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NUR435 Discussion post:

Step 1 Review an article.

Using the Cochrane Collaboration website, browse a topic of interest related to your nursing practice. Find a peer-review research article in your area of interest and read the article.

Step 2 Post a summary of the article.

Post a brief summary of the article and results.

Step 3 Answer additional questions.

After providing the article summary, answer the following questions:

Describe how this EBP research supports your practice.
If your practice is different than the recommendations in the evidence-based article, how could you use this article to support your practice?
Step 4 Read other students’ posts and respond to at least two of them and cite your references using APA 7th edition. NUR 435 Denver School of Nursing Phenytoin for Treatment of Pressure Ulcers Discussion

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Use your personal experience, if it’s relevant, to support or debate other students’ posts. In your responses, offer your peers one description of an EBP that you use at your workplace. If differences of opinion occur, debate the issues professionally and provide examples to support opinions.

NUR435 Student Posts:
Student #1: The article I chose to read about is one concerning the interventions for the treatment of persistent, post COVID-19 olfactory dysfunction. Time and time again the patients I help treat and my own family members have reported this annoying and lingering symptom that occurs after they have been diagnosed with COVID-19. I found this article practical as it gives pointers and recommendations on how to manage symptoms.

“The treatment, in this case, was a course of steroid tablets, given with a nasal spray consisting of a mix of steroids, decongestant, and an agent that breaks down mucus. The researchers followed them for 40 days. They found that systemic corticosteroids and nasal irrigation with an intranasal corticosteroid/decongestant/mucolytic compared to NO treatment yielded restoring the sense of smell back to normal in 40 days.” (Cochrane Data Base, 2021).

This EBP research article supports my practice by providing this information that I could potentially share with doctors caring for the patients and recommend nasal spray and steroids if they are not already on them. This article is a resource to use to support EBP if and when a patient, family member, or friend discloses that they are experiencing these types of symptoms. NUR 435 Denver School of Nursing Phenytoin for Treatment of Pressure Ulcers Discussion

Student #2: “The peer review research article that sparked my interest is regarding thrombectomy and intra-arterial interventions for acute care in ischemic stroke patients. Since I use to work in the Neuro ICU and my younger sister has cerebral palsy, it has always been near and dear to me. Stroke is the third leading cause of death and disability in the United States. This article evaluates whether or not each of these interventions provide better outcomes than standard stroke treatment which normally consist of TPA or TNK. Treatment with endovascular thrombectomy and intra-arterial interventions can improve patients’ chance of survival with the ability to function well without increasing the risk of bleeding in the brain or death (Roaldsen et al., 2021).

This evidenced based practice supports my practice due to the underlying interventions we provide to our ischemic stroke patients such as these that increase their brain and their ability to function. Depending on their condition, I have witnessed patients come from the OR via thrombectomy able to regain full function of their affected limbs and/or speech. Of course, the window of treatment and the risk of converting into a bleed can decrease the chances of brain tissue survival. Overall treatment can reduce the risk of death by greater than 50%. I stand by thrombectomy and intra-arterial interventions when the chances of survival are greater.

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NUR445 Discussion Post:

Step 1: Consider a problem related to health that impacts society that is important to address. Why do you believe this problem is important to society in general? Use data to explain your reasons. Outline a policy recommendation to address this problem, Why do you suppose that this policy would be successful in addressing the problem? What impact in health outcomes do you expect to see if the policy is enacted? NUR 435 Denver School of Nursing Phenytoin for Treatment of Pressure Ulcers Discussion

Step 2: Read other students’ posts and respond to at least two of them and cite your references using APA 7th edition.

Respond to your classmates by discussing any potential barriers you can foresee during the implementation of their policy recommendation. List some strategies to resolve these problems.

NUR445 Student Posts:
Student#1: One thing that impacts society is Healthcare gap. There are a number of challenges when it comes to receiving quality healthcare, particularly in the U.S. Despite the passage of the Affordable Care Act in 2010, gaps in coverage remain, particularly with mental health resources. The U.S. spends more on healthcare for individuals than any other country, but that increase in expenditure has not translated to higher life expediencies for Americans (9 biggest social justice issues of 2020, 2020). I feel this is a important problem in society because everyone needs some type of healthcare. People with mental health issues and serious health issues will not go see a doctor because of lack of healthcare

Public health policy exists at the intersection between medical experts, state and federal legislators, health educators and the broader healthcare system. Through close collaboration, government officials and clinical caregivers work to eliminate health inequalities, spotlight emerging health risks and develop actionable solutions based on the latest scientific knowledge(Public health policy: problem and solution,2021). Over time, certain public health policies may need to be revised or completely replaced to stay relevant. If this policy work more people should be able to get healthcare.

Student #2: Society is critical for us to thrive. A problem related to health that impacts society that is important to address is mental health and problems related to mental health such as mood disorders, anxiety disorders, eating disorders, psychotic disorders etc. Unaddressed mental health problems can have negative impact on society as a whole. Mental health is important to society because not only does it affect your physical health, it determines how we handle everyday activities including how we think, feel and act. This is crucial when making healthy life choices.

Mental Health America takes a unique approach to policy. MHA is the nation’s leading community-based nonprofit dedicated to addressing the needs of those living with mental illness (children, adolescents, adults and elders) and to promoting overall mental health including suicide prevention and access to crisis care. This policy includes expanding coverage for affordable access to mental health care. This policy would be successful in addressing the problem because their main focus is early identification and intervention for those at risk, integrated care, services, and supports for those who need it, with recovery as the goal (“Public”, 2021). If this policy is enacted early intervention and prevention of mental health will be prioritized. NUR 435 Denver School of Nursing Phenytoin for Treatment of Pressure Ulcers Discussion