db medical

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  It is anticipated that the initial discussion response should be in the range of 250-300 words. Response posts must demonstrate topic knowledge and scholarly engagement with peers. This is not the only criteria utilized for evaluation; substantive content is imperative. All questions in the topic must be addressed. Please proofread your response carefully for grammar and spelling. Do not upload any attachments. All responses need to be supported by a minimum of one scholarly resource. Journals and websites must be cited appropriately. Citation and reference must adhere to APA format (

A 43-y.o. female presents with the complaint of weight gain and fatigue over the past 4 mo. She states that she is always cold and just can’t get warm. She states that she is sleeping really well through the night but does not wake feeling refreshed. She denies shortness of breath, chest pain, or dyspnea on exertion.

  1. What additional questions should you ask the patient and why?
  2. What should be included in the physical examination at this visit?
  3. What are the possible differential diagnoses at this time?
  4. What tests should you order and why?
  5. How should this patient be managed?

clinical case Study Disease: Prostatitis

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 family nurse practitioner

You need to answer the questions brief and right to the point

 

Disease:  Prostatitis

1. Population most affected (ex: Older Adults, Middle Adults, Young Adults, Teenagers, Child, Infants)

2. Age related milestone for your chosen population

3. Socio-Demographic/Risk factors for getting the disease/condition

4. Impact on Quality Of Life

5. Current/new/recent research/Evidence Base Practice that will benefit/support this patient with the specific disease (If there are none please state so)

6. Recommendation for treatment or Gold standards for treatment if any (can be tied into the current research as above) (If there are no gold standards then please state so, but there should be some recommendations)

7. Please tell what/how you (speak in the first person) as the FNP caring for this patient with this specific disease can make a difference in his/her care and incorporate patient care/self-help teaching that can help him/her minimize disease symptoms.

8. Red flags for this condition (what specific Sign/Symptoms require urgent/ER care) or when should you refer patient to specialist.

Nursing Scholarly Activities

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Scholarly Activities

Throughout the RN-to-BSN program, students are required to participate in scholarly activities outside of clinical practice or professional practice. Examples of scholarly activities include attending conferences, seminars, journal club, grand rounds, morbidity and mortality meetings, interdisciplinary committees, quality improvement committees, and any other opportunities available at your site, within your community, or nationally.

Submit, as the assignment, a summary report of the scholarly activity, including who, what, where, when and any relevant take-home points. Include the appropriate program competencies associated with the scholarly activity as well as future professional goals related to this activity. You may use the “Scholarly Activity Summary” resource to help guide this assignment.

While APA format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

You are not required to submit this assignment to LopesWrite.

Scholarly Activity Summary

This document describes the scholarly activity elements that should be included in a five paragraph summary. You may use this resource to help guide the preparation of the Scholarly Activities assignment, due in Topic 10.

Overview 

This section consists of a single paragraph that succinctly describes the scholarly activity that you attended/participated in, the target market for the activity, and the benefit of the activity to you.

Problem 

This section consists of either a short narrative or a list of bullet points that concisely identifies the problems the scholarly activity is designed to solve. Educate: What is the current state of the activity topic? Explain why this is a problem, and for whom is it a problem? Inspire: What could a nurse achieve by participating in the scholarly activity? Use declarative sentences with simple words to communicate each point. Less is more.

Solution 

This section consists of either a short paragraph or a list of bullet points that concisely describes the solution to a proposed practice problem that the scholarly activity addressed and how it addresses the problem outlined in the previous section.

Opportunity 

This section consists of short paragraphs that define the opportunity that the scholarly activity is designed to capture. It is important to cover the objectives and goals that were met. How will attending/participating in this scholarly activity help you grow as a nurse?

Program Competencies Addressed

This section consists of a list of program competencies that were addressed in this scholarly activity. Please use the list from the ISP.

NOTE: The plan that I want you to compile for me would state that I attended a meeting conference at San Antonio State Hospital (SASH) with a Psychiatrist and discussed the action plan for patients with intellectual disabilities.

