Posts

Primary Prevention/Health Promotion

Note: This is an individual assignment. Applying what you have learned thus far, develop a community teaching proposal designed to address the needs of your community.

Select one of the following as the focus for the teaching plan:

  1. Primary Prevention/Health Promotion
  2. Secondary Prevention/Screenings for a Vulnerable Population
  3. Bioterrorism/Disaster
  4. Environmental Issues

Complete the “Community Teaching Work Plan Proposal.” This will help you organize your plan and create an outline for the written assignment.

  1. After completing the teaching proposal, review the teaching plan with a community health and public health provider in your local community.
  2. Request feedback (strengths and opportunities for improvement) from the provider.
  3. Complete the “Community Teaching Experience” form.

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 Turnitin.

"Is this question part of your assignment? We can help"

ORDER NOW

psychotherapy.

Select one nursing theory and one counseling theory to best guide your practice in psychotherapy.

Explain why you selected these theories. Support your approach with evidence-based literature.

Develop at least three goals and at least three objectives for the practicum experience in this course.

Create a timeline of practicum activities based on your practicum requirements.

"Is this question part of your assignment? We can help"

ORDER NOW

Getty Images/Ingram Publishing

Pharmacokinetics describes what the body does to the drug through absorption, distribution, metabolism, and excretion, whereas pharmacodynamics describes what the drug does to the body.

Photo Credit: Getty Images/Ingram Publishing

When selecting drugs and determining dosages for patients, it is essential to consider individual patient factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes. These patient factors include genetics, gender, ethnicity, age, behavior (i.e., diet, nutrition, smoking, alcohol, illicit drug abuse), and/or pathophysiological changes due to disease.

For this Discussion, you reflect on a case from your past clinical experiences and consider how a patient’s pharmacokinetic and pharmacodynamic processes may alter his or her response to a drug.

To Prepare
  • Review the Resources for this module and consider the principles of pharmacokinetics and pharmacodynamics.
  • Reflect on your experiences, observations, and/or clinical practices from the last 5 years and think about how pharmacokinetic and pharmacodynamic factors altered his or her anticipated response to a drug.
  • Consider factors that might have influenced the patient’s pharmacokinetic and pharmacodynamic processes, such as genetics (including pharmacogenetics), gender, ethnicity, age, behavior, and/or possible pathophysiological changes due to disease.
  • Think about a personalized plan of care based on these influencing factors and patient history in your case study.
By Day 3 of Week 1

Post a description of the patient case from your experiences, observations, and/or clinical practice from the last 5 years. Then, describe factors that might have influenced pharmacokinetic and pharmacodynamic processes of the patient you identified. Finally, explain details of the personalized plan of care that you would develop based on influencing factors and patient history in your case. Be specific and provide examples.

Four  references not more than 5years

Rosenthal, L. D., & Burchum, J. R. (2018). Lehne’s pharmacotherapeutics for advanced practice providers. St. Louis, MO: Elsevier.

  • Chapter 1, “Prescriptive Authority” (pp. 1–3)
  • Chapter 2, “Rational Drug Selection and Prescription Writing” (pp. 5–9)
  • Chapter 3, “Promoting Positive Outcomes of Drug Therapy” (pp. 11–16)
  • Chapter 4, “Pharmacokinetics, Pharmacodynamics, and Drug Interactions” (pp. 17–40)
  • Chapter 5, “Adverse Drug Reactions and Medical Errors” (pp. 41–49)
  • Chapter 6, “Individual Variation in Drug Response” (pp. 51–56)

"Is this question part of your assignment? We can help"

ORDER NOW

child or adolescent emergency case.

Post answers to the three questions below:

1. Briefly describe the case you selected (make up one).

2. Explain how you would treat the client differently if he or she were a child or adolescent.

3. Explain any legal or ethical issues you would have to consider when working with a child or adolescent emergency case.

"Is this question part of your assignment? We can help"

ORDER NOW

tingling sensation

Lat….

Week 3 discussion

An anxious patient is having rapid and shallow breathing. After a few moments, he complains of a tingling sensation.

What could be the causes of this tingling sensation?

What are the various patterns of respiration and their significance?

Ethnicity and culture influence risk factors for heart disease. Do you agree? Why or why not?

What is the technique of percussion and palpation of the chest wall for tenderness, symmetry, bulges, fremitus, and thoracic expansion? Explain.

Would you anticipate hearing hyper-resonance on a patient with a history of tobacco use? Why or why not?

