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Discuss the recommendations of JNC-7 and JNC-8, with regard to health outcomes and practice implications. 

#1.  The mother of a 10-year-old girl has brought her to the clinic based on concerns expressed by the school nurse.  The teacher has noted times when the girl appears to be daydreaming; however, after the nurse witnessed a few of these incidents, she has recommended the child be evaluated for absence seizures.  The mother is not totally convinced that is true, however, is willing to find out.

     A.  How would you respond to this mother?

     B.  What patient centered care will be appropriate here?

     C.  What safety measures should the parents be encouraged to follow?

#2. You are assessing a child’s vision and notice the child is unable to correctly answer her questions when shown the Ishihara color plates.  When questioning the mother, you discover that the child has not understood the colors but the mother has just assumed the child was slow.

     A.  How would you proceed?

     B.  What care would you provide in this case?

     C.  How will you know the nursing care plan was effective for this child?

#3.  The parents have brought their 3-year-old son to the clinic for an evaluation.  They are concerned something is wrong because he cannot seem to move like he used to and is having difficulty climbing up and down the stairs.

     A.  How would you respond?

     B.  What patient-centered care should you develop?

     C.  You recognize that this patient will need assistance from other departments.  Which additional team members will be able to assist this patient and his family?

#4.  A mother has brought her 4-year-old daughter to the emergency department.  She didn’t realize her husband had sprayed the lawn with a pesticide and allowed their daughter to play in the yard.  She now comes in with complaints of nausea, vomiting, difficulty breathing, and confusion.

     A.  How would you respond?  What are you initial interventions?

     B.  How can you help the family?

     C.  What are some nursing diagnoses that would be appropriate for this situation?

#5.  The parents are in denial demanding a second opinion.  The physician has just informed them their 2-year-old son has a glioblastoma.  Devastated, they ask the nurse, “How can this happen to us?”

     A.  How would you respond?

     B.  What are some nursing diagnoses you would identify in this situation (more than 1 please)

     C.  What are some expected outcomes related to your nursing diagnoses? (should have an outcome for every diagnoses)

Discussion Questions

By the due date assigned, post your response to the assigned discussion questions in the below Discussion Area. It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources. Include the South University Online Library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources.

No later than by the end of the week, review and comment on the discussion question responses posted by at least two of your peers. Be objective, clear, and concise. Always use constructive language. All comments should be posted to the appropriate topic in this Discussion Area.

Discussion Question

Using the Excel Sheet and descriptive statistics page; you will write up your analysis for the 20 participants.

This week, you learned about the statistical software applications used to analyze data for research analysis. For this week’s discussion, you will use Excel sheet provide to run descriptive statistics, create graphs and respond to the following:

· How could you use Excel descriptive statistics for data analysis research?

· What are your plans for learning more about Excel and how will the information you learned about this software be of benefit in your future analysis of research data?

Refer to this week’s readings and video tutorials before starting this two part discussion question assignment. 

Step 1: Entering Data

Open a blank worksheet in the Excel program

You will now use Excel to view a sample dataset

Dataset Options

In many cases, researchers may have the data from their study in another software package like Microsoft Excel. However, if the data is not available in a software spreadsheet you can manually enter the data. Option 2: Manual Data Entry

In the Worksheet window, type “Age” in C1. Enter the numbers as shown in the dataset below. Enter the remaining data as shown below (set up your column labels i.e., variable). The measure reflects math anxiety and the study variables (cringe, uneasy, afraid, worried, understand) the math anxiety range is from 1–5 with low being the least and 5 the highest.

