examine healthcare organization websites and analyze to what extent these organizations use EBP.

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March 21, 2010, was not EBP’s date of birth, but it may be the date the approach “grew up” and left home to take on the world.When the Affordable Care Act was passed, it came with a requirement

March 21, 2010, was not EBP’s date of birth, but it may be the date the approach “grew up” and left home to take on the world.

When the Affordable Care Act was passed, it came with a requirement of empirical evidence. Research on EBP increased significantly. Application of EBP spread to allied health professions, education, healthcare technology, and more. Health organizations began to adopt and promote EBP.

In this Discussion, you will consider this adoption. You will examine healthcare organization websites and analyze to what extent these organizations use EBP.

To Prepare:

  • Review the Resources and reflect on the definition and goal of EBP.
  • Choose a professional healthcare organization’s website (e.g., a reimbursing body, an accredited body, or a national initiative).
  • Explore the website to determine where and to what extent EBP is evident.

By Day 3 of Week 1

Post a description of the healthcare organization website you reviewed. Describe where, if at all, EBP appears (e.g., the mission, vision, philosophy, and/or goals of the healthcare organization, or in other locations on the website). Then, explain whether this healthcare organization’s work is grounded in EBP and why or why not. Finally, explain whether the information you discovered on the healthcare organization’s website has changed your perception of the healthcare organization. Be specific and provide examples.

By Day 6 of Week 1

Is there any additional subjective or objective information you need for this client? Explain.

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Mr. JD is a 24-year-old who presents to Urgent Care with a 2-week history of cough and congestion. He says it started out as a “normal cold” and it will not go away. He has a productive cough for gree

Mr. JD is a 24-year-old who presents to Urgent Care with a 2-week history of cough and congestion. He says it started out as a “normal cold” and it will not go away. He has a productive cough for green mucous and has green nasal discharge. He says he has had a low-grade temperature for the past 2 days. John reports an intermittent frontal headache with this cold. He is otherwise healthy, with no known allergies. In his assessment it is found that his vital signs are stable, temperature is 99.9 degrees F, tympanic membranes (TMs) are clear bilaterally, pharynx is erythematous with no exudate; there is greenish postnasal drainage; turbinates are swollen and red; frontal sinus tenderness; no cervical adenopathy, and lungs are clear bilaterally.

  • Is there any additional subjective or objective information you need for this client? Explain.

In addition to what we have been told there are several things that may be identified. On first glance it would be important to assess the patients skin color, assess if they were sweating or were cold. It would be necessary to ask about allergies and see if he has been exposed to any possible allergens or irritants. It would need to be determined if this was the first time this has happened or has been a common occurrence. Assessing any recent traumatic injuries, headaches, or nose bleeds may help the clinician determine the root cause of the problem. Family history, patients past medical history, social history, and any current medications is a definite must. His vitals are stable besides the climb in temperature, so you could ask how he was sleeping and if he was getting enough fluid intake.

  • Would you treat Mr. JDs cold? Why or why not?

I would definitely treat JD’s symptoms. He has been down and out for two weeks and his condition is not getting any better. His temperature is increasing, and he is symptomatic with tender mucous membranes, post nasal drip, and erythema. These are signs of an infection that should be treated. Not only is he at risk for getting worse but he could potentially expose others to his current illness.  Clinical diagnosis of acute bacterial sinusitis requires prolonged, nonspecific upper respiratory signs such as rhinosinusitis and cough without improvement for more than 10 days, and symptoms such as fever, facial swelling, or facial pain (Woo & Robinson, 2016).

What would you prescribe and for how many days? Include the class of the medication, mechanism of action, route, the half-life; how it is metabolized in and eliminated from the body; and contraindications and black box warnings.

