I need help with my assignment

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I need help with my assignment

Upload PowerPoint presentation slides for classmates to view to this discussion as an attached document. This will provide the ability for all classmates to view each other presentations. You must post your PowerPoint before being able to see other presentations.

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Instructions on how to view the rubric (Links to an external site.)Links to an external site.: https://community.canvaslms.com/docs/DOC-10577-4212540120 (Links to an external site.)Links to an external site.

PICOT QUESTION

The need for palliative care for chronic diseases has increased to a greater extent in the recent days. One of the persistent maladies, which require the use of palliative care is end-stage cancer. This post considers whether the provision hospice care by a palliative care trained nurse enhances the quality of life in adult end-stage cancer patients in hospice care compared to hospice patients receiving care from nurses without palliative care, as self-reported by patients and families over a period of three months.

The PICOT elements are as follows:

Population: Adult end stage cancer patients in hospice care

Intervention: Receiving nursing care from a palliative care trained nurse

Comparison: One group receiving care from a nurse without palliative care training

Outcome: Enhance the quality of life as self-reported by patients and families

Time: Over a period of three months.

Proposed Research Design

The need for palliative care for chronic diseases has increased to a greater extent in the recent days.

The population is adult end-stage cancer patients.

One of the persistent maladies, which require the use of palliative care, is end-stage cancer in adults. Hospice care and palliative care are two distinct types. The type given to adult end-stage cancer patients and their families when all other cancer therapies have failed in controlling the disease is called hospice care. It offers physiological and spiritual support.

Intervention is the care that the patient’s receive.

In hospice care, the aim is to manage the pain and any other symptom so that patients should feel comfortable as much as possible at the end of life. At this care, the most significant need is to care rather than to cure, with the aim of not hastening the death of the patient or even its postponement. In this treatment, when the condition is seen to improve, or cancer is seen to go into remission, then the care can be stopped to allow the use of active treatment. Hospice care just makes sure that the aim of the therapy is changed (National cancer institute, 2018). On the hand, the goal of palliative care is to see an improvement in the quality life of the end stage cancer patient. Palliative care takes care of the patient as a whole, not just the condition. It aims to prevent and treat the symptoms or the side effects of the disease. The primary difference is that palliative care can begin at any stage while hospice care occurs when the curative care has not been successful (National cancer institute, 2018).

Comparison

This paper considers patients who are under palliative care trained nurses compared to patients who did receive attention from nurses without palliative care training

Outcome

This paper determines if palliative care trained nurses can enhance the life of an end-stage cancer patient in hospice care compared to patients who did receive attention from nurses without palliative care training.

Time

Time frame was a period of 3 months that the patients were questioned.

Purpose

This paper considers whether the provision hospice care by a palliative care trained nurse enhances the quality of life in adult end-stage cancer patients in hospice care compared to hospice patients receiving care from nurses without palliative care, as self-reported by patients and families over a period of three months.

Method

The quantitative method of research gives room to measuring and examining data. This type of analysis helps in understanding the relationship that exists between dependent and independent variables. The reason why the qualitative method was suitable for this research is that of its objectivity. The technique is numerical, and the outcome cannot be that easily misinterpreted; therefore one can investigate the same situation to know about the investigation by the use of the same quantitative method also one can compare the results (Brians et al., 2011). Other than that quantitative method being more of a statistical way adds to it being the best method. In this method of research, the chance to use statistics is available. The forms of statistical information analysis are helpful to a great extent because they allow one to understand an extensive amount of essential characteristic of the data. Also, this method offers a fast way of data collection. Verifying data most quickly and efficiently in this set is something that is possible. With the utilization of statistically valid random models, an analysis is promptly generalized into the whole content (Health Research Funding, 2018). Also, there is a clear research question that forms the basis of the answers that are looked for in this method questioners, and even computer software can be used to collect numerical data (Brians et al., 2011).

