PICOT Question

PICOT Question

 

PICOT Question

Does using electronic medication compared to education and training of nurses reduce adverse drug events over a three-month period?

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Problem being investigated

            The existing problem is Adverse Drug Events (ADEs). The problem accounts for significant patient morbidity and mortality and legal, operational, and patient care costs (Mills et al., 2008). Medications that result in most ADEs include narcotics, chemotherapy, and diabetic and cardiovascular medications (Mills et al., 2008). Issues that cause most ADEs include wrong doses, wrong medication, missed medication, prescribing drugs to the wrong patients, and many prescribers for one patient. PICOT Question

The patient population under consideration is elders. The elderly population is at an increased risk of experiencing ADEs after medication. Available data shows that 15% or more of the elderly experience ADEs (Pretorius et al., 2013). The ADEs in the elderly population are manifested in various forms, including falls, orthostatic hypotension, heart failure, and delirium. Some ADEs, mainly gastrointestinal or intracranial bleeding and renal failure, result in mortalities. Effects of ADEs in hospitals include increased costs of operation, reduced effectiveness, and increased LOS. Adverse drug outcomes can be mediated using different strategies such as discontinuing medications, prescribing new medications sparingly, reducing the number of prescribers, and frequently reconciling medications.

Evidence-based Interventions for Reducing ADEs

The PICOT question compares two nursing interventions that can be applied to reduce ADEs among the elderly population. They are electronic medication and educational programs and training for nurses. Electronic medication system supports the improved quality, safety, and effectiveness of medication management within hospitals by enabling digital prescription, ordering, checking, reconciling, dispensing, and recording the medication. On the other hand, education and training involve equipping nurses with the requisite skills to reduce ADEs among elderly patients. The training can involve proper prescription and documentation of the drug.

Different scholars in the nursing field have published ample evidence on the efficacy of these interventions. In particular, (Wu et al., 2007) investigated the cost-effectiveness of introducing an electronic medication ordering and administration system and its potential impact on reducing ADEs. Their findings revealed that an electronic medication order entry and administration system could improve care by reducing adverse events (Wu et al., 2007). Thus, electronic medication is an evidence-based intervention.

Another study to assess the efficacy of electronic medication in reducing ADEs was done by Truitt et al., (2016). The authors analyzed the effects of implementing barcode medication administration (BCMA) and electronic medication administration record (eMAR) technology on ADEs. Data were analyzed using descriptive statistics, and findings showed that eMAR and BCMA technology improved patient safety by decreasing the overall rate of ADEs and the rate of transcription errors (Truitt et al., 2016). The two studies by Truitt et al., (2016) and Wu et al., (2007) agree that electronic medication can lower ADEs’ prevalence among the elderly population.

            Scholarly evidence in support of the educational program to reduce ADEs also exists. (Trivalle et al., 2010) analyzed the impact of educational intervention in decreasing ADEs in elderly patients in a hospital setting using a randomized prospective study. Five hundred twenty-six patients included in the study were 65 years and above, while the study period was four weeks. The data collected showed that educational intervention program led to fewer ADEs in the intervention group (n = 38, 22%) than in the control group (n = 63, 36%; p = 0.004) (Trivalle et al., 2010). (Martin et al., 2018) also investigated the effects of a pharmacist-led education intervention on reducing ADEs among patients aged 65 and above. The outcomes indicated that pharmacist-led education reduced ADEs.

Summary

The two interventions for reducing ADEs among the elderly population are electronic medication and educational programs for healthcare providers. Based on the existing evidence, electronic medication is the best intervention because it is more feasible and can have a huge health impact.

 

 

References

Martin, P., Tamblyn, R., Benedetti, A., Ahmed, S., & Tannenbaum, C. (2018). Effect of a pharmacist-led educational intervention on inappropriate medication prescriptions in older adults. JAMA, 320(18), 1889. https://doi.org/10.1001/jama.2018.16131

Mills, P. D., Neily, J., Kinney, L. M., Bagian, J., & Weeks, W. B. (2008). Effective interventions and implementation strategies to reduce adverse drug events in the Veterans Affairs (VA) system. Quality and Safety in Health Care, 17(1), 37–46. https://doi.org/10.1136/qshc.2006.021816

Pretorius, R. W., Gataric, G., Swedlund, S. K., & Miller, J. R. (2013). Reducing the Risk of Adverse Drug Events in Older Adults. American Family Physician, 87(5), 331–336. https://www.aafp.org/afp/2013/0301/p331.html

Trivalle, C., Cartier, T., Verny, C., Mathieu, A.-M., Davrinche, P., Agostini, H., Becquemont, L., & Demolis, P. (2010). Identifying and preventing adverse drug events in elderly hospitalised patients: A randomised trial of a program to reduce adverse drug effects. The Journal of Nutrition, Health & Aging, 14(1), 57–61. https://doi.org/10.1007/s12603-010-0010-4