Age

Cringe

Uneasy

Afraid

Worried

Understand

28

5

3

4

4

3

34

2

5

3

2

1

25

4

4

4

2

5

56

3

4

3

1

2

23

5

4

3

3

4

29

1

5

3

 2

3

30

3

3

5

2

5

59

2

5

5

1

2

45

4

2

5

3

3

38

1

2

4

1

1

33

3

2

4

3

2

47

4

2

3

4

5

24

1

5

3

4

4

29

5

4

2

1

3

53

3

1

5

2

1

48

4

4

1

5

3

27

2

5

4

3

4

34

4

4

3

2

5

26

4

5

2

3

2

36

5

5

5

4

3

Step 2: Click on Excel tab for Add Ins; if you do not see statistics; you will need to open the file option; click on Add ins; click on ok; a box will open which will allow you to choose Statistics package; place a check mark in the box and click ok. How to Run Descriptive Statistics

Now that your data is in Excel, you will look at the descriptive statistics for this dataset. Select the data in all the columns except the top that has words for the columns; however you have the file already completed and a picture of the descriptive statistics..See end of page for a copy of the excel sheet and descriptive statistics output.

Discussion Question Part 1

How could you use Excel descriptive statistics for data analysis research? Write about your experience running descriptive statistics. Use the results in the Session Window to support your response. Then add to your discussion with the information you learn writing up your analysis.

Step 3: Excel and Graphs

You will now look at graphing. Select insert graph located at the top of the sheet; highlight the data you want to use for a chart; select the type of chart; select ok. Try using the histogram  feature for one of the variables and select “Ok”. You can create other Histogram graphs by choosing different variables. You can also choose from the other ten graph choices shown on the insert chart function.

Discussion Question Part 2

What are your plans for learning more about Excel and how will the information you learned about this software be of benefit in your future analysis of research data? Copy and paste your graph(s) in a Word document and attach to your discussion response.

CASE STUDY

C.C is a nurse practitioner working in a small private high school. She provides comprehensive care to the students and staff at the school. She coordinates the health education program of the school and consults with the administration to identify the educational and health promotion needs of the population.

She works in a Catholic high school. She meets resistance about providing health education about some of the topics typically taught to the adolescent age group. Substance abuse prevention; HIV, AIDS, and sexually transmitted disease prevention; and pregnancy prevention are topics that are highly controversial at her school. However, C.C. realizes that it is imperative that she reach the teens about these difficult topics.

Case Study 1 – Health Promotion in Adolescent  

C.C is a nurse practitioner working in a catholic high school providing comprehensive care to both the students and faculty. She also coordinates the school’s health education program and consults the faculty to identify specific health promotion and educational needs of this population. However, she is met with resistance when it comes to teaching certain controversial topics. These topics include sexually transmitted diseases, HIV/AIDS, substance abuse prevention, and pregnancy prevention. C.C understands that she must educate these students because the decisions that they make now may have lifelong consequences.  

Due to their rapidly evolving physical, emotional, and intellectual development, adolescents care can be more challenging than adult or children (Salam, Das, Lassi, & Bhutta, 2016). In order to promote heath for this age group one must educate them on a variety of different topics. The important topics for this age group include sexual and reproductive health, nutrition promotion, immunizations, substance abuse prevention, violence prevention, mental health, and prevention of unintentional injuries and accidents (Salam et al., 2016). A nurse practitioners’ objective for this group will be to provide holistic care and education.  

The first recommended health visit is for adolescents between ages 11-14 (” Adolescence,” 2020). The second recommended health visit is for those within the ages of 15-17 (” Adolescence,” 2020). The final recommended health visit is for those within the ages 18-21 (” Adolescence,” 2020). All three age groups require the same topics to be addressed during their health visits, however they may be prioritized by the individual need of each patient. Those topics include their emotional wellbeing, physical growth and development, risk reduction, safety, and their social determinants of health (” Adolescence,” 2020).    

Adolescence spend a lot of time away from home and often eat foods that are convenient typically consisting foods high in calories and sugar (” Adolescence,” 2020). Therefore, it is not unusual for them to skip meals and only snack. Adolescence also care a great deal about their body image. To initiate this conversation, I would ask the patient the following questions. How do you feel about the way you look? Do you feel like you weigh too little or too much? Are you teased about your weight? Are you doing anything to change your weight? Treatment for someone with an eating disorder warrants a multidisciplinary approach involving a primary provider, a nutritionist, and mental health professional (Walsh, Wheat, & Freund, 2000). Psychotherapy for the patient and for their family is an important intervention (Walsh et al., 2000). Depending on the severity of the patients eating disorder medical intervention may also be necessary.  