What are the mechanics of breathing with reference to lung borders and the anatomical structure of the lungs and diaphragm?

The patient is having rapid and shallow breathing because of a decrease in Co2 in the blood to the extremities. The patient is experiencing hyperventilation. This could be a result of a panic attack or cardiac related.

Norml respirations between 12-20 breaths/min. The chest expands and falls with a normal and even rate and rhythm Tachypnea: Respiratory rate that is above 20 breath/min. Some things that can cause this change is fever, pain, anxiety, respiratory issues. Bradypnea: Respiratory rate below 12 breaths per/min. Some causes of this could be certain medications such as narcotics or sedatives. Cheyene Stokes: Deep shallow breathing with periods of apnea. This could be in relation to renal faluire or drug overdose. African Americans are at a higher risk for devoloping heart disease due to genetics. Yes, I do agree because African Americans consume alot of sodium in their diet, and are geneticly sensitive to salt consumption which causes an increase in blood volume and raises blood pressure.

Palpitation: Stand behind the patient and place your thumbs at the 10 th rib. Your hands will be out with thumbs touching. You can ask your patient to take a deep breath and you would watch for symmetry movement on your thumbs. During this point in the examination you will ask the patient to say ninety-nine as you bring your hands down along the sides of chest. You should have the same type of vibration throughout as you make your way down. To feel for bulges you would assess both posteriorly and anteriorly. You would use the tips of your fingers and gently palpate the area below the breast tissue. Percussion: You can perform the anterior assessment this way with your patient lying down. Then, strike the finger placed on the patient’s skin with the end of the middle finger of your dominant hand. You are listening and feeling for differences.

For someone that has a history of tobacco use, I would anticipate hyper resonance because tobacco use can cause emphysema or COPD. The action of breathing in and out is due to changes of pressure within the thorax, in comparison with the outside. This action is also known as external respiration . When we inhale the intercostal muscles (between the ribs) and diaphragm contract to expand the chest cavity. The diaphragm flattens and moves downwards and the intercostal muscles move the rib cage upwards and out. This increase in size decreases the internal air pressure and air from the outside (at a now higher pressure that inside the thorax) rushes into the lungs to equalise the pressures. When we exhale the diaphragm and intercostal muscles relax and return to their resting positions. This reduces the size of the thoracic cavity, thereby increasing the pressure and forcing air out of the lungs

"Is this question part of your assignment? We can help"

ORDER NOW

Course Outcomes

Purpose

In this assignment, you will assess the impact of health legislation on nursing practice and communicate your analysis to your peers. GovTrack.us provides a list of federal health bills that are currently in process in Congressional Committees.

Course Outcomes

This assignment enables the student to meet the following course outcomes:

CO4: Integrates clinical nursing judgment using effective communication strategies with patients, colleagues, and other healthcare providers. (PO#4)

CO7: Integrates the professional role of leader, teacher, communicator, and manager of care to plan cost-effective, quality healthcare to consumers in structured and unstructured settings. (PO#7)

Directions

A short tutorial with tips for completing this assignment may be viewed here: Healthcare Policy (Links to an external site.)

  1. This assignment will be in the format of a PowerPoint presentation (Bullet points may be used).
  2. You are educating your peers through this presentation regarding a federal bill you believe may be of interest to nurses.
  3. Go to https://www.govtrack.us/congress/bills/subjects/health/6130 (Links to an external site.)
  4. Choose a health-related federal bill of interest. Read through the bill and develop a summary in your own words. Include the bill number and name.
  5. Here is a link to our U.S. legislative process (bill to law) for review, if needed.

https://www.congress.gov/legislative-process (Links to an external site.)

Tutorial: For those not familiar with the development of a PowerPoint slideshow, the following link to the Microsoft website may be helpful –

https://support.office.com/office-training-center?redirectSourcePath=%252fen-us%252farticle%252fb8f02f81-ec85-4493-a39b-4c48e6bc4bfb

Include the following information in your presentation

  • Title slide (Your name, NR451, session, Healthcare Policy assignment)
  • Bill name and number (indicate either H.B. or S.B.)
  • Bill summary (in your own words)
  • Address how this bill might impact professional nursing practice standards if passed? If not passed?
  • How might the bill impact your own nursing practice?
  • How might you communicate your concerns about or support for this bill based on nursing practice, standards, or patient outcomes?
  • How might this bill impact your community?
  • References slide to include the Bill source in APA format.
  • No more than 12 slides

Template

There is no required form or template for this assignment. Please use PowerPoint best practices throughout your presentation.