Truitt, E., Thompson, R., Blazey-Martin, D., Nisai, D., & Salem, D. (2016). Effect of the implementation of Barcode Technology and an electronic medication administration record on Adverse Drug Events. Hospital Pharmacy, 51(6), 474–483. https://doi.org/10.1310/hpj5106-474

Wu, R. C., Laporte, A., & Ungar, W. J. (2007). Cost-effectiveness of an electronic medication ordering and administration system in reducing adverse drug events. Journal of Evaluation in Clinical Practice, 13(3), 440–448. https://doi.org/10.1111/j.1365-2753.2006.00738.x

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Assignment: Posttraumatic Stress Disorder

Assignment: Posttraumatic Stress Disorder

I PREFER WRITER 1747 TO HANDEL THIS ASSINGNMENT. PLEASE FOLLOW THE GRADING RUBRICS. THE VIDEO LINK BELOW WILL HELP YOU UNDERSTAND THE ASSINGNMENT AND COMPLETE THE CASE STUDY.  https://video-alexanderstreet-com.ezp.waldenulibrary.org/watch/ptsd-and-veterans-a-conversation-with-dr-frank-ochberg  The Assignment  Succinctly, in 1–2 pages, address the following:  Briefly explain the neurobiological basis for PTSD illness. Discuss the DSM-5 diagnostic criteria for PTSD and relate these criteria to the symptomology presented in the case study. Does the video case presentation provide sufficient information to derive a PTSD diagnosis? Justify your reasoning. Do you agree with the other diagnoses in the case presentation? Why or why not? Discuss one other psychotherapy treatment option for the client in this case study.  Assignment: Posttraumatic Stress Disorder.Explain whether your treatment option is considered a “gold standard treatment” from a clinical practice guideline perspective, and why using gold standard, evidence-based treatments from clinical practice guidelines is important for psychiatric-mental health nurse practitioners. Support your Assignment with specific examples from this week’s media and at least three peer-reviewed, evidence-based sources. Explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources.  THE RUBRICS  1) Succinctly, in 1–2 pages, address the following: • Briefly explain the neurobiological basis for PTSD illness.  2) Discuss the DSM-5 diagnostic criteria for PTSD and relate these criteria to the symptomology presented in the case study. Does the video case presentation provide sufficient information to derive a PTSD diagnosis? Justify your reasoning. Do you agree with the other diagnoses in the case presentation? Why or why not?  3)Discuss one other psychotherapy treatment option for the client in this case study.

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Explain whether your treatment option is considered a “gold standard” treatment from a clinical practice guideline perspective, and why using gold standard, evidence-based treatments from clinical practice guidelines is important for psychiatric-mental health nurse practitioners.  4) Support your approach with specific examples from this week’s media and at least three peer-reviewed, evidence-based sources. PDFs are attached.  Learning Resources  Required/ Optional Readings (click to expand/reduce)  American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.)  For reference as needed American Psychiatric Association. (2017). Clinical practice guideline of PTSD. https://www.apa.org/ptsd-guideline  Substance Abuse and Mental Health Services Administration. (2014). SAMHSA’s concept of trauma and guidance for a trauma-informed approach. https://ncsacw.samhsa.gov/userfiles/files/SAMHSA_Trauma.pdf  Credit: Substance Abuse and Mental Health Services Administration. SAMHSA’s Concept  of Trauma and Guidance for a Trauma-Informed Approach. HHS Publication No. (SMA) 14-4884. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2014.  Tye, S., Van Voorhees, E., Hu, C., & Lineberry, T. (2015). Preclinical perspectives on posttraumatic stress disorder criteria in DSM-5. Harvard Review of Psychiatry, 23(1), 51–58. Assignment: Posttraumatic Stress Disorder https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4542003/  Credit: Preclinical Perspectives on Posttraumatic Stress Disorder Criteria in DSM-5 by Susannah Tye, PhD, Elizabeth Van Voorhees, PhD, Chunling Hu, MD, PhD, and Timothy Lineberry, MD, in HARVARD REVIEW OF PSYCHIATRY, Vol. 23/Issue 1. Copyright 2015 by ROUTLEDGE. Reprinted by permission of ROUTLEDGE via the Copyright Clearance Center.  Wheeler, K. (Ed.). (2020). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (3rd ed.). Springer Publishing.  Chapter 3, “Assessment and Diagnosis” (Previously read in Week 2) Chapter 7, “Eye Movement Desensitization and Reprocessing Therapy” Chapter 11, “Trauma Resiliency Model Therapy” Chapter 15, “Trauma-Informed Medication Management” Chapter 17, “Stabilization for Trauma and Dissociation” Chapter 18, “Dialectical Behavior Therapy for Complex Trauma” Required Media (click to expand/reduce)  Grande, T. (2019, August 21). Presentation example: Posttraumatic stress disorder (PTSD) [Video]. YouTube. https://www.youtube.com/watch?v=RkSv_zPH-M4  Gift from Within. (Producer). (2008). PTSD and veterans: A conversation with Dr. Frank Ochberg [Video]. https://video-alexanderstreet-com.ezp.waldenulibrary.org/watch/ptsd-and-veterans-a-conversation-with-dr-frank-ochberg. Assignment: Posttraumatic Stress Disorder

