Monthly Archives: May 2023

Write a critical appraisal that demonstrates comprehension of two qualitative research studies. Use the “Research Critique Guidelines – Part 1” document to organize your essay. Successful completion of this assignment requires that you provide rationale, include examples, and reference content from the studies in your responses.

Use the practice problem and two qualitative, peer-reviewed research article you identified in the Topic 1 assignment to complete this assignment.

In a 1,000–1,250 word essay, summarize two qualitative studies, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study.

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.

Please see the attached Case study.

All Case studies /assignments must be done in APA format with a separate sheet for references. 

Managing care in a Culturally Considerate manner

CASE STUDY 2

Patient Profile
F.M. is a 68-year-old white man who comes to the emergency department (ED) in the early afternoon with a 2-day history of severe chest pain. The pain started on wakening the previous day. The pain increased during the night, but his wife could not convince him to go to the hospital. He comes to the ED today because the pain is severe and no longer relieved by rest.

Subjective Data

• Describes recurring chest pain for the past 6 months that was relieved by rest; the pain is a feeling of heaviness in chest with no radiating pain to arm or jaw or accompanying complaints of nausea or dizziness
• Recently the chest pain has become severe and is no longer relieved by rest; is now complaining of being slightly nauseated
• His father died of a heart attack at age 62
• Denies alcohol or drug use
• Smokes one pack of cigarettes per day
• Describes his lifestyle as sedentary

Objective Data

Physical Examination

• Blood pressure 180/96, pulse 98, temperature 99.8° F, respirations 20
• Height 5’11”, weight 210 lbs, BMI 29.3 kg/m2
• Alert and oriented to person, place, and time
• Skin diaphoretic and clammy
• Heart rhythm regular, no murmurs or extra heart sounds
• Lungs are clear to auscultation

Diagnostic Studies

• Hemoglobin 14 g/dL
• Chemistry panel is normal
• Cardiac markers – pending
• Electrocardiogram showing changes that correlate with non-ST-segment-elevation myocardial infarction (NSTEMI)

Collaborative Care

• 9% NaCl infusing into IV catheter at 75 mL/hr
• Nitroglycerin and morphine given with relief of pain

1. What are F.M.’s modifiable risk factors for coronary artery disease (CAD)? What are his non-modifiable risk factors?
2. What is the difference between chronic stable angina pain and pain associated with myocardial infarction?
3. What are diagnostic studies indicated for F.M.?
4. F.M. is diagnosed as having a myocardial infarction (MI).
5. What is the priority nursing care for F.M.?
6. What other interventions do you anticipate for F.M. at this time?

Week 4

This week discussion is about a 65-year-old male with chronic obstructive pulmonary disease. He is seen in a medical facility related to symptoms of fever and a cough lasting for 2 weeks. The patient denies chest pain and night sweats. With his age, I would ask the patient does he have any other chronic conditions. If so, what medications is he currently prescribed. With COPD, it is the third leading cause of death in the United States. Tobacco smoke is a key factor in the development and progression of COPD; with exposure to air pollutants in the home and workplace, genetic factors, and respiratory infections also play a major role (CDC, 2019).

            The objective findings I would assess is the patient’s lungs sounds which would display wheezing, a productive cough and shortness of breath with movement. Some may experience fatigue, edema to bilateral lower extremities, chest tightening and loss of appetite due to inability to breath. Increased respiratory rate will be observed with a decreased oxygen saturation level.

The diagnostic test used to diagnose COPD is a Lung (pulmonary) function tests. These tests measure the amount of air you can inhale and exhale, and whether your lungs deliver enough oxygen to your blood. During the most common test, called spirometry, you blow into a large tube connected to a small machine to measure how much air your lungs can hold and how fast you can blow the air out of your lungs. Other tests include measurement of lung volumes and diffusing capacity, six-minute walk test, and pulse oximetry. A chest X-ray can show emphysema, one of the main causes of COPD.

An X-ray can also rule out other lung problems or heart failure. A CT scan of your lungs can help detect emphysema and help determine if you might benefit from surgery for COPD. CT scans can also be used to screen for lung cancer. Arterial blood gas analysis measures how well your lungs are bringing oxygen into your blood and removing carbon dioxide (CDC, 2019). There are many chronic conditions that can affect the airway that has similar symptoms such as Upper Respiratory infections.

URI is a common viral infection that affects the nose, throat, and airways. The symptoms may include fever, fatigue, cough, headache and difficulty breathing. Adult onset-Asthma is a condition in which your airways narrow and swell and may produce extra mucus. This can make breathing difficult and trigger coughing and Shortness of breath. This condition will not occur until you are an adult. Symptoms include Coughing, especially at night, during exercise or when laughing, Difficulty breathing, Chest tightness, Shortness of breath and Wheezing.

Moreover, another chronic condition that can have similar symptoms is pneumonia. Pneumonia is an infection that inflames the air sacs in one or both lungs.  The symptoms an individual may experience with pneumonia are fever, a dry cough, headache, muscle pain, and weakness. The symptoms typically get worse within one or 2 days, with increasing cough, shortness of breath and muscle pain (Jarvis, 2016). A chest X-ray will be used to diagnose this disorder and based on your lab test, antibiotic therapy will be initiated.

