Post your PICOT question the search terms used, and the nam
[ANSWERED] Post your PICOT question the search terms used, and the names of at least two databases Discussion: Searching Databases When you decide to purchase a new car, you first decide what is important to you. If mileage and dependability are the important factors, you will search for data focused more on these factors and less on color options and sound systems. The same holds true when searching for research evidence to guide your clinical inquiry and professional decisions. Developing a formula for an answerable, researchable question that addresses your need will make the search process much more effective. One such formula is the PICO(T) format. In this Discussion, you will transform a clinical inquiry into a searchable question in PICO(T) format, so you can search the electronic databases more effectively and efficiently. You will share this PICO(T) question and examine strategies you might use to increase the rigor and effectiveness of a database search on your PICO(T) question. To Prepare: Review the materials offering guidance on using databases, performing keyword searches, and developing PICO(T) questions provided in the Resources. Review the Resources for guidance and develop a PICO(T) question of interest to you for further study. By Day 3 of Week 4 Post your PICO(T) question, the search terms used, and the names of at least two databases used for your PICO(T) question. Then, describe your search results in terms of the number of articles returned on original research and how this changed as you added search terms using your Boolean operators. Finally, explain strategies you might make to increase the rigor and effectiveness of a database search on your PICO(T) question. Be specific and provide examples. Expert Answer and Explanation Searching Databases The PICOT Question Chronic diseases have become common among the ageing population, and hence developing a PICOT question for them can aid in improving the intervention (Pérez-Jover et al., 2018). The target patients for the intervention is chronic disease patients aged above 65 years. The interventions targeted are therapies and medications for these diseases they have. The comparison is having a different line of therapy or lack of treatment completely. The outcome is reduced presentation of symptoms by the patients. The time element is a period of 12 months in which the patient progress is expected to be monitored. The PICOT question therefore reads as follows, ‘What is the impact of implementing telehealth systems in the medication and therapy on the reduction of symptoms of chronic disease patients aged above 65 years for a period of 12 months?’ Databases Used for the PICOT Question There are several databases that could be used to search for information regarding health topics. Since this specific problem involves the use of therapy programs and medication, nursing databases are the most suitable for searching for this kind of information. The CINAHL database is the first candidate, as it is known to have numerous collection of nursing articles, which are summary of evidence since the 1940s (Hopia & Heikkilä, 2020). MEDLINE is also used in this search as it contains articles with a broad range of medical topics. Also, both databases are easily accessible. Search Results in Original Search and After Adding Boolean Operators In the original search, the search results had a broad range of sources that could be crucial in getting much of the background information about the topic in question. These broad sources, however, could not help in getting specific information that is required in decision making for the issue in question. After adding Boolean operators, the search was more refined, as it was easier to find specific information about the database (Usuzaki et al., 2020). Also, the fact that these Boolean operators could help in getting specific results helped to reduce the time taken to get the specific information from the databases (Usuzaki et al., 2020). Among the Boolean operators that were used were OR, NOT, and AND. Strategies to Increase the Rigor of a Database Search on my PICOT Question Among the strategies that can be used to improve the rigor of a database is searching more than one database. While it is likely that much of the information from searching one concept in two databases will be same, it is always likely that one database could have an additional influential finding. Another strategy is combining the search using Boolean operators, which helps to have a broader or narrower search depending on the intentions of the researcher. Also, for one to improve the rigor of a search in a database, it is crucial that they constantly revise their search strategy if they realize that one is not giving the desirable results (Coordinators, 2017). Most importantly, researchers should have information about some of the basic database rules that could have a large implication on their findings. For example, if a database requires that a researcher performs the search using a specific search strategy, it is likely that employing that search strategy could help to reveal more outcomes of the database. References Coordinators, N. R. (2017). Database resources of the national center for biotechnology information. Nucleic acids research, 45(Database issue), D12. Hopia, H., & Heikkilä, J. (2020). Nursing research priorities based on CINAHL database: A scoping review. Nursing Open, 7(2), 483-494. Pérez-Jover, V., Mira, J. J., Carratala-Munuera, C., Gil-Guillen, V. F., Basora, J., López-Pineda, A., & Orozco-Beltrán, D. (2018). Inappropriate use of medication by elderly, polymedicated, or multipathological patients with chronic diseases. International journal of environmental research and public health, 15(2), 310. Usuzaki, T., Shimoyama, M., Chiba, S., Mori, N., & Mugikura, S. (2020). A Method Expanding 2 by 2 Contingency Table by Obtaining Tendencies of Boolean Operators: Boolean Monte Carlo Method. arXiv preprint arXiv:2002.04721. Place your order now on the similar assignment and get fast, cheap and best quality work written from scratch by our expert level assignment writers. Rubric Detail Excellent Good Fair Poor Main Posting 45 (45%) – 50 (50%) Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources.
