Principles of Research and Evidence-Based Practice

Principles of Research and Evidence-Based Practice

Paper details

Discuss the principles of research and evidence-based practice and how to effectively implement them for advanced practice nurses. Submission Instructions: • Your initial post should be 600 words, formatted and cited in current APA style with support from 3 academic sources

Gastrointestinal and Endocrine Function

Gastrointestinal & Endocrine Function

Paper details

Gastrointestinal Function: R.H. is a 74-year-old black woman, who presents to the family practice clinic for a scheduled appointment. She complains of feeling bloated and constipated for the past month, some-times going an entire week with only one bowel movement. Until this episode, she has been very regular all of her life, having a bowel movement every day or every other day. She reports straining most of the time and it often takes her 10 minutes at a minimum to initiate a bowel movement. Stools have been extremely hard. She denies pain during straining. A recent colonoscopy was negative for tumors or other lesions. She has not yet taken any medications to provide relief for her constipation. Furthermore, she reports frequent heartburn (3–4 times each week), most often occur-ring soon after retiring to bed. She uses three pillows to keep herself in a more upright position during sleep. On a friend’s advice, she purchased a package of over-the-counter aluminum hydroxide tablets to help relieve the heartburn. She has had some improvement since she began taking the medicine. She reports using naproxen as needed for arthritic pain her hands and knees. She states that her hands and knees are extremely stiff when she rises in the morning. Because her arthritis has been getting worse, she has stopped taking her daily walks and now gets very little exercise. Case Study Questions 1. In your own words define constipation and name the risk factors that might lead to develop constipation. List recommendations you would give to a patient who is suffering from constipation. You might use a previous experience you might have. 2. Based on the clinical manifestations on R.H. case study, name and explain signs and symptoms presented that are compatible with the constipation diagnosis. Complement your list with signs and symptoms do not present on the case study. 3. Sometimes as an associate diagnosis and a complication, patients with constipation could have anemia. Would you consider that possibility based on the information provided on the case study? Endocrine Function: C.B. is a significantly overweight, 48-year-old woman from the Winnebago Indian tribe who had high blood sugar and cholesterol levels three years ago but did not follow up with a clinical diagnostic work-up. She had participated in the state’s annual health screening program and noticed that her fasting blood sugar was 141 and her cholesterol was 225. However, she felt “perfectly fine at the time” and could not afford any more medications. Except for a number of “female infections,” she has felt fine until recently. Today, she presents to the Indian Hospital general practitioner complaining that her left foot has been weak and numb for nearly three weeks and that the foot is difficult to flex. She denies any other weakness or numbness at this time. However, she reports that she has been very thirsty lately and gets up more often at night to urinate. She has attributed these symptoms to the extremely warm weather and drinking more water to keep hydrated. She has gained a total of 65 pounds since her last pregnancy 14 years ago, 15 pounds in the last 6 months alone. Case Study Questions 1. In which race and ethnic groups is DM more prevalent? Based on C.B. clinical manifestations, please compile the signs and symptoms that she is exhibiting that are compatible with the Diabetes Mellitus Type 2 diagnosis. 2. If C.B. develop a bacterial pneumonia on her right lower lobe, how would you expect her Glycemia values to be? Explain and support your answer. 3. What would be the best initial therapy non-pharmacologic and pharmacologic to be recommended to C.B? Submission Instructions: • You must complete both case studies. • Your initial post should be 600 words, formatted and cited in current APA style with support from 4 academic sources.

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Capella University Safety Improvement Initiative and Workplace Safety Paper

Capella University Safety Improvement Initiative and Workplace Safety Paper

Description

 

 

please follow the instructions attached.

INSTRUCTIONS

Using Google Sites, assemble an online resource tool kit containing at least 12 annotated resources that you consider critical to the success of your safety improvement initiative. These resources should enable nurses and others to implement and maintain the safety improvement you have developed.

It is recommended that you focus on the 3 or 4 most critical categories or themes with respect to your safety improvement initiative. For example, if your initiative concerns improving workplace safety for practitioners, you might choose broad themes such as general organizational safety and quality best practices; environmental safety and quality risks; individual strategies to improve personal and team safety; and process best practices for reporting and improving environmental safety issues.

Following the recommended scheme, you would collect 3 resources on average for each of the 4 categories. Each resource listing should include the following:

  • An APA-formatted citation of the resource with a working link.
  • A description of the information, skills, or tools provided by the resource.
  • A brief explanation of how the resource can help nurses better understand or implement the safety improvement initiative.
  • A description of how nurses can use this resource and when its use may be appropriate.