Nursing homework help

Nursing homework help

 

Top of Form

https://tigerconnect.com/blog/5-benefits-of-interprofessional-collaboration-in-healthcare/

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Interdisciplinary communication/collaboration has been researched and used with success to better patient outcomes and satisfaction across all areas of healthcare. Please take a moment to review the articles provided and then be prepared to share your own thoughts in a written APA paper (2-3 pages NOT including your title or reference page) about how you can help facilitate successful interdisciplinary communication and collaboration that will positively impact your patients.

 

You will develop a realistic scenario that describes how several different healthcare disciplines collaborate to provide safe and effective care to a patient in the hospital, skilled nursing facility, or outpatient setting. Consider some different scenarios that demonstrate how different healthcare professionals must communicate and work together to provide care to a patient.

 

For example, you as the nurse must coordinate the administration of pain medications before physical therapy comes to work with your patient. Think of how many different disciplines may be involved with the simple act of getting the patient to the physical therapy department on time…there are many! You may need to call the doctor to get the order for pain medication, then call the pharmacy to have medication delivered to your unit. The CNA or PCT will have to make sure that the patient has assistance getting cleaned up for the day and is ready to go. Finally, you must communicate with physical therapy to find out when the patient is scheduled so you can administer the pain medication before the patient leaves the unit.

 

Other examples that require interdisciplinary communication/collaboration: getting a patient ready for surgery or discharge, admitting a patient to your unit from the ED, or sending your patient off the unit for a procedure.

 

Please use at least one other source besides the two listed above. Make sure to include your APA formatted references.

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Nursing homework help

Nursing homework help

Overview

This discussion asks you look at the role of the family health nurse in a genetic counseling scenario. Imagine that you are a family health nurse, and today in your office you will be seeing a married couple who are both carriers for a genetic disorder (for example, sickle cell, cystic fibrosis, or Huntington’s disease). This couple would like to have children, but since they are both carriers for a genetic disorder, they are seeking your advice on what they should do before they attempt to start a family. Nursing homework help

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Your initial post must be posted before you can view and respond to colleagues, must contain minimum of two (2) references, in addition to examples from your personal experiences to augment the topic. The goal is to make your post interesting and engaging so others will want to read/respond to it. Synthesize and summarize from your resources in order to avoid the use of direct quotes, which can often be dry and boring. No direct quotes are allowed in the discussion board posts.

Post a thoughtful response to at least two (2) other colleagues’ initial postings. Responses to colleagues should be supportive and helpful (examples of an acceptable comment are: “This is interesting – in my practice, we treated or resolved (diagnosis or issue) with (x, y, z meds, theory, management principle) and according to the literature…” and add supportive reference. Avoid comments such as “I agree” or “good comment.”

Objectives

  • Students will be able to look at the role of the family health nurse in a genetic counseling scenario.

Points: 30

Due Dates:

  • Initial Post: Fri, May 20 by 11:59 p.m. Eastern Standard Time (EST) of the US.
  • Response Post: Sun, May 22 by 11:59 p.m. Eastern Standard Time (EST) of the US – (the response posts cannot be done on the same day as the initial post).

References:

  • Initial Post: Minimum of two (2) total references: one (1) from required course materials and one (1) from peer-reviewed references.
  • Response posts: Minimum of one (1) total reference: one (1) from peer-reviewed or course materials reference per response.

Words Limits

  • Initial Post: Minimum 200 words excluding references (approximately one (1) page)
  • Response posts: Minimum 100 words excluding references.

 

Note: Since it is difficult to edit the APA reference in the Blackboard discussion area, you can copy and paste APA references from your Word document to the Blackboard discussion area. Points will not be deducted because of format changes in spacing.