Adolescence experience a lot of new biological and physical changes during this time. Boys begin to go through puberty and girls start menstruation. During this time, they also see a growth spurt, some not as much as others due to biological factors. Both sexes begin to notice hair growth on different parts of their bodies. Violence among this age group is also very prevalent. Studies show homicides to be the number four cause of death for people between the ages of 10 and 29 (Golshiri, Farajzadegan, Tavakoli, & Heidari, 2018). Additionally, they may experience violence at school or at home from fighting or being bullied (Golshiri et al., 2018). As healthcare providers we must ensure that these adolescences are growing up in a safe environment. As a means of prevention, we can teach them to resolve conflict without violence, avoid risky situations, healthy dating behaviors, and to confide in their parents, teachers, and healthcare providers.  

References 

Adolescence Visits 11 Through 21 Years. (2020). Retrieved from https://brightfutures.aap.org/Bright%20Futures%20Documents/BF4_AdolescenceVisits.pdf (Links to an external site.) 

Golshiri, P., Farajzadegan, Z., Tavakoli, A., & Heidari, K. (2018). Youth Violence and Related Risk Factors: A Cross-sectional Study in 2800 Adolescents. Advanced biomedical research, 7, 138. https://doi.org/10.4103/abr.abr_137_18 

Salam, R. A., Das, J. K., Lassi, Z. S., & Bhutta, Z. A. (2016). Adolescent Health Interventions: Conclusions, Evidence Gaps, and Research Priorities. The Journal of adolescent health: official publication of the Society for Adolescent Medicine, 59(4S), S88–S92. https://doi.org/10.1016/j.jadohealth.2016.05.006 

Walsh, J. M., Wheat, M. E., & Freund, K. (2000). Detection, evaluation, and treatment of eating disorders the role of the primary care physician. Journal of general internal medicine, 15(8), 577–590. https://doi.org/10.1046/j.1525-1497.2000.02439.x 

Summarize the study by applying the three steps in reviewing literature:

1. What are the results?

2.  Are the results valid?

3. How are these results applicable to patient care?

A two page paper is required, not including cover and reference pages. APA Format required.

Vulnerable Populations  (APA format, Zero plagiarism)

Describe an example of a successful health initiative worldwide that has had an impact on the health of vulnerable populations, i.e., women, children, elderly, disabled.  (i.e. Oral rehydration Therapy for Diarrhea, Bednets for Malaria)

a Describe the health problem.

b Identify and describe a successful health initiative that has made an impact on vulnerable populations i.e. women, children, elderly, disabled.

c Discuss the impact or potential impact on the health of vulnerable populations as a result of this campaign.

d Identify and describe source of initiative (governmental, NGO or private) and discuss any collaborative partners

e Share your personal global health, relief or mission efforts or interests. 

• Include references to support your discussion. Be sure to cite your references in APA format in text and at end of post. At least one reference in addition to your textbook is required for this posting.

  Require textbook

Skolnik, R. (2016). Global Health 101 (4th ed.). Burlington, MA: Jones & Bartlett Learning.

ISBN-13: 978-1284145380 ISBN-10: 1284145387

Evidence translation begins with the identification of a problem or concern. Reflect upon the eight national practice problems presented in the Global Burden of Disease Research. Select one of the practice problems to address the following.

1-From a global/nationwide perspective, how does the selected practice problem impact nurses, nursing care, healthcare organizations, and the quality of care being provided?

2-Identify the national level key stakeholders who are affected by the practice problem and stakeholders involved in resolution.

3-Are clinical practice guidelines used to address this problem? Why or why not? If used, provide a brief overview of the CPG. If a CPG is not used, propose an intervention that could be implemented on a national scale to address the problem.

Please answer these questions separated and use at least 3 sources no later than 5 years.

MY PICOT QUESTION IS ABOUT FALL IN HOSPITAL AND NURSING HOME.