Independent Variable

In the quantitative method, there is need of measuring, the concept that is under investigation, and the concept that is under investigation here is if the life of patients that was enhanced in hospice care by a palliative care trained nurse taking charge of their care was the independent variable. The aspect of success is a variable but cannot be measured. But the number of patients that saw the success of their life being enhanced in hospice care by palliative care trained nurse taking charge of their care is a measurable variable and therefore the number of patients that saw success was the variable. In this research, the number of patients who saw the befit and success in hospice care could be used as the basis for further studies like it is possible for government to make it mandatory to use palliative rained nurses in hospice care.

Randomization

The type of quantitative design that was used in the research was descriptive design and patients were chosen randomly in the wards. In this type of research, current events are systematically documented or even other phenomena that can be directly measured. This type can take the form of questioners, polls, and surveys. Descriptive statistics like mean, median variance, and standard variation are used to summarize and also can be used to give a measurement of descriptive research (International Association for Dance Medicine and Science, 2011).

The sample size

For this study, a questioner was used to examine the 50 patients and their families on their perspective about their enhanced life in hospice care by palliative care trained nurse taking charge of their care (Centre for Innovation in Research and teaching, 2018).Quantitative research gathers data using structured research instruments while the results are characteristic of a larger sample size which are representative of the population (Brians et al., 2011).

Observation and scales

Over a period of 3 months, descriptive type of research was used to answer this PICOT question because with this type patients can be observed in a natural without interfering with their environment; a patient can be questioned without having them

disturbed in their hospital bed. Also, this inquiry can be used in future research because it identifies testable variables care (Centre for Innovation in Research and teaching, 2018).

Reference

Brians, Craig Leonard et al., (2011) “Empirical Political Analysis: Quantitative and Qualitative Research Methods”. 8th ed. Boston, MA: Longman

Centre for Innovation in Research and teaching (2018) “Advantages and Disadvantages of Descriptive” Retrieved from Researchhttps://cirt.gcu.edu/research/developmentresources…

PPT Presentation

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PPT Presentation

I need to prepare a Power Point presentation about the topics described. (16 slides without counting the reference/presentation)

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E. World Medical Association Declaration of Helsinki

F. TuskegeeStudy

Recommended Website links:

 https://www.hhs.gov/ohrp/regulations-and-policy/be…

 http://www.who.int/bulletin/archives/79%284%29373….
 http://www.cirp.org/library/ethics/nuremberg/
 https://history.nih.gov/research/downloads/nurembe…

 https://www.cdc.gov/tuskegee/timeline.htm

Rasmussen College My Quality of Life Self-Care Plan Reflection Paper

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Rasmussen College My Quality of Life Self-Care Plan Reflection Paper

Balancing School and Life – My Quality of Life Self-Care Plan. The purpose of developing this Plan is to set a

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framework and a plan to maintain wellness and to stay motivated and engaged throughout your Program. Doing this will help you achieve success during your coursework and as a professional nurse.

The goal of the Project is to help you become self-aware and reflective as a means of identifying personal self-care strategies that will increase your energy and help you manage your stress. The Project will give you a chance to learn how this is accomplished as you will be doing similar work with clients during the Program and as a professional nurse to assist them in the same way.

Use the Quality of Life Self-Care Wheel to assess your current state. After you determine your scores, in a 2-3 page paper complete the following:

Discuss those areas that are strengths (higher scores) and those areas that need further development (lower scores).
Identify two strategies you can use to maintain or maximize each identified strength.
Identify two strategies you can use to strengthen each area needing development. Explain how you will put these strategies into action. Be specific. For example, instead of stating, “I need to exercise,” your action should state “I will begin to walk 20 minutes a day, 3 days a week.” The action should be SMART- Specific, Measurable, Attainable, Realistic, Timeframe
Also attach your completed form
Minimum length 2-3 pages not including cover or referencing. APA formatting

Topic 2 DQ 1- #2

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Topic 2 DQ 1- #2

Please write a Paragraph answering to this discussion below with your opinion:

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As I was viewing through this media piece and reflecting on my recent opportunity to visit the Florence Nightingale museum I am amazed at how far nursing as a profession has come in such a short amount of time. It is important in any profession to learn the history to understand the how it influenced the practices that are current.

