Posts

Pain

Discussion: Pain

Post a description of the pathophysiology of acute, chronic, and referred pain, including similarities and differences between them.

Then, explain how GENDER & AGE might impact the pathophysiology, diagnosis, and prescription of treatment for acute, chronic, and referred pain.

Include in-text citations and at least 3 references.

FYI:   The neurological system affects all parts and functions of the body through nerve stimulation. Nerves also control the sensation and perception of pain. While pain can be described in a variety of ways, it is essentially labeled according to its duration and source. As an advanced practice nurse evaluating a patient, you need to consider the following questions: Does the pain quickly come and go, or is it persistent and ongoing? Does the pain arise at the source of injury or in another location? In this Discussion, you compare three common types of pain—acute, chronic, and referred.

To Prepare

  • Review the neurological system
  • Identify the pathophysiology of acute, chronic, and referred pain. Consider the similarities and differences between these three types of pain.
  • Reflect on the two patient factors: gender, age.
  • Reflect on how the factors of gender and age might impact the pathophysiology, diagnosis, and prescription of treatment for acute, chronic, and referred pain.

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Examining Nursing Specialties

Discussion: Examining Nursing Specialties

You have probably seen one or more of the many inspirational posters about decisions. A visual such as a forked road or a street sign is typically pictured, along with a quote designed to inspire.

Decisions are often not so easily inspired. Perhaps you discovered this when choosing a specialty within the MSN program. This decision is a critical part of your plan for success, and you no doubt want to get it right. This is yet another area where your network can help, as well as other sources of information that can help you make an informed choice.

To Prepare:

  • Reflect on your decision to pursue a specialty within the MSN program, including your professional and academic goals as they relate to your program/specialization. (specialty: Mental Health Nurse Practitioner)

Post an explanation of your choice of a nursing specialty within the program. Describe any difficulties you had (or are having) in making your choice, and the factors that drove/are driving your decision. Identify at least one professional organization affiliated with your chosen specialty and provide details on becoming a member.

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professional associations in nursing

Examine the importance of professional associations in nursing.   Choose a professional nursing organization that relates to your   specialty area, or a specialty area in which you are interested. In a   750-1,000 word paper, provide a detailed overview the organization and   its advantages for members. Include the following:

  1. Describe the organization and its significance to nurses in     the specialty area. Include its purpose, mission, and vision.     Describe the overall benefits, or “perks,” of being a   member.
  2. Explain why it is important for a nurse in this     specialty field to network. Discuss how this organization creates     networking opportunities for nurses.
  3. Discuss how the     organization keeps its members informed of health care changes and     changes to practice that affect the specialty area.
  4. Discuss opportunities for continuing education and     professional development.

Prepare this assignment according to the guidelines found in the APA   Style Guide; purpose why you have choosing the organization and conclusion is required.

This assignment uses a rubric.

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Discussion

Please write at least 2 paragraph to support this post. APA, citation and reference..

Notably, the learning objectives for the term have been based on nursing research methods with a focus on the ways of carrying out research that is evidence-based and beneficial to the nursing profession. As such, it is vital to review and reflect on what has been covered because through this one can draw on their strengths and realize their weaknesses. Through reflection, any concepts that were not addressed appropriately can be given more emphasis by setting goals to achieve them shortly. My topic has been based on oncology, and all the learning outcomes were met through discussions centered on the subject.

Discussion

The learning objective of ethics in research was met by reviewing the article on protecting human research participants outlined in the National Institute of Health (NIH). I learned about the requirements for carrying out qualitative research and how participants in a study on oncology should be treated with dignity and respect. In an oncology unit, patients often suffer psychological problems just as much as physical pain is experienced as well. Treating the patient with utmost dignity while alleviating their suffering is critical in ensuring the nurse and patient build a trusting relationship (Ford, 2014). The learning outcome of the problem statement was met by developing a PICOT question with a focus on my population, which was patients with oncology needs. The patient characteristics were explained with two interventions being compared to determine which was best for the care of the patient. I came up with a statement of the problem for my topic on oncology with an emphasis on facts that depict the existence of a problem that needs to be addressed to ensure patients with cancer are cared for using standard practice. The research purpose was indicated by highlighting the vitality of the subject in the society because oncology is fast becoming an area that should be addressed by all, making awareness crucial.

