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Please write a paragraph responding to the discussion bellow. Add citations and references in alphabetical order.

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Qualitative research method is done through observations and experiments in order to attain data from a population or sample. One of the characteristic of qualitative data is that they are huge in amount. These is not usually collected in a systematic manner and the qualitative researchers may not use any instruments while collecting data. They take field notes most of the time to help stock data or write down the key points or words. It is fortunate that recent advances in computer technology and software has made it possible to manage the mountain of words in an efficient way. The team should have many researchers in order to manage and organise data in an effective way. Having the man-power behind the organization of this method would cut down on the individual’s work by organizing survey data by question, respondent and sub-topic, and would save time and resources. It is important because the data found can be organized in a much simpler way for easy analysis. The group may desire to group all the responses for each questions together for example responses for question one together, question twos together and so on. When these methods are incorporated while performing a qualitative research study it would be beneficial to the research team in interpreting their results.

Reference

Johnson, B., Dunlap, E., & Benoit, E. (2010). Structured qualitative research: Organizing “mountains of words” for data analysis, both qualitative and quantitative. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC28382…

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Please write a paragraph responding to the discussion bellow. Add citations and references in alphabetical order.

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Experimental design provides the greatest amount of control possible to examine the causality. There are three main characteristics: 1) Controlled manipulation of at least one of the treatments, 2) Exposure of treatment to some of the subjects but no exposure to the remaining subjects.3) Random assignments to the control (no treatment) and the experimental group. Examples of experimental groups would be any of the drug treatment research, currently would be the use of Tylenol and ibuprofen simultaneously gives the same amount of pain relief as opioid medications without the mind altering effects.

Non experimental design focuses on examining variables as the are naturally occurring in an environment without any implementation of a treatment. I would think of this like studying the growth charts of babies in different cultures and different countries to see how the environment that they live in effects the growth curve. Non experimental design offers no control over the outcomes.

Quasi-experimental appraoch is like the middle man where there is less controlled conditions.

Reference:

Burns, N., Gray, J., Grove, S. (2015). Understanding Nursing Research, Building an Evidence-Based Practice, 6th Edition. Elsevier Saunders, St.Louis, Missouri.

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Please write a paragraph responding to the discussion bellow. Add citations and references in alphabetical order.

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Research is the fundamental backbone of advancement on medicine and critical in identifying the most optimal use of medicine and medical equipment. In order to do so, researchers need to identify the most efficient method of evaluation according to what the study is about.

On one hand, qualitative research is characterized by understanding some aspect of social life and its methods are done using data other than numbers. They can seem imprecise at times but are very effective when used conducting a study that is measuring feels, opinions, or likes/dislikes. An example, if a study was conducting on which music station the patients prefers to be playing overhead in the hospital; the qualitative method would be the appropriate choice. It aims to understand the experiences and attitudes of patients, a community or healthcare workers in the health field. It focus on the ‘what’, ‘how’ or ‘why’ of a phenomenon.

On the other hand, a researcher that is conducting a study on how many people enjoy having music being played overhead in the hospital, it would be important to chose the quantitative method that focuses on the ‘how many’ or ‘how much’. Neither method is superior than the other, it is important for the researcher to choose the correct method that will correctly frame the study the researcher seeks answers for.

McCusker, K., & Gunaydin, S. (n.d.). Research using qualitative, quantitative or mixed methods and choice based on the research. PERFUSION-UK, 30(7), 537–542. https://doi-org.lopes.idm.oclc.org/10.1177/0267659

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Please write a paragraph responding to the discussion bellow. Add citations and references in alphabetical order.

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I work in corrections and the prison that I work at houses the sickest and the oldest in the state, it is basically a geriatric prison. We are like this because we are a single level facility with a dialysis center inside. Deaths fluctuate at the facility, we can go many months without a death to just recently having 4 in one month. I don’t know why but being around the body is what makes me still uncomfortable to this day. When we have a patient on hospice and passes and we have to listen for heart sounds, being that close makes me uncomfortable. This just happened this week and I was in the with the same orderly the last time I had to do this, and I had made the comment to him that this doesn’t get any easier, he agreed. For me though death is a part of life that happens, and you will never know when it will happen. This may be different for those who have been diagnosed with something terminal and may have an actual perimeter. But for me death has always been a part of life.