 

NUR 335 Practicum Assignment 5.1

NUR 335 Practicum Assignment 5.1

Practicum Project Plan/Proposal

 

The setting for my practicum project is within the Wound Care Department at my current employer, which has been scoring poorly when it comes to communication. I will be working with the department director Ms. Sylvia Coleman, and the project aim is to promote excellent communication within the department in order to provide an improvement on patient satisfaction ratings for the hospital. We need to give people a reason to care in order to promote a more pleasant and less stressful place to work we needed to work on the communication process amongst staff members and patients (Mazhisham et al., 2021). I found that a lot of the unsatisfactory comments regarding care were coming from the communication process within the department.  NUR 335 Practicum Assignment 5.1

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The tools I used were the different tools that the hospital uses which were the discharged patient surveys as well as inpatient score cards. I will be using the information given to decipher the problems in communication that are most common from each of the surveys collected within the last 3 months and compare them with the patient surveys prior to the change of ownership. Ongoing inpatient surveys using score cards will be used, along with discharge patient surveys to obtain the sustainability of this project. I chose to work with the Wound Care Department because I conducted some brief research and found that there were a lot of comments regarding gaps in communication in the patient surveys that were collected from their specific patients. Coincidently, these comments increased after the hospital went through a change of ownership. In order to gain a better rating from patients receiving wound care I will have to put in quite a bit of work on revamping the communication tools used for them. The current tool appeared very confusing to me, and by improving this tool it will help reconcile individual patient wound care orders, improve patient satisfaction, and increase the quality of care.

Project Timeline Graphic Organizer

Project Timeline Graphic Organizer

Project Timeline Graphic Organizer

 

The purpose of this assignment is to develop a graphic timeline for the development of your project. At a minimum, be sure to include the deadline or timeframe for your: Project Timeline Graphic Organizer

  • Project approval (Week 6)
  • Education development (Week 7-9)
  • Stakeholder education (Week 7-9)
  • Implementation date (Week 10)
  • Assessment of initial outcomes/implementation (Week 14)
  • Reassessment of outcomes (Week 16)

Include the roles and responsibilities of stakeholders in each implementation step. Be sure to provide sufficient detail. Please keep in mind some of the dates may be after your practicum has ended.

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. 

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Rubric

 

Deadline or Timeframe for Project Approval 

6.75 points

expand Deadline or Timeframe for Education Development assessment

Deadline or Timeframe for Education Development

6.75 points

expand Deadline or Timeframe for Stakeholder Education assessment

Deadline or Timeframe for Stakeholder Education 

6.75 points

expand Deadline or Timeframe for Implementation Date assessment

Deadline or Timeframe for Implementation Date 

6.75 points

expand Deadline or Timeframe for Assessment of Initial Outcomes/Implementation assessment

Deadline or Timeframe for Assessment of Initial Outcomes/Implementation 

6.75 points

expand Deadline or Timeframe for Reassessment of Outcomes assessment

Deadline or Timeframe for Reassessment of Outcomes 

6.75 points

expand Mechanics of Writing assessment

Mechanics of Writing 

2.25 points

expand Layout of Graphic Organizer assessment

Layout of Graphic Organizer

2.25 points

 

Vulnerable Population

Vulnerable Population

 

 

 

The vulnerable population selected is young adults living with mental illness. I plan to contact the South African Federation for Mental health agency in order to know more about the state f mental health among young adults. Vulnerable Population

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  1. Family conflicts: Young adults living with mental illness are at risk of experiencing family conflicts. Relationships can be damaged due to stress depression, and anxiety leading to misunderstandings or conflicts (Shanbehzadeh et al., 2021).
  2. Social isolation: Young adults living with mental illness are at risk of social isolation. Some communities stigmatize mental health problems (Shanbehzadeh et al., 2021). This may cause individuals to be isolated from society.
  3. Relationship difficulties: Young adults with mental illness may experience relationship difficulties (Shanbehzadeh et al., 2021). An individual with mental illness may find it difficult to form or sustain new relationships.
  4. Drug abuse: individuals with mental illness are at risk of resorting to drug abuse (Kavoor, 2020). Such individuals may turn to drug abuse to distract themselves or as an attempt to alleviate the symptoms of the condition.
  5. Miss work: Young adults with mental illness are at increased risk of missing work. This may create problems at work leading to the loss of jobs (Kavoor, 2020).
  6. Miss school: Young adults with mental illness are at risk of missing school (Kavoor, 2020). This may cause them to lag behind in school work.
  7. Financial problems: Young adults with mental illness are at an increased risk of experiencing financial problems. Mental illness negatively impacts the productivity of individuals and their ability to sustain jobs which may cause an individual to lose their income (Kavoor, 2020).
  8. Homelessness: Individuals with mental illness are at risk of financial problems, losing their job, family conflicts, and relationship difficulties (Shanbehzadeh et al., 2021). All the above are risk factors for homelessness.
  9. Unhappiness: Individuals with mental illness are less happy. Factors such as conduct problems, depression, anxiety, and family conflict make it difficult for such people to be happy (Shanbehzadeh et al., 2021).
  10. Self-harm: individuals with mental illness are at an increased risk of self-harm (Shanbehzadeh et al., 2021). Mental illness may drive one to experience suicidal thoughts or inflict harm on themselves.