References:

Centers for Disease Control and Prevention. National Vital Statistics System detailed mortality data at Wonder Database website. http://wonder.cdc.gov. Accessed July 3, 2019.

Jarvis, C. (2016). Physical Examination & Health Assessment (7th ed.). St. Louis, Missouri: Elsevier. ISBN: 9781455728107

Need this in 12 hours

please reflect on the attached in one bage 

Analyse how existing health and social policies influence resources that affect the delivery of patient care.

2. Discuss how national and local policies govern patient safety and facilitate the standardisation of care to reduce inequalities.

3. Analyse the nurse’s role and contribution to policymaking and implementation.

4. Analyse models designed to identify and support staff to develop self-awareness, resilience, self-well-being and management in their role.

Complete Part 1 of the Final Project. Write the overview.

Executive Summary/ Abstract (~1 Page) include references

Write overview of the following:  The health problem and solution;  The strategic plan;  Implementation and monitoring; and  How your plan will bring a solution to the problem.

Basis of project: lowering childhood obesity by 20% using the lets move organization and treating parents how to help their children lose weight. 

The purpose of this assignment is to synthesize and apply the knowledge you gained in class into a well-written research paper. For this assignment, you will conduct research and write a paper containing the two elements:

Part I: Choose one of the listed topics

• Implementing change on a nursing unit (Student must incorporate an example and a change theory)
• Leadership traits for successfully managing in the clinical arena.
• Quality improvement in the nursing unit or system
• Mentorship in nursing
• Preceptor programs for nursing leaders
• Solving incivility in the work place, How can a nurse manager help? (conflict resolution)
• Legal Issues within the nursing unit
• Promotion of ethical behaviors within the nursing unit (student must create a plan and implementation strategy)
• Nursing Unit Strategic Planning
• Compare and contrast the following new roles for the changing health care arena:
  • Nurse Navigators, Clinical Nurse Leaders, and Leaders in Patient-Centered Care

Part II: Evaluate how the topic applies to 2 of the following course competencies.

• Integrate concepts related to leadership into the professional nursing role.
• Analyze the philosophy, goals, and organizational structure of a healthcare system in relationship to the delivery of quality healthcare.
• Compare selected theories of leadership, management, and organizations in relation to healthcare agencies.
• Identify how collaborative leadership styles might be utilized in various community agencies to enhance the role of the nurse leader.
• Examine change theory, change management, conflict resolution, and strategies to promote innovation.
• Explain principles of continuous quality improvement (CQI) and the process of quality planning, improvement, and control.
• Discuss the management process and its impact on the delivery of optimal healthcare.
• Analyze how accountability, advocacy, and collaboration augment the management of care.
• Describe the meaning of teamwork in respect to the health care team
• Identify the essential components of a business plan
• Analyze various organization structure/management theories as they relate to nursing practice

In addition to the assignment specifics above, your paper should:

• Be 3-4 pages, not including the title and reference pages.
• Source(s) should be integrated into the paragraphs. Use in-text citations pointing to evidence in the literature that supports your ideas.
• Incorporate a minimum of two (2) peer-reviewed sources into your paper.
• Use current APA format to style your paper and to cite your sources.
• Include a title page and a reference page listing the sources you used. Be sure to plan enough time for proofreading and editing.

Review the rubric for further information on how your assignment will be graded.

Points: 150

Hi,

I would like someone to review the case study from attachment very careful (please review several times). From the case study above, please compare the diagnosis with I have below and assist me with any new diagnosis with the table in section 2. Please create from most to least important diagnosis. 

PLEASE COMPLETE BY 5 PM TODAY.

1. HOMEWORK INSTRUCTIONS

“Differential Diagnosis Table

a. Complete a differential diagnosis table for this patient (see below)

i. A differential diagnosis list is a list of all the possible diagnoses this patient could have based on the symptoms the patient presents with, the available history and the physical exam. Examine what you know about this patient, and consider the pathophysiology as you make your list of possible diagnoses.

ii. You should be able to generate a list of at least 4-5 possibilities, though there is space for more if you would like. 

iii. Put them in a list of most likely being number 1, to less likely. 

1. Your number one diagnosis is the one you think this patient has, given the history and physical exam. This is the most likely diagnosis given that there are more clinical manifestations and findings in the history and exam that support this diagnosis. 

2. Include any differential that you think is appropriate for this patient, given the information you have, but make sure it is in the order of most likely. 

3. Be specific in your possible diagnosis. Do not use generic diseases or diagnoses. If there are more than one type of a disease, list each separately, as likely the pathophysiology is different. 