A theoretical and conceptual framework based on the subject was achieved by reviewing previously documented theories on the subject of oncology. In the recent years, there has been a surge of information on cancers and their proposed forms of management because it has become a public health concern. Through the analysis of the theories cited by various authors, I was able to construct a conceptual map narrowing precisely on the subject. I learned many aspects of oncology since it is a widely researched topic with many angles of patient management and treatment options as well. Research design learning outcome was met by identifying a design that was most appropriate with chosen research questions. I was able to identify various strengths and weaknesses of the design and relate to my topic. A research outcome is dependent on the design was chosen because quantitative and qualitative research designs are different and often provide results that could be significantly different. Through reading on the research designs and selecting an appropriate one for my topic, I was able to identify the most suitable design to use on the subject of oncology.

Through the problem statement, I came up with a method to select the sample size and sample characteristics based on the topic. A sampling technique is crucial in determining if, at the end of the research process, the results will be generalized to the entire population. I came up with a research question to help in addressing the research topic with the information on the existing instrument that would be used to address the research question. All the learning outcomes were successfully met through a proper literature review on the topic of oncology and the research of the appropriate research design.

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electronic health records (EHR)

After reading the required chapters on “Flow Sheets, Annotated Drawings, and Graphs” and “Using the EHR to Improve Patient Health,” complete and submit the following in an APA-style scholarly essay:

Begin your essay with an introduction explaining the purpose of the essay.

Discuss the purpose of flow sheets in a medical environment. Explain how flow sheets are used in obstetrics offices and chronic disease management. Explainthedifferencebetweenaform-basedflowsheetandaproblem-orientedflowsheet.

Detail how annotated drawings are used in a medical environment.

Describe how electronic health records (EHR) preventive care systems work.

Outline the pros and cons of using (EHR) as a preventative measure.

Your essay must be at least two pages, and you must use at least two academic sources, one of which may be your textbook. Be sure to cite and reference any information from these sources in APA style, and format your paper in accordance to APA guidelines.

Information about accessing the grading rubric for this assignment is provided below.

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neurological system,

The neurological system affects all parts and functions of the body through nerve stimulation. Nerves also control the sensation and perception of pain. While pain can be described in a variety of ways, it is essentially labeled according to its duration and source. As an advanced practice nurse evaluating a patient, you need to consider the following questions: Does the pain quickly come and go, or is it persistent and ongoing? Does the pain arise at the source of injury or in another location? In this Discussion, you compare three common types of pain—acute, chronic, and referred.

To Prepare

  • Review this week’s media presentation on the neurological system, as well as Chapter 14 in the Huether and McCance text.
  • Identify the pathophysiology of acute, chronic, and referred pain. Consider the similarities and differences between these three types of pain.
  • Select two of the following patient factors: genetics, gender, ethnicity, age, or behavior. Reflect on how the factors you selected might impact the pathophysiology, diagnosis, and prescription of treatment for acute, chronic, and referred pain.

Post a description of the pathophysiology of acute, chronic, and referred pain, including similarities and differences between them. Then, explain how the factors you selected might impact the pathophysiology, diagnosis, and prescription of treatment for acute, chronic, and referred pain.i need 3 to 4 references.

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management theory

Topic 1 DQ 1

Based on the scientific management theory, what are some of the routines in health care that seem to be inefficient? What examples of participative decision making exist in your workplace? Provide your rationale.

 

Topic 1 DQ 2

Describe how the concepts of leadership and management differ from each other. In what areas do they overlap? Explain how the goals of management and leadership may sometimes overlap. As a nurse leader, do you believe you can expand your influence to create change by taking advantage of this overlap? Explain your answer.

