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proposal for future research.

You are not conducting original research; you will only be developing a proposal for future research. You identified a model to promote EBP clinical research on Narcolepsy & Cataplexy. Please use model to organize your final proposal. In addition, integrate the Part 1 PICO(T) paper, Part 2 Literature review and this Part 3 to synthesize your findings and draw conclusions. Include in Part 3 how you might apply for funding for this project. Please use the Proposal paper outline provided for you during the first week as a guide for your paper. 

This assignment requires proper APA format. This includes a title page, reference page, and proper headings. An abstract is required for this final proposal.   The Final EBPG proposal requires 7 pages in addition to the title page, abstract page, and reference page.

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Treating Childhood Abuse

Discussion: Treating Childhood Abuse

In 2012, statistics in the United States indicated that state CPS agencies received 3.4 million referrals for child abuse and neglect. Of these, nearly 700,000 children were found to be victims of maltreatment: 18% were victims of physical abuse and 78% were victims of neglect (CDC, 2014). Child sexual abuse makes up roughly 10% of child maltreatment cases in the United States (CDC, 2014). The CDC considers sexual abuse at any age a form of violence. Child abuse of any kind can lead to an increased state of inflammatory markers in adulthood, as well as multiple physical illnesses and high-risk behavior such as alcoholism and drug abuse. If a PMHNP identifies child abuse, there may be a need to report the abuse to authorities. Once able to provide treatment, the PMHNP can be instrumental in reducing the long-term effects of child abuse.

In this Discussion, you recommend strategies for assessing for abuse and analyze influences of media and social media on mental health. You also evaluate the need for mandatory reporting of abuse.

Learning Objectives

To Prepare for this Discussion:

  • Read the Learning Resources concerning treating childhood abuse.
  • Read the Child Abuse Case Study in the Learning Resources.

Post:

  • What strategies would you employ to assess the patient for abuse? Explain why you selected these strategies.
  • How might exposure to the media and/or social media affect the patient?
  • What type of mandatory reporting (if any) is required in this case? Why?

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Episodic Note Case Study:

Episodic Note Case Study:

Assessment of the Abdomen and Gastrointestinal System ABDOMINAL ASSESSMENT Subjective: • CC: “My stomach hurts, I have diarrhea and nothing seems to help.” • HPI: JR, 47 yo WM, complains of having generalized abdominal pain that started 3 days ago. He has not taken any medications because he did not know what to take. He states the pain is a 5/10 today but has been as much as 9/10 when it first started. He has been able to eat, with some nausea afterwards. • PMH: HTN, Diabetes, hx of GI bleed 4 years ago • Medications: Lisinopril 10mg, Amlodipine 5 mg, Metformin 1000mg, Lantus 10 units qhs • Allergies: NKDA • FH: No hx of colon cancer, Father hx DMT2, HTN, Mother hx HTN, Hyperlipidemia, GERD • Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys) Objective: • VS: Temp 99.8; BP 160/86; RR 16; P 92; HT 5’10”; WT 248lbs • Heart: RRR, no murmurs • Lungs: CTA, chest wall symmetrical • Skin: Intact without lesions, no urticaria • Abd: soft, hyperactive bowel sounds, pos pain in the LLQ • Diagnostics: None Assessment: • Left lower quadrant pain • Gastroenteritis PLAN: This section is not required for the assignments in this course (NURS 6512) but will be required for future courses. 

Assignment: Assessing the Abdomen

A woman went to the emergency room for severe abdominal cramping. She was diagnosed with diverticulitis; however, as a precaution, the doctor ordered a CT scan. The CT scan revealed a growth on the pancreas, which turned out to be pancreatic cancer—the real cause of the cramping.

Because of a high potential for misdiagnosis, determining the precise cause of abdominal pain can be time consuming and challenging. By analyzing case studies of abnormal abdominal findings, nurses can prepare themselves to better diagnose conditions in the abdomen.

In this Lab Assignment, you will analyze an Episodic note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions

To Prepare

Review the Episodic note case study your instructor provides you for this week’s Assignment.