Healthcare Leader

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As a healthcare leader, you will be accountable to many people, including employees, patients and their families, the executive board, and the agencies that monitor the organization’s behavior. Oftentimes, you are required to help support your colleagues in instances where they are not feeling as motivated or as confident in their role as a healthcare practitioner. What is the best way to approach these situations? How can you help provide support to your colleagues to help them increase their motivation or feeling of self-actualization, so that the patients and the organizations for which you work are treated appropriately?

For this Assignment, you will reflect on your responsibilities as a healthcare leader and examine the importance of providing the appropriate tools and strategies to support their humanistic needs.

To prepare for this Competency Assessment, take the following self-actualization tests from the following websites: https://www.explorepsychology.com/wp_quiz/self-actualization-test/ and https://www.allthetests.com/quiz01/dasquiztd.php3?testid=1022641069.

Review your scores. Consider what these results tell you about your ability to feel self-actualized and how you feel impacts you as a healthcare leader. Think about what these results say about your ability to exhibit the skills to support your colleagues.

The Assignment

Part 1:

Write a 1-page op-ed piece, to be published in a newspaper, about what you think the feelings of motivation and self-actualization play in your role as a healthcare leader. For more information about writing an op-ed review, go to:

Seglin, J. (2012). How to write an op-ed or column. Retrieved from http://shorensteincenter.org/wp-content/uploads/2012/07/HO_NEW_HOW-TO-WRITE-AN-OPED-OR-COLUMN.pdf

In your op-ed:

Explain the potential conflicts that can arise in the organization and how that impacts the organization as a whole.

Describe the effects on others in an organization, if a leader models positive and supportive behavior to help motivate other employees

Synthesize the importance of a leader to exhibit humanistic qualities from Maslow’s hierarchy of needs.

Epidemiology paper

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Write a paper (2,000-2,500 words) in which you apply the concepts of epidemiology and nursing research to a communicable disease. Refer to “Communicable Disease Chain,” “Chain of Infection,” and the CDC website for assistance when completing this assignment.

Communicable Disease Selection

Choose one communicable disease from the options below.

  1. Chickenpox
  2. Tuberculosis
  3. Influenza
  4. Mononucleosis
  5. Hepatitis B
  6. HIV
  7. Ebola
  8. Measles
  9. Polio
  10. Influenza

Epidemiology Paper Requirements

Address the following:

  1. Describe the chosen communicable disease, including causes, symptoms, mode of transmission, complications, treatment, and the demographic of interest (mortality, morbidity, incidence, and prevalence). Is this a reportable disease? If so, provide details about reporting time, whom to report to, etc.
  2. Describe the social determinants of health and explain how those factors contribute to the development of this disease.
  3. Discuss the epidemiologic triangle as it relates to the communicable disease you have selected. Include the host factors, agent factors (presence or absence), and environmental factors. Are there any special considerations or notifications for the community, schools, or general population?
  4. Explain the role of the community health nurse (case finding, reporting, data collection, data analysis, and follow-up) and why demographic data are necessary to the health of the community.
  5. Identify at least one national agency or organization that addresses the communicable disease chosen and describe how the organizations contribute to resolving or reducing the impact of disease.
  6. Discuss a global implication of the disease. How is this addressed in other countries or cultures? Is this disease endemic to a particular area? Provide an example.

A minimum of three peer-reviewed or professional references is required.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

NRS-427VN-RS2-CommunicableDiseaseChain.doc

Deliverable 6 – Closing Out a Project

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Scenario Information 

You are assuming the role of the project manager for a company called SuperPacks to provide a new backpack product with a built-in refrigeration pouch and radio module. Your customer for this project is the U.S. Army, Ground Forces and Special Operations. As the project manager for your team, you will be submitting to your manager a project management report.

