Grading Criteria for Clinical Case Decisions

/in /by

CLINICAL CASE DECISION INSTRUCTIONS

Grading Criteria for Clinical Case Decisions:

The highest potential points for each Clinical Case Decision Question are 15-points.  Students are required to upload their response as a word document attachment to the assignment drop box.

Each uploaded response is worth a possible 15 points.

  1. Your comments should be substantiated and substantive. Postings require two citations from 1 scholarly journal and/or 1 outside textbook. Textbooks assigned to this course may be used for an additional citation only.   
  2. Each of the two references must be from a different reference source.
  3. To gain full credit for the assignment, the response must be a full page, but no more than three (3) pages in length, which includes the reference list.
  4. Students are required to use APA format, proper citations, and references.  Students using direct quotes from referenced sources in the body of the paper must include quotations.
  5. Students will be assigned to a question.

Clinical Decision Cases

Begin with a Head-Toe assessment, you decide if it should be treated as episodic with rationale.

You have been assigned two (2) cases to provide analysis. All cases should include the following

a. Pathophysiology and pharmacology of the disease

b. Expected signs and symptoms of the disease.

c. Nursing Diagnosis with a plan of care.

C3. Mrs. Muller is a 78-year-old homemaker who arrives in the emergency department with a history of chest discomfort and indigestion two days ago that lasted about 12 hours. She was severely fatigued after this and within the past 2 hours has become increasingly short of breath. Her initial ECG shows that she recently experienced an anterior AMI. Her skin is cold, and she is very diaphoretic and cyanotic. She is diagnosed with acute heart failure and cardiogenic shock. 

a. What will be the intent of her management, and what will be included in her management plan?

C4. John lacerates his radial artery while cutting a bagel. He loses approximately one-fourth of his blood volume before arriving at the hospital. 

a. What physiological responses do you expect in response to this blood loss?

Evaluating Patients

/in /by

Instructions

It is anticipated that the initial discussion response should be in the range of 250-300 words. Response posts must demonstrate topic knowledge and scholarly engagement with peers.

This is not the only criteria utilized for evaluation; substantive content is imperative. All questions in the topic must be addressed. Please proofread your response carefully for grammar and spelling.

Do not upload any attachments.

All responses need to be supported by a minimum of one scholarly resource. Journals and websites must be cited appropriately. Citation and reference must adhere to APA format (6th Ed.).

Classroom Participation

Students are expected to initially address the discussion question by Wednesday of each week. Participation in the discussion forums is expected with a minimum total of three (3) substantive postings (this includes your initial posting and posting to two peers) on three (3) different days per week. Substantive means that you add something new to the discussion, you aren’t just agreeing.

This is also a time to ask questions or offer information surrounding the topic addressed by your peers. Personal experience is appropriate for a substantive discussion and should be correlated to the literature.

All discussion boards will be evaluated utilizing rubric criterion inclusive of content, analysis, collaboration, writing and APA. If you fail to post an initial discussion you will not receive these points, you may however post to your peers for partial credit following the guidelines above.


Due to the nature of this type of assignment and the need for timely responses for initial posts and posting to peers, the Make-Up Coursework Policy (effective July 2017) does not apply to Discussion Board Participation.

Discussion Prompt [Due Wednesday]

Case study:

Bana is a 24-year-old Muslim woman who was recently relocated to the United States as a refugee from Syria, along with her husband and three young children.

She arrives at your office today for a physical with her children and a case manager. Her English is limited, and she relies on her case manager to explain the details of her situation, although the case manager does not speak Arabic and thus cannot interpret for her.

In interviewing Bana with the help of the case manager, you learn that her husband is currently looking for a job and that she works at night cleaning office buildings.

Her last menstrual period was about 8 weeks ago, and she has been experiencing nausea and vomiting in the mornings recently. A pregnancy test proves positive, and you provide some prenatal education to the client.

During the physical, you notice recent bruises around her throat. She is embarrassed by them and indicates that she was assaulted in Syria before flying to the United States several weeks ago.

On questioning further about the assault, Bana appears not to understand and looks at her case manager for help.

  1. What is the biggest barrier you face in providing care to Bana at this point?
  2. What is the priority action for you to take at this time?
  3. What action is most important for you to take to ensure the health and safety of the fetus?
  4. Given Bana’s financial situation, you are concerned about her and her family having adequate nutrition. Which intervention would best address this concern?

