CASE STUDY ANALYSIS

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QUESTION

An understanding of the respiratory system is a critically important component of disease diagnosis and treatment. This importance is magnified by the fact that oftentimes, the respiratory system works closely with the cardiovascular system. A variety of factors and circumstances that impact the emergence and severity of issues in one system can have a role in the performance of the other.

Effective disease analysis often requires an understanding that goes beyond these systems and their capacity to work together. The impact of patient characteristics, as well as racial and ethnic variables, can also have an important impact.

An understanding of the symptoms of alterations in the respiratory system is a critical step in diagnosis and treatment of many diseases. For APRNs, this understanding can also help educate patients and guide them through their treatment plans.

In this Assignment, you examine a case study and analyze the symptoms presented. You identify the elements that may be factors in the diagnosis, and you explain the implications to patient health.

To prepare:

By Day 1 of this week, you will be assigned to a specific case study scenario for this Case Study Assignment. Please see the “Announcements” section of the classroom for your assignment from your Instructor.

The Assignment

In your Case Study Analysis related to the scenario provided, explain the following

  • The pulmonary pathophysiologic processes that result in the patient presenting these symptoms.
  • Any racial/ethnic variables that may impact physiological functioning.
  • How these processes interact to affect the patient
  • NYHA functional classificationThe New York Heart Association criteria are most often used to assess the functional class of patients with Heart Failure.
    • Class I No limitation during ordinary activity
    • Class II Slight limitation by shortness of breath and/or fatigue during moderate exertion or stress
    • Class III Symptoms with minimal exertion that interfere with normal daily activity
    • Class IV Inability to carry out any physical activity

ASSESSING A HEALTHCARE PROGRAM/POLICY EVALUATION

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Question

Program/policy evaluation is a valuable tool that can help strengthen the quality of programs/policies and improve outcomes for the populations they serve. Program/policy evaluation answers basic questions about program/policy effectiveness. It involves collecting and analyzing information about program/policy activities, characteristics, and outcomes. This information can be used to ultimately improve program services or policy initiatives.

Nurses can play a very important role assessing program/policy evaluation for the same reasons that they can be so important to program/policy design. Nurses bring expertise and patient advocacy that can add significant insight and impact. In this Assignment, you will practice applying this expertise and insight by selecting an existing healthcare program or policy evaluation and reflecting on the criteria used to measure the effectiveness of the program/policy.

The Assignment: 

Based on the program or policy evaluation you selected, complete the Healthcare Program/Policy Evaluation Analysis Template. Be sure to address the following:

  • Describe the healthcare program or policy outcomes.
  • How was the success of the program or policy measured?
  • How many people were reached by the program or policy selected?
  • How much of an impact was realized with the program or policy selected?
  • At what point in program implementation was the program or policy evaluation conducted?
  • What data was used to conduct the program or policy evaluation?
  • What specific information on unintended consequences was identified?
  • What stakeholders were identified in the evaluation of the program or policy? Who would benefit most from the results and reporting of the program or policy evaluation? Be specific and provide examples.
  • Did the program or policy meet the original intent and objectives? Why or why not?
  • Would you recommend implementing this program or policy in your place of work? Why or why not?
  • Identify at least two ways that you, as a nurse advocate, could become involved in evaluating a program or policy after 1 year of implementation.

week 5 project

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QUESTION

Using the Week 5 research template identify the research components, listed on the template. Select a nursing research article from the list below and address each of the following criteria:

If a component is not present in the article, its absence should be discussed.

Identify the research problem.

Identify the research purpose.

Summarize the review of literature.

  • Identify the nursing framework or theoretical perspective. 
  • Identify the research questions and hypotheses.
  • Identify the variables.
  • Identify and discuss the appropriateness of the design.
  • Describe the procedures for data collection
  • Discusses the validity and reliability of the instruments, tools, or surveys.
  • Describe the final sample.
  • Summarize the results including statistical analysis used or other method of analysis.
  • Discuss the significance of the study. Did it resolve the question?
  • Discuss the legal and ethical issues of the study. Include the use of human subjects and their protection.
  • Describe any cultural aspects of the study.
  • Describe how the results of the research may affect future nursing practice.
  • Apply the research to your nursing practice.
  • NOTE: If a component is not addressed, the student receives a zero for that component.
  • (All articles are available in the South University Online Library.)
  • Sousa, J.P., & Santos, M. (2019). Symptom management and hospital readmission in heart failure patients. A qualitative study from Portugal Critical Care Nurse Quarterly 42(1), 81-88.
  • NOTE: Once accessing the article above, you will need to click on the Full Text link in the left navigation bar.

Nurses’ Preparedness and Perceived Competence in Managing Disasters

The Lived Experiences of People with Chronic Obstructive Pulmonary Disease: A Phenomenological Study

NOTE: Once accessing the article above, you will need to click on the Full Text link in the left navigation bar.

Zaken, Z.B, Maoz, E., Raizman, E. (2018). Needs of relatives of surgical patients: Perceptions of relatives and medical staff. MEDSURG Nursing 27(2), 110-116.