Instructions

You are now in the final phase of being a Project Manager for SuperPacks and need to create a closeout plan on how to terminate or closeout the project. Management has asked you to consider the following checklist below for your closeout plan in a presentation to your team. Your presentation can be created using PowerPoint, Prezi, or any presentation tool. You have been asked to address the following questions in your presentation as you will be giving it to the management team: 7 slides minimum apa references. Be sure to include notes this will be presented as a live presentation

  1. Create a closeout checklist for your project. What are the key components that you should include?
  2. Discuss how you would successfully close out this project, such as verifying project scope, contracts, administration, etc.
  3. In your closeout plan, identify the type of termination/closeout process you will use, and explain why that process is appropriate.
  4. Consider the control process you plan to use for managing this project to ensure quality is met.

Post-samanth-EBP

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Respond using one or more of the following approaches:

Ask a probing question, substantiated with additional background information, and evidence.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Offer and support an alternative perspective using readings from the classroom or from your own review of the literature in the Walden Library.

Note: the answer of this post should be in a positive way

Main Post

 

Roy’s Adaptation Model

 

There are nursing theorists who have formulated models that have guided nursing research for years. Many of these models present theories on how humans beings behave and adapt and how nursing is tied in to it all. For this discussion post, this writer explored Roy’s Adaptation Model which explains that humans are viewed as biopsychosocial adaptive systems who cope with who cope with environmental change through the process of adaptation (Polit & Beck, 2017). The systems that Roy refers to in human beings are the four subsystems of physiological/physical, self-concept or group identity, role function and interdependence These subsystems provide mechanisms on how humans deal with stimuli from our environment. This model is broken down to show how each change in our environment affects us and how the body deals with it.

The Physiological subsystem

This writer, researched how to apply Roy’s Adaptation Model to pregnant women who experience nausea vomiting. Many people were never able to explain how this process occurs and why does it happen to more than a few pregnant women in their first trimester of pregnancy. This article obtained from (Davis, 2014), utilized Roy’s theory to explain how the woman’s body deal with this change during pregnancy. The Physiological subsystem states that nausea and vomiting is related to the increased level of the Human Chorionic Gonadotropin hormone in the body when the woman is pregnant (Davis, 2014). The prolonged nausea and vomiting will subsequently affect the woman’s food intake as the inability to keep the food down deters women away from eating. This ultimately will lead the body into metabolic acidosis from the decreased intake in glucose, and the body now has to burn fat stores for energy (Davis, 2014). As a result of this pregnant women many times end up losing weight.

Self-Concept

Nausea and vomiting in pregnancy as it relate to self-concept reflects more on the mother having to spend time nursing themselves back to a healthy state and not spending enough time bonding with their unborn child (Davis, 2014). At this stage many women, may feel the need to end their pregnancy because it is causing them so much discomfort (Davis, 2014). If the woman tries to remedy the problem by taking medications the feeling of guilt may arise as they feel that they have done something to harm their baby. The mother, if she experienced nausea and vomiting throughout the pregnancy may experience some bonding issue with the baby as she was ill throughout most of the pregnancy.

Role Function

Role function as it pertains to nausea and vomiting during pregnancy is explained as the woman feeling that she has lost self-control due to the inability to live up to her roles (Davis, 2014). For example, the woman may not be able to take care of household and career duties which may ultimately affect the control she has over her life.

Interdependence

Roy’s interdependence subsystem explains that while experiencing nausea and vomiting the pregnant woman’s relationship with her mother and spouse are many times disrupted. The cause of this is related to their unwillingness to believe her inability to cope with the ill feelings of nausea and vomiting (Davis, 2014). At many times, her family may believe her symptoms are not as severe as she portrays and this will affect the way they engage with each other.

Basing research off an established model

Basing research off an established model directs the researcher into an area that provides much support for their topic of interest. It provides information that support or offer a base on which the researcher can make comparisons. In addition, it opens up fresh and new perspectives that can enlighten the researcher.  Many of these theorists have tested these theories and applied these models to areas in real life. There is tested evidence available for the researcher to use in support of their research.