[ANSWERED] Planning is the key to successful completion of this course and program-related objectives
[ANSWERED 2023] Planning is the key to successful completion of this course and program-related objectives Individual Success Plan (ISP) Planning is the key to successful completion of this course and program-related objectives. The Individual Success Plan (ISP) assignment requires early collaboration with the course faculty and your course preceptor. Students must establish a plan for successful completion of The required 50 community direct clinical practice experience hours, 50 leadership direct clinical practice hours, and 25 indirect clinical experience hours. Completion of work associated with program competencies. Work associated with completion of the student’s capstone project change proposal. Students will use the “Individual Success Plan” to develop an individual plan for completing practice hours and course objectives. As a part of this process, students will identify the number of hours set aside to meet course goals. Student expectations and instructions for completing the ISP document are provided in the “NRS-493 Individual Success Plan” resource, located in the Study Materials and in the assignment instructions. Students should apply concepts from prior courses to critically examine and improve their current practice. Students are expected to integrate scholarly readings to develop case reports that demonstrate increasingly complex and proficient practice. After the ISP has been developed by the student and approved by the course faculty, students will initiate a preconference with the faculty and preceptor to review the ISP. You are not required to submit this assignment to LopesWrite. EXPERT ANSWER AND EXPLANATION NRS-493 Individual Success Plan REQUIRED PRACTICE HOURS: 100 Direct Clinical Experience (50 hours community/50 hours leadership) – 25 Indirect Clinical Experience Hours. P R A C T I C E E X P E R I E N C E Complete Contact Information Student Information GCU Name: E-mail: Phone Number: Course Faculty Information GCU Name: E-mail: Phone Number: Practicum Preceptor Information Practice Setting Name: E-mail: Phone Number: ISP Instructions Use this form to develop your Individual Success Plan (ISP) for NRS-493, the Professional Capstone and Practicum course. An individual success plan maps out what you, the RN-to-BSN student, needs to accomplish in order to be successful as you work through this course and complete your overall program of study. You will also share this with your preceptor at the beginning and end of this course so that he or she will know what you need to accomplish. In this ISP, you will identify all of the objectives and assignments relating to the 100 direct clinical practice experience hours and the 25 indirect clinical practice hours you need to complete by the end of this course. Use this template to specify the date by which you will complete each assignment. Your plan should include a self-assessment of how you met all applicable GCU RN-to-BSN Domains & Competencies (see Appendix A). General Requirements Use the following information to ensure successful completion of each assignment as it pertains to deliverables due in this course: Use the Individual Success Plan to develop a personal plan for completing your clinical practice experience hours and self-assess how you will meet the GCU RN-to-BSN University Mission Critical Competencies and the Programmatic Domains & Competencies (Appendix A) related to that course. Show all of the major deliverables in the course, the topic/course objectives that apply to each deliverable, and lastly, align each deliverable to the applicable University Mission Critical Competencies and the course-specific Domains and Competencies (see Appendix A). Completing your ISP does not earn clinical practice experience hours, nor does telephone conference time, or time spent with your preceptor. Within the Individual Success Plan, ensure you identify all graded course assignments and indirect clinical assignments listed in the table on the next page. Topic Graded Assignment Indirect Clinical Assignments Topic 1 Individual Success Plan Reflection Journal Entry List of potential topics for the change proposal Topic 2 Topic Selection Approval Paper Reflection Journal Entry Search the literature for supporting journal articles Summary of topic category; community or leadership Topic 3 PICOT Question Paper Reflection Journal Entry List of objectives Topic 4 Literature Evaluation Table Reflection Journal Entry List of measurable outcomes Topic 5 Reflection Journal Entry Summary of the strategic plan Midterm Evaluation Tool Topic 6 Literature Review Table Reflection Journal Entry List of resources Topic 7 Reflection Journal Entry Summary of the evaluation plan Remediation-if required Topic 8 Benchmark Written Capstone Project Change Proposal Reflection Journal Entry Topic 9 Reflection Journal Entry Professional Presentation Topic 10 Finalized ISP Scholarly Activity Summary Benchmark-Reflection Journal Summary Summary of presentation Final Clinical Evaluation Tool Practice Clinical Evaluation Tool-Agency Practice Clinical Evaluation Tool-Preceptor Application-based Learning Course Assignments List of Current Course Objectives Assignment Date Due Self-Assessment: Programmatic Domains & Competencies (see Appendix A) Self-Assessment: GCU RN-to-BSN University Mission Critical Competencies (see Appendix A) Date Assignment Completed Week 1 Identification of course mentor and selecting topics for the proposed capstone change project. Writing the reflective journal about the topics selected. Identify and analyze problems and issues within hospital care and opportunities for improvement. The issues will be analyzed through the help of the course mentor. Research to identify issues or problems in the pediatric care that can be changed in a move to improve patient outcomes, satisfaction, and intervention efficiencies. Examining the significance and implication of the healthcare issue or problem to nursing practice. Reflecting on the topic and identifying how it can be used to improving nursing profession 15th 06 2023 10 hrs. Domains-1.1, 1.2, 1.3, 1.4, 2.1, 2.2, 2.3,2.4 3.1, 3.2 Competences 5.1, 5.2, and 5.3 Week 2 Topic selection and project approval Conducting study to identify the most pressing issues in the pediatric care unit and understanding the nursing role in improving the situation in the department. Determine evidence-based solutions that address patient-care or clinical practice quality problems or issues Demonstrate values consistent with the role of a nursing professional through fundamental knowledge and advanced skills. 22nd 06 2023 10 hrs. MC 1,2, and 3. Domain 1,2,3, and 4 Competencies 3.1,3.2,4.1,4.3 Week 3 PICOT question development assignment Reflective journal about the PICOT assignment Developing a research
NURS 6050 Week 4 Assignment Legislation Comparison Grid