· With regard to the Episodic note case study provided:

o Review this week’s Learning Resources, and consider the insights they provide about the case study.

o Consider what history would be necessary to collect from the patient in the case study.

o Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?

o Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.

The Assignment

1. Analyze the subjective portion of the note. List additional information that should be included in the documentation.

2. Analyze the objective portion of the note. List additional information that should be included in the documentation.

3. Is the assessment supported by the subjective and objective information? Why or why not?

4. What diagnostic tests would be appropriate for this case, and how would the results be used to make a diagnosis?

5. Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature.

Resource for references

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.

  • Chapter 6, “Vital Signs and      Pain Assessment”

    This chapter describes the experience of pain and its causes. The authors      also describe the process of pain assessment.

  • Chapter 18, “Abdomen”

    In this chapter, the authors summarize the anatomy and physiology of the      abdomen. The authors also explain how to conduct an assessment of the      abdomen.

Dains, J. E., Baumann, L. C., & Scheibel, P. (2019). Advanced health assessment and clinical diagnosis in primary care (6th ed.). St. Louis, MO: Elsevier Mosby.

Credit Line: Advanced Health Assessment and Clinical Diagnosis in Primary Care, 6th Edition by Dains, J.E., Baumann, L. C., & Scheibel, P. Copyright 2019 by Mosby. Reprinted by permission of Mosby via the Copyright Clearance Center.

Chapter 3, “Abdominal Pain”
This chapter outlines how to collect a focused history on abdominal pain. This is followed by what to look for in a physical examination in order to make an accurate diagnosis.

Chapter 10, “Constipation”
The focus of this chapter is on identifying the causes of constipation through taking a focused history, conducting physical examinations, and performing laboratory tests.

Chapter 12, “Diarrhea”
In this chapter, the authors focus on diagnosing the cause of diarrhea. The chapter includes questions to ask patients about the condition, things to look for in a physical exam, and suggested laboratory or diagnostic studies to perform.

Chapter 29, “Rectal Pain, Itching, and Bleeding”
This chapter focuses on how to diagnose rectal bleeding and pain. It includes a table containing possible diagnoses, the accompanying physical signs, and suggested diagnostic studies.

Colyar, M. R. (2015). Advanced practice nursing procedures. Philadelphia, PA: F. A. Davis.

Credit Line: Advanced practice nursing procedures, 1st Edition by Colyar, M. R. Copyright 2015 by F. A. Davis Company. Reprinted by permission of F. A. Davis Company via the Copyright Clearance Center.

These sections below explain the procedural knowledge needed to perform gastrointestinal procedures.

Chapter 107, “X-Ray Interpretation: Chest (pp. 480–487)

Chapter 115, “X-Ray Interpretation of Abdomen” (pp. 514–520)

Note: Download this Student Checklist and Abdomen Key Points to use during your practice abdominal examination.

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Abdomen: Student checklist. In Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.

Credit Line: Seidel’s Guide to Physical Examination, 9th Edition by Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. Copyright 2019 by Elsevier Health Sciences. Reprinted by permission of Elsevier Health Sciences via the Copyright Clearance Center.

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Abdomen: Key points. In Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.

Credit Line: Seidel’s Guide to Physical Examination, 9th Edition by Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. Copyright 2019 by Elsevier Health Sciences. Reprinted by permission of Elsevier Health Sciences via the Copyright Clearance Center.

Document: Midterm Exam Review (Word document)

Optional Resource

LeBlond, R. F., Brown, D. D., & DeGowin, R. L. (2014). DeGowin’s diagnostic examination (10th ed.). New York, NY: McGraw Hill Medical.

  • Chapter 9, “The Abdomen,      Perineum, Anus, and Rectosigmoid” (pp. 445–527)

    This chapter explores the health assessment processes for the abdomen,      perineum, anus, and rectosigmoid. This chapter also examines the symptoms      of many conditions in these areas.

  • Chapter 10, “The Urinary System” (pp. 528–540)

    In this chapter, the authors provide an overview of the physiology of the      urinary system. The chapter also lists symptoms and conditions of the      urinary system.

