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Not all EBP projects result in statistically significant results. Define clinical significance, and explain the difference between clinical and statistical significance. How can you use clinical significance to support positive outcomes in your project?

Need a nursing assignment done ASAP on Kolcaba’s Comfort Theory

Due: Sunday night at 11:59pm Mountain Time

In this assignment, you will examine sample arguments and identify the premises.

Before starting this assignment watch a brief video about what a podcast is (Links to an external site.).

Step 1: Consider the scenario:

You are the primary contributor for Low Cost Foodies, a nationally syndicated podcast specializing in the current affairs of the fast food industry. Listeners value the Low Cost Foodies for their insider knowledge and lighthearted banter. Your writing partners are out reporting for an upcoming episode and will not be able to help in the scripting process this week. Accordingly, you have been tasked with managing the entire script of this week’s podcast on the premises and hidden premises in the fast food industry.

Step 2: Review assignment requirements.

Introduce the Low Cost Foodies audience to the concepts of premise and hidden premise. These can be found everywhere in the fast food industry, but it takes some understanding and careful attention to identify them. In a two-page (500-word) podcast script, composed of two separate segments, explore the notions of premise. In Segment 1, “Spot the Premise,” identify the premise (or hidden premise) of each conclusion provided below. This information will be useful for Segment 2, “Defending the Premises,” in which you provide a more in-depth analysis into the aforementioned conclusions.

Podcast Segment 1: Spot the Premise

• Everyone I know likes Chick-a-Cola. It must be really good!
• I can’t believe the McDonald’s VP is voting to cut employee benefits. He must be in the president’s pocket.
• If a restaurant is crowded, then people love the menu. The restaurant is crowded. People must love the new menu.
• Industrialized cattle farms are immoral because they murder animals.
• The fast food industry is in turmoil. The poor economy has brought down consumer spending, so the fast food industry is going to collapse.

Podcast Segment 2: Defending the Premises

• Do the assumptions really support the conclusion? Why or why not?
• Identify which of the premises use deductive reasoning and which use inductive reasoning. What characteristics define deduction? What defines induction?
• How can assumptions inform the premise of an argument?
• Contrast the principal differences between explicitly expressed and tacitly implied premises. Which of the conclusions have explicitly expressed or tacitly implied premises?
• Explain the effect explicit and implicit assumptions have on the final conclusion.

Step 3: Write a podcast script.

Using the HUM330 podcast script template 

write a two-segment podcast script (500 words minimum) that meets the topical requirements listed in Step 1. Format your entry in the following manner:

• All podcast scripts should be contained within one document.
• Label each script with the segment title provided in the entry requirements.
• At the end of the script, cite the sources you used to complete it.

Remember, you are writing for a varied listening audience of fast food lovers. It is important that you exhibit superior knowledge of the subjects being covered while still packaging the materials in a way that is fun and engaging for the Low Cost Foodies audience. They should be excited to hear your podcast material. Follow these guidelines to further engage the listening audience:

• Use clear, concise sentences.
• Use clear and relatable real-world examples to help explain concepts.
• Use language intended for a listener as opposed to a reader. For example, avoid language such as “As you can see…”
• Share your enthusiasm and interest in the subject matter.
• Relate the material back to your own personal experience when possible.
• Read the entry out loud to yourself before finalizing it.

Step 4: When you have completed your assignment, save a copy for yourself in an easily accessible place.

Cite any sources in APA format.

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. 

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

Book: Grand Canyon University. (Ed.). (2018). Pathophysiology: Clinical applications for client health.

URL:

https://www.gcumedia.com/digital-resources/grand-canyon-university/2018/pathophysiology_clinical-applications-for-client-health_1e.php

Due date: Friday 27

 APA

less than 10 % similarity

Week 4 Discussion Question: Chapter 13, Comfort and Pain Management

With the realization that pain is highly prevalent among older adults, please answer the following questions:  

Part Two: What is the prevalence of pain in older adults? How will you, as a nurse, be more aware of

pain issues related to older adults and what will the nurse incorporate into practice to alleviate these

issues?

Infant, childhood, and adolescent development are a continual interplay between nature (genetic or biologic predisposition) and nurture (environmental experiences). The nature/nurture continuum and debate will always be a part of your career as a PMHNP.  Knowing common developmental milestone is important in the role as a child provider. Not only is it essential to the diagnostic process, but it is also important to the interdisciplinary interactions with other mental health professionals. The study of normal developmental processes, however, is only one tool that allows the mental health professional to understand the child being evaluated. There are many different assessment instruments and interviewing techniques that PMHNPs can have in their toolkit when working with children and adolescents. 

