Compare and contrast evidence based nursing interventions for the patient diagnosed with arterial insufficiency and the patient diagnosed with venous insufficiency.

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A 50-year-old male presents to the community clinic. He has just relocated to the area and has no primary provider. He is a long distance truck driver and requires a physical examination to maintain his continued employment.

Physical examination demonstrates a BMI of 33, blood pressure of 180/90 mm Hg, diminished femoral pulses and bilateral varicose veins with 1+ pitting edema in both ankles. He has a 30 year history of smoking two packs of cigarettes per day.

Initial Discussion Post:

  • What additional information is needed from the patient history and physical assessment to determine if this patient has arterial or venous insufficiency?
  • Compare and contrast evidence based nursing interventions for the patient diagnosed with arterial insufficiency and the patient diagnosed with venous insufficiency.

Base your initial post on your readings and research of this topic. Your initial post must contain a minimum of 250 words. References, citations, and repeating the question do not count towards the 250 word minimum.

What could the hypothetical Chalmy people do to reduce their malnutrition levels despite the constraints they face?

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group

Please see attachment with case study, use APA and .edu references. Thank you.

Actions for Discussion 3: Healthcare Disparities

Your text, Chapter 7, provides compelling discussion on the sociocultural ecologies of disease and illness. With focus on the text’s Case Study: Impacts of a Cultural Ecology: Historical Trauma, American Indians/Alaska Natives, and Health (p. 92-97), discuss this case by sharing perspective on the questions below.

This obviously takes some referencing (minimum of one reference beyond text is required) and expect a good 175-200 words as a guide.

Can you think of any other internal cultural patterns that cause vulnerabilities to disease?

What could the hypothetical Chalmy people do to reduce their malnutrition levels despite the constraints they face?

Edberg (2013) describes the political-economic system is how resources and social benefits are distributed in a society, and more. What are some political-economic circumstances that could impede people from engaging in wellness activities, such as exercise as prevention for diabetes and cardiovascular disease?

What could be done to reduce the health consequences of historical trauma?

Discuss whether you think the article is true-experimental, quasi-experimental, or no experimental. You must also state what type of quantitative design (descriptive, correlational etc.)

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Instructions:

  1. Please find an experimental or quasi-experimental or descriptive article you would like to use for the article critique assignment. Make sure it is from a nursing journal and is not older than five years.
  2. Review the article and provide a brief summary of the article.
    1. Discuss whether you think the article is true-experimental, quasi-experimental, or no experimental. You must also state what type of quantitative design (descriptive, correlational etc.)
    2. Where was the setting of the study?
    3. What are the sampling methods?
    4. What are the variables being measured?
    5. What data collections methods were used?
    6. What is the intervention?
  3. Your post should be a minimum of 250-300 words.
    • Back up your arguments with reliable evidence.
  4. View Grading Rubric.

explain how the experience connected your classroom studies to the real-world clinical setting.

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Assignment PracticunJournal Entry:

Reflect on a patient who presented with cardiovascular or genetic disorders during your Practicum experience. Describe your experience in assessing and managing the patient and his or her family. Include details of your “aha” moment in identifying the patient’s disorder. Then, explain how the experience connected your classroom studies to the real-world clinical setting. If you did not have an opportunity to evaluate a patient with this background during the last 8 weeks, you may select a related case study from a reputable source or reflect on previous clinical experiences.

NOTE:

–Due saturday 4/15/17; before Midnight

–Most have Nursing background to take this job.

–Deiliver scholarly written material not high school stuff I saw.

–APA format with at least 3-4 references on your topic of choice.

–FREE OF PLAGIARISM

· Explain which is the most likely diagnosis for the patient and why. Include an explanation of unique characteristics of the disorder you identified as the primary diagnosis.

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 Assignment on PEDIATRIC Patient (CHILD or ADOLESCENSE

Discussion: Diagnosis and Management of Genitourinary Disorders

Case Study :

Mark is a 15-year-old with complaint of acute left scrotal pain with nausea. The pain began approximately 6 hours ago as a dull ache and has gradually worsened to where he can no longer stand without doubling over. He is afebrile and in marked pain. Physical exam is negative except for elevation of the left testicle, diffuse scrotal edema, and the presence of a blue dot sign.

To prepare:

·         Review the above provided case studies

·         Analyze the patient information.

·         Post an explanation of the differential diagnosis for the patient in the case study you selected.

·         Explain which is the most likely diagnosis for the patient and why. Include an explanation of unique characteristics of the disorder you identified as the primary diagnosis.

·         Then, explain a treatment and management plan for the patient, including appropriate dosages for any recommended treatments.

·         Finally, explain strategies for educating patients and families on the treatment and management of the genitourinary disorder.

NOTE: This paper is on a child; not an ADULT patient.

WRITE a 11/2 (one & half) PAGE PAPER.

–Due Saturday 5/1/17; before Midnight

—Must have Nursing background to take this job.

–Deliver scholarly written material not high school stuff I saw.