[ANSWERED] NURS 6050 Week 4 Assignment Legislation Comparison Grid and Testimony/Advocacy Statement NURS 6050 Week 4 Assignment Legislation Comparison Grid and Testimony/Advocacy Statement As a nurse, how often have you thought to yourself, If I had anything to do about it, things would work a little differently? Increasingly, nurses are beginning to realize that they do, in fact, have a role and a voice. Many nurses encounter daily experiences that motivate them to take on an advocacy role in hopes of impacting policies, laws, or regulations that impact healthcare issues of interest. Of course, doing so means entering the less familiar world of policy and politics. While many nurses do not initially feel prepared to operate in this space effectively, the reward is the opportunity to shape and influence future health policy. To Prepare: · Select a bill that has been proposed (not one that has been enacted) using the congressional websites provided in the Learning Resources.( https://www.congress.gov/) The Assignment: (1- to 2-page Comparison Grid; 1- to 2-page Legislation Testimony/Advocacy Statement) Part 1: Legislation Comparison Grid Based on the health-related bill (proposed, not enacted) you selected, complete the Legislation Comparison Grid Template. Be sure to address the following: · Determine the legislative intent of the bill you have reviewed. · Identify the proponents/opponents of the bill. · Identify the target populations addressed by the bill. · Where in the process is the bill currently? Is it in hearings or committees? · Is it receiving press coverage? Part 2: Legislation Testimony/Advocacy Statement Based on the health-related bill you selected, develop a 1- to 2-page Legislation Testimony/Advocacy Statement that addresses the following: · Advocate a position for the bill you selected and write testimony in support of your position. · Describe how you would address the opponent to your position. Be specific and provide examples. · Recommend at least one amendment to the bill in support of your position. Expert Answer and Explanation Legislation Testimony/Advocacy Statement Part 1: Legislation Comparison Grid Health-related Bill Name H.R. 3 – The Lower Drug Costs Now Act Bill Number H.R. 3 Description The Bill develops various requirements and programs relating to offering prices to prescription drugs. Also, the bill wants to give power to the US government to negotiate drug prices with private companies for Medicare recipient. Federal or State? This bill is meant to affect the federal government, and thus it is a federal bill. Legislative Intent The prices of prescription drugs are so high. According to a report by the speaker of the house, Nancy Pelosi, big pharmaceutical companies in the US have raised the prices of the drugs 10 times higher than how the drugs are sold outside the US (Pelosi, n. d). Also, the report mentions that the firms make huge profits even though they sell the same drugs outside the US for lower prices. For instance, in the US, the cost of insulin drugs is ten times much higher than the cost of the same drugs in the UK, France, or Germany. The cost of the drugs has increased drastically since 1990s (Sterling, 2018). The current laws forbid Medicare from negotiating drug prices. The intention of H.R. 3, the Elijah E. Cummings Lower Drug Costs Now Act is to grant Medicare power to negotiate the drug prices in a move to reduce the cost of drugs in the country. Proponents/ Opponents Proponents: The proponents of the bill are house democrats. All the democrats in the house unanimously voted for the bill. In addition, Jaime Herrera Beutler and Brian Fitzpatrick also jointed the democrats in supporting the bill. According to Zhou (2019), out of 422 representatives, 230 passed the bills. Opponents: The bill was opposed by house republicans. However, two of the republicans supported the bill along with the democrats (Benen, 2019). Apart from the house republicans, the White House led by president Donald Trump and the Senate Republicans have also opposed the bill. Target Population The bill targets people with chronic diseases such as diabetes. When the bill will become law, the prices of prescription drugs will reduce because the government will now have the power to negotiate of behalf of Medicare recipients. Status of the bill (Is it in hearings or committees? Is it receiving press coverage?) The bill has been discussed in the house of the representatives and passed. Currently, the bill is an act that will be submitted in the house of senate for further discussions and reviews. The American media has given the bill fair coverage because it affects their health. After the bill was passed in the house of representatives, the speaker of the house gave a press conference about the bill and what she expects the senate to do about it. General Notes/Comments This bill will change the healthcare system by providing Medicare with power to develop tools that the institution can use to force drug companies to reduce the price of drugs. As a result, the bill will ensure that people with chronic conditions get regular access to their prescriptions. Part 2: Legislation Testimony/Advocacy Statement My Position for the Bill As a nurse I support the H.R. 3, the Elijah E. Cummings Lower Drug Costs Now Act bill due to the following reasons. First, the bill will make the work of nurses easy. Horvath and Anderson (2019) mention that a nurse has a responsibility of ensuring that his or her patient is given quality care. However, the current prices of prescription drugs prevent nurses from delivering on their mandates. The nurses find it hard to provide care because their patients do have access to prescription drugs due to the high prices. Second, the bill will allow the reinvestment in researches and innovations for new treatments and cure. The savings that will be collected after reducing the prices of drugs will be used in supporting evidence-based innovations and researches to improve healthcare service delivery. The bill is in the favor of Americans. It will prevent the drug companies from raising the price of prescription
Max is an 80-year-old male with a history of gastroesophagea
Max is an 80-year-old male with a history of gastroesophageal reflux disease (GERD), hypertension (HTN) CC: “I have stomach pain.” HPI: Max is an 80-year-old male with a history of gastroesophageal reflux disease (GERD), hypertension (HTN), and a pacemaker placed 10 years ago for third-degree heart block. He presents today with a complaint of abdominal pain. You suspect a bowel obstruction in Max, an 80-year-old patient with complaints of cramping abdominal pain, nausea, and vomiting for 4 days. Describe six (6) ROS questions you would explore further with him to determine the location, severity, and timing of his pain. PE: On exam, the abdomen appears distended, Max has generalized tenderness over the epigastric region on palpation. He is guarding so the exam is limited. Bowel sounds are decreased. His vital signs are normal. He describes his abdominal pain as 7/10. As the APRN, you order an abdominal x-ray. Test results: The abdominal x-ray is indeterminate. What are your next diagnostic choices to determine a bowel obstruction in this patient? List at least three differential diagnoses for abdominal pain. The CT scan shows that Max has a small bowel obstruction. What is your next step? Expert Answer and Explanation Focused SOAP Note Small Intestine Obstruction Patient Information: Max, 80 years, male, African American S CC: “I have stomach pain.” HPI: Max is an 80-year-old male of African American origin who came to the health clinic complaining of abdominal pain. The pain is located in the abdominal area. It started four days ago. The character of pain is cramping and intermittent. Associated signs include nausea and vomiting. The patient notes that the severity of the pain is 7/10. Current Medications: No medications. Allergies: No food, dug, or environmental allergies. PMHx: Past major illnesses include hypertension (HTN), gastroesophageal reflux disease (GERD), and a pacemaker placed 10 years ago for third-degree heart block. He does not remember when he took tetanus or pneumonia shots. Soc and Substance Hx: He took alcohol in his thirties and quit over 45 years ago. He comes from a working family. No history of illicit drug or tobacco use. He says that he has smoke detectors in his house and wears seat belts while driving. His support system is his son and two daughters. Fam Hx: His father died from colon cancer. His mother died from type II diabetes. His older son died in an accident at the age of 28. His second child has type two diabetes. His grandchildren are