Many times, antibiotics are prescribed too quickly and often times will not be effective if it is a viral infection. Based on the assessment findings and the little we know about the patient; the patient could have possible sinusitis. The first-line treatment for sinusitis in adults is amoxicillin/clavulanate (875 mg amoxicillin/125 mg clavulanate) for 5 to 7 days (Woo & Robinson, 2016). This medication has a half-life of 1-1.3 hours, is metabolized by the liver and eliminated in the urine. It usually takes 30 minutes to be effective and peaks in 1-2 hours. This medication is an oral antibacterial combination that consist of the semisynthetic antibiotic amoxicillin and the β-lactamase inhibitor (FDA, n.d.). This bactericidal hinders bacterial growth by inhibiting the biosynthesis of bacterial cell wall mucopeptide (Woo & Robinson, 2016). For JD, it would be necessary to check a comprehensive metabolic panel to assess liver and kidney function. There is not a black box warning and usually does not have any side effects other than a possible rash. It is usually safe during pregnancy however before prescribing it would be necessary to assess allergies and inform the patient about potential side effects like a rash.  

Would this treatment vary if Mr. JD was a 10 year-old 78 lb child? Include the class of the medication, mechanism of action, dosing, route, the half-life; how it is metabolized in and eliminated from the body; and contraindications and black box warnings

Amoxicillin is first-line therapy for sinusitis in children (Woo & Robinson, 2016). If the child has not recently been on antibiotics, they should be on a dose of 25-50mg/kg/d in divided doses. This bactericidal medication is an aminopenicillin that is taken orally, has a half-life of 1.3hrs, is metabolized in the liver and excreted in the urine, and works by inhibiting the bacterial cell wall mucopeptide (Woo & Robinson, 2016). As stated before, it does not have any black box warnings and patients kidney and liver functioning is a concern before use.

What health maintenance or preventive education is important for this client based on your choice medication/treatment?

I would instruct this patient to take the medication until it is gone; not stop it early. In addition, if they failure to respond within 3 to 5 days he should prompt notify his PCP and a change in therapy should be considered (Woo & Robinson, 2016). I would instruct the patient to get plenty of sleep, increase fluid intake, and take a probiotic once they are done with their regimen. Antibiotics have been known to kill of not only the bad bacteria in the gut but the good as well. Preventing side effects like diarrhea should be taken prophylactically.  They should be taken on an empty stomach, 1 hour before a meal or 2 hours after meals (Woo & Robinson, 2016). For additional resources, I would tell the patient the pharmacist is a great tool for resource if they had questions when they picked up the medication but to always call the PCP for further questioning.

 References:

There is often the requirement to evaluate descriptive statistics for data within the organization or for health care information. Every year the National Cancer Institute collects and publishes data

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There is often the requirement to evaluate descriptive statistics for data within the organization or for health care information. Every year the National Cancer Institute collects and publishes data

There is often the requirement to evaluate descriptive statistics for data within the organization or for health care information. Every year the National Cancer Institute collects and publishes data based on patient demographics. Understanding differences between the groups based upon the collected data often informs health care professionals towards research, treatment options, or patient education. 

Using the data on the “National Cancer Institute Data” Excel spreadsheet, calculate the descriptive statistics indicated below for each of the Race/Ethnicity groups. Refer to your textbook and the Topic Materials, as needed, for assistance in with creating Excel formulas.

Provide the following descriptive statistics:

  • Measures of Central Tendency: Mean, Median, and Mode
  • Measures of Variation:  Variance, Standard Deviation, and Range (a formula is not needed for Range).
  • Once the data is calculated, provide a 150-250 word analysis of the descriptive statistics on the spreadsheet. This should include differences and health outcomes between groups.

APA style is not required, but solid academic writing?is expected.

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 not required to submit this assignment to LopesWrite.

Search the GCU Library and find one new health care article that uses quantitative research. Do not use an article from a previous assignment, or that appears in the Topic Materials or textbook.Comple

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Search the GCU Library and find one new health care article that uses quantitative research. Do not use an article from a previous assignment, or that appears in the Topic Materials or textbook.Comple

Search the GCU Library and find one new health care article that uses quantitative research. Do not use an article from a previous assignment, or that appears in the Topic Materials or textbook.