Questions for a professional

  1. What is your name?
  2. Can you tell us about your professional background?
  3. Can you tell us about the history of the South African Federation for Mental health agency?
  4. Can you tell us about the mission and vision South African federation for Mental health agency?
  5. What population does the agency serve?
  6. What are the barriers that young adults with mental illness face when seeking healthcare services?
  7. What challenges do you experience when working with young adults with mental health problems?
  8. What are some of the success stories experienced at the agency?
  9. Do you feel the agency is heading in the right direction?
  10. What message do you have for young adults struggling with mental illness?
  11. Where do you see the agency within the next five years n the fight against mental illness?
  12. Is there anything you would like to share?

Questions for patient/ client?

  1. What is your name?
  2. How old are you?
  3. Are you employed?
  4. Do you have a family?
  5. Do you live with your family?
  6. Is your family aware of your mental health condition?
  7. Is there a history of mental illness in your family?
  8. What do you believe is the cause of your mental illness?
  9. What challenges do you experience because of the condition?
  10. What difficulties do you experience in getting healthcare?
  11. What resources do you need the most with regard to your condition?
  12. Is there anything else you would like to share?

 

 

References

Hadebe, N. F., & Ramukumba, T. S. (2020). Resilience and social support of young adults living with mental illness in the city of Tshwane, Gauteng province, South Africa. Curationis, 43(1). https://doi.org/10.4102/curationis.v43i1.2084

Kavoor, A. R. (2020). Covid-19 in People with Mental Illness: Challenges and Vulnerabilities. Asian Journal of Psychiatry, 102051. https://doi.org/10.1016/j.ajp.2020.102051

Shanbehzadeh, S., Tavahomi, M., Zanjari, N., Ebrahimi-Takamjani, I., & Amiri-arimi, S. (2021). Physical and mental health complications post-COVID-19: Scoping review. Journal of Psychosomatic Research, 110525. https://doi.org/10.1016/j.jpsychores.2021.110525

 

 

 

Individual Analyzing Published Research Article (IAPRA) Paper

Individual Analyzing Published Research Article (IAPRA) Paper

Individual Analyzing Published Research Article (IAPRA) Paper

Purpose

  • The purpose of this paper is to interpret the article as most relevant to the group topic.
  • Use your article from your ITSS paper to write this paper.

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Course Outcomes

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

CO 2: Apply research principles to the interpretation of the content of published research studies (PO#4 & 8).

CO 4: Evaluate published nursing research for credibility and clinical significance related to evidence-based  

           practice (PO#4 & 8). Individual Analyzing Published Research Article (IAPRA) Paper 

 

Due Date (please see course calendar for specific dates/times)

  • The Late Assignment Policy applies to this assignment.

 

Points Possible: 200 Points

 

Paper Preparation:

  • It is NOT acceptable to use bullet-points in the body of text review paper.
  • The paper must be PARAPHRASED with your OWN words with in-text citations.
  • It is NOT acceptable to QUOTE article contents EXCEPT the Purpose of Study.

 

  • Paper must include all required APA-Style/Format
  • Do NOT leave blank for any of these review elements.
  • Any review element left blank will get 0 point: If authors did not provide information or it was not applicable for certain elements, make note such as “No information was given” or “Not applicable”

 

 

PLAGIARISM: “Turnitin” Percentage

  • Less than 25 percentage: Acceptable percentage.
  • Turnitin Draft Submission Box
    • Submit your draft of paper into Turnitin Draft Submission Box to check your percentage as many times as needed before you submit your final paper to designated Unit.
  • If your Final paper has 25% or higher percentage, you must revise/modify your paper contents BEFORE you submit your paper due date and time.
  • If your Final paper has 25% or higher percentage AT/AFTER you submit your final paper due date and time, Academic Integrity Violation Procedures will be initiated

 

Academic Integrity Violation Procedure

  • Academic Integrity Violation letter will be sent to student
  • Assignment Grade will be 0 point
  • The violation case will be reviewed, and a further sanction will be determined by the Administrators

 

 

 

 

 

 

 

 

 

Individual Analyzing Published Research Article (IAPRA)

 

Part I: Research Question, Purpose, Variables and Participants

Research Question

Clearly and concisely states your group research question as formulated in PICO format.

PICO Question: Does Exercise improve mental health symptoms in patients with psychiatric disorders

 

Purpose of the Study

Describe the purpose/aim of the study as the author stated in the article: may cut & paste

Do NOT change or modify the purpose statement on the article

 

Variables

Identify study variables from the above stated Purpose of Study

Quantitative Study: Dependent & Independent Variables OR Descriptive, Qualitative Study: Variables of Interest

 

Participants

Enrollment: How did they recruit/enroll eligible participants in the study?