—APA format with at least 5-6 references on your topic of choice.

—All references cited on paper and must be within 5 years old.

— Must be original and FREE OF PLAGIARISM.

NOTE: Each paper is run through Turn-it- in

Why is information on health literacy essential for this group?

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    1. Read the scenario below.
    2. Respond to the questions in full sentences. Be sure to use standard English grammar and spelling
    1. Why is information on health literacy essential for this group?
    2. What is the initial step you would take before designing the program?
    3. What role/function would you play in the beginning of the assessment phase?
    4. What role/function would you play at the end of the program?
    5. What additional resources would be needed to implement this program?
    Scenario:As a Community Health Nurse, you are assigned to develop a health literacy program at the Yvonne Learning Center to promote health literacy in a low-income urban area. This program will focus on children ages 3-7 years old, 9-12 years old and 14 to 18 years old .You will provide basic health information and services about health and teach the children about their bodies and how having a positive attitude and good behaviors influence their health in general.The goal of information literacy is to promote self-learning and the ability to be self-sufficient.

Write a 3-page paper discussing what you learned from this interview. How will what you learned impact how you approach your nursing responsibilities?

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ApplicationPLEASE MAKE SURE IT’S IN APA STYLE FORMAT. CITE ACCURATELY.

The Nurse’s Role in Supporting the Organization’s Strategic Agenda

As hospitals seek to reduce the incidence of Never Events and improve the overall quality of health care provided, it is apparent that ultimate success will require the effort of the entire medical staff. Consider the nurse’s role in supporting the organization’s strategic agenda as it relates to improving clinical outcomes. For this application you are asked to interview a quality manager in an acute care or long-term care agency of your choice. Your goal is to determine the manager’s view regarding the impact of the direct care nurse’s role in clinical outcomes for the organization. How does this influence the ability of the organization to achieve its strategic agenda? Before you attend the interview, create a list of relevant questions that will help you better understand the effect a nurse can have on the successful treatment of the patient. Write a 3-page paper discussing what you learned from this interview. How will what you learned impact how you approach your nursing responsibilities?

Describe the precautions and personal protective equipment required to care for this patient.

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An 8-year-old child was admitted to the hospital with body aches, fatigue, cough and fever. He was diagnosed with a viral infection that spreads via large droplets. Nursing diagnoses established in the plan of care for this patient include Ineffective thermoregulation, Social Isolation and Impaired Comfort.

Initial Discussion Post:

  • Describe the precautions and personal protective equipment required to care for this patient.
  • Choose one (1) nursing diagnosis from this patient’s plan of care
  • Identify three (3) interventions for this patient. 
  • Discuss infection control practices for this patient related to each intervention you have identified.

Base your initial post on your readings and research of this topic. Your initial post must contain a minimum of 250 words. References, citations, and repeating the question do not count towards the 250 word minimum

answer the following questions

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  1. Then, read the information provided at https://ce.nurse.com/course/,Florence Nightingale Connecting Her Legacy With Local-to-Global Health Today (note you do not have to pay anything to read this article).
  2. Review the information on Millennium Goals presented at the beginning of this lesson.
  3. Take the CE Test; you must score 100% on this to continue this assignment and receive a grade.
  4. Upload post test to this dropbox before completing the remaining items.
  5. Finally, answer the following questions:
    • Has Florence Nightingale’s legacy influenced your perception of the Millennium Goals? Why or Why not? (30%)
    • Choose three millennium goals that you can advance in your role as a nurse. Explain these goals and state how you plan to advance each of the goals. (30%)
    • Give two to three examples of how your community of nurses collectively or individually can help advance the UN Goals. (30%)
  6. Your answers should be in a WORD document and formatted per APA Style guidelines. Be sure to use standard English grammar and spelling in your responses. (10%)

You are to create a Design for Change proposal inclusive of your Practice Issue and Evidence Summary worksheet from your Capstone Project Milestone #1

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Chamberlain College of NursingNR451: RN Capstone Course

Capstone Project Milestone 2: 

Design for Change Proposal Guidelines

Purpose

You are to create a Design for Change proposal inclusive of your Practice Issue and Evidence Summary worksheet from your Capstone Project Milestone #1. Your plan is to convince your management team of a nursing problem you have uncovered and you feel is significant enough to change the way something is currently practiced. In the event you are not currently working as a nurse, please use a hypothetical clinical situation you experienced in nursing school, or nursing education issue you identified in your nursing program. 

Course Outcomes

This assignment enables the student to meet the following course outcomes. 

• CO1: Applies the theories and principles of nursing and related disciplines to individuals, families, aggregates, and communities from entry to the healthcare system through long-term planning. (PO #1)

• CO2: Proposes leadership and collaboration strategies for use with consumers and other healthcare providers in managing care and/or delegating responsibilities for health promotion, illness prevention, health restoration and maintenance, and rehabilitative activities. (PO #2)

Due Date

Milestone 2 consists of the proposal for your Design for Change Capstone Project. Submit this assignment to the Dropbox by the end of Week 4.