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“Speep and Dream Diary

Please complete attached “Speep and Dream Diary”. You should complete the grid each morning when you first wake up. In this weeks’ assignment you will need to analyze results of your “Sleep and Dream Diary” and come up with the hypotheses. For example, one might hypothesize that those who spend more time sleeping also spend more time dreaming and thus can report more dreams.
Please formulate your hypotheses and write a two page summary of your hypothesis and supporting facts and findings.

This assignment must be submitted in “doc” or “ docx.” format. Additionally, it must be typed, double spaced, Times New Roman font (size 12), one inch margins on all sides. Type the question followed by your answer to the question. A title page is to be included. The title page is to contain the title of the assignment, your name, the instructor’s name, the course title, and the date.

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Nurse Informaticist

Assignment: The Role of the Nurse Informaticist in Systems Development and Implementation

Assume you are a nurse manager on a unit where a new nursing documentation system is to be implemented. You want to ensure that the system will be usable and acceptable for the nurses impacted. You realize a nurse leader must be on the implementation team.

To Prepare:

  • Review the steps of the Systems Development Life Cycle (SDLC) and reflect on the scenario presented.
  • Consider the benefits and challenges associated with involving a nurse leader on an implementation team for health information technology.

The Assignment: (2-3 pages)

In preparation of filling this role, develop a 2- to 3-page role description for a graduate-level nurse to guide his/her participation on the implementation team. The role description should be based on the SDLC stages and tasks and should clearly define how this individual will participate in and impact each of the following steps:

  • Planning and requirements definition
  • Analysis
  • Design of the new system
  • Implementation
  • Post-implementation support

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clinical inquiry.

Your quest to purchase a new car begins with an identification of the factors important to you. As you conduct a search of cars that rate high on those factors, you collect evidence and try to understand the extent of that evidence. A report that suggests a certain make and model of automobile has high mileage is encouraging. But who produced that report? How valid is it? How was the data collected, and what was the sample size?

In this Assignment, you will delve deeper into clinical inquiry by closely examining your PICO(T) question. You also begin to analyze the evidence you have collected.

To Prepare:

  • Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.
  • Develop a PICO(T) question to address the clinical issue of interest for the Assignment.
  • Use the key words from the PICO(T) question you developed and search at least four different databases in the Library to identify at least four relevant peer-reviewed articles at the systematic-reviews level related to your research question.
  • Reflect on the process of creating a PICO(T) question and searching for peer-reviewed research.

 

I recreate a different PICOT question: This is my discussion

In my observation, the practice problem is nurses are focused on administering medications, completing paperwork and working on care plans resulting in lack of engagement with their patients. The scope of this issue is nursing needs to educate themselves and find therapeutic ways to engage patients. The need for change arose in my practice related to increase violent incidents on staff, nurses and patients.

Psych patients become extremely bored when they are not engaged. An idle mind is a playground for negative and unconstructive thoughts and actions. When mentally ill patients are admitted to hospitals; the goal along with maintaining safety is to provide a therapeutic environment so patient can learn or enhance positive coping skills when dealing with the symptoms of their mental illness. According to Melnyk & Fineout-Overholt, 2015, “ The type of study that would provide the best answer to an intervention or treatment question would be systematic reviews or meta-analyses, which are regarded as the strongest level of evidence on which to base treatment decisions.

“One of the most challenging aspects of EBP is to actually identify the answerable question. This ability to identify the question is fundamental to then locating relevant information to answer the question”(Davies, 2015). An unstructured collection of keywords can retrieve irrelevant literature, which wastes time and effort eliminating inappropriate information. Successfully retrieving relevant information begins with a clearly defined, well-structured question.

My scenario is for inpatient psychiatric hospitals patients with a lot of therapeutic activities within the hospital and outside hospital activities. The organization are now concerned about increase violent behaviours if there are lack of therapeutic activities over hospital stay.

PICOT question:  In inpatient psychiatric Hospitals does the lack of therapeutic activities and or groups increase violent behaviors over a 2 week period?