Best Practices

The following are best practices in preparing this presentation.

  • Review directions and rubric thoroughly prior to beginning assignment.
  • Watch short Kaltura video.Incorporate graphics, clip art, or photographs to increase interest.
  • Make slides easy to read with short bullet points and large font.

Source Citations

Cite all sources on the appropriate slides with (author, year) as well as on the Reference slide.

  • Spell check for spelling and grammar errors prior to final submission.
  • Use the rubric as a final check prior to submission to ensure all content is clearly addressed.

Reminder

Before preparing your assignment, please review this Crediting Sources Made Simple (https://lms.courselearn.net/lms/content/1560/56460/NR451/Crediting%20Sources%20Made%20Simple%207-19.pdf) resource. This tool is intended to help you understand scholarly writing, APA, referencing, and crediting. Please reach out to your instructor with any questions as you prepare your assignment.

References: American Psychological Association. (2010). Publication manual of the American Psychological Association (6th ed.). Washington, DC: Author.

American Nursing Association [ANA]. (2015). Nursing: Scope and standards of practice (3rd ed.). Silver Spring, MD: American Nurses Publishing.

"Is this question part of your assignment? We can help"

ORDER NOW

colleagues’ differential diagnoses

APA format for SOAP NOTE 3 peer review articles 1 and half pages long please follow below instructions

Analyze the possible conditions from your colleagues’ differential diagnoses. Determine which of the conditions you would reject and why. Identify the most likely condition and justify your reasoning

 

case Study #3   Martha brings her 11-year old grandson, James, to your clinic to have his right ear checked

S

Cc: “Earache right ear”

HPI: Patient is an 11-year-old Caucasian boy who was brought in by his grandmother after complaining about having a mild earache for the past two days.  Patient states that the pain is worse when he falls asleep and that it has become harder for him to hear, grandmother believes that he feels warm but has not taken his temperature

Medications: Patient does not take any medications

PMH: No significant illnesses, shots are up to date

FH: No history of previous ear concerns no family history of ear disease. During the school year, patient lives at home with his mother, father and he does not have pets. Patient is staying with grandmother and grandfather most of summer

SH: Student in public school and is currently on summer break, has been spending a lot of time this summer in the pool per his grandmother that he is spending the summer with.

ROS: general: negative for chills fever currently

EENT: complains of mild right ear pain and mild hearing loss, denies tinnitus, denies pain in throat, or eye pain

O

VS: T 100.8, P 94, R 18, BP 98/64

General: Patient appears to be in mild pain, holding head to right side slightly

HEENT: right tympanic membrane obscured, ear canal is read and has a musty odor from ear canal with small amount of watery drainage, head is normocephalic without signs of trauma, no nasal drainage, PEARL, no complaints of sore throat, no redness in throat

SKIN: Warm and dry, good skin turgor, prominent tan

NECK: No lymph node edema or signs of pain on palpation

NEUROLOGICAL: No complaints of headache or dizziness

Diagnostic results. WBC slightly elevated, low grade temp

A

Differential Diagnoses:

1) Acute Otitis Externa

2) Acute Otitis Media

3) Pharyngitis

Primary diagnoses/presumptive diagnoses: Acute otitis media

P – not indicated per template

Assessing for a possible ear infection would require additional information from the patient in addition to a physical assessment of the ear and the patient.  Obtaining background information including recent travel, activities, family history, trauma, history of previous illnesses and treatments that have been used for treatment that were successful or not successful.

Diagnostic studies used to diagnose the specific pathogen would include obtaining a culture of purulent drainage, simple otoscopy was mostly used for diagnosing AOM (D’silva, 2013) or a more invasive way of evaluating white blood cell elevation is by completing a CBC which is not used as often as visual inspection of the ear canal. White blood cell count (WBC), a classical inflammation marker, is also used in many scoring systems during routine daily clinical practice (Kutlucan et al., n.d.). Using data from a CBC can also provide information about the patient’s overall health.

Otitis externa

Acute otitis externa is the most common infection of the external auditory canal (Demirel et al., 2018). Ball describes (2015) symptoms of otitis externa as having watery to purulent and thick drainage mixed with pus with a musty odor and usually occurs after swimming.

