Monthly Archives: May 2023

Follow guidelines

 In a 500-750-word paper, examine the needs of a school-aged child between the ages of 5 and 12 years old and discuss the following:

Compare the physical assessments among school-aged children. Describe how you would modify assessment techniques to match the age and developmental stage of the child.

Choose a child between the ages of 5 and 12 years old. Identify the age of the child and describe the typical developmental stages of children that age.

Applying developmental theory based on Erickson, Piaget, or Kohlberg, explain how you would developmentally assess the child. Include how you would offer explanations during the assessment, strategies you would use to gain cooperation, and potential findings from the assessment.

• What role do you believe evidence can or should play in developing rational inferences?

 Within the template, write a 4- to 6-page scholarly paper that includes the following:

• Title
• Introduction that explains an authentic problem or issue that could be the focus of your Practicum Project. This includes a brief rationale for your selected focus that incorporates references from the literature, specialization standards, regulatory standards, and/or other sources you have used to validate this project.
• Goal statement with two or three measurable project objectives. A goal statement identifies what you expect to accomplish, the focus area, and the population. It introduces the project and conveys, in broad terms, how you plan to solve a particular problem or issue. Project objectives delineate your strategy for reaching the goal and the steps you will follow to complete the project. You must include two or three measurable objectives that use Application-level or higher verbs from Bloom’s Taxonomy.
• Evidence-based review of the literature for project justification. This review provides evidence-based support for your identified problem, project methods, and evaluation. The literature should be directed toward justifying the project, not focus on potential solutions. You must include a review of your specialization’s professional-practice standards and guidelines related to your project and a minimum of five (5) scholarly references for this section of the paper.
• The project methodology, methods, and theories that are appropriate for your project, including an explanation of why they will be valuable to use. This section addresses in detail how you will accomplish the project objectives. Include, as relevant, the who, when, where, and how of each objective.
• The resources you need to complete the project. Identify and justify the human, physical, and/or technical resources you will need. Note that for this assignment, you do not have to address the financial aspects of your plan.
• A formative and summative evaluation that will evaluate your Practicum Project. This details what the evaluations will measure and what information you can gain from that. Explain how you will use the evaluation results and how you will determine if the project is proceeding as planned.
• Timeline. Create a graphic timeline representing significant stages of your project. Provide a narrative to help your Faculty SME understand the timeline. Include the timeline in an Appendix to your Practicum Project Plan.
• References. References should be formatted in APA style and reflect current nursing/health literature (i.e., published within the past 5 years).

This assignment will incorporate a common practical tool in helping clinicians begin to ethically analyze a case. Organizing the data in this way will help you apply the four principles and four boxes approach.

Based on the “Case Study: Healing and Autonomy” and other required topic study materials, you will complete the “Applying the Four Principles: Case Study” document that includes the following:

Part 1: Chart 

This chart will formalize the four principles and four boxes approach and the four-boxes approach by organizing the data from the case study according to the relevant principles of biomedical ethics: autonomy, beneficence, nonmaleficence, and justice.

Part 2: Evaluation

This part includes questions, to be answered in a total of 500 words, that describe how principalism would be applied according to the Christian worldview.

Remember to support your responses with the topic study materials.

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

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Purpose: PICO questions are used by practicing nurses and researchers to focus research questions and develop an efficient literature search strategy.  It is essential that future nurses learn how to do this to develop evidenced-based solutions to patient care problems in a healthcare organization. 