Points

Milestone 2 is worth 225 points.

Directions

1. Create a proposal for your Design for Change Capstone Project. Open theNR451_Milestone2_Design_Proposal_template in Course Resources to create your paper. You will include the information from Milestone 1, your practice issue and evidence summary worksheets, as you compose this proposal. Your plan is to convince your management team of a practice problem you have uncovered that is significant enough to change current practice. 

2. The format for this proposal will be a paper following the Publication manual of APA 6thedition.

3. The paper is to be four- to six-pages excluding the Title page and Reference page.

4. As you organize your information and evidence, include the following topics.

a. Introduction: Write an introduction but do not use “Introduction” as a heading in accordance with the rules put forth in the Publication manual of the American Psychological Association (2010, p. 63).Introduce the reader to the plan with evidence-based problem identification and solution.

b. Change Model Overview: Overview of ACE Star model; define the scope of the EBP; identify the stakeholders, and determine the responsibility of the team members. 

c. Evidence: Conduct internal and external searches of evidence; integrate and summarize the evidence summary worksheet from Milestone 1; develop a recommendation for change. 

d. Translation: develop a hypothetical action plan; include measurable outcomes, reporting to stakeholders; identify next steps and disseminate the findings. 

e. Conclusion: Provide a clear and concise summary, inclusive of the problem issue, the five points of the ACE Star change model; and ways to maintain the change plan.   

5. Citations and References must be includedto support the information within each topic area. Refer to the APA manual, Chapter 7, for examples of proper reference format. In-text citations are to be noted for all information contained in your paper that is not your original idea or thought. Ask yourself, “How do I know this?” and then cite the source. Scholarly sources are expected, which means using peer-reviewed journals and credible websites.

6. Tables and Figures may be added as appropriate to the project. They should be embedded within the body of the paper (see your APA manual for how to format and cite). Creating tables and figures offers visual aids to the reader and enhances understanding of your literature review and design for change.

Grading Criteria: Design for Change Capstone Project

Grading Rubric: Capstone Project Milestone #2

 Running head:  TYPE SHORT TITLE IN ALL CAPS1

Title

Your Name

Chamberlain College of Nursing

NR451 RN Capstone Course

Term and Year

TYPE SHORT TITLE IN ALL CAPS2

Your title here

This paragraph(s) is to introduce the paper. State the problem and potential solutions backed by evidence. Briefly, introduce the nursing focused plan. Remember this is a scholarly APA assignment so you cannot use first person. Remember also that you will keep all the bolded headings and just remove the non-bolded content when you start your paper. 

Change Model Overview

In this first paragraph, provide an overview of the ACE Star model Evidence-Based Practice Process. Feel free to state why nurses should use this model as a guide to facilitate change. Under each of the second level headers listed below, you now link your identified topic to the ACE Star model EBP Process.

Define the Scope of the EBP 

Restate your practice issue. Why is this a problem? Give statistics and information to back the scope of the problem at your facility/work area. How does this problem impact healthcare on a broader scale?

Stakeholders

You will be the leader of the team since this is your project. Who will you also include in your team? Make sure you choose relevant stakeholders. You should have no more than eight members. Do not list your team members by name but instead by position (pharmacists, charge nurse, etc.). 

Determine Responsibility of Team Members

Why are the members chosen important to your project?What are their roles?

Evidence

Conduct internal/ external search for evidence. What type of evidence did you find in addition to you Evidence Summary? EBP guidelines? Quality improvement data? Position statements? Clinical Practice Guidelines? Briefly discuss the strength of this research. This is not where you describe the results of your studies. This is done in the following steps. 

Summarize the Evidence

In this section, you need to synthesize the information from the systematic review article. What are some of the evidence-based interventions you discovered in your Evidence Summary that do you plan to use? Be sure and cite all of your references, in proper APA format, from any and all articles into this one paragraph.

Develop Recommendations for Change Based on Evidence

What is your recommendation based on the research? Ideally, you will have found enough support in your evidence to proceed with implementing your pilot program. 

Translation

Action Plan

You have not implemented your project yet, therefore, this section will be hypothetical. Develop your plan for implementation. What are the specific steps you will take to implement your pilot study?  What is the timeline for your plan? Make sure you include a plan for evaluation of outcomes and method to report the results. 

Process, Outcomes Evaluation and Reporting 

What are the desired outcomes? How will they be measured? How will you report the results to the key stakeholders?

Identify Next Steps

How will you implement the plan on a larger scale? Will this be applicable to other units or the facility as a whole? What will you do to ensure that the implementation becomes permanent? 

Disseminate Findings

How will you communicate your findings internally (within your organization) and externally (to others outside of your organization)?

Conclusion

Provide a clear and concise summary. Review the key aspects of the problem as well as the change model. Be sure to include important aspects of the five points of the ACE Star change model EBP process and ways to maintain the change plan. 

References