Review your problem or issue and the study materials to formulate a PICOT question for your capstone project change proposal. A PICOT question starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention used to address the problem must be a nursing practice intervention. Include a comparison of the nursing intervention to a patient population not currently receiving the nursing intervention, and specify the timeframe needed to implement the change process.  Formulate a PICOT question using the PICOT format (provided in the assigned readings) that addresses the clinical nursing problem.

The PICOT question will provide a framework for your capstone project change proposal.

In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome.

Describe the problem in the PICOT question as it relates to the following:

1. Evidence-based solution
2. Nursing intervention
3. Patient care
4. Health care agency
5. 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.

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

IT IS A REPLY TO THE STUDENT –ONE PAGE THREE REFERENCES PLEASE

         The Academic Success and Professional Development Plan created in this course is one strategy for including academic accomplishments in the development of professional goals. This plan is a vision blueprint, identifying tools and strategies to bridge scholarly work into professional success. This blueprint for success ensures preparation to bring visions into focus and make them a reality (Laureate Education, 2018a). The development of this plan so far has helped me identify key players in my network, academic tools available to help me succeed, and professional resources that enhance integrity of practice. The next step in the plan, before finalization, is the development of an academic portfolio. This in itself is another strategy that will bridge academic success into professional practice.   

           Creating an academic portfolio is an evidence-based strategy designed to merge academic success into the development of professional goals. With a complex and competitive job market, e-portfolios facilitate a new way for grad students to stand out in these technological times (Leahy & Filiatrault, 2017). Thanks to technology and e-portfolios, applicants can often make a first impression before ever having an initial face-to-face meeting. According to Burns (2018), three reasons to create a portfolio include self-promotion to show accomplishments, evidence of outcomes to display competencies, and structure and direction to describe professional goals. A nursing portfolio may contain several elements and can be tailored to emphasize top individual qualities and characteristics.

           These two strategies align with Walden University’s commitment to social change. The Academic Success and Professional Development Plan aligns with the social change emphasis when it includes areas for serving communities, building professions, and partnering with professional organizations (Laureate Education, 2018b). This plan helps translate a passion for social change into action steps that create social change. Walden University emphasizes the value of social change as well as the value of creating an academic e-portfolio. Students are more likely to create an academic e-portfolio when they understand the benefits (Ahmed & Ward, 2016). One of the benefits of academic e-portfolios is in connecting students with organizations that have a shared passion for a particular area of social change. For example, I can emphasize my passion for creating community resilience in my e-portfolio and send it to an organization that I know shares the same passion. An e-portfolio that illustrates a shared passion will likely give me a head-start in the interview process.

• Use the Walden library databases to search for quantitative, qualitative, and mixed methods research articles from peer-reviewed journals on your topic of interest.
• The topic of my interest is smoking cessation
• Before you read the full article and begin your annotation, locate the methodology section in the article to be sure that it describes the appropriate research design.
  • For quantitative research articles, confirm that a quantitative research design, such as a quasi-experimental, casual comparative, correlational, pretest–posttest, or true experimental, was used in the study.
  • For qualitative research articles, confirm that a qualitative research design or approach, such as narrative, ethnographic, grounded theory, case study, or phenomenology, was used in the study.
  • For mixed methods research articles, confirm that a mixed methods research (MMR) design was used in the study. There are several design classifications in MMR; some examples of MMR types or families of design are parallel, concurrent, sequential, multilevel, or fully integrated mixed methods design.
• Prepare an annotated bibliography that includes the following:
  • A one-paragraph introduction that provides context for why you selected the six research articles you did: two quantitative, two qualitative, and two MMR.
  • A reference list entry in APA Style for each of the six articles that follows proper formatting. Follow each reference list entry with a three-paragraph annotation that includes:
    • An application 
    • An analysis
    • A summary
  • A one-paragraph conclusion that presents a synthesis of the six articles.
• Format your annotated bibliography in Times New Roman, 12-point font, double-spaced. A separate References list page is not needed for this assignment.