healthy. Surgical Hx: He reports a knee operation at 33 years old. Mental Hx: No mental health disorder diagnosis and treatment. No history of self-harm. Violence Hx: No history of violence. Reproductive Hx: He is sexually inactive and has no reproductive health. ROS GENERAL: He reports fatigue and weakness. No fever or chills. HEENT: Eyes: No visual loss. Ears, Nose, Throat: No congestion, sneezing, hearing loss, sore throat, or runny nose. SKIN: No rash or itching. CARDIOVASCULAR: No chest discomfort, pressure, pain, or edema. RESPIRATORY: No shortness of breath. GASTROINTESTINAL: No diarrhea or anorexia. GENITOURINARY: No burning on urination. NEUROLOGICAL: No dizziness, headache, paralysis, or syncope. MUSCULOSKELETAL: No joint or muscle pain. HEMATOLOGIC: No anemia. LYMPHATICS: No enlarged nodes. O Physical exam: Vitals: BP 139/92, Temp 35, P 78, Ht. 5’9, Wt. 87kgs. Cardiovascular: No cracks in the chest. No edema. Respiratory: No breathing distress. No wheezes or crackles. No fluids in the lungs. Genitourinary: No urinary retention. No renal angle tenderness. No tender bowel loops. No abdominal masses. Gastrointestinal: Bowel sounds absent on inspection. Distension of the abdomen on auscultation. Diagnostic results: The abdominal x-ray is indeterminate. Since an x-ray is indeterminate, a CT scan should be ordered. A CT scan combined with X-ray images. Dou et al. (2022) noted that a CT scan combined with multiple X-ray images will show intestinal obstructions. Blood test: A blood test will be used to identify whether the patient has intestinal infections. A Differential diagnoses: Small intestine obstruction: The primary diagnosis for this case is small intestine obstructions. According to Jackson and Cruz (2018), the symptoms of small intestine obstructions include vomiting, crampy abdominal pain and comes and goes, constipation, loss of appetite, swelling of the abdomen, and inability to pass gas or have a bowel movement. Small intestine obstruction is the main diagnosis because the patient complains of crampy abdominal pain, nausea, and vomiting which are major symptoms of the disease (Jackson & Cruz, 2018). Physical exam results (bowel sounds absent on inspection, distension of the abdomen on auscultation) also show that the patient has a small intestine obstruction. Appendicitis: The second diagnosis is appendicitis. The symptoms of appendicitis include flatulence, loss of appetite, vomiting and nausea, sudden pain that starts in the lower abdomen, pain that worsens when one coughs, diarrhea and constipation, low-grade fever and might increase if the illness progresses, and abdominal bloating (Talan & Di Saverio, 2021). The disease has been included because the patient reports abdominal pain, nausea, and vomiting which are part of the clinical manifestations of appendicitis. However, it is a secondary diagnosis because the patient does not have a low-grade fever, diarrhea, or pain in the lower abdomen. Intestinal Infection: The last diagnosis is an intestinal infection. The symptoms of intestinal infection include headache, vomiting, nausea, diarrhea, crampy abdominal pain, and fever (Guo et al., 2021). The disease has been ruled out because the patient does not have a headache or fever. P The patient will be recommended to undergo a CT scan combined with a series of X-ray images of the small intestine. The patient will also undergo blood tests. These tests will help identify the actual disease affecting the patient. Since it is suspected that the patient has small intestine obstructions, he should be hospitalized (Ten Broek et al., 2018)). The pain should be stabilized by placing an intravenous (IV) line into the patient’s arm so that he can be given fluids. Abdominal swelling should be relieved by putting a nasogastric tube inside the patient’s nose into his stomach to suck out fluids
Rough Draft Qualitative Research Critique and Ethical Consid
Rough Draft Qualitative Research Critique and Ethical Considerations Rough Draft Qualitative Research Critique and Ethical Considerations Write a critical appraisal that demonstrates comprehension of two qualitative research studies. Use the “Research Critique Guidelines – Part 1” document to organize your essay. Successful completion of this assignment requires that you provide rationale, include examples, and reference content from the studies in your responses. Use the practice problem and two qualitative, peer-reviewed research article you identified in the Topic 1 assignment to complete this assignment. In a 1,000–1,250 word essay, summarize two qualitative studies, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study. 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. Expert Answer and Explanation Research Critique Guidelines – Part II (Quantitative Studies) Dealing with postoperative pain, nausea, and vomiting is one of the issues that patients encounter after surgical procedures that affect their comfort and satisfaction and outcomes. Dealing with these challenges can affect the recovery process of the patient and may even prolong the discharge period. Several studies have tried to pinpoint different interventions that can assist in dealing with the issue of postoperative pain nausea and vomiting, with each having different results. The PICOT question, therefore, aimed to establish whether in adult patients undergoing general anesthesia, does giving preoperative analgesic and antiemetics decrease pain, nausea and vomiting postoperatively and provide better patient outcomes as compared to not receiving preoperative meds. Quantitative Studies To answer the PICOT question, this paper selected two quantitative research studies that had evidence-based interventions of dealing with postoperative pain nausea and vomiting. The selected studies were conducted by Elgohary et al. (2017) and Chetna et al. (2014). Some of the elements identified from the studies are detailed in the subsequent sections Background The first quantitative article reviewed was an article by Elgohary et al. (2017). The study wanted to carry out a comparison between the effectiveness of the ERAS program and the conventional perioperative care in patients who have undergone elective colorectal surgery. The author notes that the ERAS program has been revolutionary is assisting patients who have undergone colorectal surgery, among other surgical procedures, to respond better to stress and improving postoperative outcomes. The authors also note that the main aim of the ERAS pathway is to reduce the duration of hospitalization and allow the patient to recover quickly. However, the adoption of the program, especially in developing countries, has been slow despite sufficient evidence showing the effectiveness of the program. Therefore, the authors wanted to carry out a supportive investigation on the effectiveness of the ERAS pathway in patients after undergoing elective colorectal surgery. The findings collected in this study holds major significance in nursing practice since the results collected will facilitate the adoption of the ERAS pathway as a viable intervention in improving postoperative patient outcomes. The main aim of the research conducted by Elgohary et al. (2017), was to examine the feasibility and safety of the ERAS pathway in elective colorectal surgery. The research question identified from this objective can be quoted as “is the ERAS pathway feasible and safe for use in patients who have undergone elective colorectal surgery. The second quantitative study selected was conducted by Chetna et al. (2015). The study elaborated on the use of gabapentin for postoperative pain relief for patients who have undergone upper abdominal surgery. The researcher noted that in patients who have undergone upper abdominal surgeries, postoperative pain not only causes them distress but also