Nursing And Health Care Profession

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Nursing And Health Care Profession

Writing for Nursing/ Assignments Module 4

Purpose

The purpose of this assignment is to increase your knowledge of the link between social determinants of health (SDOH) and a high priority health issue in the country chosen for the final paper and to share that information with another health care provider. Nursing And Health Care Profession

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Overview

Several factors come together to create an individual’s health status. The conditions in which people are born, live, work, and age can be as influential in determining an individual’s health status as the quality of diagnosis and treatment. Health care professionals need to understand the influence of these underlying conditions to deliver the best health care possible. A good example of how these factors are intertwined is the Carter Center’s work in eradicating the guinea worm in Africa and Asia. To quote from the website:

When The Carter Center began leading the international campaign to eradicate Guinea worm disease in 1986, there were an estimated 3.5 million cases in at least 21 countries in Africa and Asia. Today, that number has been reduced by more than 99.99 percent.  In 2020, 27* human cases of Guinea worm disease were reported worldwide. Between January 1 and June 30 of 2021 five human cases have been reported. https://www.cartercenter.org Nursing And Health Care Profession

One of the major strategies used to reach this goal was teaching individuals to filter drinking water and to not go into water if infected.  This was difficult for several reasons:  (a) lack of health care practitioners in the largely rural area, (b) the insecurity in some areas related to conflict, and (c) cost of filtration equipment.  The coordination of effort across several organizations led to the success.

The group of factors included in the SDOH are: (a) economic stability, (b) education access and quality, (c) social and community context, (d) health care access and quality, (e) neighborhood and built environment. Review the resources listed in the Instructional Materials for this module to learn more about the SDOH.  Nursing And Health Care Profession

Instruction

The focus of this assignment is twofold: (a) to strengthen your understanding of the impact of at least one of the social determinants of health on a priority health issue in the country you have chosen as the focus for the final paper and (b) to share that understanding with another health care professional.

You will write a 300-to-350 word paper plus an email (200-250 words) that meet the following criteria:

  • The paper will contain an introduction, a body, and a conclusion.  An appropriately formatted student paper title page must be included.  See the relevant section of the APA Publication Manual, 7th ed.
  • Provide a short description of the country.
  • Identify the (2 or 3) health issues with the highest priority in the chosen country.  Document these choices.  Choose one as the focus for the rest of this document. Describe the global health indicators you are using to identify the priority health issue.
  • Identify the SDOH that has the most impact on the chosen health issue.  Be sure to fully describe the SDOH and make the connection between it and the health issue very clear.
  • Include a minimum of three (3) references. One (1) reference must be a scholarly article. References must be no more than five (5) years old.  There are no exceptions to this requirement. The Skolnik article may be used but does not count as one of the three references.  For this one paper the list of references does not need to be on a separate page. For this one paper the list of references does not need to be on a separate page. List the references (using correct APA 7th edition format) after the body of the paper. See the format for the structure of this assignment in the Instructional Materials folder click here.
  • The email will begin two double spaces below the last reference for the body of the paper. Start the email with the date. Format the rest of the email as described in the instructions for this assignment.
  • Direct the email to any healthcare provider who is NOT a nurse.  Make sure that the discipline of the healthcare provider is clear in the email.  You do not know whether this healthcare provider is or is not aware of the SDOH literature; consequently, SDOH information must be provided without offending the healthcare professional. Nursing And Health Care Profession
  • Provide a brief description of the concept of SDOH.
  • Explain the link between the SDOH and the identified healthcare priority.  It is possible that more than one of the SDOH categories will be applicable.
  • Support your choices with scholarly references. You must use a minimum of three (3) references. These references may be the same as those used in the body of the paper if they are clearly appropriate. Skolnik may be used but does not count as one of the three (3) references.
  • The length of the email is to be between 200 and 250 words.

 

  • Click on the link titled “M4 A1: SDOH IMPACT ANALYSIS/EMAIL – SUBMISSION AREA” to submit the assignment.
  • Points: 30

  • Due: See Course Calendar/Checklist

Refer to Rubric for evaluation.

Click here to download a copy of the assignment guidelines

Note: You will have three (3) attempts to submit a written assignment, only the final attempt will be graded. For each attempt you will receive a SafeAssign originality report. This will give you a chance to correct the assignment based on the SafeAssign score. Click here to view instructions on how to interpret your SafeAssign originality report.