Complete an article analysis and ethics evaluation of the research using the “Article Analysis and Evaluation of Research Ethics” template. See Chapter 5 of your textbook as needed, for assistance.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, 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. Refer to the LopesWrite Technical Support articles for assistance

· A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.

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Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.· Based on the clinical issue of interest and using keywords related to the clinical is

· Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.

· Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest.

· Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research.

· Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected.

·  

Part 1: An Introduction to Clinical Inquiry

Create a 4- to 5-slide PowerPoint presentation in which you do the following:

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

· Describe how you used keywords to search 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.

·  

Part 2: Identifying Research Methodologies

After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following:

· The full citation of each peer-reviewed article in APA format.

· A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.

· A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.

· A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.

· A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.

Analyze how understanding of the chosen topic will impact your future role as an advanced practice nurse.

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Please review the Discussion Board Participation grading rubric under Course Resources in the Grading Rubrics section. This is important information that will ensure that you earn maximum points. You

Please review the Discussion Board Participation grading rubric under Course Resources in the Grading Rubrics section. 

This is important information that will ensure that you earn maximum points. Your postings should be qualitative and provide substantive depth that advances the discussion. 

Please see the Writing Center located in the student portal for assistance with writing, APA, and online communication. 

Topic: Legal issues of an Advanced Practice Nurse in the Workplace 

Choose one topic from the following list and evaluate how the chosen topic impacts your role as an advanced practice nurse. What are the legal implications related to your role? Analyze how understanding of the chosen topic will impact your future role as an advanced practice nurse. 

Choose one:

  • Employer and employee rights
  • American with Disabilities Act
  • Employment contracts and unionization
  • Corporate liability
  • Sexual harassment in the workplace
  • Employees with AIDS/HIV and exposure to bloodborne pathogens
  • Environmental health and safety
  • 3 references needed APA style

Identify how this case might cause moral distress for members of the healthcare team.

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Guidelines for Dax Cowart Case AnalysisIntroduction In the following assignment we will use a specific case to examine in more detail the intricacies of an ethical dilemma.I would like to introduce y

Guidelines for Dax Cowart Case Analysis

Introduction 

In the following assignment we will use a specific case to examine in more detail the intricacies of an ethical dilemma.

I would like to introduce you to the story of Dax Cowart. Attached is an excerpt from a speech that Dax Cowart made several years ago, a speech that remains poignant for contemporary reflection. https://www.youtube.com/watch?v=lSsu6HkguV8The story is heart breaking and challenges all the bounds of ethics and health care. As you listen to Dax, or read the transcript of his talk, think about the issues Dax discusses, especially in connection with capacity and the right to decline medical treatment. These are the stories and circumstances where ethics and health care collide and individuals are forced to make tough decisions. In thinking over your responses to the discussion questions, consider the concepts we have talked about in the modules to this point, such as personal moral values; bioethical principles; the need to weigh and prioritize competing moral interests; a healthcare professionals charge to provide ethical care and a patient’s right to self-determination.

Instructions

You will analyze Dax Cowart’s case by considering the following questions:

  • You are Dax’s physician. How would you respond to Dax’s requests that you “let him die”?
  • Would you continue to treat him against his wishes? Why or Why Not?

After reviewing the case study, respond to the following questions in a short essay (no more than 700 -800 words):

  1. Describe the most relevant ethical dilemma(s) presented (no more than two).
  2. Identify the most relevant stakeholder(s) (no more than 3) and briefly describe the situation from their perspective.
  3. Analyze the dilemma, using scholarly discussion, from the perspective of the primary stakeholder (typically the patient). Include a discussion of at least two ethical theories or bioethics principles studied in the course that relate to the dilemma and issues you identified. Include any relevant legal concerns or requirements outlined in the readings.
  4. Present your assessment, resolution or potential solutions for resolving the issue. Remember that there are no right answers, per se, so reflective questions can be as appropriate as a firm conclusion.
  5. Identify how this case might cause moral distress for members of the healthcare team.
  6. Reviewing another contemporary case of the patient refusing forced feedings. Judge: Severely anorexic patient can refuse forced feedings. Identify contemporary policies, standards and laws that have been put in place to prevent similar dilemmas.
  7. Briefly explain what you have learned from examining this case.

