Monthly Archives: May 2023

Discuss the nursing implications of the findings of the research.  Consider the following questions

What are the risks vs. benefits to practice of the findings?  

This is a discussion…..not an essay…..please make it understandable and not too formal

When politics and medical science intersect, there can be much debate. Sometimes anecdotes or hearsay are misused as evidence to support a particular point. Despite these and other challenges, however, evidence-based approaches are increasingly used to inform health policy decision-making regarding causes of disease, intervention strategies, and issues impacting society. One example is the introduction of childhood vaccinations and the use of evidence-based arguments surrounding their safety.

In this Discussion, you will identify a recently proposed health policy and share your analysis of the evidence in support of this policy.

To Prepare:

Review the Congress website provided (see bottom) in the Resources and identify one recent (within the past 5 years) proposed health policy.

Review the health policy you identified and reflect on the background and development of this health policy.

By Day 3 of Week 7

Post a description of the health policy you selected and a brief background for the problem or issue being addressed. Explain whether you believe there is an evidence base to support the proposed policy and explain why. Be specific and provide examples.

300-350 words. In text citations. Up to 3 references within last 5 years

References from course:

https://www.nursingworld.org/practice-policy/advocacy/

https://www.cdc.gov/injury/pdfs/policy/Brief%204-a.pdf

https://www.congress.gov/

 Respond  by providing at least two contributions for improving or including  in their Parent Guide and at least two things that you like about their  guide. 

NOTE: Positive comment

(Parent Guide attached bellow)

For this Assignment, you begin to draft a paper presenting your theoretical foundation. As you commence this process, you will likely discover that you need to delve deeper into the literature, discuss your work with colleagues, and refine your initial ideas. You are encouraged to take the time you need to fully engage in the iterative process of developing your theoretical foundation.

In subsequent weeks of the course, you will continue to build your theoretical foundation and refine the partial draft of your paper. You will have received feedback from your Instructor on this partial draft and have additional time to produce the final version of your paper later in the course.

To prepare

• Review the Learning Resources and the work you have completed in each week of this course thus far.
• Begin writing a draft of your paper to address the following:
  • Identify your phenomenon of interest.
  • Define concepts and identify attributes, antecedents, and consequences.
  • Describe conceptual relationships.
  • Identify assumptions that may be embedded in your research.
  • Describe how an existing framework or theory could inform your work. Explain how the framework/theory originated and what modifications you may need to make for it to be useful for your research.

To prepare

• Continue to work on the partial draft of your paper. As a reminder from Week 6, address the following:
  • Identify your phenomenon of interest.
  • Define concepts and identify attributes, antecedents, and consequences.
  • Describe conceptual relationships.
  • Identify assumptions that may be embedded in your research.
  • Describe how an existing framework or theory could inform your work. Explain how the framework/theory originated and what modifications you may need to make for it to be useful for your research.
• Incorporate one or more research questions or hypotheses.

To complete

• Ensure that the partial draft of your paper is clear, cohesive, and addresses the requirements listed above.

This is a Collaborative Learning Community (CLC) assignment.

Some patients will seek out alternative medicinal practices when treating diseases; therefore, it is important to know how alternative or herbal medications interact with prescription medications. Knowing how to navigate finding information on potential interactions is important in preventing complications when prescribing medications.

Groups will select a common disease and perform research on both conventional and alternative medicine treatment options. Using CAM as your primary resource, create a 8-10 slide PowerPoint presentation that addresses the following items:

1. Identify the disease.

2. Identify the patient population that is most affected by this disease.

3. Identify complementary and alternative medicine resources and guidelines.

4. Evaluate the safety and effectiveness of complementary and alternative therapies.

5. Identify any common interactions of alternative and nonpharmaceutical medications with prescribed medications.

Include slide notes (150-250 words for each slide).

You are required to cite Four to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Watch the following videos, then complete the required assignment. Review the document in Course Resources for instructions on accessing the videos.

Lab 1

OSCE Clinical Skills

Chest Pain 14:53  

Upon completion of watching the video write up the scenario into a SOAP format. Is there anything you would do differently on your plan?  

Lab 2

OSCE Clinical Skills

Shortness of Breath 26:53

Upon completion of watching the video write up the scenario into a SOAP format. Is there anything you would do differently in your plan?

Case Study: Mrs. J.

It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.

