Assessment#3Class#6
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Culture and Societ week 1 HW
Please see the attachment!
Assessment#2Class#6
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Analyse a pediatric clinical scenario
This assignment require the focuses on mentioned nursing aspects of care, the child’s developmental stage, and principles of child and family centred care, and child rights.( 2000 words)
Requirements of the assignment are included in the attached document below. Please have a thorough look.
Assessment#1Class#6
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Introduction to Evidence-based Practice
Purpose
This week’s graded topics relate to the following Course Outcomes (COs).
- CO 3: Identify ethical issues common to research involving human subjects. (PO 6)
- CO 5: Recognize the role of research findings in evidence-based practice. (PO 7 & 8)
Discussion
We begin our journey into discovering the new world of research and evidence-based practice (EBP) by exploring our past. After completing the required readings and lesson, answer the following:
- Explain how research has evolved since the Florence Nightingale era.
- Discuss how research and EBP are different; include how you believe research supports EBP for nursing.
- Describe one past/historical unethical breach of research conduct; then, share how you would ensure care of a study participant using one ethical or legal research consideration (guideline/principle)
Hello Class,
Why should nurses incorporate research? How could it (or does it?) impact your nursing practice? Think about these questions as you complete the assigned readings this week. Our profession was founded by Florence Nightingale, who was not just our nursing pioneer, but a researcher, too. In the last few years, we have seen many trends pushing nurses to have a professional practice based on evidence. With that as our beginning, consider our week’s discussion:
1. How has research evolved since Florence Nightingale?
2. How are research and EBP different and how does research support EBP?
3. Unfortunately, despite the positive impact research and EBP has, there have been major cases of research misconduct. Please choose one historical case and how you would engage in ethical treatment of a research participant.
Professor’s comment: This week, we will meet the following course outcomes:
- Identify ethical issues common to research involving human subjects.
- Recognize the role of research findings in evidence-based practice.
You may begin posting in this thread no sooner than the first Sunday of week one. Posts prior to this time will not receive credit. I look forward to your thoughts! Dr. Smailes
references: Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4th ed.). Burlington, MA: Jones & Bartlett Learning.
This textbook is available as an e-book and can be accessed from the module view.
dq auestion
After discussion with your mentor, name one financial aspect, one quality aspect, and one clinical aspect that need to be taken into account for developing the evidence-based practice project. Explain how your proposal will directly and indirectly impact each of the aspects.
the capstone topic is handwashing in health care system
Benchmark-Electronic Health record Implementation
This benchmark assignment assesses the following programmatic competencies:
2.3: Develop leadership skills to collaborate on interprofessional teams in the provision of evidence-based, patient-centered care.
5.2: Apply professional, ethical, and regulatory standards of practice in the provision of safe, effective health care.
One way informatics can be especially valuable is in capturing data to inspire improvements and quality change in practice. The Agency for Healthcare Research and Quality (AHRQ) collects data related to adverse events and safety concerns. If you are working within a practice setting to implement a new electronic health record (EHR) system, this is just one of the many considerations your team would need to plan for during the rollout process.
In a paper of 1,250-1,500 words, address the following questions related to the advanced registered nurse’s role during this type of scenario:
- What key information would be needed in the database that would allow you to track opportunities for care improvement?
- What role does informatics play in the ability to capture this data?
- Which systems and staff members would need to be involved in the design and implementation process and team?
- What professional, ethical, and regulatory standards must be incorporated into the design and implementation of the system?
- How would the EHR team ensure that all order sets are part of the new record?
- How would you communicate the changes, including any kind of transition plan?
- What measures and steps would you take to evaluate the success of the EHR implementation from a staff, setting, and patient perspective?
- What leadership skills and theories would facilitate collaboration with the interprofessional team and provide evidence-based, patient-centered care?