Kindly note: If a submission has been made for more than 48 hours without a re-submission, it will be considered final and will be subject to being graded.

 

Nursing And Health Care Profession

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Nursing And Health Care Profession

Writing for Nursing/ Module 4 Introduction

Overview:

Introductions to a paper are used to introduce the topic, capture the audience’s attention and convince/encourage them to read the rest of the paper, and to define the scope of the paper that follows.  Introductions should be brief usually three or four sentences.  When addressing a complex topic an introduction may require two paragraphs of three to four sentences each.  Typically the thesis statement is the last sentence of an introduction.

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The thesis statement tells the reader the main idea of the paper.  Frequently the thesis sentence includes the writer’s opinion plus a sharing of the organization, content, and purpose of the paper.

Instructions

  • You are to write the introduction for the final paper that is due in Week 7.  You may want to review the requirements of that paper before writing the introduction.  The instructions for the final paper can be found in the Instructional Materials for Module 1.
  • This assignment provides you with the opportunity to begin the organization of the final paper.  Think about the overall message you wish to convey in the final paper.  The introduction will set the stage for the reader and make them want to learn more so they will then continue to read.  The introduction will end with a conclusive statement that will let the reader know where the author’s thinking is headed. Nursing And Health Care Profession
  • Given the required length of the final paper the introduction needs to be two (2) or three (3) paragraphs.   The word count is to be between 250 and 400 words.  Use the professional writing style, e.g., do not use first person.

Click on the link titled “M4 A2: INTRODUCTION TO FINAL PAPER – SUBMISSION AREA” to submit the assignment.

  • Refer to Rubric for evaluation guidelines
  • Points: 10
  • Due: See Course Calendar/Checklist Nursing And Health Care Profession

Note: You will have three (3) attempts to submit a written assignment, only the final attempt will be graded. For each attempt you will receive a SafeAssign originality report. This will give you a chance to correct the assignment based on the SafeAssign score. Click here to view instructions on how to interpret your SafeAssign originality report.

Kindly note: If a submission has been made for more than 48 hours without a re-submission, it will be considered final and will be subject to being graded.

 

Nursing homework help

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Nursing homework help

CASE STUDY 1: Focused Throat Exam

 

Lily is a 20-year-old student at the local community college. When some of her friends and classmates told her about an outbreak of flu-like symptoms sweeping her campus during the past 2 weeks, Lily figured she shouldn’t take her 3-day sore throat lightly. Your clinic has treated a few cases similar to Lily’s. All the patients reported decreased appetite, headaches, and pain with swallowing. As Lily recounts these symptoms to you, you notice that she has a runny nose and a slight hoarseness in her voice but doesn’t sound congested. Nursing homework help

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Using the Episodic/Focused SOAP Template:
· Create documentation or an episodic/focused note in SOAP format about the patient in the case study to which you were assigned.

·  Provide evidence from the literature to support diagnostic tests that would be appropriate for your case.—

  • List five different possible conditions for the patient’s differential diagnosis, and justify why you selected each.—

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

Written Expression and Formatting – English writing standards:
Correct grammar, mechanics, and proper punctuation—

Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running heads, parenthetical/in-text citations, and reference list.—

Using the Episodic/Focused SOAP Template:
· Create documentation or an episodic/focused note in SOAP format about the patient in the case study to which you were assigned.

·  Provide evidence from the literature to support diagnostic tests that would be appropriate for your case.—

  • List five different possible conditions for the patient’s differential diagnosis, and justify why you selected each.—

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

Written Expression and Formatting – English writing standards:
Correct grammar, mechanics, and proper punctuation—

Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running heads, parenthetical/in-text citations, and reference list.—5 APA citations

Week 4

Skin Comprehensive SOAP Note Template

 

Patient Initials: _______                 Age: _______                                   Gender: _______

 

 

SUBJECTIVE DATA:

 

Chief Complaint (CC):

 

History of Present Illness (HPI):

 

Medications:

 

Allergies:

 

Past Medical History (PMH):

 

Past Surgical History (PSH):

 

Sexual/Reproductive History:

 

Personal/Social History:

 

Health Maintenance:

 

Immunization History:

 

Significant Family History:

 

Review of Systems:

 

General:

            HEENT:

            Respiratory:

            Cardiovascular/Peripheral Vascular:

            Gastrointestinal:

            Genitourinary:

            Musculoskeletal:

            Neurological:

            Psychiatric:

            Skin/hair/nails:

 

 

OBJECTIVE DATA:

 

Physical Exam:

Vital signs:

General:

HEENT:

Neck:

Chest/Lungs:.