Acute otitis media

Acute otitis media is one of the most frequent bacterial infections in children, and one of the primary reasons for the prescription of antibiotics by pediatricians (Intakorn, n.d.). Otitis media can have an abrupt onset with fever, feeling of a blockage, and interferes with sleep.  The middle ear fills with pus causing conductive hearing loss (Ball).

Acute pharyngitis:

Acute respiratory infections are one of the most common diseases, accounting for one of the main causes of patient visits to community health centers and hospitals (Yuniar, 2017). Ball (2015) describes a patient with acute pharyngitis as having a sore throat with deferred pain in ears and dysphagia with fever, malaise, fetid breath, abdominal pain and headache.

References

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S.,   Stewart, R. W. (2015). Seidel’s guide to

physical examination (8th ed.). St. Louis, MO: Elsevier Mosby.

Demirel, H., Arlı, C., Özgür, T., İnci, M., & Dokuyucu, R. (2018). The Role of Topical

Thymoquinone in the Treatment of Acute Otitis Externa; an Experimental Study in

Rats. Journal of International Advanced Otology, 14(2), 285–289. https://doi-

org.ezp.waldenulibrary.org/10.5152/iao.2017.4213

D’silva, L., Parikh, R., Nanivadekar, A., & Joglekar, S. (2013). A Questionnaire-Based Survey

of Indian ENT Surgeons to Estimate Clinic Prevalence of Acute Otitis Media, Diagnostic

Practices, and Management Strategies. Indian Journal of Otolaryngology & Head & Neck

Surgery, 65, 575–581. https://doi-org.ezp.waldenulibrary.org/10.1007/s12070-012-0545-2

Intakorn, P., Sonsuwan, N., Noknu, S., Moungthong, G., Pircon, J.-Y., Liu, Y., … Hausdorff, W.

P. (n.d.). Haemophilus influenzae type b as an important cause of culture-positive acute

otitis media in young children in Thailand: a tympanocentesis-based, multi-center, cross-

sectional study. BMC PEDIATRICS, 14. https://doi-org.ezp.waldenulibrary.org

/10.1186/1471-2431-2431-14-157

Kutlucan, L., Kutlucan, A., Basaran, B., Dagli, M., Basturk, A., Kozanhan, B., … Kos, M. (n.d.).

The predictive effect of initial complete blood count of intensive care unit patients on

mortality, length of hospitalization, and nosocomial infections. EUROPEAN REVIEW

FOR MEDICAL AND PHARMACOLOGICAL SCIENCES, 20(8), 1467–1473.

Retrieved from

https://ezp.waldenulibrary.org/login?url=https://search.ebscohost.com/login.aspx?direct=t

rue&db=edswsc&AN=000380260000006&site=eds-live&scope=site

Yuniar, C. T., Anggadiredja, K., & Islamiyah, A. N. (2017). Evaluation of Rational Drug Use for

Acute Pharyngitis Associated with the Incidence and Prevalence of the Disease at Two

Community Health Centers in Indonesia. Scientia Pharmaceutica, 85(2), 1–10.

https://doi-org.ezp.waldenulibrary.org/10.3390/scipharm85020022

"Is this question part of your assignment? We can help"

ORDER NOW

community/global nutrition

To prepare for the live classroom session and your written submission, use your chapter readings and course materials, and any other pertinent evidence-based source.

The focus for this live classroom is a discussion about resources and community/global nutrition as well as course closure.

Be prepared to discuss the following:

  1. What types of resources are available to communities in terms of learning about nutrition and healthy eating?
  2. What types of resources are available to global populations in terms of learning about nutrition and healthy eating?
  3. What are three challenges communities and global populations have in accessing these resources and how can these be overcome?
  4. What specific nutritional knowledge and skills that you learned about in this course had the most impact on you personally?
  5. Were there any areas that you wished you could have learned more? If so, what were

"Is this question part of your assignment? We can help"

ORDER NOW

Quantitative research design

Introduction
Quantitative research design provides an approach to finding scholarly evidence. There are a variety of philosophical considerations, strategies of inquiry, and methods of data collection and analysis based on the study question and the types and numbers of variables. For example, having one or more dependent and/or independent variables is what prescribes the statistical tests needed to answer the study question(s). It is important for nurse researchers, leaders, educators, and practitioners to know how to select the correct statistical analysis for a study.