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HRSA Data Warehouse Website

Complete the HRSA Data Warehouse Website Activity.

  1. Read about the HRSA Data Warehouse and what it does here: https://datawarehouse.hrsa.gov/about/abouthdw.aspx
  2. Watch the “By Geography Training” tutorial found at the following link: http://datawarehouse.hrsa.gov/resources/tutorials.aspx/
  3. Explore some data by selecting Clark County, Nevada using the Data by Geograhy tool here: http://datawarehouse.hrsa.gov/.
  4. Next use the HRSA Fact Sheets tool located under the same link to look up HRSA’s activities in HHS regions, states, counties, and congressional districts and compare the data to the Clark County, Nevada data you found using your geography results. Analyze the data included in the fact sheets. Consider the data sets found in the fact sheets. How does Nevada compare nationwide when it comes to the data sets? What about Clark County?
  5. Complete a new search using the Data for Geography tool for your state and county. Compare the results of your query to your Clark County, Nevada search.
  6. Identify HRSA program resources for HIV/AIDS in your state and county (Miami, Florida) . What are they? How many clinics are funded by HRSA?

Write a two-page paper reflecting on the data you collected and analyzed. How will this data warehouse be useful to you as a professional nurse? Your paper should be at least two pages in length, in APA format, typed in Times New Roman with 12-point font, and double-spaced with 1” margins.

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The Nurse as Advocate

The Nurse as Advocate

Whether nurses are advocating for their patients, health care, and/or policies that improve people’s lives, the advocacy processes have commonalities that transcend the subject of their advocacy. There are also differences, although these differences may be more nuanced than obvious.

Tasks:

Write a 5-page brief to answer the following questions. Be sure to use APA guidelines for writing style, spelling and grammar, and citation of sources.

Read the following chapters from your course textbook:

  • Taking Action: Nurse, Educator, and Legislator: My Journey to the Delaware Senate
  • Taking Action: A Nurse in the Board Room

Answer the below questions:

  • Describe what you believe to be the drivers for each of the individuals? What factors led them to become advocates?
  • Discuss the challenges that each of them identified in their writings.
  • Analyze these drivers and challenges and compare them with your own experience to date as an advocate. In what ways do you believe that you can expand your advocacy skills within the next five years?

Submission Details:

  • Submit your response in a 5-page Microsoft Word document.
  • Name your document SU_NSG4068_W5_Project_LastName_FirstInitial.doc.
  • Submit your document to the Submissions area by the due date assigned.
  • Cite sources in the APA format on a separate page.

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Theories of Practice

Theories of Practice

What is a theory?

Theory can be defined as “one or more relatively concrete and specific concepts that are derived from a conceptual model, the propositions that narrowly describe those concepts, and the propositions that state relatively concrete and specific relations between two or more concepts” (Butts & Rich, 2018, p. 101).

Theory is a hypothesis tested and measured to explain, predict, describe, and prescribe relationships between concepts and is developed through quantitative research.

The difference between a model and a theory is the amount of proof that exists in demonstrating the outcomes they predict. Both models and theories show relationships between concepts.

Directions

In this assignment, you will locate a grand and middle-range nursing theory and examine the utility of your chosen theories for guiding research and practice.

You will locate one grand nursing theory and one middle-range nursing theory applied in a research study. You will examine how each theory was applied within the research study and then analyze the utility of grand and middle-range nursing theories to advance the discipline of nursing and its impact upon your advanced nursing practice.

Assignment Details

For this Assignment, your paper must be 2 to 4 pages, not including the title and reference pages.

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sociology

In sociology, it is important to understand how to analyze a social problem using the micro and macro analytic perspectives.  In an essay (1,500-2,000 words) you will analyze the problem of urbanization.

What is the social problem? 

In this section of the essay, encapsulate the essence of a social problem associated with urbanization (e.g. urban renewal and “top down” city planning, air & water quality, housing)

Clearly describe a specific problem associated with urbanization. What is the extent, scope and severity of this problem? (Use your text or other scholarly sources to support your description of the problem.) Briefly summarize the negative consequences of this problem to society as a whole and/or to specific groups of people. Why is it important to understand and address this social problem? Why change the status quo?