Heart/Peripheral Vascular:

Abdomen:

Genital/Rectal:

Musculoskeletal:

Neurological:

Skin:

 

Diagnostic results:

 

ASSESSMENT:

 

PLAN: This section is not required for the assignments in this course (NURS 6512), but will be required for future courses. Nursing homework help

 

HOW THE DURHAM VETERANS AFFAIRS HEALTH CARE SYSTEM HANDLES CASES INVOLVING WITHDRAWAL OF CARE SPECIFICALLY LOOKING AT POLICIES.

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Withdrawal of Care June 22 2017Executive SummaryObjectiveThe objective of this review is to look at how the Durham Veterans Affairs Health Care System handles cases involving withdrawal of care specifically looking at policies and procedures that the Durham VA has in in place to ensure compliance with laws and regulations from federal and state to local laws. Assess the procedure for the withdrawal of care and ensure the compliance of all organizational stakeholders to include on-going education and compliance with organizational policies.Target AudienceThe target audience for this review is the Executive Leadership Team Medical and Surgical Leadership Team Providers and Nursing stakeholders and the Health Information Management Team.Area of Concern/RiskThe organization has been assisting patients and their families with end-of-life issues such as withdrawal of care for a few years now and this has helped patients and families to have an open and honest conversation with health care providers in order to fulfill the wishes of the patient and family while maintaining the dignity and wishes of the patient. As laws and regulations change the organization must be up-to-date in order to protect all stakeholders as well as the organization as a whole and have regular educational updates so that staff is aware of changes and can assist patients and their families to make the best decision possible.Risk/OpportunityCurrently the organization speaks with all patients admitted to the hospitals about living wills and DNRs to assess if the patient has one and to obtain a copy of it or to consult social work to discuss these issues with the patients if they do not have one and so desire to have one. The concern is the if the information the staff has regarding these issues is up to date and follows all laws and regulationsConclusionsThe organization has a responsibility to the patients and the community they serve to stay abreast of changes to laws and regulations in order to fulfill the duty of providing quality care that is respectful of the patients wishes and incorporates the values of the patient and family. The organization must provide the most up-to-date information possible in order to provide the patient and family with all the information they need to make informed decisions through continuous education for all stakeholders.Withdrawal of Care:Ensuring Organizational Compliance While Protecting all StakeholdersPrepared forMs. DeAnne SeekinsDurham Veterans Affairs Health Care SystemDurham N.C. 27705Prepared bySusan Korucubasi RN BSNAmerican InterContinental UniversitySchaumburg Il 60173June 22 2017

Health Care Policy WR11

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Health Care Policy WR11

Assignment

 

(Note from me: you have already help with the main part of the assignment. The part that I want you to work on now is to help me responds to two post from to different colleagues. I have attached their post so read it and give a respond to their post. Just a page or less will be fine as long as it meets the discussion)

 

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  • As greater attention has been focused on systemic bias and racism, what should nurses do—as individuals and through our organizations—to address the impact of bias and racism on patients and our colleagues?
  • What kinds of policy proposals or initiatives should we advocate for that could make a difference in addressing bias and racism in health care? Health Care Policy WR11

 

 

Responses Due: Sunday by

  • Respond to at least (2) of your colleague’s postings over the course of the week to continue the dialogue.

 

 

 

 

 

DISCUSSION POSTER 1

Implict bias is known to be conscious awareness that lead to a negative evaluation of a person on the basis of irrelevant characteristics such as race or gender (FitzGerald & Hurst, 2017).  In regard to systemic bias and racism, I believe that nurses should make it their priority to be self aware to avoid these situaitons and “self-check” themselves. Implicit bias in healthcare systems has been going on for quite a while, and as devil’s advocate sometimes it is unintentional. Often times this occurs due to people’s belief’s and morals, but in the health care systems it is very important to remember that the patient’s care and needs are our priority when we are in the role of nurse (ANA,2020).

