Posts in category: Uncategorized

Write  a fully developed and detailed APA essay addressing each of the  following points/questions. There is no required word count; be sure to  completely answer all the questions for each question in detail.  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. Sources are not required; however, if sources are used  make sure to cite using the APA writing style for the essay and complete  a reference page. The cover page is required. Review the rubric  criteria for this assignment.

Utilize  the databases identified in the text to locate an Evidence-Based  Practice Guideline, related to your topic identified in Module 1.  Perform a rapid critical appraisal of the Evidence-Based Guideline by  answering the following questions in APA format. All questions should be  answered in detail and explanations offered according to guideline  content when applicable. 

• Who were the guideline developers? 
• Were the developers of the guideline representative of key stakeholders in this specialty (inter-disciplinary)? 
• Who funded the guideline development?  
• Were any of the guideline developers funded researchers of the reviewed studies? 
• Did the team have a valid development strategy? 
• Was an explicit (how decisions were made), sensible, and impartial process used to identify, select, and combine evidence? 
• Did  its developers carry out comprehensive, reproducible literature review  within the past 12 months of its publication/revision? 
• Were all important options and outcomes considered? 
• Is  each recommendation in the guideline tagged by the level/strength of  evidence upon which it is based and linked to the scientific evidence? 
• Do the guidelines make explicit recommendations (reflecting value judgments about the outcomes)? 
• Has the guideline been subjected to peer review and testing? 
• Is the intent of use provided (i.e. national, regional, local)? 
• Are the recommendations clinically relevant? 
• Will the recommendations help me in caring for my patients? 
• Are the recommendations practical/feasible? Are resources (people and equipment) available? 
• Are the recommendations a major variation from current practice? Can the outcomes be measured through standard care? 

ARTICLE IS ATTACHED 

file:///C:/Users/azsmalls/AppData/Local/Temp/Evidence-based_guidelines_for_.pdf

Search the GCU Library and find one new health care article that uses quantitative research. Do not use an article from a previous assignment, or that appears in the Topic Materials or textbook.

Complete an article analysis and ethics evaluation of the research using the “Article Analysis and Evaluation of Research Ethics” template. See Chapter 5 of your textbook as needed, for assistance.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

Module 1 Assignment: Case Study Analysis

An understanding of cells and cell behavior is a critically important component of disease diagnosis and treatment. But some diseases can be complex in nature, with a variety of factors and circumstances impacting their emergence and severity.

Effective disease analysis often requires an understanding that goes beyond isolated cell behavior. Genes, the environments in which cell processes operate, the impact of patient characteristics, and racial and ethnic variables all can have an important impact.

Photo Credit: Getty Images/Hero Images

An understanding of the signals and symptoms of alterations in cellular processes is a critical step in the diagnosis and treatment of many diseases. For APRNs, this understanding can also help educate patients and guide them through their treatment plans.
 

In this Assignment, you examine a case study and analyze the symptoms presented. You identify cell, gene, and/or process elements that may be factors in the diagnosis, and you explain the implications to patient health.

To prepare:

By Day 1 of this week, you will be assigned to a specific case study for this Case Study Assignment. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor.

The Assignment (1- to 2-page case study analysis)

Develop a 1- to 2-page case study analysis in which you:

• Explain why you think the patient presented the symptoms described.
• Identify the genes that may be associated with the development of the disease.
• Explain the process of immunosuppression and the effect it has on body systems.

Case study; Week 2

Scenario 4: A 65-year-old obese African American male patient presents to his HCP with crampy left lower quadrant pain, constipation, and fevers to 101˚ F. He has had multiple episodes like this one over the past 15 years and they always responded to bowel rest and oral antibiotics. He has refused to have the recommended colonoscopy even with his history of chronic inflammatory bowel disease (diverticulitis), sedentary lifestyle, and diet lacking in fiber. His paternal grandfather died of colon cancer back in the 1950s as well. He finally underwent colonoscopy after his acute diverticulitis resolved. Colonoscopy revealed multiple polyps that were retrieved, and the pathology was positive for adenocarcinoma of the colon. 

Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The sample paper provided at the Walden Writing Center provides an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templates). All papers submitted must use this formatting.

In this assignment, students will pull together the capstone project change proposal components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. For this project, the student will apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.

Develop a 1,250-1,500 written project that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:

1. Background
2. Clinical problem statement.
3. Purpose of the change proposal in relation to providing patient care in the changing health care system.
4. PICOT question.
5. Literature search strategy employed.
6. Evaluation of the literature.
7. Applicable change or nursing theory utilized.
8. Proposed implementation plan with outcome measures.
9. Discussion of how evidence-based practice was used in creating the intervention plan.
10. Plan for evaluating the proposed nursing intervention.
11. Identification of potential barriers to plan implementation, and a discussion of how these could be overcome.
12. Appendix section, if tables, graphs, surveys, educational materials, etc. are created.

Review the feedback from your instructor on the Topic 3 assignment, PICOT Question Paper, and Topic 6 assignment, Literature Review. Use this feedback to make appropriate revisions to these before submitting.

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.

PLEASE FOLLOW RUBRICS

 Background of clinical problem are clearly and logically presented. Relevant support and rationale are evident. 

 Clinical problem statement is clearly and logically presented. Relevant support and rationale are evident. 

 Purpose of the change proposal in relation to providing patient care in the changing health care system is logically presented. Relevant support and rationale are eviden 

 Topic and criteria are clearly and logically presented. Relevant support and rationale are evident. 

 Topic and criteria are clearly and logically presented. Relevant support and rationale are evident. 

 Evaluation of literature is clearly and logically presented. Relevant support and rationale are evident. 

 Change or nursing theory is logically presented. Relevant support and rationale are evident. 