2. Vision of Change and Goal Clarification 

What is the envisioned change as it relates to the social problem of Urbanization?

In this section of the essay, briefly describe what things would “look like” if the Urbanization were effectively addressed, minimized, eliminated, or if prevention steps were taken to alleviate undesirable consequences of the problem. What are specific goals to achieve the desired change (e.g., test and implement local programs to address and reduce the problem). Who stands to gain or lose if the envisioned change is realized?

3. Historical Background and Current Conditions 

What contextual factors influence this social problem? 

In this section of the essay, briefly describe two contextual factors that have influenced this social problem (e.g., historical, economic, cultural, structural, or technological factors). (Use the text or other scholarly sources to support your discussion of contextual factors influencing the problem).

Select TWO of the sociological theories (functionalist theory, conflict theory, symbolic interactionist theory) to briefly explain this social problem, given the contextual conditions you have identified. Use one theory associated with MACRO analysis, and one theory associated with MICRO analysis to explain the problem.

4. Possible Directions to Achieve Desired Change 

What is needed to achieve the vision of change and address the identified social problem? 

5. Future Prospects: Suggested Strategies to Alleviate the Problem 

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skill/trait

NDIVIDUAL ASSIGNMENT***********

  • What expertise, supports, and character traits do you believe a nurse needs to possess in order to practice non-maleficence in nursing? For each item you name, give an example and s
  • Describe a situation in which non-maleficence might potentially come into conflict with a different precept in nursing. Write about the conflict you describe and analyze what you see as the most ethical approach to dealing with this tension.

Requirements:
Word Count—Minimum 1500-1800 words
References—Minimum 3 peer reviewed references, the oldest being no more than 5 years old.
*********APA FORMAT IS REQUIRED **************

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prescriptive authority

To prepare:

 

Review your state’s process for obtaining prescriptive authority and associated fees (Georgia)

 

Review the DEA website and review the process for obtaining a DEA number and associated fees.

 

Review and select one of the following case studies and analyze the provider information:

 

Case Study One: Lori, FNP-BC, is a new graduate and has recently passed her certification exam. She has just been hired to work for a Primary Care Clinic as a nurse practitioner in a small town. She will be working with one physician at one site.

 

Case study Two: James, FNP-BC, works with a physician who specializes in pain control. He works in several clinics in the large urban city where he practices as nurse practitioner.

 

Write 1 to 2 pages

 

Post a brief summary of the case study you selected and an explanation of the appropriate prescriptive authority and DEA registration process needed for the case study you selected. Then, explain the safe prescribing practices that these providers should use for these settings.

 

 

 

Reference

 

Buppert, C. (2015). Prescribing. In Nurse Practitioner’s Business Practice and Legal Guide (5th ed.). (199-204). Burlington, MA: Jones & Bartlett.

 

U.S. Department of Justice (n.d.). Drug Enforcement Administration: Office of Diversion Control. Retrieved from http://https://www.dea.gov/ops/diversion.shtml

 

Required Media

 

Fisher, A. S. (2015, June 5). Medical Records: What Must Be Included from a Legal Standpoint? [Video file]. Retrieved from https://www.youtube.com/watch?v=euhoL62YsSk

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Policy Brief 

Benchmark – Policy Brief

The benchmark assesses the following competencies:

1.4 Participate in health care policy development to influence nursing practice and health care.

Research public health issues on the “Climate Change” or “Topics and Issues” pages of the American Public Health Association (APHA) website. Investigate a public health issue related to an environmental issue within the U.S. health care delivery system and examine its effect on a specific population.

Write a 750-1,000-word policy brief that summarizes the issue, explains the effect on the population, and proposes a solution to the issue.

Follow this outline when writing the policy brief:

  1. Describe the policy health issue. Include the following information: (a) what population is affected, (b) at what level does it occur (local, state, or national), and (c) evidence about the issues supported by resources.
  2. Create a problem statement.
  3. Provide suggestions for addressing the health issue caused by the current policy. Describe what steps are required to initiate policy change. Include necessary stakeholders (government officials, administrator) and budget or funding considerations, if applicable.
  4. Discuss the impact on the health care delivery system.