I believe that equal right initiatives should be in place so that bias is not tolerated towards the patients as well as staff including nurses and other health care professionals. Often times I see in the workplace that patient equality is vouched for, but I do not see much staff equality initiatives. Nurses tend to be overlooked in many areas, they received a lot of racism, and bias from patients but are still expected to withstand several kinds of disrespect. The situation is a slippery slope in comparison, but awareness and education is a start. As I always say the best way to solve a problem is to make sure that you are not contributing, if everyone incorporates that mindset I believe progression will be made.

ANA (2020). The American Academy of Nursing and the American Nurses Association Call for Social Justice to Address Racism and Health Equity in Communities of Color

FitzGerald, C., & Hurst, S. (2017). Implicit bias in healthcare professionals: a systematic review. BMC medical ethics, 18(1), 19. https://doi.org/10.1186/s12910-017-0179-8

 

 

 

 

 

DISCUSSION POSTER 2

 

As individuals, nurses can first examine their own implicit biases. Evaluating these biases is a necessary step in providing patient care that is both culturally appropriate and free from discrimination. Nurses should foster environments that are welcoming and supportive of all. In addition to addressing biases, nurses should also acknowledge and respect differences. One common issue I’ve seen while in the clinical setting is the denial that there are differences, whether cultural or other among patients. I believe that differences must be seen and appreciated to provide appropriate nursing care. One of our readings this week states, “…some U.S. clinicians proclaim that they “don’t see color.” But color must be seen. By looking through a racially impervious lens, clinicians neglect the life experiences and historical inequities that shape patients and disease processes” (Evans et al., 2020). To provide care that actively combats discrimination, nurses must recognize the history of racism in health care. “To carry out these duties, physician-citizens must recognize the harm inflicted by discrimination and racism and consider this environmental agent of disease as a vital sign — alongside blood pressure, pulse, weight, and temperature — that provides important information about a patient’s condition” (Evans et al., 2020). Nurses can advocate for patients’ needs and should speak up if they see discrimination occurring. “Medical skill has allowed us to respond rapidly to a novel virus to save lives; we must also use our expertise to address racism and injustice and to protect vulnerable people from harm” (Evans et al., 2020).

Our organizations can begin to address systemic bias and racism by focusing on what our lecture this week mentioned: diversity, equity, and inclusion. Organizations can include more representation in advanced leadership roles. Health care organizations can also implement trainings to combat bias and racism in the clinical setting. The article, Understanding and Addressing Racial Disparities in Health Care, states “There is also a need for intensive and systematic educational campaigns about the problem of racial inequities in health care. The awareness levels of the public and professional community, especially the medical community, must be raised” (Williams & Rucker, 2000). Nurses and nursing organizations must recognize the crucial role nurses play in fighting systemic racism and bias.  The American Nurses Association (ANA) and the American Academy of Nursing’s statement from 2020 asserts, “The nursing profession, as leaders of compassionate care, upholds the highest commitment to achieving health equity and combating discriminatory actions” (ANA, 2020).

One initiative that should be advocated for is an increase in the role of minorities in healthcare. According to Diagnosing and Treating Systemic Racism, by Michele Evans et al., “Black patients, who are already affected by health inequities and impaired health care access, have a much lower chance than white or Asian-American patients of finding a racially concordant physician. Correcting this disparity requires bringing more black people into the medical workforce, beginning with early messages sent to black children about their abilities and possible careers, and working to remove racial bias all along their educational path” (Evans et al., 2020). The need for this is seen with research, “Other research shows that in a world still shaped by systemic racism, black patients are more likely to trust, and heed the advice of, black physicians: a randomized, controlled trial found that black men assigned to a racially concordant doctor sought more preventive care than those assigned to a racially discordant one” (Evans et al.,2020). Overall, there is much to be done in combating bias and racism in healthcare, and I believe that as nurses we can have a direct positive impact. Health Care Policy WR11

 

References:

ANA (2020). The American Academy of Nursing and the American Nurses Association Call for Social Justice to Address Racism and Health Equity in Communities of Color

Evans, M. K., Rosenbaum, L., Malina, D., Morrissey, S., & Rubin, E. J. (2020). Diagnosing and treating systemic racism. New England Journal of Medicine, 383(3), 274–276. https://doi.org/10.1056/nejme2021693

Williams, D. R., & Rucker, T. D. (2000). Understanding and addressing racial disparities in health care. Health care financing review, 21(4), 75–90.