 

Inclusion & Exclusion Criteria: Describe Inclusion & Exclusion Criteria

 

Total Participant Numbers: Total numbers of participants in the study

 

 

Intervention Procedures/Obtaining Information Procedures

Quantitative Study

Intervention/Treatment Group

Describe the intervention contents given to Intervention group

Describe how the contents were given to Intervention group

Identify the person who provided Intervention contents to Intervention group

 

Control Group: If the study has Control Group

Describe the contents given to Control group

Describe how the contents were given to Control group

Identify the person who provided contents to Control group                   

OR

Descriptive/Qualitative Study: Obtaining Information Procedure

Describe the detailed procedure for obtaining information/data (i.e. made appointment to meet each participant, visited home/met in clinical setting……etc)

 

Part II: Data Collection Procedures & Measurement Tools/Instruments

Describe ALL methods to collect data in detail (i.e. interview, survey, observation……etc.)

Describe each measurement tool/instrument used to measure/assess outcomes in the study in detail.

 

Results/Findings

Participant Characteristics/Sociodemographic Findings

Describe participant characteristics or sociodemographic status

Must be objective, descriptive, and comprehensive

Must describe the findings of Tables/Figures to provide comprehensive information about participant characteristics as article provided.

 

Study Results/Findings

Describe ALL Other Results/Findings besides above participant characteristics in detail.

Each result item must include Headings/Subheadings as the article provided.

Do NOT simply saying “pain level was decreased,” “adherence was increased”…etc 

Do NOT include contents from Discussion and/or Conclusion in the article.

 

Part III: Synthesis of Findings

Synthesis of Findings

Describe the Rationale/Mechanism for how/why Finding of each intervention/factor helps your Research Question (i.e. how/what mechanism does music therapy help pain, how does sucking stimulation increase oral intake for pre-term infants)

Should NOT repeat same contents you had on Findings section and/or article

May include citations from other sources for above described rationale/mechanism (i.e. textbooks, CDC…etc)

 

Nursing Implications

How the nurses can implement the research findings into nursing practice.

 

Group Article Summary Table (All group members)

Describe each group member’s article on Research Article Summary Table.

Use bullet points for each category.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Grading Rubric & Description for IAPRA

Part I (80)
Research Question  5 ·  Accurately/Clearly states group’s Research Question as your group formulated
Purpose of Study 5 · Describe the purpose of the study as the author stated in the article.

§ Do NOT change or modify the statement on the article

Variables 10

 

 

·  Identify study variables from the above stated Purpose of Study

§ Quantitative Study: Dependent & Independent variables

                             OR

§ Descriptive, Qualitative Study: Variables of Interest

Participants 5

5

5

·  Enrollment: How did they recruit eligible participants in the study?

·  Eligibility: Describe Inclusion & Exclusion Criteria

·  Numbers: Total numbers of participants in the study

Intervention Procedures

 

 

 

 

 

 

Obtaining Information Procedures

 

 

35 Quantitative Study:

·   Intervention Group: Describe the detailed Intervention contents, procedures, and person who provided Intervention for Intervention group.

·   Control Group: Describe the detailed contents, procedures, and person who provided contents for Control group  

OR

Descriptive Study:

·  Describe the detailed procedure for obtaining information/data (i.e. made appointment to meet each participant, visited home/met clinical……etc)

Format 10 Followed APA format for paper and in-text citations
Part II (75)
Data Collection

 

Measurement Tools

5

 

25

·  Describe ALL data collection methods in detail (i.e. survey, interview, observation)

·  Describe each measurement tool/instrument used to measure study outcomes in detail.

Participant Characteristics/Sociodemographic Findings

 

 

 

All other Results/Findings

10

 

 

 

 

 

25

 

 

 

 

 

 

 

 

·   Must be descriptive and comprehensive

·   Describe participant characteristics or sociodemographic findings

·   Describe the findings of Tables/Figures to provide comprehensive information about participant characteristics as article provided

 

 

·   Describe ALL Other Results/Findings besides above participant characteristics in the article in detail for each Result item

·    Each Result item may include Headings/Subheadings of Results as the article provided.

·    Do NOT simply saying “pain level was decreased,” “adherence was increased” – provide numbers or % if available

·    Do NOT include contents from Discussion and/or Conclusion in the article. 

Format 10 ·   Followed APA format for paper and in-text citations
 

Part III (45)

Synthesis of Findings

 

10 ·   Describe the Rationale for how/why Finding of each intervention/factor helps your Research Question (i.e. how or by what mechanism does music therapy help pain? How does sucking stimulation increase oral intake for pre-term infants?)