Upon successful completion of this assignment you should be able to:

Select a data analysis method / tests appropriate for a potential research study.
Expound on interpretation of data for a quantitative study.
Resources
Textbook: Research Design: Qualitative, Quantitative, and Mixed Method Approaches (2018), Chapters 7, 8
PowerPoint: Chapter 7 Questions and Hypotheses
File: Chapter 7 Questions and Hypotheses, Notes
PowerPoint: Chapter 8 Quantitative Methods
File: Chapter 8 Quantitative Methods, Notes
Textbook: Practical Research: Planning and Design (2016), Chapters 4, 8
PowerPoint: Chapter 4 Planning
PowerPoint: Chapter 8 Analyzing Quantitative Data
File: Tests of Significance
File: Finger’s Chart of Statistical Tests with video walk through
File: Matching Statistical Tests to Methodology
Website: IWU Off Campus Library Services
Website: http://www.dissertation-statistics.com/
Website: https://www.anzmtg.org/stats/PathwayWizard/Next
File: Proposal Summary Form – keep filling this in for Assignment 6.3.
Instructions
Read chapters 7 and 8 in Research Design: Qualitative, Quantitative, and Mixed Method Approaches (2018),and chapters 4 and 8 in Practical Research: Planning and Design (2016). Review all other materials listed.
Navigate to the threaded discussion below and respond to the following:
Post your quantitative question.
Describe your proposed data collection tool.
Respond to the questions found in Practical Research: Planning and Design (2016) pages 245-246 and post your responses. For your convenience, the checklist is included in the resources above.
Use Dr. Finger’s Chart of Statistical Tests and your texts from GNUR-528 Biostatistics and Epidemiology course to determine what statistical tests you would select to demonstrate the answer(s) to your problem, subproblems, and research question. Be sure and refer to the studies related to your topic found in OCLS. Post at least one test to use on your data along with your rationale.
What interpretive criteria would you use to give meaning and significance to your findings?
What if your findings do not support your hypothesis or hunch?
This discussion should be referenced with at least three references.
Your initial post is due by day five of the workshop.
The post should be written in scholarly and scientific writing with use of APA style.
Read and respond to at least two of your classmates’ initial postings and any questions you are asked in your initial post by the end of the workshop.
Navigate to the threaded discussion here.

Assessment Criteria
Criteria

16 Points

12 Points

8 Points

4 Points

Quality

Your postings are well developed and answers provide clear evidence of critical thinking.

Your questions or observations add greater depth to the discussion by introducing new ideas.

A current, professional source is used to validate your thoughts.

Your postings show some development and some critical thinking is evident in your answers.

Your questions and observations add to the discussion by expanding the ideas of others.

A current, professional source is used to validate your thoughts.

Your postings show nominal development and only the beginnings of critical thinking.

Your contributions (questions or observations) do not clearly add to the discussion.

No source is used.

Your postings show no development and are mostly a reiteration of what the textbook or others have said.

Your questions and observations detract from the discussion.

No source is used.

Criteria

12 points

8 Points

4 Points

0 Points

Timeliness

Your initial posting to the question or topic assigned in the workshop activity is made by day five of the workshop.

Your initial posting to the question or topic assigned in the workshop activity is made by the day six of the workshop.

Your initial posting to the question or topic assigned in the workshop activity is made by day seven of the workshop.

No initial post made.

Criteria

12 Points

8 Points

4 Points

0 Points

Interaction

You respond to a minimum of two other classmates as well as all follow-up faculty questions directed to you.

You are clearly collaborative by taking the initiative to respond to classmates’ questions, providing clarification and insight on issues in the discussion.

You respond to two classmates and some of the faculty follow-up questions directed to you.

You are collaborative in some situations and show some initiative in workshop discussions.

You respond to two classmates but do not respond to faculty follow-up questions directed to you.

You show little initiative in discussions and your presence is not collaborative.

You do not respond to the postings of others in the discussion.

Total Points

40

"Is this question part of your assignment? We can help"

ORDER NOW

Fetal Abnormality

Based on “Case Study: Fetal Abnormality” and the required topic study materials, write a 750-1,000-word reflection that answers the following questions:

  1. What is the Christian view of the nature of human persons, and which theory of moral status is it compatible with? How is this related to the intrinsic human value and dignity?
  2. Which theory or theories are being used by Jessica, Marco, Maria, and Dr. Wilson to determine the moral status of the fetus? What from the case study specifically leads you to believe that they hold the theory you selected?
  3. How does the theory determine or influence each of their recommendations for action?
  4. What theory do you agree with? Why? How would that theory determine or influence the recommendation for action?

Remember to support your responses with the topic study materials.

"Is this question part of your assignment? We can help"

ORDER NOW