 

 

 

 

DISCUSSION POSTER 3

As greater attention has been focused on systemic bias and racism, healthcare professionals and the organizations that support them continue to seek ways to address the impacts of inequality on patients and colleagues.  The unjust killings of Black and Brown people as well as higher rates of COVID-19 within these communities, have highlighted the need for social justice reform that addresses racism and realigns structures to enable the attainment of better health regardless of race, ethnicity, and gender (ANA, 2020). “The nursing profession must uphold the highest commitment to achieving health equity and combating discriminatory actions” (ANA, 2020). The first step for nurses to address this issue on an individual level is to start by checking our own biases.  We can become more conscious of our biases when we push ourselves to not only take time for self-reflection, but also utilize the tools available to us to fully do the work needed to create change.  An example of this would be using the IMPLICIT acronym. This stands for Introspection, Mindfulness, Perspective-taking, Learn to slow down, Individuation, Check your messaging, Institutionalize fairness, and Take two (FPM, 2019).  Doing work on an individual basis means that even if we can’t change the social determinants of health for any individual patient in each encounter, we can think more deeply about how they affect what the patient can and can’t do and tailor the patient’s care accordingly (Evans et al., 2020). Additionally, it is important to speak openly with colleagues, family and friends about race and ethnicity. As noted in one of our articles this week, color must be seen (Evans et al., 2020). By pretending that race does not exist, clinicians neglect the life experiences and historical inequities that shape patients and disease processes (Evans et al., 2020). When providers attempt to ignore the problem, they may unintentionally feed the structural racism that influences access to care, quality of care, and resultant health disparities (Evans et al., 2020).

At an organizational level, it is essential that we create and sustain cultures of understanding, belonging, open dialogue, and inclusion in workplaces, within healthcare and in the communities we serve (ANA, 2020).  An organization’s commitment to addressing bias is a meaningful starting point to make lasting change. This commitment needs to be put into action at all levels of the organization. This includes making an intentional and planned effort to diversify the medical workforce, engaging young students early in science and math, introducing diverse young students to a variety of possible careers in healthcare and working to remove racial bias all along the educational path (Evans et al., 2020). Nurses can advocate for policies at the local, state, and national level that address health equity, which will not only improve well-being now, but also continue to lay the foundation for better health in the future (ANA, 2020). US states have a long history of contributing to racial oppression, from the Jim Crow era to the contemporary racism evident in policies and practices such as voter disenfranchisement and mandatory minimum sentencing (Hardeman et al., 2022).  An emerging line of research finds that state-level structural racism is associated with higher rates of infant mortality, myocardial infarction, functional limitations, depression, higher body mass index, and worse self-rated health among Black people (Hardeman et al., 2022). As a policy priority, more attention is needed in future research to examine specific practices that create and worsen structural racism across domains (Hardeman et al., 2022). Effective policy and authentic antiracist research must engage the affected community and efforts to create measures of structural racism should be informed by community-based participatory research and public health critical race praxis principles (Hardeman et al., 2022). With sustained efforts, nurses can be change agents by responding to racism when they experience or see it occur, building an understanding of implicit and unconscious bias at an individual, organizational and policy level could contribute to greater inclusivity in healthcare.

References

American Academy of Nursing (ANA). (2020). The American Academy of Nursing and the American Nurses Association Call for Social Justice to Address Racism and Health Equity in Communities of Color. https://higherlogicdownload.s3.amazonaws.com/AANNET/c8a8da9e-918c-4dae-b0c6-6d630c46007f/UploadedImages/Academy_ANA_Joint_Statement_on_Stigma_and_Discrimination_FINAL_8_4_20.pdf

Evans, M., Rosenbaum, L., Malina, D., Morrissey, S., & Rubin, E. (2020). Diagnosing and Treating Systemic Racism. The New England Journal of Medicine, 383(3), 274–276. https://doi.org/10.1056/NEJMe2021693

Hardeman, R., Homan, P., Chantarat, T., Davis, B., & Brown T. (2022). Improving The Measurement Of Structural Racism To Achieve Antiracist Health Policy. Health Affairs. 41(2), 179-186. https://doi.org/10.1377/hlthaff.2021.01489