Here is an example entry:

  • Merret, A., Thomas, P., Stephens, A., Moghabghab, R., & Gruneir, M. (2011). A collaborative approach to fall preventionCanadian Nurse, 107(8), 24–29. Retrieved from www.canadian-nurse.com/articles/issues/2011/octobe…
    • This article presents the Geriatric Emergency Management-Falls Intervention Team (GEM-FIT) project. It shows how a collaborative nurse lead project can be implemented and used to improve collaboration and interdisciplinary teamwork, as well as improve the delivery of health care services. This resource is likely more useful to nurses as a resource for strategies and models for assembling and participating in an interdisciplinary team than for specific fall-prevention strategies. It is suggested that this resource be reviewed prior to creating an interdisciplinary team for a collaborative project in a health care setting.

Additionally, be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score.

  • Identify necessary resources to support the implementation and continued sustainability of a safety improvement initiative.
  • Analyze the usefulness of resources to the role group responsible for implementing quality and safety improvements.
  • Analyze the value of resources to reduce patient safety risk.
  • Present compelling reasons and relevant situations for use of resource tool kit by its target audience.
  • Communicate in a clear, logically structured, and professional manner that applies current APA style and formatting.

To submit your online tool kit assessment, paste the link to your Google Site in the assessment submission box.

Sudden Infant Death Syndrome Pamphlet

Sudden Infant Death Syndrome Pamphlet

Description

 

 

By using this link (http://www.nichd.nih.gov/SIDS/pages/sidsnursesce.aspx) create a pamphlet or single paged handout that could be used to educate families about SIDS. Your creation must be accurate in the information it presents, creative, and easy to understand for the non-medically oriented parent/family.

Breast Milk and Breastfeeding Teaching Brochure

Breast Milk and Breastfeeding Teaching Brochure

Description

 

 

Purpose: To demonstrate effective teaching/learning skills for the childbearing family.

Topics:Choose a topic to teach: Infant Feeding (breast or bottle), Infant Safety, Postpartum Complications, Postpartum Self-care/Recovery, Infant Care, Car Seat Safety, or another topic of your choosing (do not select Safe Sleep Practices/SIDs as this topic is included in another clinical activity…additional topics may be chosen with instructor approval).

Instructions: ~Research your chosen topic, using websites, textbooks, patient teaching materials from clinical setting, observation in clinical setting etc. ~create a brochure with information on your topic.

~ Find an article from a nursing or allied health journal that relates to patient education. Include the citation with any other resources you used.

American Commercial College of Texas: Gastrointestinal Tract: Disorders of Motility Case Diagnosis

American Commercial College of Texas: Gastrointestinal Tract: Disorders of Motility Case Diagnosis

Description

 

 

Gastrointestinal Tract: Disorders of Motility

Jamie is a 3-month-old female who presents with her mother for

evaluation of “throwing up.” Mom reports that Jamie has been throwing up

pretty much all the time since she was born. Jamie does not seem to be

sick. In fact, she drinks her formula vigorously and often acts hungry.

Jamie has normal soft brown bowel movements every day and, overall,

seems like a happy and contented baby. She smiles readily and does not

cry often. Other than the fact that she often throws up after drinking a

bottle, she seems to be a very healthy, happy infant. A more precise

history suggests that Jamie does not exactly throw up—she does not heave

or act unwell—but rather it just seems that almost every time she

drinks a bottle she regurgitates a milky substance. Mom thought that she

might be allergic to her formula and switched her to a hypoallergenic

formula. It didn’t appear to help at all, and now Mom is very concerned.

Cases like these are not uncommon. The mother was concerned and thinking

her daughter may have an allergy; she changed to a different formula.

However, sometimes babies have immature GI tracts that can lead to

physiology reflux as they adapt to normal life outside the uterus.

Parents often do not consider this possibility, prompting them to change

formulas rather than seeking medical care. As in the case study above,

GI alterations can often be difficult to identify because many cause

similar symptoms. This same issue also arises with adults—adults may

present with symptoms that have various potential causes. When

evaluating patients, it is important for the advanced practice nurse to

know the types of questions he or she needs to ask to obtain the

appropriate information for diagnosis. For this reason, you must have an

understanding of common GI disorders such as gastroesophageal reflux

disease (GERD), peptic ulcer disease (PUD), and gastritis.

To Prepare

Review this week’s media presentation on the gastrointestinal system.