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Please write a paragraph responding to the discussion bellow. Add citations and references in alphabetical order.

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Based on the data provided, there are many health risks associated with being obese. According to the National Institute of Health (NIH, nd), based on his weight and height his body mass index (BMI) is a close assessment of how much body fat an individual is carrying around. The higher your BMI is, puts you at greater risk for developing health risks. Mr C. is 5ft 6in and weighs 296lb which calculates his BMI at 47.8. This scores puts Mr. C. in the category of obese. Mr. C. health risk due to his obesity includes the following: High blood pressure. Uncontrolled blood pressure puts him at multiple health risks such as, stroke, heart attack/failure, kidney failure, vision loss, peripheral artery disease, angina and sexual dysfunction (American Heart Association, 2017). Obstructive sleep apnea is associated with obesity. The upper airway closes due to loss of muscle tone causing more frequent closing of the airway (American Heart Association, 2017). Mr. C is also at risk for diabetes and hyperlipidemia.

Mr. C. has been struggling with weight his entire life up to know. Information regarding past attempts to diet and exercise is not provided. According to the National Institute of Diabetes and Digestive and Kidney Disease, (2016). Mr. C. is a potential candidate for gastric band only based on his BMI of > 40 and having a serious health problem of type 2 diabetes and sleep apnea. The National Institute for Care and Health Excellence, (2016) also states that adults with a BMI >30 and have had type 2 diabetes for less than 10 years should receive a bariatric surgical assessment without any prior attempts to reduce weight through diet and lifestyle changes.

Medication Schedules

6 am-Carafate

7am- Breakfast

11am- Carafate

12pm- Lunch

5pm- Carafate

6pm- Dinner

10pm- snack

Bedtime -Zantac

Ranitidine and Carafate should be taken 2 hours apart from each other for best absorption.

Assessment of Mr. C’s functional health patterns:

Health Perception- He realizes that his weight has gotten out of control due to him seeking information on weight reduction surgery. He is trying to manage his HTN with dietary modification and does not seek out expert opinion for proper management.

Nutritional/Metabolic- He weighs 296lb which put him in the obese category. His BMI is 47 with HTN and Diabetes. He consumes three meals and a snack.

Activity/Exercise- Works at a telephone center where he very likely sits for eight hours in a day at minimum. No mention of any daily activity.

Sleep/Rest- Has sleep apnea which does not allow a good night’s rest due to frequent awakening from apneic episodes. States he sleeps at 10pm and is up by 6 am this would potentially give him approximately eight hours of sleep, but not in the presence of sleep apnea which never allows you to fall into the deep sleep in order to feel and get adequate rest.

Cognitive Pattern- Is able to maintain a job. Can communicate clearly based on the duties of his job at a telephone center. Understands his need to seek help for his weight.

Self-Perception- He is definitely not comfortable with his weight and has not been since childhood based on his self-report of considering himself “heavy” as a child. He may have body image issues and low self-esteem.

Role relationship- His is 32 years old and single. There is no mention of him being in a relationship and may feel as though he is not wanted by the opposite sex based on his appearance.

Sexuality/Reproductive- Does not have any children. He is single.

Elimination-No information provided.

Coping/Stress tolerance- He looks as though he may be coping with stress through food and using food as an outlet putting him in a vicious unhealthy pattern.

The following are five actual or potential problems identified:

Ineffective health maintenance as evidenced by multiple chronic conditions and lack of appropriate health seeking behaviors.

At risk for delayed surgical recovery due to high levels of blood glucose and insulin resistance.

Imbalanced nutrition more than body requirements as evidence by a BMI of 47.8, putting him at a dangerously level of obesity that requires immediate action.

Activity intolerance as evidenced by being obese and sedentary lifestyle that includes working in an environment that requires sitting for majority of the work day.

At risk for non-compliance with heart healthy diet and exercise regimen. If Mr. C. gets obesity surgery he will need extensive education and teaching on an appropriate diet and exercise program. He has been overweight as a child and has either never been educated on or was never able to comply with dietary restrictions to induce weight loss or has incorporated levels of activity that promotes a healthy heart and healthy weight.

References

American Heart Association. (2016). HDL (Good), LDL (Bad) Cholesterol and Triglycerides. Retrieved from http://www.heart.org/HEARTORG/Conditions/Cholester…

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Please write a paragraph responding to the discussion bellow. Add citations and references in alphabetical order.