Nursing has always been a caring profession, prior to our understanding of the spread of infection and the nurses’ role in prevention patient centered care can be reviewed in many ways dating back before the 14th century. Through plagues and wars, it was crucial to have that care. (Nursing Timeline of Historical Events) In the 1800, nursing was starting to become an organized profession with educational programs and a focus on infection prevention and later the cause of illness. When at the museum I got to view a video clip of a foot amputation where it appeared there was no sterile technique and no anesthesia. It took over hundreds of years to realize that better patient outcomes may come from prevention and decreasing the spread of infection rather than just caring for the ill, to where we are so focused on disease prevention and infection control today. In the 1900’s nursing had finally become recognized as a profession with standardized education, a registry of qualified professionals. Nurses had the ability to spread their knowledge to the public to increase public health (Friberg & Creasia, 2016). However, in practice professional nurses would not be considered essential or equal by doctors and hospital administrators for many years.

As a new nurse understanding where nursing began and understanding how it has evolved over time makes me proud of the profession that I am in. Proud to have the knowledge to improve patient outcomes, weather being able and knowing I have the responsibility to promote patient rights, the knowledge of pathophysiology and pharmacology and its role in one’s health and the desire to always to good in my actions as a nurse.

References

Friberg, E. E., & Creasia, J. L. (2016). Conceptual foundations: The bridge to professional nursing practice. Maryland Heights, MO: Elsevier/Mosby

Topic 2 DQ 2- ojo

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Topic 2 DQ 2- ojo

Please write a Paragraph answering to this discussion below with your opinion:

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I very much enjoyed reading your post, and it caused me to reflect on my hands on nursing care. There are so many different cultures with different beliefs and views in regards to their health, and how to treat it. You have to be aware and understand the different customs and walk that fine line of honoring their beliefs and their ways of treating their disease/condition and the plan of treatment the Dr is recommending and I have run into that situation many times. The person, as a whole may include just themselves, the whole family or the leader in the family dynamic, and it must be respected. There are so many aspects to treating patients and being a nurse who can listen, empathize with their situation, and also help them to understand the disease processes in a way they can relate to. Our job and these many aspects that go along with it, show us we will always have room to grow in our learning and teaching abilities, and we never know “everything”.

Research

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Research

The contribution of gender to apparent sex differences in health status among patients with coronary artery disease. 5-7 pages APA formatt

Critical Appraisal of a Quantitative Study Assignment Guideline and Rubric

The goals of this assignment are to:

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Assist students in understanding the basic process of conducting a literature review/critical appraisal.
Assist students in understanding the beginning process of conducting an evidence-based practice review.
Provide students with the beginnings of scientifically based knowledge on a selected procedure/topic related to nursing research.
Steps of the process:

Select a topic with instructor’s approval. Important because some articles that have been shown to me are not research quantitative nor qualitative research studies that have come from refereed journals.Article can be quantitative or qualitative and preferably from a nursing research journal. (Please submit article to me by end of the day on Monday because I must critique it in order to be able to evaluate your critique.)
Appraise the article critically using the guidelines provided in Chapter 12.This is the information provided in the syllabus..
Prepare a presentation to facilitate where a/the group member(s) discuss aspects of the critique. (See guidelines/questions below.)Power point is suggested because it may provide creativity and generate audience interest.
Information to include in the report (see examples on pages 433-442)

Research Problem and Purpose

Why is the problem significant to nursing?

Will the study problem and purpose generate or refine knowledge for nursing practice?
Literature Review

How current is the literature review?
Does the literature review provide rationale and direction for the study?
Is a clear, concise summary presented of the current empirical and theoretical knowledge in the area of study?

Study Framework

Is the framework/theoretical basis presented with clarity?
If a map or model is presented, is it adequate to explain the phenomenon of concern?
If a proposition from a theory is tested, is the proposition clearly identified and linked to the study hypotheses?

Research Objectives, Questions, or Hypotheses

Are the objectives, questions, or hypotheses expressed clearly?
Are the objectives, questions, or hypotheses logically linked to the research purpose and framework?
Are the research objectives, questions, or hypotheses linked to concepts and relationships from the framework?