Your case analysis will be between 700 – 800 words. It will include the following:

  • A title page with the title of the case, your name, and date
  • Double-spaced, Times New Roman 12-point font
  • APA formatted inline citations as appropriate
  • A bibliography of references used

Describe the types of communication that take place between nurses and clients/patients. Do not forget to consider types of communication beyond verbal and written on paper.

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Prepare a 3–4-page report on nurse-patient communication in which you  address types of communication, factors that influence the  communication experience, and how the patient experience affects

Prepare a 3–4-page report on nurse-patient communication in which you  address types of communication, factors that influence the  communication experience, and how the patient experience affects health  outcomes. Recommend evidence-based strategies to improve nurse-patient  communication and explain how the strategies consider patient  demographics.

Nursing professionals do not only communicate with others within  their organizations—often, they are also the first point of contact with  patients. Thus, nursing professionals need superior communication  skills to explain procedures and medication instructions, as well as to  listen to what patients need to say.

Clark and Paraska (2014) suggest that understanding how people  communicate is the first step in learning how to teach patients more  effective methods of listening, self-awareness, and self-expression—and  also in identifying barriers in communication. The process of  communication can be difficult, as we can interpret meaning based on a  variety of hidden messages—some conscious and intentional—some not.

Reference 

Clark, C. C., & Paraska, K. K. (2014).  Health promotion for nurses: A practical guide. Burlington, MA: Jones & Bartlett. 

Imagine that, in an effort to reduce the number of patient complaints  about nursing staff, organizational leadership has asked your  department to prepare some preliminary research on a number of different  topics. Your topic is patient communication, such as the following:

  • The types of communication that take place between nurses and patients.
  • The factors that can influence both positive and negative experiences.
  • How the experience can impact health care outcomes.
  • Strategies that can improve the communication between nurses and patients.

Preparation

Search the Capella library and the Internet for peer-reviewed  journal articles or other professional resources on the topic of  effective communication with patients. You will need at least 3  resources to support your work in this assessment.

Directions

Prepare a report on patient-nurse communication in which you include the following:

  • Describe the types of communication that take place between  nurses and clients/patients. Do not forget to consider types of  communication beyond verbal and written on paper.
  • Explain the factors that influence positive and negative  experiences during the communication process. (Hint: Consider the  experiences of both the client/patient and the nurse. Also, consider  things such as age, gender, culture, and so on, of both the  client/patient and the nurse.)
  • Explain how the client/patient experience can impact health care outcomes.
  • Recommend evidence-based strategies for improving communication between client/patients and nurses.
  • Explain how the strategies consider different client/patient demographics.

Format this assessment as a report that you would give to your  supervisor. It may be helpful for you to review how your organization  formats internal reports and incorporate your findings. You are still  required to adhere to APA guidelines for in-text citations and  references, as well as for formatting your reference page.

Additional Requirements

  • Include a title page and a reference page.
  • Ensure your assessment is 3–4 pages in length.
  • Use double-spaced, 12-pt., Times New Roman font.

Compare landmarks of the neck on a male versus those on a female. Which is the largest endocrine gland in the body, and what two hormones does it produce? In older adults, why does the thyroid gla

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Compare landmarks of the neck on a male versus those on a female. Which is the largest endocrine gland in the body, and what two hormones does it produce?  In older adults, why does the thyroid gla