• Explain why a developmental assessment of children and adolescents is important. 
• Describe two assessment instruments and explain why they are used for children and adolescents but not adults.  
• Describe two treatment options for children and adolescents that may not be used when treating adults.
• Explain the role parents play in assessment and treatment.

References that must be used

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.

• Chapter 2, “Contributions of the Psychosocial Sciences” (pp. 93–130)
• Chapter 6, “Classification in Psychiatry” (pp. 290–299)
• Chapter 31, “Child Psychiatry” (pp. 1107–1152)

Select an ethnic minority group that is represented in the United States (American Indian/Alaskan Native, Asian American, Black/African American, Hispanic/Latino, Native Hawaiian, or Pacific Islander). Using health information available from Healthy People, the CDC, and other relevant government websites, analyze the health status for this group.

In a paper of 1,000-1,250 words, compare and contrast the health status of your selected minority group to the national average. Include the following:

1. Describe the ethnic minority group selected. Describe the current health status of this group. How do race and ethnicity influence health for this group?
2. What are the health disparities that exist for this group? What are the nutritional challenges for this group?
3. Discuss the barriers to health for this group resulting from culture, socioeconomics, education, and sociopolitical factors.
4. What health promotion activities are often practiced by this group?
5. Describe at least one approach using the three levels of health promotion prevention (primary, secondary, and tertiary) that is likely to be the most effective in a care plan given the unique needs of the minority group you have selected. Provide an explanation of why it might be the most effective choice.
6. What cultural beliefs or practices must be considered when creating a care plan? What cultural theory or model would be best to support culturally competent health promotion for this population? Why?

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 and public health content.

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. 

All articles that I access, for any purpose, are evidence-based, peer reviewed literature. I usually obtain literature from the university library, but I have used CINAHL previously. I used the Chamberlain University Library for this assignment, which took me to ProQuest. Both articles I accessed were published in nursing literature related to my topic of concern.

The problem I identified just yesterday was that out of 58 students in my Pharmacology class, 6 of these students evidently had issues with how to use the Publication Manual of the American Psychological Association [APA] (use of quotation marks, citations, and references [also, using WebMD and WebEx] and they don’t know how to properly develop the reference list). I don’t think there was intentional plagiarism by a few students, but I looked for articles on how to help students with this kind of work. Again, for this literature search I utilized the Chamberlain Library and clicked on the “search articles” header, and from their I went straight to ProQuest Nursing. From there, I used the advanced search putting in key words: nursing students and APA, followed by checking the Peer Review box. Although I found 479 results, there is a dearth in more current literature that specifically addresses APA formatting in writing (McGuire, Gerber, Elgsti, & Currin, 2001), where the 4th edition of the APA manual was used as a reference. When I narrowed the date of publication down to 2010 to 2019, I found 279 results that were all over the map (279 results), and I found few that were focused on APA usage by nursing students.

I was able to locate one current article that was published in Nursing Open by authors at two Canadian schools of nursing. The authors identified the purpose: “To explore self-efficacy among first-year nursing students in the context of disciple-specific writing” (Mitchell, Harrington & McMillan, 2017, p. 240). The design was identified as a quasi-experimental study, and the methods used were data collection before and after a writing course was completed by nursing students during orientation (Mitchell et al.). The researchers described participants as 132 Baccalaureate nursing students that were spilt into 3 groups: full study participants that received the course and were tested pre- and post-course; experiment only group that did not receive the course but had both the pre- and post-test; and, a control group that had a pre- and post-test within a specific timeframe. The study was noted to have ethical (IRB) approval, and the authors also described the course with sources identified and these, in my opinion, seemed sound based on the topics and were taken from credible literature including the Journal of Nursing Education, Journal on Excellence in College Teaching, Nurse Education in Practice, Quality Advancement in Nursing Education, and others. The authors reviewed and discussed relevant literature review in the article as well. The authors used citations, references, and tables to substantiate the findings of the study. Study limitations were clearly identified as well as suggestions for further research.