Variables

Do the variables reflect the concepts identified in the framework?
Are the variables clearly defined?
Is the conceptual definition of a variable consistent with the operational definition?

Method/Design

.What type of research is it? Explain.

How were study subjects selected?

Are any subjects excluded from the study based on age, socioeconomic status, or race, without a sound rationale?

If more than one group is used, do the groups appear equivalent?

Are the rights of human subjects protected?

Is the setting used in the study typical of clinical settings?

Measurements

What are the instruments that were used to measure variables and if they are scales and questionnaires did the investigator(s) clearly describe them, especially the reliability/validity of the instruments?

If data were collected by observation as in qualitative studies

are the phenomena to be observed clearly identified and defined?

Is interrater and intrarater reliability described?

Are the techniques for recording observations described?

Interviews

Do the interview questions address concerns expressed in the research problem?

Are the interview questions relevant for the research purpose and objectives, questions, or hypotheses?

Physiological Measures

Are the physiological measures or instruments clearly described?

Are the methods for recording data from the physiological measures clearly described?

Data Collection and Analysis

Is the data collection process clearly described?

Is the training of data collectors clearly described and adequate?

Are the results presented in an understandable way?

Interpretation of Findings

Are findings discussed in relation to each objective, question, or hypothesis?
Are the findings clinically significant?
Do you believe that there are limitations that the investigator(s) did not identify?

Evaluation

What do you determine are the major strengths/weaknesses of the study?
To what populations can the findings be generalized?
What questions emerge from the findings, and are these identified by the researcher?
What future research can be envisioned? Can the study be replicated by other researchers?
How do findings inform your practice as a nurse?
When the findings are examined based on previous studies, what is now known and not known about the phenomenon under study? That is, are the findings consistent with those from previous studies?
Does the author indicate the implication of the findings for practice? What are the implications of the findings for nursing practice?

Application of Nursing Theory to Practice (1)

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Application of Nursing Theory to Practice (1)

In any given situation, there is a constant need and desire to achieve homeostasis. If something is off, even in the

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slightest way, it can prevent the general wellness in a situation or individual. “Under general systems theory, nurses interact with clients to help them attain homeostasis, defined as the constancy of the internal environment caused by the action of regulatory mechanisms” (Hood, 2018, p. 137). Mr. R has just undergone surgery for colon cancer and now has a temporary colostomy. This is a huge “disturbance” or “stressor” in his life that is now affecting his equilibrium. (Hood, 2018). Both the subsystems and suprasystems within Mr. R. have been greatly affected. Subsystems, which affect everything down to the cellular level, have been disturbed by both the cancer and the surgery. The suprasystems that have been influenced include his external environment. His personal life, his family life, work life and how others perceive him as a result of his new health concerns are all examples of suprasystems. From a nursing standpoint, we are responsible for our patients’ holistic wellbeing. We need to be able to manage them fully; mind, body and spirit. “Clinical intervention in illness is concerned with correcting underlying problems, managing the symptoms, and enabling the patient to come to terms with the disorder. In other words, clinical practice is concerned with restoring the homeostatic balance of the individual” (McVicar, Clancy, 1998, p. 603). McVicar and Clancy refer to homeostasis and the maintenance of such involving the nursing process. It starts with the norm altered, a nursing assessment, assessing needs, care planning, implementation, evaluation, reassessment and ends with norm restored. (Homeostasis: A Framework for Integrating the Life Sciences, 1998). Patient-centered care and the systems theory go hand-in-hand. With the systems theory, it allows for complete, holistic care of the patient. We have to consider all factors when providing care, internal and external, subsystems and suprasystems. In the case of Mr. R, his new stressors are causing him disequilibrium. In order to restore his equilibrium, we need to consider the possibility of any and all physical needs, emotional needs and spiritual/cultural needs. Physical needs due to his illness, post-op needs and physical needs moving forward with the changes he has experienced, etc. Emotional needs due to the possibility of altered body image, financial needs, etc. Spiritual/cultural needs due to the possibility of distress he is feeling. With the systems theory, we are able to focus on every aspect of patients’ needs in order to restore equilibrium and provide the best possible, holistic care. “The Nurse of the Future will demonstrate accountability for the delivery of standard-based nursing care that is consistent with moral, altruistic, legal, ethical, regulatory, and humanistic principles” (Nurse of the Future Competency Committee, 2016, p.14). Nursing theories in this week’s readings teach us different approaches to the same goals: best possible patient care. As nurses, we are all held accountable to providing such care. We need to maintain ethics, legality and morality in all decisions we make. We learn about the nursing process and different theories to practice this week. No matter what theory you chose to follow in order to deliver the best possible care, we are held to the highest standards and we are responsible for maintaining such standards in every aspect of care. I do not believe that my facility has adopted any of these theories into our nursing care. However, I feel as though it would be an interesting debate to be brought up amongst our nursing coordinating council. In this monthly meeting, there are members from each nursing unit that meet and discuss processes, any issues in each unit and any changes we feel need to be enacted. It would be interesting to see which theory each unit would decide upon and the reasons behind them choosing which theory they chose. Would we agree upon one theory or would it be more unit specific based on the type of patient, acuity, etc.? References: Massachusetts Nurse of the Future Nursing Core Competencies. (2016, March). Retrieved April 9, 2018, from http://www.mass.edu/nahi/documents/NOFRNCompetenci… Hood, L. J. (2018). Leddy & Peppers professional nursing. Philadelphia: Wolters Kluwer. McVicar, A., & Clancy, J. (1998). Homeostasis: A framework for integrating the life sciences. British Journal of Nursing,7(10), 601-607. doi:10.12968/bjon.1998.7.10.5686 ReplyReply to Comment