Online discussions are intended to be thoughtful exchanges among students that focus on the weekly readings and translating theory to practice. Initial postings are expected to be completed by Wednesday of each week. Response posts are due by Sunday of each week. Minimum expectations are to complete the initial posting and provide a substantive response to the initial posting of one other classmate who posted to a different question. Students earn points weekly for posts which meet (or exceed) minimum posting requirements. Points are deducted daily for late initial posts. Late response posts will not be accepted.

Estimated time to complete: 3 hours

Quantitative Research

/in /by

Please read carefully instructions. This is a master level writing. See attached the chapters of the book and article to do the  Summary of a Research Report worksheet and data analysis.

When reviewing a research study, you must have the knowledge and skills to accurately read and interpret all parts of a research study. The goal for this assignment is for you to read the entire article, and accurately identify and describe the various sections of the study report. Use the information in chapters from prior weeks as well as this week to help you accurately summarize the study.

Select one quantitative research article from this week’s Electronic Reserve Readings or an article from Appendix A-H of Resource Manual for Nursing Research. 

-Complete the Summary of a Research Report worksheet. Fill out the form in its entirety and include the following details in the appropriate sections of the form:

-Identify the type of design that is used in the study. 

Using Table 9.4 and Table 9.5 of Nursing Research locate the type of design described in the article. 

-Compare the design description in the study to the one in the tables and determine if there is any difference between the two. 

-Describe the data analysis to include specific statistical tests and the reason for selecting the specific tests for the study. If there is a test of a hypothesis, what are the results of the data analysis?

Review Box 10.1: Guidelines for Critiquing Design Elements and Study Validity in Quantitative Studies on Nursing Research.

-Develop a data analysis. If there is a test of a hypothesis, what are the results of the data analysis? Do not simply identify a few words by the author(s) referring to the major findings under discussion or conclusions.

Include a full reference for the article you selected using APA guidelines.

Click the Assignment Files tab to submit your Summary of a Research Report worksheet and your data analysis.

Differing Approaches of Nursing Leaders and Managers

/in /by

In this assignment, you will be writing a 1,000-1,250-word essay  describing the differing approaches of nursing leaders and managers to  issues in practice. To complete this assignment, do the following:

  1. Select an issue from the following list: nursing shortage and    nurse turn-over, nurse staffing ratios, unit closures and    restructuring, use of contract employees (i.e., registry and travel    nurses), continuous quality improvement and patient satisfaction,    and magnet designation.
  2. Compare and contrast how you would    expect nursing leaders and managers to approach your selected issue.    Support your rationale by using the theories, principles, skills,    and roles of the leader versus manager described in your  readings.
  3. Identify the approach that best fits your personal    and professional philosophy of nursing and explain why the approach    is suited to your personal leadership style.
  4. Identify a    possible funding source that addresses your issue. Consider looking    at federal, state, and local organizations. For example: There are    many grants available through the CDC, HRSA, etc.
  5. Use at    least two references other than your text and those provided in the  course.

Prepare this assignment according to the APA 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. Please refer  to the directions in the Student Success Center.

HEALTH CARE POLICY CONCERN

/in /by

Community health nurses practice in a variety of settings. Choose one of the following CH settings, and describe what you have learned about the setting and the role(s) of the nurse in that setting (see Nies & McEwen, 2019, Chapters 30-34). Please do not choose home health nursing for this discussion because your paper is on home health nursing.

• School nursing
• Faith-based or parish nursing
• Occupational health nursing
• Forensic Nursing
• Hospice nursing
• Correctional nursing

Next study levels of prevention in this week’s lesson (primary, secondary, and tertiary). Note that the term primary is used differently than in normal conversation.

• Describe one of the levels of prevention, and discuss how a community health nurse (CHN) in the setting you discussed can implement this level of prevention.

Type of Service

Research Paper

Urgency 6 to 10 hours. 

Citation Style 

APA Style

No. of Pages/Wordcount 

6 page(s)/1650 Words

No. of Sources/References 

6

English UK/US/AU?

English US

Description 

Paper is about policy concern crosswalk safety in prince georges county (maryland). 