P– (Patient, population, or problem): All Inpatient psychiatric patients

I– (Intervention): Increase groups and structured activities to engage patients to decrease boredom when patients have down time

C– (Comparison with other treatment/current practice): Compare patient behaviors during the week and day shift when groups are provided vs patient behaviors on evening shifts and weekends

O– (Desired outcome): Decrease violent incidents among patients and staff and increase patient engagement during hospitalization

T– (Time Frame): 2 weeks

After formulating a proper PICOT question, the search begins by using the most appropriate database. The University Library (n.d.-a.) has specific databases that contain several nursing related journals that will definitely be helpful in my research. Database search defines essential aspects based on the underlying issue as well as how the information is searched.  Therefore different approaches can help manage inpatient psychiatric patient. The leading search terms that were included, were preventing violent incidents among patients, staff and increase patient engagement during hospitalization. where more than  500 search results were returned.

Increasing the accuracy of the findings is essential and provide a unique emphasis on significant changes which help define a strong focus on research outcomes. Therefore growing efficacy of the results will focus on the reduced year of publication to understand the latest publications that provide information on the research issue. Another approach would be to focus on the identified interventions individually to achieve positive outcomes. The main databases that were involved are Medline and Ebsco Host. These databases contain peer-reviewed research, which is of high quality.

References

Davies, K. S. (2011). Formulating the evidence based practice question: A review of the frameworks for     LIS professionals. Evidence Based Library and Information Practice, 6(2), 75–80. https://doi.org/10.18438/B8WS5N. Retrieved from https://ejournals.library.ualberta.ca/index.php/EBLIP/article/viewFile/9741/8144

Melnyk, B., & Fineout-Overholt, E. (2019). Evidence-based practice in nursing (4th ed.). Philadelphia, PA: Wolters Kluwer.

Stillwell, S. B., Fineout-Overholt, E., Melnyk, B. M., & Williamson, K. M. (2010a). Evidence-based practice, step by step: Asking the clinical question: A key step in evidence-based practice. American Journal of Nursing, 110(3), 58–61. doi:10.1097/01.NAJ.0000368959.11129.79. Retrieved from https://journals.lww.com/ajnonline/Fulltext/2010/03000/Evidence_Based_Practice,_Step

University Library. (n.d.-b).  Keyword searching: Finding articles on your topic: Boolean terms. Retrieved from http://academicguides.waldenu.edu/library/keyword/booleanI

The Assignment (Evidence-Based Project)

Part 3: Advanced Levels of Clinical Inquiry and Systematic Reviews

Create a 6- to 7-slide PowerPoint presentation in which you do the following:

  • Identify and briefly describe your chosen clinical issue of interest.
  • Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest.
  • Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.
  • Provide APA citations of the four peer-reviewed articles you selected.
  • Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples.

Rubric:

Create a 6- to 7-slide PowerPoint presentation in which you do the following:

·   Identify and briefly describe your chosen clinical issue of interest.

·   Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest.

·   Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.

·   Provide APA citations of the four peer-reviewed articles you selected.

·   Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples.–

Levels of Achievement:  Excellent 81 (81%) – 90 (90%)    Good 72 (72%) – 80 (80%)    Fair 63 (63%) – 71 (71%)    Poor 0 (0%) – 62 (62%)

Written Expression and Formatting—Paragraph Development and Organization:
Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided, which delineates all required criteria.–

Levels of Achievement:  Excellent 5 (5%) – 5 (5%)    Good 4 (4%) – 4 (4%)    Fair 3.5 (3.5%) – 3.5 (3.5%)    Poor 0 (0%) – 3 (3%)

Written Expression and Formatting—English Writing Standards:
Correct grammar, mechanics, and proper punctuation.–

Levels of Achievement:  Excellent 5 (5%) – 5 (5%)    Good 4 (4%) – 4 (4%)    Fair 3.5 (3.5%) – 3.5 (3.5%)    Poor 0 (0%) – 3 (3%)

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