Application of Nursing Theory to Practice (2)

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Application of Nursing Theory to Practice (2)

Hello all!

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A nursing theory can be defined as “an organized framework of concepts and purposes designed to guide the practice of nursing” (Petiprin, 2016). After reading thru a few different nursing theories, I have taken a liking to the systems theory which addresses elements and interactions among all the factors in a situation (Hood, 2018). I like this theory because it allows the nurse to be able to understand all of the influences on the patient as a whole and then determine what changes need to be made and how those changes will impact that patient. In the specific situation with Mr. R, I would use the systems theory to understand, predict and control the possible effects of the recent surgery that resulted in a temporary colostomy (Hood, 2018). I would first start by looking further into the patient’s history to gather information on when the cancer was first found, what stage it was in, if it spread to any other organs etc. I would also look into the patients’ personal and medical history to determine if they have had any other health issues in the past or if they had undergone any other previous surgeries. By fully understanding the patients’ past, this would help me to predict the outcome and control the possible side effects. From my past experiences, I would predict that patients’ who have just gotten a colostomy will have a hard time understanding exactly how they should care for it, what foods to eat and if family and friends may change the way they view that person now that they have a colostomy bag. In order to avoid the patient from feeling nervous or anxious, I would immediately start the teaching on how to properly care for the colostomy, the proper foods that they should be eating and which foods to avoid and I would also determine whether or not this person may need a few therapy sessions in order to figure out the best way to communicate this temporary challenge to family and friends. I believe that by using this theory, it enables the nurse to get a good background on the patient which in turn will help the nurse plan the proper patient-centered and culturally accurate care.

References:

Hood, L. J. (2018). Leddy & Pepper’s professional nursing (9th ed.). Philadelphia, PA: Wolters Kluwer Health | Lippincott Williams & Wilkins.

Petiprin, A. (2016). Nursing Theory. Retrieved from: http://nursing-theory.org/articles/nursing-theory-…

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Reflective Paper on Cultural Brokerage

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Reflective Paper on Cultural Brokerage

A reflection paper is your chance to add your thoughts and analysis to what you have read and experienced. A reflection paper is meant to illustrate your understanding of the material and how it affects your ideas and possible practice in future. This reflection paper is based on the following link:

https://nccc.georgetown.edu/documents/NCCC_PP_Cult…

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holistic health

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holistic health

Describe ethical dilemmas associated with the current state of population health and care disparities. Support your response with at least one scholarly journal reference. 300 to 450 words and in APA format.Not more than five years old.

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