Implementation plan and outcome measures are clearly and logically presented. Relevant support and rationale are evident.  

 Use of evidence-based practice in intervention plan is clearly and logically presented. Relevant support and rationale are evident. 

 Plan for evaluating proposed nursing intervention is clearly and logically presented. Relevant support and rationale are evident. 

 Potential barriers and plan to overcome barriers are clearly and logically presented. Relevant support and rationale are evident. 

 Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear. 

 Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative. 

 Writer is clearly in command of standard, written, academic English. 

Aquifer Case Study

The discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered.

For this assignment, go to the Discussion Area and post a response to the given question in the Discussion Area by the due date assigned.

To support your work, use your course and text readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to other classmates. Complete your participation for this assignment by the end of the week.

The Aquifer virtual case-study assignments are highly interactive and a dynamic way to enhance your learning. Material from the Aquifer cases may be present in the quizzes, the midterm exam, and the final exam. You must have all Aquifer assignments completed in order to successfully pass the course.

Click here for information on how to access and navigate Aquifer.

Assignment

Complete only the History, Physical Exam, and Assessment sections of the Aquifer virtual case: Family Medicine 03: 65-year-old female with insomnia.

Discussion Question 1

Based on your performance and the expert feedback in your HISTORY collection, describe two missed questions and your understanding of why they were important to collect for this case history. Use specific references from your text to explain.

Discussion Question 2

Based on your performance and the expert feedback in your PHYSICAL EXAM collection, describe two errors in your exam performance or documentation. Use specific references from your text to explain the importance of these findings in correct assessment of this client.

Discussion Question 3

Based on your performance on the PHYSICAL EXAM collection, describe one key finding that you included in your list and describe a specific physical exam that you can perform at the point-of-care to further evaluate the finding. Use specific references from your text.

Discussion Question 4

Based on your performance and the expert feedback in your ASSESSMENT identification of problem categories, choose one missed/incorrect category and use specific references from your text to explain the importance of this category in arriving at correct differential diagnoses for this client.

Discussion Question 5

Based on your performance and the expert feedback in your ASSESSMENT of differential diagnoses, describe one incorrect/missed differential diagnosis and use specific references from your text to support the inclusion of the diagnosis for this client.

1-What is the importance of the legal system for nurses? 

2-3 paragraphs of 3 sentences each

3- APA style

4- 2 references not older than 2015

Discussion Forum: Peer Review for Scientific and Mathematical/Analytical Inquiry Draft

Post a draft of your scientific and mathematical/analytical inquiry paper for peer review. You should also post your level 1 and level 2 research questions. Identify any questions or challenges you faced with the assignment, or mention something new you learned about the research question and inquiry paper process. Pose specific questions you would like your peers to address.

Presentation: Realistic Clinical Case Study

Content Requirements
You will create a PowerPoint presentation with a realistic case study and include appropriate and pertinent clinical information that will be covering the following:

1. Subjective data: Chief Complaint; History of the Present Illness (HPI)/ Demographics; History of the Present Illness (HPI) that includes the presenting problem and the 8 dimensions of the problem; Review of Systems (ROS)
2. Objective data: Medications; Allergies; Past medical history; Family history; Past surgical history; Social history; Labs; Vital signs; Physical exam.
3. Assessment: Primary Diagnosis; Differential diagnosis
4. Plan: Diagnostic testing; Pharmacologic treatment plan; Non-pharmacologic treatment plan; Anticipatory guidance (primary prevention strategies); Follow up plan.
5. Other: Incorporation of current clinical guidelines; Integration of research articles; Role of the Nurse practitioner

Submission Instructions:

• The presentation is original work and logically organized, formatted, and cited in the current APA style, including citation of references.
• The presentation should consist of 10-15 slides and less than 5 minutes in length. 
• Incorporate a minimum of 4 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to APA style (the library has a copy of the APA Manual).

 What is a normal distribution and what does it look like?  

Needs to be at least 250 words with 1 scholarly article within the past 5 years.  APA format.

Select two clients you observed or counseled this week during a group therapy session. Note: The two clients you select must have attended the same group session.

TWO CLINETS

FIRST CLIENT:   GENERALIZED ANXIETY DISORDER

SECOND CLIENT: MAJOR DEPRESSIVE DISORDER

Then, in your Practicum Journal, address the following:

• Describe each client (without violating HIPAA regulations), and identify any pertinent history or medical information, including prescribed medications.
• Using the DSM-5, explain and justify your diagnosis for each client.
• Explain whether cognitive behavioral therapy would be effective with this group. Include expected outcomes based on this therapeutic approach.
• Explain any legal and/or ethical implications related to counseling each client.
• Support your approach with evidence-based literature.

Rubric:

Quality of Work Submitted:
The extent of which work meets the assigned criteria and work reflects graduate level critical and analytic thinking.–

Excellent 14 (70%) – 15 (75%)Good 12 (60%) – 13 (65%)Fair 10 (50%) – 11 (55%)Poor 0 (0%) – 9 (45%)

Quality of Work Submitted:
The purpose of the paper is clear.–

Excellent 2.5 (12.5%) – 2.5 (12.5%)Good 2 (10%) – 2 (10%)Fair 1.5 (7.5%) – 1.5 (7.5%)Poor 0 (0%) – 1 (5%)

Written Expression and Formatting

Paragraph and Sentence Structure: Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are clearly structured and carefully focused–neither long and rambling nor short and lacking substance.–

Excellent 2.5 (12.5%) – 2.5 (12.5%)Good 2 (10%) – 2 (10%)Fair 1.5 (7.5%) – 1.5 (7.5%)Poor 0 (0%) – 1 (5%)