1.Compare landmarks of the neck on a male versus those on a female. Which is the largest endocrine gland in the body, and what two hormones does it produce?  In older adults, why does the thyroid gland become more fibrotic?  : Beginning after 16 weeks of gestation, many pregnant women develop blotchy, brownish hyperpigmentation of the face, particularly over the malar prominences and the forehead. Name this condition. A newborn admitted to the nursery is observed to have bruising on the side of the face and molding. What pertinent history must be obtained concerning this newborn? List the techniques necessary for accurate thyroid gland examination. Examination of a newborn 24 hours after birth reveals subcutaneous edema in the parietal region, which when palpated is firm and well defined and does not cross suture lines. What is the physiologic basis of this finding? Name the technique used for every newborn and older infant who has a suspected intracranial lesion or rapidly increasing head circumference    Ectropion.      ectropion  Which structures comprise the external eye?   The four rectus and two oblique muscles attached to the eye are innervated by which cranial nerves?  Compare and contrast changes in the eye associated with the following conditions: a.     Hyperthyroidism b.     Cataracts c.     Diabetes mellitus d.     Glaucoma e.     Chronic hypertension How is visual acuity recorded, and what does it indicate?  What is characterized by loss of definition of the optic disc that initially occurs superiorly and inferiorly and then nasally and temporally?  Differentiate between flame-shaped, round, and dot hemorrhages.  At 3 years of age, what visual acuity is expected?  Which disorder is caused by the interruption of the sympathetic nerve supply to the eye and results in ipsilateral miosis and mild ptosis?    What are the functions of the ear?  What are the functions of the nose and nasopharynx? Compare the risk factors for hearing loss in infants and children versus those for adults. Explain the effect of anticholinergic drugs on oral mucous membranes. : Otitis Externa, Acute Otitis Media, and Otitis Media with Effusion.  Create a chart differentiating these conditions by listing signs and symptoms of each. Explain the potential effect on nasopharynx or oropharynx development if substance abuse occurs during the first trimester of pregnancy  During a routine examination of a 3-month-old infant, the mother becomes concerned because her child will not turn his head toward a sound. What is the appropriate response to give this mother? Describe the measures required to carry out a safe otoscopic examination on a toddler. : A pregnant woman at 21 weeks of gestation is concerned about her decreased sense of smell and loss of hearing. What is the cause of this patient’s concerns? Discuss the risk factors of oral cancer. An older male patient tells you that he is experiencing a sudden hearing loss. What is the priority consideration?  : An infant’s hearing may be impaired as a result of an insult to him or her during which trimester of pregnancy?  : A negative Rinne test result, or bone conduction heard longer than air conduction in the affected ear, is indicative of which type of hearing loss? DK is a 29-year-old patient who presents to the health clinic with multiple complaints. His past medical history includes allergies and allergic rhinitis.  His social history includes cigarette smoking. His family history includes a mother who had allergies and a father who had asthma. The signs and symptoms include cough worse at night, purulent nasal discharge, frontal headache, maxillary sinus tenderness on palpation, orbital swelling, and maxillary tooth pain. 1. Identify the patient’s signs of sinusitis. 2. Identify the patient’s symptoms of sinusitis. 3. What is the primary etiology of the sinusitis?

Discuss how the site is continually monitored to prevent future contamination and protect the health of the surrounding population.

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A – Create a brochure that informs local residents about the hazards at a sanitary landfill in your community. The brochure should include the following: Front matter with a title and bylineInside a

#3A – Create a brochure that informs local residents about the hazards at a sanitary landfill in your community. The brochure should include the following: 

  • Front matter with a title and byline
  • Inside and back panels:
    • Information about the site (location, previous use, current use, etc.)
    • Risk Assessment:
      • Site assessments and testing completed to determine contamination levels.
      • The hazardous agents present at the site.
      • The extent of the contamination at the site and where it has spread to the surrounding community, if applicable (water, soil, air, etc.).
      • How the site has negatively impacted the environment and the health of people in the surrounding community (if negative health effects have not been reported, list the potential health effects based on the matrices that have been contaminated and the hazardous agents that have been identified).
    • Risk Management:
      • Identify the clean-up or containment measures that were taken.
      • Discuss how the site is continually monitored to prevent future contamination and protect the health of the surrounding population.
  • Back matter with references and contact information for the local health or environmental department (city/county/state)

(Location: Oakland, CA.  Only asking for heading with text. I can create the brochure layout.)