Identify community based healthcare policy concern, propose a policy change with evidenced-based foundation, (define: health care policy, role of advocacy and how it can impact healthcare policy, explain how the role of advocacy is consistent with the responsibility of an advance practice nurse. solution to the healthcare concern, positive outcome if implemented, what changes would need to occur, what measurable action will demonstrate a positive outcome, two challengess to implement the proposed solution, and how they can be avoided or resolved.

Please APA format, 6 pages, 6 research-based scholarly references with in the last past 5 years of which 2 references are mpirical evidence from state and county website data. I leave in Maryland (Prince Georges county) . propose a solution, The outcome is to improved health

DETERMINANTS OF HEALTH AND PUBLIC HEALTH INTERVENTION WHEEL

/in /by

This week’s graded topics relate to the following Course Outcome (CO).

CO1: Apply principles of nursing theory to the public health system by analyzing determinants of health and the public health intervention wheel. (PO1)

What are some factors that make some people healthy and others ill? Healthy People 2020 identifies five determinants of health that influence the health of individuals and populations. Healthy People 2020 describes them as “a range of personal, social, economic, and environmental factors that influence health status” (U.S. Department of Health and Human Services, 2018, About Determinants of Health, para. 1). Determinants fall into five categories, including (a) policy making, (b) social factors, (c) health services, (d) individual behavior, and (e) biology and genetics.

Go to the Determinants of Health link at https://www.healthypeople.gov/2020/about/foundation-health-measures/Determinants-of-Health (Links to an external site.) Links to an external site., and click on each determinant to read about it.

Choose one of the five determinants other than individual behavior (as we are all aware of how individual behavior impacts health). In your post, describe this determinant and its importance.

Discuss how a community health nurse (CHN) could use one of the 17 intervention categories from the Public Health Intervention Wheel to address this determinant (Nies & McEwen, 2015).

U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion. (2018). Healthy People 2020: About Determinants of Health. Retrieved from https://www.healthypeople.gov/2020/about/foundation-health-measures/Determinants-of-Health

Textbook:

Nies, M. A., & McEwen, M. (2019). Community/Public health nursing: Promoting the health of populations (7th ed.). St. Louis, MO: Saunders/Elsevier.

Use 3 citations: 1 from textbook and 2 from scholarly sources. 

EVALUATING EMPIRICAL RESEARCH

/in /by


The purpose of this assignment is to evaluate empirical research as it relates to your PICOT question.

PICOT question: What is the impact of medication administration errors in pediatric patients?

General Requirements:

• Doctoral learners are required to use 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. Please refer to the directions in the Student Success Center.

Directions:

Using feedback from your instructor on your PICOT question and annotated bibliographies, revise your PICOT question and annotations.

Using your annotations, write a 1,250-1500 word paper, in which you evaluate the literature, including the study conclusions, merits, and shortcomings.

Your evaluation should address the following questions, and your conclusions should be supported with appropriate citations.

• In which studies are the themes of the literature review similar? Different?

• In which studies do the data support the conclusion?

• In which studies do the conclusions answer the research question?

• What questions would you ask the authors?

• How might the evidence in these studies be of use to refining your PICOT question or perhaps formulating or implementing your DPI project?

ANALYZING UNEXPECTED EVENTS

/in /by

Competency

Analyze project management processes, scope, and the project management life cycle within a range of projects.

Scenario Information

You are assuming the role of the project manager for a company called SuperPacks to provide a new backpack product with a built-in refrigeration pouch and radio module.

Your customer for this project is the U.S. Army, Ground Forces and Special Operations. As the project manager for your team, you will be submitting to your manager a project management report.

Instructions

Part I – Project Scope Document

You will take on the role of Project Manager. As such, you will determine the project scope and project schedule for SuperPacks.

This task has two parts. In the FIRST part, you will use the Project Scope Document Template to develop your project scope document. In the SECOND part, you will use Tab 2 of the Project Schedule Template to develop your project schedule and include it with your written analysis.

Tab 2 will provide you with the unexpected events information needed to complete your analysis.

Develop the project scope document to include the following information:

  • Project description
  • Project assumptions
  • Project goals
  • Project constraints (if any)
  • Project limitations
  • Project milestones
  • Project risks (initial assessment)

The Project Scope needs to be developed prior to any analysis of unexpected events.