Based on the data provided, there are many health risks associated with being obese. According to the National Institute of Health (NIH, nd), based on his weight and height his body mass index (BMI) is a close assessment of how much body fat an individual is carrying around. The higher your BMI is, puts you at greater risk for developing health risks. Mr C. is 5ft 6in and weighs 296lb which calculates his BMI at 47.8. This scores puts Mr. C. in the category of obese. Mr. C. health risk due to his obesity includes the following: High blood pressure. Uncontrolled blood pressure puts him at multiple health risks such as, stroke, heart attack/failure, kidney failure, vision loss, peripheral artery disease, angina and sexual dysfunction (American Heart Association, 2017). Obstructive sleep apnea is associated with obesity. The upper airway closes due to loss of muscle tone causing more frequent closing of the airway (American Heart Association, 2017). Mr. C is also at risk for diabetes and hyperlipidemia.

Mr. C. has been struggling with weight his entire life up to know. Information regarding past attempts to diet and exercise is not provided. According to the National Institute of Diabetes and Digestive and Kidney Disease, (2016). Mr. C. is a potential candidate for gastric band only based on his BMI of > 40 and having a serious health problem of type 2 diabetes and sleep apnea. The National Institute for Care and Health Excellence, (2016) also states that adults with a BMI >30 and have had type 2 diabetes for less than 10 years should receive a bariatric surgical assessment without any prior attempts to reduce weight through diet and lifestyle changes.

Medication Schedules

6 am-Carafate

7am- Breakfast

11am- Carafate

12pm- Lunch

5pm- Carafate

6pm- Dinner

10pm- snack

Bedtime -Zantac

Ranitidine and Carafate should be taken 2 hours apart from each other for best absorption.

Assessment of Mr. C’s functional health patterns:

Health Perception- He realizes that his weight has gotten out of control due to him seeking information on weight reduction surgery. He is trying to manage his HTN with dietary modification and does not seek out expert opinion for proper management.

Nutritional/Metabolic- He weighs 296lb which put him in the obese category. His BMI is 47 with HTN and Diabetes. He consumes three meals and a snack.

Activity/Exercise- Works at a telephone center where he very likely sits for eight hours in a day at minimum. No mention of any daily activity.

Sleep/Rest- Has sleep apnea which does not allow a good night’s rest due to frequent awakening from apneic episodes. States he sleeps at 10pm and is up by 6 am this would potentially give him approximately eight hours of sleep, but not in the presence of sleep apnea which never allows you to fall into the deep sleep in order to feel and get adequate rest.

Cognitive Pattern- Is able to maintain a job. Can communicate clearly based on the duties of his job at a telephone center. Understands his need to seek help for his weight.

Self-Perception- He is definitely not comfortable with his weight and has not been since childhood based on his self-report of considering himself “heavy” as a child. He may have body image issues and low self-esteem.

Role relationship- His is 32 years old and single. There is no mention of him being in a relationship and may feel as though he is not wanted by the opposite sex based on his appearance.

Sexuality/Reproductive- Does not have any children. He is single.

Elimination-No information provided.

Coping/Stress tolerance- He looks as though he may be coping with stress through food and using food as an outlet putting him in a vicious unhealthy pattern.

The following are five actual or potential problems identified:

Ineffective health maintenance as evidenced by multiple chronic conditions and lack of appropriate health seeking behaviors.

At risk for delayed surgical recovery due to high levels of blood glucose and insulin resistance.

Imbalanced nutrition more than body requirements as evidence by a BMI of 47.8, putting him at a dangerously level of obesity that requires immediate action.

Activity intolerance as evidenced by being obese and sedentary lifestyle that includes working in an environment that requires sitting for majority of the work day.

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At risk for non-compliance with heart healthy diet and exercise regimen. If Mr. C. gets obesity surgery he will need extensive education and teaching on an appropriate diet and exercise program. He has been overweight as a child and has either never been educated on or was never able to comply with dietary restrictions to induce weight loss or has incorporated levels of activity that promotes a healthy heart and healthy weight.

References

American Heart Association. (2016). HDL (Good), LDL (Bad) Cholesterol and Triglycerides. Retrieved from http://www.heart.org/HEARTORG/Conditions/Cholester…

 

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