 

Nursing homework help

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Nursing homework help

Use the Episodic/Focused SOAP Template and create an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in the Week 5 resources. Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient’s differential diagnosis and justify why you selected each. Nursing homework help

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Case Study 2: Focused Thyroid Exam

Kali, a 44 year old female is in the office for a complete physical examination. She complains of proptosis and feeling fatigued. Her TSH levels are elevated, she has hyperlipidemia, her neck appears swollen, and is overweight. Nursing homework help

 

Episodic/Focused SOAP Note Exemplar

Focused SOAP Note for a patient with chest pain

S.
CC: “Chest pain”

HPI: The patient is a 65 year old AA male who developed sudden onset of chest pain, which began early this morning.  The pain is described as “crushing” and is rated nine out of 10 in terms of intensity. The pain is located in the middle of the chest and is accompanied by shortness of breath. The patient reports feeling nauseous. The patient tried an antacid with minimal relief of his symptoms.

 

Medications: Lisinopril 10mg, Omeprazole 20mg, Norvasc 5mg

PMH: Positive history of GERD and hypertension is controlled

FH: Mother died at 78 of breast cancer; Father at 75 of CVA.  No history of premature cardiovascular disease in first degree relatives.

SH : Negative for tobacco abuse, currently or previously; consumes moderate alcohol; married for 39 years

 

Allergies: PCN-rash; food-none; environmental- none

 

Immunizations: UTD on immunizations, covid vaccine #1 1/23/2021 Moderna; Covid vaccine #2 2/23/2021 Moderna

ROS
General–Negative for fevers, chills, fatigue
Cardiovascular–Negative for orthopnea, PND, positive for intermittent lower extremity edema
Gastrointestinal–Positive for nausea without vomiting; negative for diarrhea, abdominal pain
Pulmonary–Positive for intermittent dyspnea on exertion, negative for cough or hemoptysis

O.

VS: BP 186/102; P 94; R 22; T 97.8; 02 96% Wt 235lbs; Ht 70”

 

General–Pt appears diaphoretic and anxious

Cardiovascular–PMI is in the 5th inter-costal space at the mid clavicular line. A grade 2/6 systolic decrescendo murmur is heard best at the

second right inter-costal space which radiates to the neck.

A third heard sound is heard at the apex. No fourth heart sound or rub are heard. No cyanosis, clubbing, noted, positive for bilateral 2+ LE edema is noted.

Gastrointestinal–The abdomen is symmetrical without distention; bowel

sounds are normal in quality and intensity in all areas; a

bruit is heard in the right para-umbilical area. No masses or

splenomegaly are noted. Positive for mid-epigastric tenderness with deep palpation.

Pulmonary— Lungs are clear to auscultation and percussion bilaterally

 

Diagnostic results: EKG, CXR, CK-MB (support with evidenced and guidelines)

 

 

 

 

 

A.

Differential Diagnosis:

1) Myocardial Infarction (provide supportive documentation with evidence based guidelines).

2) Angina (provide supportive documentation with evidence based guidelines).

3) Costochondritis (provide supportive documentation with evidence based guidelines).

 

Primary Diagnosis/Presumptive Diagnosis: Myocardial Infarction

 

 

 

 

A.

Differential Diagnosis:

1) Myocardial Infarction (provide supportive documentation with evidence based guidelines).

2) Angina (provide supportive documentation with evidence based guidelines).

3) Costochondritis (provide supportive documentation with evidence based guidelines).

 

Primary Diagnosis/Presumptive Diagnosis: Myocardial Infarction

 

 

 

  1. This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.

 

 

 

Nursing homework help

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you are working with an adolescent with bulimia.

1- Do a  breve and concise description of the eating disorders, risk factors, prevalence.