Part 2 – Analysis of Unexpected Events

In this second part of your task as Project Manager, provide an analysis of unexpected events to your management using the Project Schedule Template (the unexpected events are located in Tab 2 of the document).

In your analysis, you should discuss the following:

  • Four areas affected by these unexpected events.
  • Three of the areas of the project affected by the events should include changes to the budget, human capital, and impact to schedule.
  • Identify one additional area affected by these events.

EFFECT OF LEARNED BEHAVIORS DURING THE FIRST YEAR OF INFANCY

/in /by


The growth, development, and learned behaviors that occur during the first year of infancy have a direct effect on the individual throughout a lifetime.

For this assignment, research an environmental factor that poses a threat to the health or safety of infants and develop a health promotion that can be presented to caregivers.    

Create a 10-12 slide PowerPoint health promotion, with speaker notes, that outlines a teaching plan. For the presentation of your PowerPoint, use Loom to create a voice over or a video. Include an additional slide for the Loom link at the beginning, and an additional slide for references at the end.

Include the following in your presentation:

  1. Describe the      selected environmental factor. Explain how the environmental factor you      selected can potentially affect the health or safety of infants.
  2. Create a health      promotion plan that can be presented to caregivers to address the      environmental factor and improve the overall health and well-being of      infants.
  3. Offer      recommendations on accident prevention and safety promotion as they relate      to the selected environmental factor and the health or safety of infants.
  4. Offer examples,      interventions, and suggestions from evidence-based research. At least      three scholarly resources are required. Two of the three resources must be      peer-reviewed and no more than 6 years old.
  5. Provide readers      with two community resources, a national resource, and a Web-based      resource. Include a brief description and contact information for each      resource.
  6. In developing      your PowerPoint, take into consideration the health care literacy level of      your target audience, as well as the demographic of the caregiver/patient      (socioeconomic level, language, culture, and any other relevant      characteristic of the caregiver) for which the presentation is tailored

QUANTITATIVE METHODS OF INQUIRY

/in /by

Tutor MUST have a good command of the English language

Tutor MUST have a good command of the English language

Sources need to be journal/scholarly articles. 

Use only articles that are published between 2015-2018 (except for your theory articles which will be older as you must cite primary sources).

No textbook or direct quotes

My project is CLABSI prevention

This topic helps you develop a basic understanding of quantitative methods of inquiry. In this assignment, you will have the opportunity to use the SPSS program. SPSS makes it easy to analyze data using specific tests. This assignment will give you practice with means, medians, and modes.

General Requirements:

Use the following information to ensure successful completion of the assignment:

  • Review      the Topic Material videos, A Brief Comparison of Qualitative and      Quantitative Research Methods and Quantitative vs Qualitative Research,before      undertaking this practice.
  • Doctoral      learners are required to use APA style for their writing assignments. The      APA Style Guide is located in the      Student Success Center.
  • 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. Please refer to the      directions in the Student Success Center.

Directions:

After you have completed the assigned readings and viewed the assigned videos, write a 500-750 word paper that addresses quantitative methods of inquiry. Use the data provided in the Topic Material, “H Cup State Inpatient Databases (SID) File Composition – Number of Discharges by Year,” and appropriate statistics to address the following:

  1. Describe      the different quantitative methods of inquiry.
  2. Describe      the mean, median, and mode of discharges by state in 2014.
  3. Compare      the number of discharges in 2010, 2012, and 2015 in all states. Are there      significantly more discharges in 2015 versus 2010 in all states?
  4. Compare      the number of discharges in 2011 in northwestern states (Washington,      Oregon, Idaho, Montana, Wyoming), southwestern states (California, Nevada,      Utah, Arizona, New Mexico, Oklahoma, and Texas), central states (North      Dakota, South Dakota, Nebraska, Kansas, Missouri, Iowa, Minnesota,      Wisconsin, Illinois), southeastern states (West Virginia, Virginia, North      Carolina, South Carolina, Georgia, and Florida), and northeastern states      (Maine, Vermont, New Hampshire, Massachusetts, Rhode Island, Connecticut,      Washington D.C., New York, New Jersey, Pennsylvania, Delaware, and      Maryland).
  5. Summary      of the paper.