Include three peer-reviewed sources and two other sources to support the policy brief.

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.

RUBRIC

Attempt Start Date: 29-Apr-2019 at 12:00:00 AM

Due Date: 05-May-2019 at 11:59:59 PM

Maximum Points: 120.0

Benchmark – Policy Brief – Rubric

No of Criteria: 9 Achievement Levels: 5CriteriaAchievement LevelsDescriptionPercentageUnsatisfactory0.00 %Less than Satisfactory75.00 %Satisfactory79.00 %Good89.00 %Excellent100.00 %Content80.0     Description of Policy Health Issue 20.0Description of the policy issue is omitted.An incomplete description of the policy issue is presented. The origin of this policy is unclear. There is no evidence that this policy creates a health issue, or that it is an issue for the population selected. The level at which the issue occurs has not been identified. There are major inaccuracies. A description of the policy issue is summarized. The origin of the policy is described, but it is unclear why the policy creates a health issue for the population selected. The level at which the issue occurs is identified. There are some inaccuracies. More information and rationale are needed.A general description of the policy issue is presented. The origin of the policy is described and a correlation between the policy and the health issue for the population selected is established. The level at which this occurs is discussed. Some rationale or detail is needed for clarity.A detailed description of the policy issue is presented. The origin of the policy is described and a strong correlation between the policy and the health issue for the population selected is established. The level at which this occurs is discussed. Strong rationale and evidence are offered for support. Insight into the policy health issue is demonstrated.Problem Statement20.0A problem statement is not included.A problem statement is present but lacks detail or is incomplete. Subject knowledge is unclear or inconsistent.A problem statement is present. Some subject knowledge is evident.A problem statement is included, and subject knowledge is competent.A problem statement is thoroughly developed with supporting details.Suggestions for Addressing the Policy Health Issue (C 1.4 Participate in health care policy development to influence nursing practice and health care.)20.0Suggestions for addressing the policy health issue are not included.Suggestions for addressing the policy health issue are incomplete. Suggestions do not include all assignment criteria. The suggestions do not support policy change for the policy health issue.Suggestions for addressing the issue are present. Some subject knowledge is evident. Most assignment criteria are met. The suggestions generally outline steps for policy change. More information or evidence is needed.Suggestions for addressing the issue are present, and subject knowledge is competent. All assignment criteria are met. The suggestions outline steps for policy change. Minor detail is needed for clarity.Suggestions for addressing the issue are thoroughly developed with supporting details. All assignment criteria are met and well-supported. The suggestions are well-supported and offer clear steps for initiating policy change.Impact on Health Care Delivery System20.0A discussion on the impact on the health care delivery system is not included.A discussion on the impact on the health care delivery system is present but lacks detail or is incomplete. Subject knowledge is unclear or inconsistent.A discussion on the impact on the health care delivery system is present. Some subject knowledge is evident.A discussion on the impact on the health care delivery system is present, and subject knowledge is competent.A discussion on the impact on the health care delivery system is thoroughly developed with supporting details.Organization and Effectiveness 15.0     Thesis Development and Purpose5.0Paper lacks any discernible overall purpose or organizing claim.Thesis is insufficiently developed or vague. Purpose is not clear.Thesis is apparent and appropriate to purpose.Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.Argument Logic and Construction5.0Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.Mechanics of Writing (includes spelling, punctuation, grammar, language use)5.0Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present.Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used. Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used. Writer is clearly in command of standard, written, academic English.Format5.0     Paper Format (use of appropriate style for the major and assignment)2.0Template is not used appropriately or documentation format is rarely followed correctly.Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.Template is used, and formatting is correct, although some minor errors may be present. Template is fully used; There are virtually no errors in formatting style.All format elements are correct. Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)3.0Sources are not documented.Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.Sources are documented, as appropriate to assignment and style, and format is mostly correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.Total Percentage  100

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