leads to inadequate respiratory effort and cough reflexes, therefore, a need to have a pain relief strategy. The authors go further to site the efficacy of gabapentin in dealing with pain on patients who have undergone other types of surgical procedures. Therefore, the study was purposed at identifying whether the drug will still be effective in dealing with postoperative pain, for patients who have undergone upper abdominal surgery. The findings obtained in that research are relevant in enhancing patient recovery period and outcomes by eliminating postoperative pain, and in turn, improving respiratory efforts and cough reflex of the patient. The research question used in the study can be quoted as follows “How effective is gabapentin in reducing postoperative pain in patients who have undergone upper abdominal surgery?” How do these two articles support the nurse practice issue you chose? The main aim of the PICOT question was to establish viable methods of dealing with postoperative pain, nausea, and vomiting. The two articles provide evidence-based interventions on how postoperative pain can be dealt with. The first article by Elgohary et al. (2017) focuses on the ERAS pathway on reducing postoperative pain while the second article by Chetna et al. (2015) focuses on gabapentin on dealing with postoperative pain in patients who have undergone upper abdominal surgery. The finding on both studies will be used as a basis of assessing the effectiveness of using preoperative analgesics and antiemetics to decrease pain, nausea, and vomiting in patients postoperative as intended by the PICOT question. The first study was majorly focused on patients who have undergone elective colorectal surgery, while the second article was focused on patients who have undergone upper abdominal surgery. For both studies, the participants were placed in two groups. The first study by Elgohary et al. (2017) used the conventional recovery pathway as their comparison group, while the second study placed their comparison group under placebo. The intervention groups were placed under different perioperative pain regimen. This will be the same approach to be used by the PICOT question, with the difference being the target participants. The PICOT question used adult patients who had undergone general anesthesia
Identify your selected healthcare concern in your city or
Identify your selected healthcare concern in your city or state that needs your advocacy Identify your selected healthcare concern in your city or state that needs your advocacy with an elected official. What is the impetus and rationale for your selection? What is your solution to this concern? Describe the model of policy making that you feel would be best applied to your policy concern and the rationale for selecting this model. Expert Answer and Explanation The selected Healthcare Issue and Rationale for the Selection Mental health is the selected concern, and it encompasses various mental disorders and conditions. Examples are depression, phobia and schizophrenia. There is disparity in access to the mental health services, and people with mental health problems often face discrimination. In Texas, these concerns can impede efforts focused on meeting the health needs of people with mental illnesses. This is a key rationale for the selection of the mental illness as a problem that requires advocacy (Boehme, Biehl, & Mühlberger, 2019). Another reason why healthcare professionals need to advocate for the issue is to help reduce mortality rates based on mental health concerns. The Solution for the Concern The key solution for this concern is the expansion and funding of programs focused on increasing screening and treatment of people with mental health problems. In this case, it is important to call for the state government to allocate more funds into programs which address this particular health concern. The funds can be used to purchase medications, and resources which create awareness about mental health problems. However, subsidizing costs of treating this healthcare concern, through government-managed insurance plans, can equally help address the problem (Li et al., 2021). The Suitable Model of Policy Making and Rationale The institutional model would apply to the policy concern. Under this model, the authority lends legitimacy to the laws, and these laws equally apply to everyone. This is the rationale for the selection of the model. Using this model, the government can come up with policies which require the allocation of resources and funds to help manage the mental health challenges (Niedziałkowski & Putkowska-Smoter, 2020). It can use the local authorities or agencies which are responsible of enforcing the laws. References Boehme, S., Biehl, S. C., & Mühlberger, A. (2019). Effects of Differential Strategies of Emotion Regulation. Brain sciences, 9(9), 225.Doi: https://doi.org/10.3390/brainsci9090225. Li, Y., Scherer, N., Felix, L., & Kuper, H. (2021). Prevalence of depression, anxiety and post-traumatic stress disorder in health care workers during the COVID-19 pandemic: A systematic review and meta-analysis. PLoS ONE 16(3), e0246454.Doi: https://doi.org/10.1371/journal.pone.0246454. Niedziałkowski, & K., Putkowska-Smoter, R. (2020). What makes a major change of wildlife management policy possible? Institutional analysis of Polish wolf governance. PLoS ONE 15(4), e0231601. Doi: https://doi.org/10.1371/journal.pone.0231601. Place your order now on the similar assignment and get fast, cheap and best quality work written from scratch by our expert level assignment writers. Other Solved Questions: SOLVED! How would your communication and interview SOLVED! Describe the difference between a nursing practice SOLVED! Discuss how elimination complexities can affect SOLVED! Case C 38-year-old Native American pregnant ANSWERED! In a 1,000–1,250 word essay, summarize two [ANSWERED] Students will develop a 1,250-1,500 word paper that includes [ANSWERED] Post a description of the national healthcare ANSWERED!! Explain how you would inform this nurse ANSWERED!! In a 4- to 5-page project proposal written to the
Reflect on the mission, vision, values, and goals of your
Reflect on the mission, vision, values, and goals of your healthcare organization and provide examples of how individual employees, departments Assignment: This assignment has two parts: an essay and a business plan. PART I – develop an essay to address the following information: Reflect on the mission, vision, values, and goals of your healthcare organization and provide examples of how individual employees, departments, and work units support all four of these as a foundation for directional strategies. Describe positive and negative aspects of abandoning traditional healthcare strategic planning processes and adopting a contemporary approach. How does complexity influence budget strategies and their implementation? Give examples. Discuss the process of external and internal environmental analyses, and then speculate on scenarios that may result if these steps in strategic planning are omitted or are not done well. Discuss mechanisms that nurse manager can use to ensure they make the best decisions for supporting the financial goals of the organization. PART II – develop a Business Plan Identify an opportunity for implementing a new service or a cost-reducing idea in your organization and write a business plan to describe your idea: explain the need (why) for it, identify stakeholders (who) will be impacted, discuss the benefits versus the disadvantages, describe the costs/expenses for the idea, and outline the implementation plan. Expert Answer and Explanation PART 1: Strategic Healthcare Management Planning is a concept that is used every day in our personal lives and the same behavior also translates into the