1. Write a PICO question based on a scenario you choose from the list of scenarios attached below.  Use the templates in the EBP Step by Step 3 article to help create your questions. You may need to do a pre-search to finding an intervention (the “I”) that has been studied and published to solve the problem.
2. Identify the PICO elements for each question. 
3. Develop a search strategy using at least 3 keywords from the P, I, and O parts of your PICO, 1 synonym for one of the keywords, and 1 MeSH term for one of your keywords. 
4. Locate 4 articles that help answer your PICO question.  The articles must meet the following requirements: 
   • must be primary source quantitative research articles.  
   • No article can be older than 2016. 
5. Obtain pdfs of the four articles you selected from the ResU database.  If not available for the ResU database, you may request access from the ResU Library, or you can email me the citation for the article, and I will attempt to locate a pdf of it. 
6. On a Word document, include your scenario; write your PICO question as a sentence; identify the P, I, C, and O for each question; and list the search terms (3 keywords, 1 synonym, 1 MeSH term) for each. You may use the template attached here. See also the link to the MeSH terms website below.
7. Provide a properly formatted APA reference page for your selected articles from Step 4 of these instructions. See the link to the APA and Writing LibGuide below.
8. Name each document (one Word doc and 4 article pdfs) as follows and upload to the appropriate submission folder in Brightspace:  
   • Lastname PICO, 
   • Lastname article 1,
   • Lastname article 2,
   • Lastname article 3,
   • Lastname article 4

https://libguides.resu.edu/c.php?g=755071&p=5411646  (library) 

https://www.ncbi.nlm.nih.gov/mesh/

Neurological & Male Genitourinary Disorders

 25year old, Hispanic female with a chief complaint of right temporal headaches with nausea.  No vomiting.  Headaches do improve with rest and sleeping. 

What other subjective data would you obtain?

 Data that has already been provided is that a right temporal headache that gets worse with light.  Patient explains she experiences frequent headaches with menses.  Does the patient have a family history?  Can she identify any triggers? Additional questions that should be asked are related to the pain she is experiencing.  On a pain scale of 0-10, how would she rate the pain? How long does the pain last without rest? Does the pain radiate? Describe the pain; is it throbbing, pulsating or stabbing?  Patient takes ibuprofen for the headaches.  Does the medication help reduce the pain? If it does, what is the pain rate?

What other objective findings would you look for?

  Patient is wearing dark glasses in a dark room due to photophobia.  Migraine headaches cause intense, throbbing pain, often on one side of the head. Nausea, vomiting and sensitivity to light, sound and exertion often accompany migraines, which can last several hours or up to three days. Some migraine sufferers experience a visual disturbance called an aura prior to the onset of the migraine. Auras are flashing lights, wavy lines, blurry vision or blind spots (Radiological Society of North America (RSNA) and American College of Radiology (ACR), 2020).

What diagnostic exams do you want to order?

 Blood chemistry and urinalysis can rule out any other medical conditions such as dehydration, diabetes or thyroid disease. An MRI can be used to examine the anatomy of the brain and to assist in the diagnosis of tumors, developmental abnormalities, blood vessel problems and disorders of the eyes and the inner ear.  A CT scan can detect similar abnormalities.  A lumbar puncture also known as a spinal tap, this helps physicians diagnose infections such as meningitis, encephalitis or inflammatory conditions such as multiple sclerosis.

Name 3 differential diagnoses based on this patient presenting symptoms? Give rationales for each differential diagnosis.

 Primary headaches are the most common type of headaches, they are painful but not dangerous.  Secondary headaches are characterized by excruciating pain which are usually caused by another more serious condition.  Migraine is the most common form of headache, but not all headaches are migraines. The term “migraine” refers to a headache which is usually (but not always) on one side of the head. It is a headache that lasts from two to seventy-two hours, typically, and it is often associated with nausea and/or vomiting, sensitivity to light and/or sound. The character of the pain is typically a throbbing pain (Stanford Health Care, 2017).  Tension-type headache is most likely the second most common headache type after migraine. They are often referred to as “hatband” headaches because they typically painful around the back of the head, the temples and forehead, as if a tight hat were in place.  A cluster headache is a headache which is short lasting usually between 20 minutes and two hours. It is always one-sided and is associated with symptoms such as a stuffy nose on one side, tearing, an enlarged pupil, or a droopy lid.