You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
Week 9 Assignment: Change Paper… see instructions
Assignment: Change Paper Assignment Overview In this assignment, you will assess a current semi-direct or indirect nursing situation that is in need of change. Observe a healthcare environment, focusing on areas of the nursing process that are inefficient, unsafe, or problematic in nature. Diagnose the problem and choose a nursing change theory that suits the change(s) you want to make. Propose a detailed plan based on your chosen change theory, explaining how to implement change. Develop criteria to evaluate the effectiveness of the plan and include a timeline for your change proposal. Finally, reflect on how your change affects the nursing profession. Assignment Details: Perform the following tasks: Complete the reading assignment and the interactive lesson before attempting this assignment. Assess a current semi-direct or indirect nursing situation that is in need of change. o Observe your healthcare environment, focusing on areas of nursing process that are inefficient, unsafe, or problematic in nature. o Diagnose the problem and choose a nursing change theory that suits the change you want to make. o Propose a detailed plan based on your chosen change theory, explaining how to implement change. o Develop criteria to evaluate the effectiveness of the plan and include a timeline for your change proposal. o Reflect on how your change affects the nursing profession. Write a 3-5 page paper following the criteria below: o Your paper should include primary sources and include at least two peerreviewed nursing journal articles. o Citations should be in your own words and not direct quotes. o Include a title page, running head, appropriate headings, and reference page. o The paper should be double spaced, written in Times New Roman, 12-point font, follow APA style format, and cite all sources correctly. Include the proper file naming convention: NUR204_wk9_assn_jsmith_mmddyyy. Grading: Criteria Excellent (3pts) Good (2pts) Needs Improvement (1pt) Pts. Research – Cited 4 or more reliable sources. – Sufficient information provided to support topic. – Research in-depth, revealing new insight. – Cited 4 or more reliable sources. – Adequate information provided to support topic. – Research is superficial. – Missing citations or unreliable sources used. – Information does not support research topic. – Research is not relevant to paper. NUR204: Week 9 Assignment Page 2 ` Content – Appropriate topic is chosen that relates directly to the nursing process. – Proposed plan contains specific ideas for change. – Change theory is included and proposal follows theory. – Timeline is included for change proposal. – Reflection is provided. – Appropriate topic is chosen that relates directly to the nursing process. – Proposed plan is included but missing specifics. – Change theory is included and proposal follows theory. – Timeline is incomplete – Reflection is not relevant to nursing process. – Inappropriate topic is chosen that is unrelated to nursing process. – Proposed plan is inconsistent and missing specifics. – Change theory is missing or inappropriate. Plan does not follow theory. – Timeline is missing. – Reflection is missing. Grammar/Spelling – Consistent and appropriate writing style. – No spelling/grammar errors. – Length is 3-5 pages using Times New Roman, 12-point font – Writing is consistent and appropriate. – Grammar/spelling errors are minor. – Length is less than 3 pages or Times New Roman, 12-point font not used. – Writing is inconsistent and inappropriate. – Significant grammar/spelling errors. – Length less than 3 pages or Times New Roman, 12-point font not used. References/APA – All sources properly cited using APA format. – Includes title page, running head, page numbers, proper paragraphs, and reference page. – All sources properly cited using APA format with minor errors (punctuation). – Includes title page, running head, page numbers, and reference page with minor errors in paragraph format. – Sources not cited correctly. – Missing elements such as title page, running head, and reference page.
Adaptive Response—- Pathophysiology of Desease
Assignment: Adaptive Response
As an advanced practice nurse, you will examine patients presenting with a variety of disorders. You must, therefore, understand how the body normally functions so that you can identify when it is reacting to changes. Often, when changes occur in body systems, the body reacts with compensatory mechanisms. These compensatory mechanisms, such as adaptive responses, might be signs and symptoms of alterations or underlying disorders. In the clinical setting, you use these responses, along with other patient factors, to lead you to a diagnosis.