Review Chapter 35 in the Huether and McCance text. Identify the normal

pathophysiology of gastric acid stimulation and production.

Review Chapter 37 in the Huether and McCance text. Consider the

pathophysiology of gastroesophageal reflux disease (GERD), peptic ulcer

disease (PUD), and gastritis. Think about how these disorders are

similar and different.

Select a patient factor different from the one you selected in this

week’s Discussion: genetics, gender, ethnicity, age, or behavior.

Consider how the factor you selected might impact the pathophysiology of

GERD, PUD, and gastritis. Reflect on how you would diagnose and

prescribe treatment of these disorders for a patient based on this

factor.

Review the “Mind Maps—Dementia, Endocarditis, and Gastro-oesophageal

Reflux Disease (GERD)” media in the Week 2 Learning Resources. Use the

examples in the media as a guide to construct a mind map for gastritis.

Consider the epidemiology and clinical presentation of gastritis.

To Complete

Write a 2 page paper that addresses the following:

Describe the normal pathophysiology of gastric acid stimulation and

production. Explain the changes that occur to gastric acid stimulation

and production with GERD, PUD, and gastritis disorders.

Explain how the factor you selected might impact the pathophysiology of

GERD, PUD, and gastritis. Describe how you would diagnose and prescribe

treatment of these disorders for a patient based on the factor you

selected.

Construct a mind map for gastritis. Include the epidemiology,

pathophysiology, and clinical presentation, as well as the diagnosis and

treatment you explained in your paper.

APA

2 pages/600 words

3 sources..not older than 2012

Rasmussen College Thinking Like a Nurse Article

Rasmussen College Thinking Like a Nurse Article

Description

 

 

Read the article “Thinking Like a Nurse: A Research-Based Model of Clinical Judgment in Nursing” by Christine Tanner, which is linked below:

Link to article

In at least three pages, answer the following questions:

  1. What do you feel are the greatest influences on clinical judgment? Is it experience, knowledge, or a combination of those things?
  2. In your opinion, what part does intuition play in clinical judgment? How do you think you’ll be able to develop nursing intuition?
Clinical Judgements Points:(0.00%)

Clinical judgements are not identified and not related to experience and knowledge

Points:(20.00%)

Identifies clinical knowledge and superficial or vaguely relates to experience and clinical knowledge

Points:(40.00%)

Identifies clinical judgements and relates experience and knowledge

Points:10 (50.00%)

Identifies clinical judgements and relates experience and knowledge using theory and practice.

Intuition Points:(0.00%)

Intuition is not discussed.

Points:3.2 (16.00%)

Intuitions is weakly linked to its role in developing nursing judgement

Points:6.4 (32.00%)

Intuition clearly stated how it impacts the role on nursing judgement

Points:(40.00%)

Connects examples to clearly show how intuition impacts the role on nursing judgement and its development

Structure, Spelling, Grammer Points:(0.00%)

Paper is not 3 pages in length, with no cover page, or reference page

Points:0.4 (2.00%)

Paper is structured in proper APA format, with cover page and reference page, Meets minimum criteria of 3 pages

Points:0.8 (4.00%)

Paper is structured in proper APA format, with cover page and reference page, Meets minimum criteria of 3 pages, with minimum grammer /spelling errors

Points:(5.00%)

Paper is structured in proper APA format, with cover page and reference page, Meets minimum criteria of 3 pages, all formatting of References correct, less than 3 grammer/spelling errors

APA-references Points:(0.00%)

No sources are cited

Points:0.4 (2.00%)

Sources are inferred but not well cited

Points:0.8 (4.00%)

Only one source is cited or two sources are cited but they are not referred to it the reflection

Points:(5.00%)

Two sources are well cited, Less than 3 citation errors.

Strategic planning

Strategic planning

Paper details

1.Write a 2 page summary of the strategic plan issue. Include the following in your summary: a,The strategic plan issue and how the issue’s need is evident in the group or organization b,The mission, vision, and values of the group or organization c,Background, including: Data from historical analysis and forecasting to support the need for the plan d,Evidence from the literature to support the need for the plan e,Previous attempts by various individuals and groups to address this issue f,Stakeholders that should be included in the strategic planning process Section 2: SWOT Analysis 2.Write a 2 page summary that conveys the results of your SWOT analysis. Include: a,Two organizational strengths b,Two organizational weaknesses c,Two market opportunities d,Two environmental threats e,An explanation of whether the organizational threats and