In conclusion, Roy’s Adaptive theory provided a new approach on viewing and interpreting many disease states or illnesses. This writer supports this theory, because much of what we experience as humans are rarely just physiological. Most of our illnesses can be explained thoroughly on how it affects our bodies physically but in addition to that, illnesses also affect us psychologically, emotionally, and socially.

 

References

 

Davis, M. (2014). Nausea and vomiting of pregnancy an evidence-based review. Journal of

Perinatal & Neonatal Nursing, 18, 312-328.

 

Gigliotti, E. (2016). The value of nursing models in practice. Dokuz Eylul University School of

Nursing Electronic Journal, 1(1), 42-50.

 

Mete, S. (2014). Nursing Care of Nausea and Vomiting in Pregnancy: Roy Adaptation Model.

Nursing Science Quarterly, 23(2), 148–155.

 

Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for

nursing practice (10th ed.). Philadelphia, PA: Wolters Kluwer.

Deliverable 5 – Finalize Project Schedule and Mitigate Any Delays

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Scenario Information

You are assuming the role of the project manager for a company called SuperPacks to provide a new backpack product with a built-in refrigeration pouch and radio module. Your customer for this project is the U.S. Army, Ground Forces and Special Operations. As the project manager for your team, you will be submitting to your manager a project management report.

Instructions

As the Project Manager, your manager has asked you to prepare a report on unplanned events that have occurred. You have been asked to present this report to a group of managers, and should discuss your course of action for two unplanned events (below) that have occurred for SuperPacks. You will need to analyze the impact of these events in your project management report as a presentation; this can be PowerPoint. Make sure you address the following questions in your presentation as you will be giving it to the management team.

Discuss your analysis on the following events: 8 slides minimum, apa references

Be sure to include notes this PowerPoint will be presented as a live presentation

  1. It is discovered the refrigerated module is too large for the designed refrigerated backpack pouch. What is your course of action? 2 examples
  2. The subcontractor assigned to build the radio module for the backpack has shut down. What is your course of action?Provided verbiage on the course of action for the subcontractor assigned to build the radio module being shut down using 3 examples.
  3. Discuss four areas affected by these unexpected events. Three of the areas of the project affected by the events should include changes to budget, human capital, and impact to schedule. Identify one additional area affected by these events. 3 examples

Post-Elena-EBP

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Respond using one or more of the following approaches:

Ask a probing question, substantiated with additional background information, and evidence.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Offer and support an alternative perspective using readings from the classroom or from your own review of the literature in the Walden Library.

Note: the answer of this post should be in a positive way 

 

Main Post

In the past, nursing educational programs did not focus on the undertakings of evidence-based research, the integration into practice settings, or the mere skills to research appropriately (Tagney & Haines, 2009). However, Tagney and Haines (2009) explain that the integration of evidence-based research is a gap that needs to be addressed among health care professionals that require improvements to research and critical appraisal skills and the ability to conduct a research project. Polit and Beck (2017) state that research can commence by the construction of a theory and a person who can interconnect the evidence and take note of themes.

Theory

Concerning research, a theory can be defined as two ideas that are associated or related which places the intentions of a theory to explain the relationship between the two ideas to describe a single phenomenon (Polit & Beck, 2019). Often, theories are descriptive, as they are used to describe individual characteristics of the subject of interest by observation of common features (Polit & Beck, 2017). Polit and Beck (2017) state that descriptive theory is occasionally an indication or suggestion to explanatory or predictive theories.

The Theory of Planned Behavior gives understanding of how people behave and why from a phycological standpoint (Polit & Beck, 2017). When someone is unstable from anger their behavior can be determined by their intention to act on the behavior (Polit & Beck, 2017). Collectively, the personal attitudes, the social norms, and how easy or difficult the behavior is to partake in all relate to the intention to perform or not to perform the behavior (Polit & Beck, 2017). Notably, the perceived importance of the personal attitudes, social norms, and the ability to follow through on the intention of the behavior are different through different scenarios and situations (Polit & Beck, 2017). Simply put, a theory is an explanation of how two phenomena are interconnected or linked (Laureate Education, 2012).