Evaluate the Health History and Medical Information for Mrs. J., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mrs. J. is a 63-year-old married woman who has a history of hypertension, chronic heart failure, and chronic obstructive pulmonary disease (COPD). Despite requiring 2L of oxygen/nasal cannula at home during activity, she continues to smoke two packs of cigarettes a day and has done so for 40 years. Three days ago, she had sudden onset of flu-like symptoms including fever, productive cough, nausea, and malaise. Over the past 3 days, she has been unable to perform ADLs and has required assistance in walking short distances. She has not taken her antihypertensive medications or medications to control her heart failure for 3 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure and acute exacerbation of COPD.

Subjective Data

1. Is very anxious and asks whether she is going to die.
2. Denies pain but says she feels like she cannot get enough air.
3. Says her heart feels like it is “running away.”
4. Reports that she is exhausted and cannot eat or drink by herself.

Objective Data

1. Height 175 cm; Weight 95.5kg.
2. Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58.
3. Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint: all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation.
4. Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%.
5. Gastrointestinal: BS present: hepatomegaly 4cm below costal margin.

Intervention

The following medications administered through drug therapy control her symptoms:

1. IV furosemide (Lasix)
2. Enalapril (Vasotec)
3. Metoprolol (Lopressor)
4. IV morphine sulphate (Morphine)
5. Inhaled short-acting bronchodilator (ProAir HFA)
6. Inhaled corticosteroid (Flovent HFA)
7. Oxygen delivered at 2L/ NC

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mrs. J.’s situation. Include the following:

1. Describe the clinical manifestations present in Mrs. J.
2. Discuss whether the nursing interventions at the time of her admissions were appropriate for Mrs. J. and explain the rationale for each of the medications listed.
3. Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.
4. Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide a rationale for each of the interventions you recommend.
5. Provide a health promotion and restoration teaching plan for Mrs. J., including multidisciplinary resources for rehabilitation and any modifications that may be needed. Explain how the rehabilitation resources and modifications will assist the patients’ transition to independence.
6. Describe a method for providing education for Mrs. J. regarding medications that need to be maintained to prevent future hospital admission. Provide rationale.
7. Outline COPD triggers that can increase exacerbation frequency, resulting in return visits. Considering Mrs. J.’s current and long-term tobacco use, discuss what options for smoking cessation should be offered.

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

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. 

 Identify and discuss the following:

• what is known/not known about the topic and the gap in knowledge the study is intended to fill.
• the research design, purpose of the study, and setting.
• Use the article below 

Ethics and Evidence-Based Research

Write a 1250-1500 word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each bullet point. There should be three main sections, one for each bullet below. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least two (2) sources using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page in correct APA do not count towards the minimum word amount. Review the rubric criteria for this assignment.

Part 1: Describe why ethical safeguards designed for clinical research may not be feasible or appropriate for evidence-based practice or evidence-based practice implementation projects.

Part 2:  Review the sectioned headed, Two Ethical Exemplars in Chapter 22 of the textbook (Melnyk and Fineout-Overholt, 2015, pages 518-519). Discuss three main ethical controversies related to implementing Evidence-Based Quality Improvement (EBQI) Initiatives. Describe how these controversies relate to the four core ethical principles.

Part 3: Identify which ethical principles may be in conflict with the concept of “patients having an ethical responsibility in improving healthcare.” Discuss how these conflicts may be resolved.

Assignment Expectations:

Length: 1250 – 1500 words
Structure: Include a title page and reference page in APA format. These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.
References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of two (2) scholarly sources are required for this assignment

PLEASE SEE ATTACHMENT FOR HOW MANY WORDS AND GUIDELINES OF THIS ASSIGNMENT!!!!!!!

Most healthcare treatment options are voluntary, meaning that a patient has the right to refuse care, even if it is in their best interest to comply. However, in some cases, psychiatric treatment can be mandatory. Involuntary treatment (which is also referred to as “assisted treatment”) is typically implemented when patients have been diagnosed with a severe mental disorder and pose a danger to themselves or others. Although the stipulations vary by state, all fifty states allow for some form of involuntary treatment for mental illness. Be sure to support your answers to the following questions with research.

• Is involuntary care ethical?
• Do patients with severe mental illness have the mental capacity to refuse or consent to treatment?
• Should patients be forced to take medications, be hospitalized, or undergo therapy against their will? If so, what should be the consequence for refusal?
• Are there better ways to encourage patients to adhere to their treatment plan?