of the diaphragm; Pulmonary function test:

    Prebronchodilation:
    FEV1/FVC ratio 53%, FEV1 50% of predicted value

    Postbronchodilation
    with 2 puffs albuterol—FEV1/FVC ratio 0.60, FEV1 60% of predicted value

    Discussion Questions Part Two:

    Post your SOAP note for this patient’s encounter.

    Review the SOAP note format for the course. Summarize the history and results of the physical exam. Include one evidence-based journal article that supports your rationale for all diagnoses with ICD 10 codes and include a complete treatment plan that include medications, further diagnostics, patient education, referral and plan for follow-up. Each step of the plan must include an in-text citation to a scholarly source. Review the Reference Guidelines document in Course Resources. NR 601 Discussion.

  • Occupational Health And Safety Policies In Saudi Arabia

    Occupational Health And Safety Policies In Saudi Arabia

    Answer the following questions and write a paper (4 pages) about the problem of the impact of occupational health and safety (OHS) policies on dentists’ performance in Saudi Arabia. This paper will be from an administrative point of view.

    · Introduction

    · Literature review

    (Conduct a literature review using at least 7 articles on that topic)

    · Why we need to fix this problem? Occupational Health And Safety Policies In Saudi Arabia

    (After the literature review formulate a problem statement that would represent a research area that you would like to find a solution to)

    · How to study this problem?

    · What is the significant of the problem?

    · What are the consequences of solving this problem?

    · Theoretical background of the impact of OHS policies on dentists’ performance.

    · Conclusion

    – Avoid Plagiarism

    – 4 page  not including the cover page and the references.

    – follow APA style.

    – provide
    in-text citation 7 references not late than 2013

    Kindly stick to your price if you change I will dispute Saudi Arabia

     

    Occupational Health And Safety Policies In Saudi Arabia

    Answer the following questions and write a paper (4 pages) about the problem of the impact of occupational health and safety (OHS) policies on dentists’ performance in Saudi Arabia. This paper will be from an administrative point of view. Occupational Health And Safety Policies In Saudi Arabia.

    · Introduction

    · Literature review

    (Conduct a literature review using at least 7 articles on that topic)

    · Why we need to fix this problem?

    (After the literature review formulate a problem statement that would represent a research area that you would like to find a solution to)

    · How to study this problem?

    · What is the significant of the problem?

    · What are the consequences of solving this problem?

    · Theoretical background of the impact of OHS policies on dentists’ performance.

    · Conclusion

    – Avoid Plagiarism

    – 4 page  not including the cover page and the references.

    – follow APA style.

    – provide
    in-text citation 7 references not late than 2013

    Kindly stick to your price if you change I will dispute Saudi Arabia

    Occupational Health And Safety Policies In Saudi Arabia