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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

The right of privacy is a major component of confidentiality.  Chapter 22 discusses the importance and application of this right.  Discuss your ideas in terms of the human service profession of how the right to privacy can be protected in an evolving, open information society? What laws pertain specifically to human service workers in protecting/honoring patient/client confidentiality? Provide a specific circumstance/case/example drawn from real life 

Review the IOM report, “The Future of Nursing: Leading Change, Advancing Health,” and explore the “Campaign for Action: State Action Coalition” website. In a 1,000-1,250 word paper, discuss the influence the IOM report and state-based action coalitions have had on nursing practice, nursing education, and nursing workforce development, and how they continue to advance the goals for the nursing profession.

Include the following:

1. Describe the work of the Robert Wood Johnson Foundation Committee Initiative that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.”

2. Outline the four “Key Messages” that structure the IOM Report recommendations. Explain how these have transformed or influenced nursing practice, nursing education and training, nursing leadership, and nursing workforce development. Provide examples.

3. Discuss the role of state-based action coalitions. Explain how these coalitions help advance the goals specified in the IOM report, “Future of Nursing: Leading Change, Advancing Health.”

4. Research the initiatives on which your state’s action coalition is working. Summarize two initiatives spearheaded by your state’s action coalition. Discuss the ways these initiatives advance the nursing profession.   (MY STATE IS ILLINIONS)

5. Describe barriers to advancement that currently exist in your state and explain how nursing advocates in your state overcome these barriers.

You are required to cite to a minimum of three 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.

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 back to the interview and evaluation you conducted in the Topic 2 Family Health Assessment assignment (THIS ASSIGNMENT IS ATTACHED). Identify the social determinates of health (SDOH) contributing to the family’s health status. In a 750-1,000 word paper, create a plan of action to incorporate health promotion strategies for this family. Include the following:

1. Describe the SDOH that affect the family health status. What is the impact of these SDOH on the family? Discuss why these factors are prevalent for this family.
2. Based on the information gathered through the family health assessment, recommend age-appropriate screenings for each family member. Provide support and rationale for your suggestions.
3. Choose a health model to assist in creating a plan of action. Describe the model selected. Discuss the reasons why this health model is the best choice for this family. Provide rationale for your reasoning.
4. Using the model, outline the steps for a family-centered health promotion. Include strategies for communication.

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

PLEASE SEE ATTACHED FOR ASSIGNMENT PART 1….PLEASE NOT PLAGIARISM!!!!!

Do you believe that education, social support, and trust can play a factor in spreading disease?