The Self-Efficacy Scale for Academic Writing (SESAW) was created by Mitchell using a 4-point Likert Scale for 10 questions in the test. They also used the STAI (State Trait of Anxiety Inventory) tool by Spielberger (as cited by Mitchell et al.). A “One-way Analysis of Variance (ANOVA)” (Mitchell, et al., p. 243) was used by the authors for statistical significance. Pearson’s r calculations were used for statistical analysis as well as independent t tests. Results of the study findings are indicated by Mitchell et al., are as follows:

1. An improvement in APA usage and grammar over time

2. Correlations between anxiety trait and SESAW identified

3. Students that entered nursing school directly from high school did not do as well as others who had more academic experience

4. English as Second Language students showed no difference in performance

In the final conclusions, Mitchell et al., noted that the study indicates: “discipline-specific

writing instruction can influence writing self-efficacy in first year nursing students.” (p. 249).

              I plan to share this article with Chamberlain University leadership in hopes that we could have something like this for all our students and before they start their nursing courses (perhaps during orientation?). Moreover, I really wish I could focus my DNP project on just such a topic, but I don’t suppose it’s clinical enough. I look forward to hearing your thoughts and suggestions as well, even on my reference of an article without a DOI that I struggled with (see below).

References

McGuire, S.L., Gerber, D.E., & Currin, M.D. (2001). Helping students use APA format. Journal of

Nursing Education, 40(9), 414-416. URL: https://chamberlainuniversity.idm.oclc.org/login?qurl=https%3A%2F%2Fwww.proquest.com%2Fdocview%2F203935573%3Faccountid%3D147674 (Links to an external site.) accessed on 29 Sept 2020.

Mitchell K.M., Harrigan T. & McMillan, D.E. (2017). Writing self‐efficacy in nursing students: The

influence of a discipline‐specific writing environment. Nursing Open, 4(4), 240-50.

DOI:10.1002/nop2.90 accessed 29 Sept 2020.

I NEED A COMMENT FOR THIS POST WITH AT LEAST TWO PARAGRAPH AND TWO SOURCES NO LATER THAN FIVE YEARS

2-page case study analysis

Scenario 1: A 32-year-old female presents to the ED with a chief complaint of fever, chills, nausea, vomiting, and vaginal discharge. She states these symptoms started about 3 days ago, but she thought she had the flu. She has begun to have LLQ pain and notes bilateral lower back pain. She denies dysuria, foul-smelling urine, or frequency. States she is married and has sexual intercourse with her husband. PMH negative.

Labs: CBC-WBC 18, Hgb 16, HCT 44, Plat 325, ­ Neuts & Lymphs, sed rate 46 mm/hr, C-reactive protein 67 mg/L CMP within normal limit

Vital signs T 103.2 F Pulse 120 Resp 22 and PaO2

99% on room air. Cardio-respiratory exam WNL with the exception of tachycardia but no murmurs, rubs, clicks, or gallops. Abdominal exam + for LLQ pain on deep palpation but no rebound or rigidity. Pelvic exam demonstrates copious foul-smelling green drainage with a reddened cervix and + bilateral adnexal tenderness. + chandelier sign. Wet prep in ER + clue cells and gram stain in ER + gram-negative diplococci.

In your Case Study Analysis related to the scenario provided, explain the following:

• The factors that affect fertility (STDs).
• Why inflammatory markers rise in STD/PID.

As for all the case studies please focus on the following elements:

A detailed explanation of the pathophysiology

Clinical manifestations due to the pathophysiology

Genetic/ethnic considerations

Use research, current sources less than 5 years, and analysis to support your answers

rubric attached

Approach your written assignment as follows: 

1. Pick a health services organization that you may work for or with which you are familiar.  It can be a local or national organization. 
2. Research the organization by visiting its website and, if possible, its location. 
3. Research the industry in which your organization operates, e.g. nursing homes, private physician practice.
4. Using your findings, conduct a SWOT analysis of your organization. Use the SWOT Analysis Worksheet provided under Course Content
5. Conduct a competitive analysis of your organization.  Use the Competitive Analysis Worksheet provided under Course Content.  

Prepare your written assignment by addressing each of the following questions in order: 

1. What is the mission of the health care organization?
2. What are their corporate level goals?
3. Who are their customers?
4. From your SWOT analysis, what do you conclude are the organization’s main strengths and weaknesses?
5. From your SWOT analysis, what do you conclude are the organization’s main opportunities and threats?
6. Who are the primary competitors to the organization? 
7. Do you think the organization has a customer-focused orientation to its practices and procedures?  Why or why not? 

NOTE:  You will not find definitive information on your organization relating to these questions, some of the information is propriety or not available through public means.  Use and cite data whenever you find it, or use your best judgment as to what you think is occurring at the organization.  Be sure to offer your rationale for your conclusions.