management of organizations. The top leadership of organizations usually formulate strategies to meet the mission and vision of their organization. It is important because with every organizational activity, risk and resources are usually involved and they have to be adequately managed lest the organization loses its ability to function properly. The purpose of this paper will be to expound on different aspects concerning the application of strategic management practices in healthcare. Support for Mission Vision, Values, and Goals The organization is usually driven by its mission, vision, values, and goals formulated. The efforts of all individuals and organs functioning within the organization should be aligned to realize the accomplishment of these elements. A mission statement is one that highlights where the organization is going (Cronin & Bolon, 2018). For example, the mission for the healthcare facility I work for is “to provide quality and compassionate healthcare accessible to everyone.” Vision on the other hand is the future position of where the organization wants to be, while the values are the beliefs and practices uphold by the organization (Lahey & Nelson, 2020). The values for the organization I work for include teamwork, integrity, excellence, innovation, and compassion. Our goals are aligned to meet the said mission and vision of the organization while using our core values during our transactions with other stakeholders. The role of individual employees, departments, and work units in accomplishing this mission is to ensure that they channel all their efforts into fulfilling this mission. This includes identifying and removing any barriers that may hinder collaboration or promote conflicts due to differences in personal goals and objectives (Lahey & Nelson, 2020). It is also the role of individual employees and work teams to collect information on behalf of the organization on what other competing organizations are doing to accomplish goals employees can also support all the four elements by ensuring that they align how they discharge their duties with the values of the organization. Impact of Adopting a Contemporary Approach to Strategic Planning Strategic planning was developed due to the increased complexity of how the economy and organizations operate (Esfahani et al., 2018). The used traditional approach was a systematic process that emphasized on the mission and vision of the organization without considering other factors as equally important. The processes also involved coming up with the short term, medium, and long-term objectives, which were to be followed to the latter to gain a competitive edge. However, this approach had its drawbacks which made it be abandoned for a contemporary approach that was considered to be more responsive to the current business environment (Grube & Crnkovich, 2017). One of the positive aspects of abandoning the traditional approach to strategic management and transitioning to the contemporary approach is that a more responsive process that factors in day to day operational issues is considered. This means that organizations can easily make adjustments to their strategic decisions based on the current changes in operations. Another positive aspect of adopting a contemporary approach is that it treats strategic planning as a process and not an event (Grube & Crnkovich, 2017). This means that it is continuous and adjustable to changes in both the internal and external organization environment. The negative aspect is that the contemporary approach does not offer a predictable methodology or timeframe to strategic planning as it was with the traditional approach. Budget Strategies The current environment in the management of healthcare organizations has become more and more complex with increasing risks and stakeholders to transact with. This has also made healthcare financial managers restructure their methods to adjust to these complexities; this includes the budget-making process and implementation. One of the complexities has been the adoption of the contemporary approach to strategic planning that requires adjustment of organizational strategies with changes in the internal and external business environments (Walsh, 2016). Given that these adjustments can be abrupt, it becomes difficult to forecast and give accurate budgetary figures in an environment of uncertainty (Hill, 2016). Another factor is the addition of more stakeholders involved in decision making. This means that more data needs to be collected to make accurate budgetary forecasts which can also be time-consuming (Hill, 2016). As such, there is also a likelihood that the budget implementation timelines will also be affected. Process of External and Internal Environmental Analyses In the strategic management process, one of the core steps is to carry out an internal and external organization analysis. This allows the organization to collect its efforts in response to the findings of the two analyses. The process of carrying out environmental analysis is a five-step process that includes; first an analysis of the external environment (Esfahani et al., 2018). This
Mrs. J is a 63-year-old married woman who has a history of
[ANSWERED] Mrs. J is a 63-year-old married woman who has a history of hypertension, chronic heart failure, and chronic obstructive pulmonary disease (COPD) It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span. Evaluate the Health History and Medical Information for Mrs. J., presented below. Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below. Health History and Medical Information Health History Mrs. J is a 63-year-old married woman who has a history of hypertension, chronic heart failure, and chronic obstructive pulmonary disease (COPD). Despite requiring 2L of oxygen/nasal cannula at home during activity, she continues to smoke two packs of cigarettes a day and has done so for 40 years. Three days ago, she had sudden onset of flu-like symptoms including fever, productive cough, nausea, and malaise. Over the past 3 days, she has been unable to perform ADLs and has required assistance in walking short distances. She has not taken her antihypertensive medications or medications to control her heart failure for 3 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure and acute exacerbation of COPD. Subjective Data Is very anxious and asks whether she is going to die. Denies pain but says she feels like she cannot get enough air. Says her heart feels like it is “running away.” Reports that she is exhausted and cannot eat or drink by herself. Objective Data Height 175 cm; Weight 95.5kg. Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58. Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint: all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation. Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%. Gastrointestinal: BS present: hepatomegaly 4cm below costal margin. Intervention The following medications administered through drug therapy control her symptoms: IV furosemide (Lasix) Enalapril (Vasotec) Metoprolol (Lopressor) IV morphine sulphate (Morphine) Inhaled short-acting bronchodilator (ProAir HFA) Inhaled corticosteroid (Flovent HFA) Oxygen delivered at 2L/ NC Critical Thinking Essay In 750-1,000 words, critically evaluate Mrs. J.’s situation. Include the following: Describe the clinical manifestations present in Mrs. J. Discuss whether the nursing interventions at the time of her admissions were appropriate for Mrs. J. and explain the rationale for each of the medications listed. Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition. Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide a rationale for each of the interventions you recommend. Provide a health promotion and restoration teaching plan for Mrs. J., including multidisciplinary resources for rehabilitation and any modifications that may be needed. Explain how the rehabilitation resources and modifications will assist the patients’ transition to independence. Describe a method for providing education for Mrs. J. regarding medications that need to be maintained to prevent future hospital admission. Provide rationale. Outline COPD triggers that can increase exacerbation frequency, resulting in return visits. Considering Mrs. J.’s current and long-term tobacco use, discuss what options for smoking cessation should be offered. You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. EXPERT ANSWER AND EXPLANATION Patient Assessment and Treatment One’s physiological wellbeing depends on a wide range of factors including lifestyle behaviors. The prolonged use of the psychotic substances, for example, can expose one to the risk of developing health problems, and the nature of the medical condition one develops depends on the substance they use. For instance, smoking tobacco exposes smokers to the risk of developing respiratory issues. Equally, the type of food one eats and their levels of physical activity can have a certain level of impact on their physiological wellbeing. It is imperative to explore the case of patient with COPD, in terms of the effectiveness of the intervention she receives, and examine the contributors to the heart failure. Mrs. J’s Clinical Manifestations Based on the Mrs. J’s medical history and subjective data, she exhibits a number of clinical manifestations. One of these manifestations is the acute exacerbation of the chronic obstructive pulmonary disease (COPD). Another clinical manifestation present in the patient is acute decompensated heart failure. These two conditions explain the reason why she experiences difficulties breathing, and her heart rate is irregular. She has Congestive Heart Failure (CHF). Mrs. J also shows sign of hypertension considering that her blood pressure level is 90/58, and this is more than the 120/80 average (Lin et al., 2016). Additionally, the patient has fever, and besides this fever, she cannot perform Activities of Daily Living (ADLs). She coughs blood-tinged sputum, and this indicates a possible respiratory problem. Assessment of the Effectiveness of the Nursing Interventions Mrs. J takes a number of medications to help promote her recovery, and while these medications are effective, some may not be necessary in her case. She takes IV furosemide, and this intervention is appropriate based on her case. This is because this medication would help relieve her heart failure problem by helping improve the heart’s blood-pumping capacity. Given the patient’s
A mother comes in with 9 month old girl. The infant is 68.5cm
A mother comes in with 9 month old girl. The infant is 68.5cm in length (25th percentile per CDC growth chart) DQ1: Consider the following patient scenario: A mother comes in with 9 month old girl. The infant is 68.5cm in length (25th percentile per CDC growth chart), weighs 6.75kg (5th percentile per CDC growth chart), and has a head circumference of 43cm (25th percentile per CDC growth chart). Describe the developmental markers a nurse should assess for a 9–month–old female infant. Discuss the recommendations you would give the mother. Explain why these recommendations are based on evidence-based practice. DQ 2: Child abuse and maltreatment is not limited to a particular age—it can occur in the infant, toddler, preschool, and school-age years. Choose one of the four age groups and outline the types of abuse most commonly seen among children of that age. Describe warning signs and physical and emotional assessment findings the nurse may see that could indicate child abuse. Discuss cultural variations of health practices that can be misidentified as child abuse. Describe the reporting mechanism in your state and nurse responsibilities related to the reporting of suspected child abuse. DQ 1: Expert Answer and Explanation Health Assessment for Infant For a 9 month female infant at 25th percentile of height and head circumference, yet only in the 5th percentile in terms of weight demystifies that the infant is underweight. The CDC provides essential developmental markers that a nurse should consider when assessing the nine-month-old female infant (CDC, 2019). For instance, at the age of 9 months, the infant ought to have developed social and emotional markers such as being afraid of strangers, recognizing favorite toys, and being clingy to familiar adults. Communication makers include the ability to copy sound or gestures, use finders to point, and understanding “no.” In terms of the cognitive and physical development, the infant should be able to watch the path of a falling object, put items in mouth, move objects from one hand to the other, sit without support, crawling, and standing while holding on to something (CDC, 2019). The assessment can also include the nutritional and dieting aspect of the infant. As a nurse, I would recommend improvements regarding nutrition and diet, increased movements, and mental alertness. The recommendation is in light of the infant’s underweight appearance. I would first discuss with the mother the importance of a proper diet and nutritional value to the growth of the baby both physically and mentally (Green, 2018). I will also inquire about the breastfeeding routines if the infant is being given other formulas that improve their growth. It is essential for the mother to comprehend the relevance of breastfeeding and the type of food that an infant can begin to eat after the six months following the delivery. It is also essential to offer the mother nutrition awareness materials such as handouts so that she can refer and offer the child with appropriate meals for weight gain. References CDC. (2019). What developmental milestones is your 9-month-old reaching? Retrieved 18 May 2020, from https://www.cdc.gov/ncbddd/actearly/milestones/milestones-9mo.html Green, S. (2018). Health assessment: Foundations for effective practice. Retrieved from https://lc.gcumedia.com/nrs434vn/health-assessment-foundations-for-effective-practice/v1.1/ Alternative Expert Answer Developmental Markers for a 9-Month Old Baby When assessing a 9-month old female infant for any developmental issues, a nurse has to look at the developmental markers for a child at this age. On average, a female baby at this age weighs 8.2 kg. For a child at this age, still, their average length is 70.1 cm, and the size of their head is 44.5 cm. Although a baby starts to crawl when they reach this age, not all crawl when they hit 9 month after birth, and they may start walking after the 12 month. The baby also sits, babbles and express interest in picking things. Additionally, they reach for objects while sited, and they may pool themselves up using tables or chairs (Tandon, 2017). The child may express anxiety when separated from their parents. When examining this child, the nurse would need to take to consideration the fact that a baby at 9 months can respond to their name, and they know their parents (Breiner et al., 2016). The baby in the case seems to be experiencing the developmental issues. The baby’s weight is 6.75 kg which is lower than the average 8.2 kg. Their length is 68.5 cm, and this is slightly below the average length of 70.1 cm for female babies at this age. The circumference of her head is also slightly lower than that the average. As a nurse, I would recommend to the parent to encourage the baby to move. This would be important in helping build the baby’s muscles. The parent may hold the baby’s hands and pull them while they walk together (Tandon, 2017). It is also important for the parent to consider feeding the child a meal rich in protein so that the child gets to meet her nutritional needs. This would help her gain