Research Article Using the Theory of Planned Behavior

Chang-Chiao, Tsui-Ping, Bih-O., and Chia-Chi (2015) put forth a cross-sectional study that consisted of 548 nurses that worked on general hospital wards and intensive care units with an aim to study how nurses’ attitudes and intentions affected medication administration errors and the reporting of the errors. The theory of planned behavior was used as the as the framework for this study. Chang-Chiao et al. (2015) explain that medication administration errors reporting is a professional obligation where the clinicians consider behaviors before reporting. The barrier of medication administration errors reporting behaviors was investigated as this issue still occurs in todays practices.

Many obstacles around reporting errors exist such as leadership styles on the unit, unfriendly work environments, lack of knowledge of the importance of reporting errors, and nursing shortages (Chang-Chiao et al, 2015). According to the theory of planned behavior, beliefs and attitudes are the fundamental determinants of behaviors and to change or influence the behavior the attitudes and beliefs need to be addressed (Chang-Chiao et al, 2015). To tackle this, intentions need to be changed via attitudinal beliefs, control beliefs, and normative beliefs.

In this study the biggest factor that played a role of intentions towards not reporting medication errors were the attitudes of nurse managers and coworkers which involved the nurse to feel blame which consequently influenced their own attitude to not report (Chang-Chiao et al, 2015). Thus, the conclusion is that the intent of reporting errors is concerned with patient safety and not blame and that there should be increased awareness as to why errors need to be reported to change the intent and the nurses’ belief systems (Chang-Chiao et al, 2015).

How the Theory Provides Structure and Value to the Research Study

The theory provided structure to this study because of the investigated underpinnings around the nurses’ behaviors, attitudes, and intentions (Polit & Beck, 2017). The relationship between the intent to choose to not report medication errors and the perceptions used provided the framework for the hypothesis of fear of the manager and coworkers to place blame and to a conclusion to increase education around patient safety to change nurses’ beliefs around subjective norms of the unit (Polit & Beck, 2017). The theory provided has given a valuable framework by contribution of a starting point for the researchers and a guide to follow through to a logical conclusion.

References

Chang-Chiao, H., Tsui-Ping, C., Bih-O, L., & Chia-Chi, H. (2015). Nurses’ Attitude and intention of Medication Administration Error Reporting. Journal of Clinical Nursing, 25(3-4). Retrieved from the Walden University Library database.

Laureate Education (Producer). (2012). Selecting a Framework. Baltimore, MD: Author.

Polit, D. F., & Beck, C. T. (2017). Nursing Research: Generating and Assessing Evidence for Nursing Practice (10th ed.). Philadelphia, PA: Wolters Kluwer.

Tageny, J., & Haines. C. (2009). Using Evidence-Based Practice to Address Gaps in Nursing Knowledge. British Journal of Nursing, 18(8), 484-489. Retrieved from

https://web-b-ebscohost-com.ezp.waldenulibrary.org/ehost/pdfviewer/pdfviewer?vid=1&sid=06adf448-2563-4f18-9a8f-23de83a12610%40pdc-v-sessmgr02Respond using one or more of the following approaches:

Ask a probing question, substantiated with additional background information, and evidence.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Offer and support an alternative perspective using readings from the classroom or from your own review of the literature in the Walden Library.

 

discussion nr 1 (4165)

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Discuss the importance of conducting a thorough literature review as it relates to the research process in two paragraphs.

Use a reference from scholarly literature : Peer-reviewed Nursing journal not older than 5 years or your textbook:

Polit, D. E. & Beck, C. T. (2018). Essentials of nursing research: Appraising evidence for nursing practice(9th. ed.). Philadelphia, PA: Wolters Kluwer.

to support your primary response.