·   Should NOT repeat same contents you had on Findings section and/or article

·   Should have citation of analyzed article(s)

·   May include citations from other sources for above described rationale and mechanism (i.e. textbooks, CDC…etc)

Nursing Implication 7 ·   How can nurses implement the research findings into nursing practice?
Format 3 ·  Followed APA format for paper, in-text citation, references.
Article Summary Table (Group) 25 ·  Describe article on Research Article Summary Table

·  Use bullet points for each column in the Table

·  Submit Table as separate document

 

Total Points: 200 Points

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TYPE 2 DIABETES CONCEPT MAP

TYPE 2 DIABETES CONCEPT MAP

 

TYPE 2 DIABETES CONCEPT MAP

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TYPE 2 DIABETES CONCEPT MAP

DISCUSSION

The purpose of a concept map is to show the relationships between various concepts, as well as to connect new ideas to older ones in order to create a logical hierarchy. Concept maps are a great way to organize and plan treatment options. This is especially true in the biopsychosocial health paradigm, which takes into consideration variables that go beyond the physical (Lee, Lim, & Park, 2018). In order to better understand how illness processes, medication experiences, and symptoms are linked, the nurse will create a definition map to explain the relationship between these aspects.

Diabetes mellitus (DM) is a chronic metabolic disorder characterized by high blood glucose levels and the inability of the liver to metabolize carbohydrates, fats, and proteins because of insufficient or improper use of insulin. Diabetes is the primary cause of renal illness, amputations of the lower limbs, and recent instances of blindness among people in the United States (Oguntibeju, 2019).

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Conditions or substances that worsen the glucose-insulin imbalance: diabetes type 1 previously diagnosed or not, intake exceeding the insulin necessary, pregnancy and puberty, unmanaged diabetes practice, disease load, sickness, depression, or mental disturbances.

Etiology: Insulin resistance is a condition in which the body’s cells are unable to properly use insulin after the pancreas has produced it. In the United States, it is caused by a malfunction in insulin synthesis.

High genetic predisposition; frequent obesity; elevated prevalence in particular ethnic groups, such as African, Latin, Asian American, Native American, and Pacific Islanders; Absent late or sustained hyperglycemia, no risk of ketoacidosis. Some of these characteristics may appear in people above the age of 30 (Rabi et al., 2020). Beta cells in the pancreas of the Langerhans Islets generate endogenous insulin. Receptors in the liver and muscle cells mediate the absorption of glycemia, which causes hyperglycemia. The pancreas secretes more insulin, resulting in temporary hyperinsulinemia coexisting with hyperglycemia, which increases the risk of cardiovascular disease and the development of diabetes.

Compromise on what is anticipated or not essential based on the customer’s culinary demands. The SO should be included in the treatment package to ensure that everyone adheres to and fulfills the dietary guidelines after discharge. First and foremost, find out why the patient was having difficulty following the regimen by talking to him or her about their concerns regarding the medicine (Rabi et al., 2020).

It is important to educate patients on the need to take their prescription on time and how to manage their diet better to prevent further health issues. In order to enhance the relationship with the client of the medication’s name, establish a summary of when and how much may be taken. The patient should be instructed on how to handle situations when the normal range of values does not apply. Make it clear to the patient that he may check his glucose levels. The patient should be aware of the need for blood glucose monitoring before and throughout the meal.

In summation, as illustrated above, there are various risk factors. For instance, Diabetes mellitus type 2 is the most common condition in those over 60. Despite this, the illness has a greater impact on children and young adults and thus proper preventative, measures should be put in place. As a consequence of a weakening of the immune system, a wide range of infectious illnesses are often discovered. Those who have type 2 diabetes are 15 percent more likely to have a foot ulcer, which may lead to amputation, than those who have type 1. Low blood flow and a lack of preventive treatment make persons with type 2 diabetes more susceptible to develop foot ulcers. The diagnosis of this illness is made feasible by the use of clinical history, symptoms, age, co morbidities, BM measurement, and diagnostic tests.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

References

Lee, J. W., Lim, N. K., & Park, H. Y. (2018). The product of fasting plasma glucose and triglycerides improves risk prediction of type 2 diabetes in middle-aged Koreans. BMC endocrine disorders18(1), 1-10.

Oguntibeju, O. O. (2019). Type 2 diabetes mellitus, oxidative stress and inflammation: examining the links. International journal of physiology, pathophysiology and pharmacology11(3), 45.

Rabi, D. M., McBrien, K. A., Sapir-Pichhadze, R., Nakhla, M., Ahmed, S. B., Dumanski, S. M., … & Daskalopoulou, S. S. (2020). Hypertension Canada’s 2020 comprehensive guidelines for the prevention, diagnosis, risk assessment, and treatment of hypertension in adults and children. Canadian Journal of Cardiology36(5), 596-624.

 

 

 

 

 

 

 

 

 

 

Title

Student’s name

Instructor

Course

Date

 

 

 

 

 

 

 

 

 

TYPE 2 DIABETES CONCEPT MAP

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TYPE 2 DIABETES CONCEPT MAP

DISCUSSION

The purpose of a concept map is to show the relationships between various concepts, as well as to connect new ideas to older ones in order to create a logical hierarchy. Concept maps are a great way to organize and plan treatment options. This is especially true in the biopsychosocial health paradigm, which takes into consideration variables that go beyond the physical (Lee, Lim, & Park, 2018). In order to better understand how illness processes, medication experiences, and symptoms are linked, the nurse will create a definition map to explain the relationship between these aspects.