References

Radiological Society of North America (RSNA) and American College of Radiology (ACR). (2020). Headaches: Migraines – Causes, Diagnostic Tests and Treatment. Retrieved November 26, 2020, from https://www.radiologyinfo.org/en/info.cfm?pg=headache (Links to an external site.)

Stanford Health Care. (2017, September 11). Migraine headache. Retrieved November 26, 2020, from https://stanfordhealthcare.org/medical-conditions/brain-and-nerves/headache/types/migraine-headache.html

Everything needed to know is in the word document.

Answer reflection question using APA format. use readability statistics of their writing for each of one-page reflection. 

Address the following reflection prompts:

Conduct a literature search in the CINAHL data base using the search terms “nursing students” and “evidence-based practice”.  Select a full text article to read and provide a summary of the article that describes how you can this information as a future professional nurse. 

Boards of Nursing (BONs) exist in all 50 states, the District of Columbia, American Samoa, Guam, the Northern Mariana Islands, and the Virgin Islands. Similar entities may also exist for different regions. The mission of BONs is the protection of the public through the regulation of nursing practice. BONs put into practice state/region regulations for nurses that, among other things, lay out the requirements for licensure and define the scope of nursing practice in that state/region.

It can be a valuable exercise to compare regulations among various state/regional boards of nursing. Doing so can help share insights that could be useful should there be future changes in a Florida/region. In addition, nurses may find the need to be licensed in multiple states or regions.

To Prepare:

· Review the Resources and reflect on the mission of state/regional boards of nursing as the protection of the public through the regulation of nursing practice.

· Consider how key regulations may impact nursing practice.

· Review key regulations for nursing practice in Florida /region’s board of nursing and those of at least one other state/region and select at least two APRN regulations to focus on.

Post a 2- page comparison of at least two APRN board of nursing regulations in Florida/southwest with those of at least one other state/region. Describe how they may differ. Be specific and provide examples. Then, explain how the regulations you selected may apply to Advanced Practice Registered Nurses (APRNs) who have legal authority to practice within the full scope of their education and experience. Provide at least one example of how APRNs may adhere to the two regulations you selected.

colleague differ from your state/region. Be specific and provide examples.

Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.). Burlington, MA: Jones & Bartlett Learning.

• Chapter      4, “Government Response: Regulation” (pp. 57–84)

American Nurses Association. (n.d.). ANA enterprise. Retrieved September 20, 2018, from http://www.nursingworld.org

Bosse, J., Simmonds, K., Hanson, C., Pulcini, J., Dunphy, L., Vanhook, P., & Poghosyan, L. (2017). Position statement: Full practice authority for advanced practice registered nurses is necessary to transform primary care. Nursing Outlook, 65(6), 761–765. doi:10.1016/j.outlook.2017.10.002

Halm, M. A. (2018). Evaluating the impact of EBP education: Development of a modified Fresno test for acute care nursing. Worldviews on Evidence-Based Nursing, 15(4), 272–280. doi:10.1111/wvn.12291

National Council of State Boards of Nursing (NCSBN). (n.d.). Retrieved September 20, 2018, from https://www.ncsbn.org/index.htm

Neff, D. F., Yoon, S. H., Steiner, R. L., Bumbach, M. D., Everhart, D., & Harman J. S. (2018). The impact of nurse practitioner regulations on population access to care. Nursing Outlook, 66(4), 379–385. doi:10.1016/j.outlook.2018.03.001

Peterson, C., Adams, S. A., & DeMuro, P. R. (2015). mHealth: Don’t forget all the stakeholders in the business case. Medicine 2.0, 4(2), e4. doi:10.2196/med20.4349

Laureate Education (Producer). (2018). The Regulatory Process [Video file]. Baltimore, MD: Author

Laureate Education (Producer). (2018). Healthcare economics and financing [Video file]. Baltimore, MD: Author

Laureate Education (Producer). (2018). Quality improvement and safety [Video file]. Baltimore, MD: Author