2-  Any medical conditions to consider as possible causes? *[ Medical issues should be reviewed, including weight and menstrual history. A complete review of systems is indicated, as anorexia nervosa can manifest a multitude of disturbances, including cardiovascular symptoms (e.g., bradycardia and other arrhythmias, including QTc prolongation, and hypotension), gastrointestinal symptoms (e.g., slow motility, esophageal inflammation associated with purging), endocrinologic symptoms (low estrogen in females, low testosterone in males, osteopenia, and osteoporosis), and dermatologic changes, such as the development of a layer of fine hair (lanugo) on the face and extremities]. Nursing homework help

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3- To establish your differential diagnosis and prove that your patient has anorexia, describe the DSM-5, criteria for the diagnosis for:

– anorexia nervosa. *[The patient has … and meet the DSM-5 criteria for the diagnosis of anorexia nervosa]

– bulimia. *[symptoms include…, she doesn’t meet the criteria for the diagnosis of bulimia]

– Obsessive-compulsive disorder symptoms of food avoidance and distorted beliefs about one’s body. *[the patient doesn’t has … symptoms, so doesn’t meet the criteria for the diagnosis of OCD]

4 – What is the neurobiological cause of eating disorders? ( focus your attention on the diagnosis of your patient: anorexia nervosa). *[neurobiological hypotheses suggested abnormalities in CNS serotonin, increased serotonin activity, such as elevated levels of the serotonin metabolite 5-hydroxyindoleacetic acid in the CSF and reduced binding potential of 5-HT 2A receptors, suggestive of higher levels of circulating CNS serotonin, in several brain regions].

5 – Why is important a multidisciplinary approach for weight restoration as a treatment of eating disorders?

all the answers need to be supported by a reference, concise and straight to the point.

*Know that All responses will be Turnitin checked.

Instructions:

Use an APA 7 style and a minimum of 250 words. Provide support from a minimum of at least (3) scholarly sources. The scholarly source needs to be: 1) evidence-based, 2) scholarly in nature, 3) Sources should be no more than five years old (published within the last 5 years), and 4) an in-text citation. citations and references are included when information is summarized/synthesized and/or direct quotes are used, in which APA style standards apply. Include the Doi or URL link. Nursing homework help

• Textbooks are not considered scholarly sources. 

• Wikipedia, Wikis, .com website or blogs should not be use

Nursing homework help

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Nursing homework help

Article

Qualitative research is often very voluminous due to the nature that it reflects realities and viewpoints of the studied subjects. With key characteristics of a qualitative study being flexible, holistic, involves merging data collection strategies, requiring researchers to be intensely involved, and relying on the ongoing analysis of the data to formulate subsequent strategies and to determine when data collection is done (Green & Johnson, 2018). With the large influx of information that is continuously gathered through research it is important to strategize as a researcher on how to best organize the gathered information. Nursing homework help

The large amount of research and data collection that is required even in small qualitative projects means thousands of words of information must be stored. On the other hand, major ethnographic projects typically become millions of words. Luckily advances in technology have helped researchers in organizing and maintaining the findings in a more organized fashion. Qualitative research requires the ongoing organization, collection, management, storing, retrieving, analyzing, and give meaning to the information obtained during qualitative research. Qualitative studies contain an overwhelming number of terminologies and positions that have the ability to be utilized in different studies (whether they are ontological, epistemological or methodological) (Johnson, B. D., Dunlap, E., & Benoit, E. (2010).

As qualitative projects are often large with an abundance of gathered data it is critical that the data is placed in a comprehensive database which allows for subsequent analysis of the information as efficient as possible. As computer hardware allows for greater storage capacities it is noted that a great way to store information in an organized manner is through the use of computerized software’s that allow retrieval through key words. Another great way to organize the abundance of information obtained through qualitative study is to use a voice recorder. A digital voice recorder allows for findings to be taped and easily transcribed into a database that allows for easy retrieval. Nursing homework help

References:

Green, S. & Johnson, J. (2018). Understanding Methods for Best Practice. Grand Canyon University (Ed). Research ethics and evaluation of qualitative research. Retrieved from https://lc.gcumedia.com/nrs433v/nursing-research-understanding-methods-for-best-practice/v1.1/#/chapter/2

Johnson, B. D., Dunlap, E., & Benoit, E. (2010). Organizing “mountains of words” for data analysis, both qualitative and quantitative. Substance use & misuse, 45(5), 648–670. doi:10.3109/10826081003594757

(Please write a response to the article above using 200-300 words APA format with at least two references. Sources must be published within the last 5 years. There should be a mix between research and your reflections. Add critical thinking in the posts along with research. Apply the material in a substantial way.)