Diabetes mellitus (DM) is a chronic metabolic disorder characterized by high blood glucose levels and the inability of the liver to metabolize carbohydrates, fats, and proteins because of insufficient or improper use of insulin. Diabetes is the primary cause of renal illness, amputations of the lower limbs, and recent instances of blindness among people in the United States (Oguntibeju, 2019).

Conditions or substances that worsen the glucose-insulin imbalance: diabetes type 1 previously diagnosed or not, intake exceeding the insulin necessary, pregnancy and puberty, unmanaged diabetes practice, disease load, sickness, depression, or mental disturbances.

Etiology: Insulin resistance is a condition in which the body’s cells are unable to properly use insulin after the pancreas has produced it. In the United States, it is caused by a malfunction in insulin synthesis.

High genetic predisposition; frequent obesity; elevated prevalence in particular ethnic groups, such as African, Latin, Asian American, Native American, and Pacific Islanders; Absent late or sustained hyperglycemia, no risk of ketoacidosis. Some of these characteristics may appear in people above the age of 30 (Rabi et al., 2020). Beta cells in the pancreas of the Langerhans Islets generate endogenous insulin. Receptors in the liver and muscle cells mediate the absorption of glycemia, which causes hyperglycemia. The pancreas secretes more insulin, resulting in temporary hyperinsulinemia coexisting with hyperglycemia, which increases the risk of cardiovascular disease and the development of diabetes.

Compromise on what is anticipated or not essential based on the customer’s culinary demands. The SO should be included in the treatment package to ensure that everyone adheres to and fulfills the dietary guidelines after discharge. First and foremost, find out why the patient was having difficulty following the regimen by talking to him or her about their concerns regarding the medicine (Rabi et al., 2020).

It is important to educate patients on the need to take their prescription on time and how to manage their diet better to prevent further health issues. In order to enhance the relationship with the client of the medication’s name, establish a summary of when and how much may be taken. The patient should be instructed on how to handle situations when the normal range of values does not apply. Make it clear to the patient that he may check his glucose levels. The patient should be aware of the need for blood glucose monitoring before and throughout the meal.

In summation, as illustrated above, there are various risk factors. For instance, Diabetes mellitus type 2 is the most common condition in those over 60. Despite this, the illness has a greater impact on children and young adults and thus proper preventative, measures should be put in place. As a consequence of a weakening of the immune system, a wide range of infectious illnesses are often discovered. Those who have type 2 diabetes are 15 percent more likely to have a foot ulcer, which may lead to amputation, than those who have type 1. Low blood flow and a lack of preventive treatment make persons with type 2 diabetes more susceptible to develop foot ulcers. The diagnosis of this illness is made feasible by the use of clinical history, symptoms, age, co morbidities, BM measurement, and diagnostic tests.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

References

Lee, J. W., Lim, N. K., & Park, H. Y. (2018). The product of fasting plasma glucose and triglycerides improves risk prediction of type 2 diabetes in middle-aged Koreans. BMC endocrine disorders18(1), 1-10.

Oguntibeju, O. O. (2019). Type 2 diabetes mellitus, oxidative stress and inflammation: examining the links. International journal of physiology, pathophysiology and pharmacology11(3), 45.

Rabi, D. M., McBrien, K. A., Sapir-Pichhadze, R., Nakhla, M., Ahmed, S. B., Dumanski, S. M., … & Daskalopoulou, S. S. (2020). Hypertension Canada’s 2020 comprehensive guidelines for the prevention, diagnosis, risk assessment, and treatment of hypertension in adults and children. Canadian Journal of Cardiology36(5), 596-624.

 

Nursing homework help

Nursing homework help

Scenario

You are assigned to discuss your professional identity with your peers on the unit during a meeting and have decided to present the attributes using an infographic. The goal is to encourage all nurses to examine attributes and identify their professional identity to improve professionalism in the healthcare setting. As a nurse leader, you want your infographic to include the attributes that have guided your growth within the profession. As a leader of the unit, you work to grow the nurses on the unit and want to encourage them to identify their professional identity as the leaders to focus on succession planning. Your goal is to develop your infographic and share with other nurses to encourage them to examine the attributes to grow within the profession. Nursing homework help

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Instructions

Create an infographic that includes the attributes you believe support your professional identity. Include the following:

  • Identify 10 attributes that form your professional identity based on professional standards.
  • Reflect on why each of the attributes were selected for your professional identity.
  • Determine the attributes that are important for nurse leaders.
  • Identify how diversity and teamwork plays a role in developing your professional identity.
  • Provide stated ideas with professional language and attribution for credible sources with correct APA citation, spelling, and grammar.