Consider the following scenarios:
Scenario 1:
Jennifer is a 2-year-old female who presents with her mother. Mom is concerned because Jennifer has been “running a temperature” for the last 3 days. Mom says that Jennifer is usually healthy and has no significant medical history. She was in her usual state of good health until 3 days ago when she started to get fussy, would not eat her breakfast, and would not sit still for her favorite television cartoon. Since then she has had a fever off and on, anywhere between 101oF and today’s high of 103.2oF. Mom has been giving her ibuprofen, but when the fever went up to 103.2oF today, she felt that she should come in for evaluation. A physical examination reveals a height and weight appropriate 2-year-old female who appears acutely unwell. Her skin is hot and dry. The tympanic membranes are slightly reddened on the periphery, but otherwise normal in appearance. The throat is erythematous with 4+ tonsils and diffuse exudates. Anterior cervical nodes are readily palpable and clearly tender to touch on the left side. The child indicates that her throat hurts “a lot” and it is painful to swallow. Vital signs reveal a temperature of 102.8oF, a pulse of 128 beats per minute, and a respiratory rate of 24 beats per minute.
Scenario 2:
Jack is a 27-year-old male who presents with redness and irritation of his hands. He reports that he has never had a problem like this before, but about 2 weeks ago he noticed that both his hands seemed to be really red and flaky. He denies any discomfort, stating that sometimes they feel “a little bit hot,” but otherwise they feel fine. He does not understand why they are so red. His wife told him that he might have an allergy and he should get some steroid cream. Jack has no known allergies and no significant medical history except for recurrent ear infections as a child. He denies any traumatic injury or known exposure to irritants. He is a maintenance engineer in a newspaper building and admits that he often works with abrasive solvents and chemicals. Normally he wears protective gloves, but lately they seem to be in short supply so sometimes he does not use them. He has exposed his hands to some of these cleaning fluids, but says that it never hurt and he always washed his hands when he was finished.
Scenario 3:
Martha is a 65-year-old woman who recently retired from her job as an administrative assistant at a local hospital. Her medical history is significant for hypertension, which has been controlled for years with hydrochlorothiazide. She reports that lately she is having a lot of trouble sleeping, she occasionally feels like she has a “racing heartbeat,” and she is losing her appetite. She emphasizes that she is not hungry like she used to be. The only significant change that has occurred lately in her life is that her 87-year-old mother moved into her home a few years ago. Mom had always been healthy, but she fell down a flight of stairs and broke her hip. Her recovery was a difficult one, as she has lost a lot of mobility and independence and needs to rely on her daughter for assistance with activities of daily living. Martha says it is not the retirement she dreamed about, but she is an only child and is happy to care for her mother. Mom wakes up early in the morning, likes to bathe every day, and has always eaten 5 small meals daily. Martha has to put a lot of time into caring for her mother, so it is almost a “blessing” that Martha is sleeping and eating less. She is worried about her own health though and wants to know why, at her age, she suddenly needs less sleep.
To Prepare
· Review the three scenarios, as well as Chapter 6 in the Huether and McCance text.
· Identify the pathophysiology of the disorders presented in each of the three scenarios, including their associated alterations. Consider the adaptive responses to the alterations.
· Review the examples of “Mind Maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in this week’s Learning Resources. Then select one of the disorders you identified from the scenarios. Use the examples in the media as a guide to construct a mind map for the disorder you selected. Consider the epidemiology, pathophysiology, risk factors, clinical presentation, and diagnosis of the disorder, as well as any adaptive responses to alterations.
· Review the Application Assignment Rubric found under Course Information
To Complete
Write a 2- to 3-page paper excluding the title page, reference page and Mind Map that addresses the following:
· For each of the three scenarios explain the pathophysiology, associated alterations and the patients’ adaptive responses to the alterations caused by the disease processes. You are required to discuss all three scenarios within the paper component of this assignment.
· Construct one mind map on a selected disorder presented in one of the scenarios. Your Mind Map must include the epidemiology, pathophysiology, risk factors, clinical presentation, and diagnosis of the disorder, as well as any adaptive responses to alterations.