weight. These recommendations can translate to better clinical outcomes because a number of studies link practice and nutrition to the improved child development (Tandon, 2017). References Breiner, H., Ford, M. A., Gadsden, V. L., & National Academies of Sciences, Engineering, and Medicine (U.S.). (2016). Parenting matters: Supporting parents of children ages 0-8. Washington: National Academies Press. Tandon, M. (2017). Early Childhood Mental Health: Empirical Assessment and Intervention from Conception through Preschool, An Issue of Child and Adolescent Psychiatric Clinics of North America. Amsterdam: Elsevier. DQ 2: Expert Answer and Explanation Child Abuse and Maltreatment Child neglect is the most common form of child abuse that school going children go through. The maltreatment has the capacity to negatively affect all aspects of their lives while in school. Poor grades and low self-esteem are some of the negative results of this form of maltreatment in school-going children (Zeanah, & Humphreys, 2019). Physical abuse is the second form of child maltreatment that is common in school-going children. Physical abuse may present itself in different forms. Beatings, stabbing, punching and kicking are ideal examples of physical abuses meted upon school going children. There are
[ANSWERED 2024] An understanding of the neurological and musculoskeletal systems is a critically important component of disease
An understanding of the neurological and musculoskeletal systems is a critically important component of disease Module 5 Assignment: Case Study Analysis An understanding of the neurological and musculoskeletal systems is a critically important component of disease and disorder diagnosis and treatment. This importance is magnified by the impact that that these two systems can have on each other. A variety of factors and circumstances affecting the emergence and severity of issues in one system can also have a role in the performance of the other. Effective analysis often requires an understanding that goes beyond these systems and their mutual impact. For example, patient characteristics such as, racial and ethnic variables can play a role. In this Assignment, you examine a case study and analyze the symptoms presented. You identify the elements that may be factors in the diagnosis, and you explain the implications to patient health. To prepare: By Day 1 of this week, you will be assigned to a specific case study scenario for this Case Study Assignment. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor. Assignment (1- to 2-page case study analysis) A 58-year-old obese white male presents to ED with chief complaint of fever, chills, pain, and swelling in the right great toe. He states the symptoms came on very suddenly and he cannot put any weight on his foot. Physical exam reveals exquisite pain on any attempt to assess the right first metatarsophalangeal (MTP) joint. Past medical history positive for hypertension and Type II diabetes mellitus. Current medications include hydrochlorothiazide 50 mg po q am, and metformin 500 mg po bid. CBC normal except for elevated sedimentation rate (ESR) of 33 mm/hr and C-reactive protein (CRP) 24 mg/L. Metabolic panel normal. Uric acid level 6.7 mg/dl In your Case Study Analysis related to the scenario provided, explain the following: Both the neurological and musculoskeletal pathophysiologic processes that would account for the patient presenting these symptoms. Any racial/ethnic variables that may impact physiological functioning. How these processes interact to affect the patient. Expert Answer and Explanation Alteration of Neurological and Musculoskeletal Systems Pathophysiologic Processes According to Jung et al. (2017), the chills, fever, swelling, and pain in the right great toe are as a result of the inflammation of the musculoskeletal system in the toe area. The authors also note that different body structures, such as joints, tendons, muscles, nerves, and bones, tend to have various physio-pathological mechanisms behind the signs. One common alteration for most neurological and musculoskeletal conditions is the misalliance between the external load due to physical posture and exertion and the ability of the human body to hold the load. The frequency of the load and the duration are also so significant. Clark et al. (2017) note that the capacity to withhold the pressure exerted by the loads on muscles depends on gender, general health, and age. Pain is a neurological sensation and is a sign that a specific tissue in the body id damaged. All tissues, including the muscle tissues, have the pain-sensitive nerves. In this case, the pain was feeling pain because the nerve cells in the muscles sensed that there was high mechanical pressure on the inflamed muscles and joints (Clark et al., 2017). The patient cannot put weight on his foot because the nerves have sent the stimulus to the spinal cord, which orders the motors reflex to move away from the swollen foot. Racial/Ethnic Variables that may Impact Physiological Functioning A study done by Booker et al. (2019) aimed to understand the difference in muscle strength and lean mass in different ethnic groups. The authors found that there was higher lean mass among Hispanic and black ethnic men compared to white men. However, the researchers found that there were lower physical function levels among Hispanic and black men. As a result, Hispanic and African American people are more likely to suffer neurological and musculoskeletal conditions compared to white individuals. Another study done by El Khoudary et al. (2019) showed that African American subjects had greater strength and appendicular lean mass compared to white subjects. However, African American subjects had lower muscle quality than white participants. This study concluded that African American people have higher BMI compared to whites because of their lower muscle quality. Fujishiro et al. (2017) did a study and found that black women have higher bone and skeletal mass compared to white women. The study also found that there were higher levels of serum testosterone in African American women compared to white women. How the Processes Interact to Affect the Patient The patient is a white male, and this means that he has high levels of physical functioning. El Khoudary et al. (2019) note that high physical functioning can help reduce the risks of suffering conditions, such as type 2 diabetes, arthritis, and hypertension. People recording high physical functioning can suffer muscle or joint injury that can cause pain and inflammation on the tissues around the affected muscle. Being white, the patient has lower lean mass, muscle strength, skeletal mass, and bone mass. Therefore, he cannot withstand prolonged mechanical loading of the tendons. The patient’s obese weight is likely to exert pressure on his tendons hence causing pain and swollen toe muscle (Fujishiro et al., 2017). Overall, a person with higher BMI (obese) and lower skeletal muscle risk injuring his or her musculoskeletal muscles and developing conditions, such as arthritis. References Booker, S., Cardoso, J., Cruz-Almeida, Y., Sibille, K. T., Terry, E. L., Powell-Roach, K. L., … & Staud, R. (2019). Movement-evoked pain, physical function, and perceived stress: An observational study of ethnic/racial differences in aging non-Hispanic Blacks and non-Hispanic Whites with knee osteoarthritis. Experimental Gerontology, 124, 110622. https://doi.org/10.1016/j.exger.2019.05.011 Clark, J., Nijs, J., Yeowell, G., & Goodwin, P. C. (2017). What are the predictors of altered central pain modulation in chronic musculoskeletal pain populations? A Systematic review. Pain physician, 20(6), 487-500. Official URL: http://www.painphysicianjournal.com/ El Khoudary, S. R., Greendale, G., Crawford, S. L., Avis, N. E., Brooks,