Annotated Bibliography

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Annotated Bibliography

How to Write an Annotated Bibliography

An annotated bibliography includes a 1-paragraph summary and evaluation of each of the sources. Please do the following: Annotated Bibliography

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  • Cite: Start with an APA citation for each source.

 

  • Summarize: What are the main arguments? What is the point of this book or article? What topics are covered? If someone asked what this article/book is about, what would you say?

 

 

  • Assess: Is it a useful source? How does it compare with other sources in your bibliography? Is the information reliable? Is it this source biased or objective? What is the goal of this source?

 

  • Reflect: Was this source helpful to you? How does it help you shape your argument? How can you use this source in your research project? Has it changed how you think about your topic? Annotated Bibliography

 

 

 

Why should I write an annotated bibliography?

  • To learn about your topic: Writing an annotated bibliography is excellent preparation for a research project. Just collecting sources for a bibliography is useful, but when you have to write annotations for each source, you’re forced to read each source more carefully. You begin to read more critically instead of just collecting information.
  • To help you formulate a thesis: Every good research paper is an argument. The purpose of research is to state and support a thesis. So a very important part of research is developing a thesis that is debatable, interesting, and current. By reading and responding to a variety of sources on a topic, you’ll start to see what the issues are, what people are arguing about, and you’ll then be able to develop your own point of view.

 

 

 

Here is a color-coded SAMPLE which does each of the four things listed above:

Schmidt, J., & Hashimoto, J. (1994). Polls and public

opinion.  Retrieved from http://www.newyorktimes.com

 

Schmidt and Hashimoto tested the hypothesis that poll results on political issues shape public opinion. Schmidt and Hashimoto conducted surveys and interviews of one hundred college students, half male, half female, and the study revealed that subjects were most likely to be influenced by opinion polls if they did not know much about the issues and/or they had no strong pre-existing personal views on the issues.

This study is relevant to one of my leading research questions: Just how much power does the U.S. media have to influence public opinion on political issues? Given the small sampling limited to college students, this study is hardly conclusive, nor representative of the American public at large. Yet Schmidt and Hashimoto’s study suggests that some of the population may be immune to media influence, particularly if they have studied the issues and formed their own conclusions.

I can use this in my essay to support the idea that media influences are limited and not necessarily the cause of individual behavior or social patterns of behavior.

Nursing homework help

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Nursing homework help

Article

One must appropriately organize qualitative data collecting for analysis if she wants it to be effective. This planning is nearly as crucial as studying. When oral responses aren’t correctly assigned to their subject or placed under the appropriate focus group, it’s easy to get lost in a sea of them. Nursing homework help

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There are many ways to get tripped up when dealing with unstructured data, so it is important to plan.

These strategies include:

1. Develop a data tracking system.

Data collection and management for major projects necessitates collaboration among many members of a research team. Depending on the study, anything from sources to dates, interviewer, interviewee, coordinator, transcriber, translator (per diem), and even places are considered (Guest, G., Namey, E. E., & Mitchell, M. L, 2013). Nursing homework help

To avoid contradicting feedback during compilation, there must be a continuous flow of accounts and events. You must devise a system that allows you to track all data acquired from fieldwork through compilation, considering all sources and context. It’s critical to set up a tracking system that’s tailored to the data, complete with names, locations, and dates.

2. Choose and follow a clear file naming system.

The ability to recognize someone is crucial. Give your data a name and an identity. Name your data categorically, depending on the system you’re using. You might also name main categories by grouping related concepts together. And what better method to keep track of your data than to use a consistent file name system (Briney, K. 2015).

Your data will be properly grouped, accessible, and easy to work with in this manner. If the study was about drinking habits among males aged 12 to 18, for example, the file name may be age group. So, from the ages of 12 to 18, seven file names will be created, each including all of that age group’s findings.

Working with what’s relevant to your data is a good place to start.

References.

Briney, K. (2015). Data Management for Researchers: Organize, maintain and share your data for research success. Pelagic Publishing Ltd.

Guest, G., Namey, E. E., & Mitchell, M. L. (2013). Collecting qualitative data: A field manual for applied research. Sage.

(Please write a response to the article above using 200-300 words APA format with at least two references. Sources must be published within the last 5 years. There should be a mix between research and your reflections. Add critical thinking in the posts along with research. Apply the material in a substantial way.)