–THIS IS MY OWN DIAGNOSIS

Possible Diagnosis (listed in order   of likelihood)

Signs and Symptoms seen in This patient   that make you consider this as a diagnosis

1.Spinal tumors

-Fever, weakness in his feet and ankles, and inability to walk. Unable   to walk secondary to weakness, weight loss, history of smoking for 20   years, obesity (32% of BMI), back pain and wake up at night, throbbing, achy   low back pain, buttock and legs, numbness, tingling and burning sensation in   feet, toes, and fingertips, bladder problem with one time incontinence, positive   with neuro exam.

2.Type 2 Diabetes

Numbness, tingling, and burning sensation in feet, toes, and fingertips, fatigue,   high fat and calories intake, sedentary lifestyle.

3.Peripheral artery disease

Smoking, over 50, leg numbness or weakness, painful with activities

4.Pernicious anemia and iron deficiency anemia

Moderated alcohol and low iron diets (not eating redmeat).

5. Stomach flu

N&V and fever

6.

7.

8.

2. PLEASE COMPARE WITH THE DIAGNOSIS ABOVE AND NEW DIAGNOSIS THAT YOU HELP ME TO CREATE IN THE TABLE BELOW WITH CLEAR SIGNS/SYMPTOMS OF THE PATIENT AND RELATED TO THE PATHOPHYSIOLOGY (As many as diagnosis on the table below).

Possible Diagnosis (listed in   order of likelihood)

Signs and Symptoms seen in This patient   that make you consider this as a diagnosis

1

2

3

4

5

6

7

8

9

10

Instructions from my professor:

Cultural Health Promotion Project

Cultural diversity refers to the differences among people based upon shared ideology and shared valued sets of beliefs, norms, customs, and meanings evidenced in a way of life. This diversity is expressed in many ways. Diversity in history, beliefs, practices, and opportunities not only exist among the many cultural groups, they typically exist across a wide continuum within the group. Health behaviors are influenced by culture and cultural values as well as socioeconomic status. 

In this assignment, students will develop a health promotion project for a cultural group living anywhere in the United States. You are to learn as much as you can about the culture norms and patterns and how these norms and patterns influence health practices. The purpose of this assignment is to develop a deeper understanding and sensitivity regarding the role of culture in patients’ lives and in nursing through the examination of a cultural/ethnic group while addressing health promotion strategies and disease prevention.

PROJECT COMPONENTS

The project should address the following Aspects of Cultural Assessment: 

1.  Ethnic/racial identity: How does the group identify itself in terms ethnicity and racial background? What is the range of interaction outside of the cultural group? Are recreational, educational, and other social activities within the ethnic reference group, the wider community, or both? 

2.  History and Value Orientation: How are values derived? What is the historical experience of the group that may have impacted values?

3.  Language-communication process: What is the primary spoken language? What languages are spoken in the home? And by whom? What language is preferred when speaking to outsiders? Do second and third generations in the speak the language of their grandparents? 

4.  Health Beliefs and Practices: What are the traditional health beliefs? How common are these beliefs and practices within this group? To what extent are folk healing practices and practitioners used? 

5.  Religious Belief and Spirituality: Discuss religious articles & practices. How is spirituality is defined in the culture? Remember that Religious Beliefs and Spirituality are different concepts. 

6.  Life cycle events: Which life cycle events are important to the culture? What are the customs associated with births, coming of age, marriage, and death? 

7.  Nutritional Behavior/Diet: Are there restrictions? Are there common practices? 

8.  Medical health care access and experience: Is access to care and equality of care an issue for this group? For example, are group members less likely to receive needed care due to system issues such as financial access or provider biases than another group? 

Based on the Cultural Assessment Data, the student will design a Cultural Health Promotion Plan: 

9.  Cultural Health Promotion Plan: Identify a health risk or health problem the project will address. Describe why this is an issue for your chosen target group and how cultural plays a role in the health risk or problem. 

10.  Health Promotion Strategies/Methods: Based on the health risk/problem identified, describe the strategies/methods that you will implement. Focus on primary and secondary prevention strategies. Refer to Healthy People 2020 Topics and Objectives. You may access the website at: https://www.healthypeople.gov. 

11.  Project Evaluation Methods: State the outcomes you expect to achieve. State how you will measure/assess the effectiveness of the project. 

Complete the paper according to APA 6th Edition Guidelines as a word-processed document. 

The paper is limited to a MAXIMUM of Ten (10) pages (including the title page and references pages;NO Abstract is needed for this assignment). Do not exceed the ten-page limit as only ten pages will be read and graded. The paper must be double- spaced using Font Size 12 (including the reference page).

PRESENTATION 

In addition to the paper, each student will prepare a presentation. The presentation will be graded separately – refer to course syllabus. You may use a presentation style of your choice, i.e.. PowerPoint, Prezi, etc. Presentations are limited to 30 minutes.

NOTE:

the assignment consist in TWO homework: 1-the cultural health promotions project; and

                                                                      2- a PowerPoint presentation of the cultural health

                                                                             promotion project. (20 slices).

please follow all of my professor instructions (covering the 12 points above).

maximum of ten(10) pages.

plagiarism is not allow (the school use turn it in)

APA 6th format.

I attached the assignment with the highlighted instruction (they are the same instructions, with only the highlighted points).