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Case Study: A 45-year-old white man presents to your office complaining of left knee pain that started last night. He says that the pain started suddenly after dinner and was severe within a span of 3 hours. He denies any trauma, fever, systemic symptoms, or prior similar episodes. He has a history of hypertension for which he takes hydrochlorothiazide (HCTZ). He admits to consuming a great amount of wine last night with dinner .On examination, his temperature is 98°F, his pulse is 90 beats/min, his respirations are 22 breaths/min, and his blood pressure is 129/88 mm Hg. Heart and lung examinations are unremarkable. The patient is reluctant to flex the left knee, wincing in pain at touch, and has passive range of motion. The knee is edematous, hot to touch, and has erythema of the overlying skin. No crepitation or deformity is apparent. No other joints are involved. Inguinal lymph nodes are not enlarged. Complete blood count (CBC) reveals a white blood cell count of 10,900 cells/mm³ and is otherwise normal.

 Reply to the following discussion 200 words or more, APA style and at least 2 references, Turnitin less than 20 %

Theorical of Unpleasant Symptoms. Week 2 Discussion.

The Theory of Unpleasant Symptoms (TOUS) provides a framework for understanding and assessing symptoms by considering three major components: symptom experience, influencing factors, and consequences of symptoms. Using TOUS as a guide, a nurse should look for the following key elements in an assessment tool:

·Symptom Experience (Nature and Characteristics of Symptoms)

Multiple symptoms: The tool should assess more than one symptom at a time since symptoms often occur in clusters.

Intensity: How severe is the symptom? (e.g., pain scale, fatigue scale).

Timing: Onset, duration, frequency.

Distress level: How bothersome is the symptom to the patient?

Quality: Descriptive aspects (e.g., burning pain, sharp pain, dull ache).

·Influencing Factors (Antecedents to Symptoms)

The assessment tool should capture factors that can influence symptoms, including:

Physiological factors: Underlying health conditions, medications, or treatments.

Psychological factors: Stress, anxiety, depression, coping mechanisms.

Situational factors: Environmental conditions, social support, financial status.

·Consequences of Symptoms (Impact on Functioning and Quality of Life)

Physical impact: Does the symptom limit mobility, energy levels, or physical activity?

Cognitive impact: Does it affect concentration, memory, or decision-making?

Emotional impact: Does it contribute to distress, anxiety, or depression?

Social impact: Does it affect relationships, work, or daily activities?

Additional Considerations for an Effective Assessment Tool

Standardization: Validated and reliable for clinical use.

Comprehensiveness: Covers all relevant symptoms without being too lengthy.

Patient-centered language: Easy for patients to understand and complete.

Scalability: Can be used across different populations (e.g., pediatric, geriatric, oncology).

A good example of an assessment tool aligned with TOUS principles is the Edmonton Symptom Assessment System (ESAS) for cancer patients or the Memorial Symptom Assessment Scale (MSAS) for multiple symptoms. Would you like recommendations for a specific patient population?

Conclusion.
Utilizing TOUS as a guide in developing assessment tools ensures a thorough evaluation of patient symptoms by addressing their multidimensional nature, identifying influencing factors, and understanding the impact on performance. This comprehensive approach facilitates personalized care strategies aimed at alleviating symptoms and enhancing overall well-being.

Using the theory of unpleasant symptoms as a guide, what would you look for in an assessment tool for patient symptoms?

include 400 words in your initial post with two scholarly articles 

References in APA format. Turnitin 30% Max

The purpose of this assignment is to incorporate the instructor-recommended revisions or changes from the Topic 3 “Rough Draft – Research Critiques and Evidence-Based Practice Proposal” to develop a 1,500-1,750-word final draft.

According to the textbook, nurses in various settings are adopting a research-based (or evidence-based) practice that incorporates research findings into their decisions and interactions with patients. Analyze the role nurses play in improving health care quality and safety through the use of evidence-based practice (EBP). How do you see this role being applied in your workplace? What internal stakeholder perspectives would you need to consider, including stakeholder support, in order to successfully implement an EBP project in your workplace?

Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN Discussion Question Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.

The theoretical foundations of qualitative and quantitative methods are very different, but many researchers believe both methods should be used in research studies to increase validity and reliability. What advantages or disadvantages do you see in using both types of methods in a nursing study? Provide an example of a nursing practice problem that could be studied using a mixed methods approach.

Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN Discussion Question Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.

To be an advocate for Policy development at the Federal level, you must be actively engaged with legislative efforts. To do so, you will need to be aware of who your legislators are.

To determine who your legislators are, visit Plural’s Find Your Local Legislator webpageLinks to an external site.. (This site will list both your State and Federal officials.)

https://openstates.org/find_your_legislator/

In your discussion post, address the following:

• In which state do you live?
• Who are your state legislators? Include both your state senator and your state representative.
• Who are your federal legislators? Include both your U.S. senator and U.S. representative. (You could have more than one for each.)

Then, visit Congress.govLinks to an external site. and choose one piece of pending federal legislation about which you feel passionate.

https://www.congress.gov/search?q=%7B%22source%22%3A%22all%22%7D

• What is the name of the pending legislation? Include both number and title.
• Where is it in the policy development process – is it heading to the House or heading to the Senate?
• Why are you passionate about this particular piece of pending legislation?
• Depending on whether it’s approaching the House or the Senate, which of your federal legislators would you contact if you wanted to advocate for this bill to become a law?

CLO 1: Analyze the AACN DNP Essentials within the context of providing the highest quality population health.  

CLO 2: Evaluate the evolution, past, present, and future of the role expectations of a competent doctoral prepared nurse within a diverse, global environment.  

CLO 3: Explore clinical and leadership opportunities of an advanced practice nurse with interprofessional collaboration.   

Requirements 

 You may not select interprofessional collaboration as all presentations must have a section focused on interprofessional collaboration in relation to their selected AACN essential. 

Incorporate more than 15 references with at least 10 research references. The only websites that can be used include .org, .edu, or .gov.