USE RESOURCE BELOW FOR REFERENCES
Huether, S. E., & McCance, K. L. (2017). Understanding pathophysiology (6th ed.). St. Louis, MO: Mosby.
- Chapter 6, “Innate Immunity: Inflammation and Wound Healing”
This chapter examines how the body responds to injury and infection by exploring the first, second, and third lines of defense. It also covers wound healing and alterations of the wound healing process.
- Chapter 7, “Adaptive Immunity”
This chapter examines the third line of defense, adaptive immunity. It also covers the roles of antigens and immunogens, the humoral immune response, cell-mediated immunity, and the production of B and T lymphocytes in the immune response.
- Chapter 8, “Infection and Defects in Mechanism of Defense”
This chapter covers the epidemiology, clinical presentation, and treatment of disorders resulting from infection, deficiencies in immunity, and hypersensitivity. It also examines the pathophysiology of an important immune disorder—HIV/AIDS.
- Chapter 9, “Stress and Disease”
This chapter evaluates the impact of stress on various body systems and the immune system. It also examines coping mechanisms and disorders related to stress.
- Chapter 10, “Biology of Cancer”
This chapter explores the developmental process of cancer and factors that impact the onset of cancer at the cellular level. It also describes various treatment options.
- Chapter 11, “Cancer Epidemiology”
This chapter reviews genetic, environmental, behavioral, and diet-related risk factors for cancer. It also examines types of cancers that result from risk factors.
- Chapter 12, “Cancer in Children and Adolescents”
This chapter focuses on the presentation and prognosis of childhood cancers. It examines the impact of genetic and environmental factors on these cancers.
- Chapter 38, “Structure and Function of the Musculoskeletal System”
This chapter covers the structure and function of bones, joints, and skeletal muscle. It also explores effects of aging on the musculoskeletal system.
- Chapter 39, “Alterations of Musculoskeletal Function”
This chapter examines the pathophysiology, clinical manifestations, and evaluation and treatment of bone, joints, and skeletal muscle disorders. Additionally, it explores musculoskeletal tumors, osteoarthritis, and rheumatoid arthritis.
- Chapter 40, “Alterations of Musculoskeletal Function in Children”
This chapter includes musculoskeletal disorders that affect children, such as congenital defects, bone infection, juvenile idiopathic arthritis, muscular dystrophy, musculoskeletal tumors, and nonaccidental trauma.
- Chapter 41, “Structure, Function, and Disorders of the Integument”
This chapter begins with an overview of the structure and function of skin. It then covers effects of aging on skin, as well as disorders of the skin, hair, and nails.
- Chapter 42, “Alterations of Integument in Children”
This chapter covers alterations of the integument that affect children. These include acne vulgaris, dermatitis, infections of the skin, insect bites and parasites, vascular disorders, and other skin disorders.
Hammer, G. D., & McPhee, S. J. (2019). Pathophysiology of disease: An introduction to clinical medicine (8th ed.). New York, NY: McGraw-Hill Education.
- Chapter 3, “Disorders of the Immune System”
This chapter explores the anatomy and physiology of the immune system. It also explores the pathophysiology of various immune disorders such as primary immunodeficiency diseases and AIDS.
- Chapter 8, “Diseases of the Skin”
This chapter begins with an overview of the anatomy and physiology of skin. It also explores the pathophysiology of various types of skin lesions and inflammatory skin diseases.
- Chapter 24, “Inflammatory Rheumatic Disease”
This chapter explores the pathogenesis of inflammation and its role in rheumatic diseases. It also examines the clinical presentation, etiology, pathophysiology, and clinical manifestations of rheumatic diseases such as gout and rheumatoid arthritis.
Required Media
Gastro-oesophageal reflux disease. [Image]. Used with permission of MedMaps.
This media provides examples of mind maps for dementia, endocarditis, and gastro-oesophageal reflux disease (GERD).
We accept