Need a 12 slide ppt on public health, information below

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QUESTION

For this assignment you will be creating a PowerPoint presentation to new hire health care workers in your medical facility. Your presentation will contain two parts to effectively address each topic below: 

Part 1: The safeguarding of patient information 

Part 2: The effects of Patient Protection and Affordable Care Act of 2010 (PPACA) on the health care system in the United States

  • In Part I, your goal is to educate new hire health care workers on how to safeguard patients’ medical records and explain to them the legal reporting requirements. You must address each of the following: 
  • Discuss regulations relating to safeguarding health information.

Explain the mandatory contents and legal obligation of providers to maintain accurate medical records.

Explain patient and provider obligations to protect the privacy of health information.

  • Describe the legal defense of an employee accused of mismanaging a patient’s health information.
  • Describe a patient’s legal argument concerning the release of inaccurate information concerning their health to the public.
  • Explain what is meant by legal reporting requirements and identify three reportable events.
  • Part 1 of your presentation should consist of at least six content slides. 
  • In Part 2 of your presentation, you will explain the effects PPACA has had on the health care system in the United States. You must address each of the following:
  • Begin with a brief summary of how health care has been affected by the evolution of the law over time.

Characterize the roles of the major departments within the Department of Health and Human Services (HHS) as they relate to PPACA

Identify five major aims of PPACA.

Discus the impact of the PPACA on the overall health care costs the United States. 

  • Explain how the PPACA has influenced the practice of defensive medicine within U.S. health care programs. Could this practice lead to increased negligence cases? Why or why not?
  • Identify four ways PPACA protects patients.

Peer Response to Ly

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Question

Peer Responses:

Relate to another journal reading

  • As the patient shows clinical manifestation of secondary amenorrhea which is the “cessation of previously regular menses for three months”, her condition should be evaluated with physical examination and appropriate diagnostic tests including serum LH, FSH, TSH, prolactin level; as well as pelvic ultrasonography (to rule out outflow tract obstruction) (Klein, Paradise, & Reeder, 2019). When the diagnostic blood tests are normal, the nurse practitioner (NP) should screen patients for eating disorders, immoderate exercise habits, and nutritional conditions (Klein, Paradise, & Reeder, 2019). Moreover, according to the Advanced Fertility Center of Chicago, the Progesterone Withdrawal Test is an effective test to rule out the root cause of secondary amenorrhea (2020). During this test, the patient is required to take “medroxyprogesterone acetate (Provera) 10 mg orally daily for 5-10 days or one intramuscular injection of 100-200 mg of progesterone in oil.” (AFCC, 2020).  The AFCC advised that a positive test is indicated when the patient has bleeding (not spotting) within 2 weeks after the medication is completed and the diagnosis of anovulation is made; otherwise, the patient can experience hypoestrogenism (2020). The patient in the scenario has trouble interpreting the purpose of progestin in support of the diagnosis and treatment of choice for anovulation as hormonal therapy so the NP should explain the purpose of progestin by providing her high-level scholarly reference as written documents. 
  • However, the NP should interpret the patient’s values, cultural beliefs, and religious practices in planning her treatments. Also, the NP should understand that the patient has the right to refuse the recommended treatment according to the principles of informed consent (Hilger, Raviele, & Hilgers, 2018). The NP can refer the patient to an obstetrics and gynecologist for a second opinion and quadrant her with more options.

NURS 3750 Evidence Base

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Question

Go to the YSU Maag Library webpage: https://maag.ysu.edu/

You must use at least 2 of the Electronic Databases

  • CINAHL

Proquest Nursing 

Medline

  • As you are searching you will need to use your “Keywords” from your PICO question

See the Chapter PowerPoint and pages 92-93 in the Polit and Beck textbook for an explanation of “Keywords”

  • Use Boolean operators to expand or limit your search 

See the Chapter PowerPoint and page 93 in the textbook for more information about using “AND, OR, and NOT” in your search.

  • Reviews relevant to your search words will appear. 

Select articles that seem to apply to your PICO question.

  • Note that you can see the PICOs for the article by clicking on the “Show PICOs” below the review title. 
  • Review these PICO’s to help you understand the relevance of the PICO question to the study.

You must find 5 research articles from these databases that apply to your PICO question. These articles must be on primary (1 study) studies. Systematic reviews or meta-analysis cannot be used.

  • There may be many articles that seem apply to your PICO question. 
  • Make sure to skim through the articles to ensure you pick 5 articles that actually apply to your PICO question, not just your topic. 

The 5 articles that you choose must be less than 5 years old to ensure that only recent, relevant articles are used. 

  • Save the 5 articles that best apply to your PICO.
  • See the instructions in the “Brief Intro to Nursing Databases” PowerPoint above for saving articles.

Save a copy of the link to the article

  • Complete the “Literature Search Assignment Form” with the following information and upload into Blackboard

Your PICO question

  • The 2 Databases that you used for your search

The keywords that you used for your search

What Boolean operator you used

  • List the following for the 5 articles (Does NOT need to be in APA format)

evidence db V

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Question

Overview

In this discussion board, you will review a video on BAD psychology experiments: https://youtu.be/zZ3l1jgmYrY

Watch Video5 Psychology Experiments You Couldn’t Do Today

Duration: 10:55
User: n/a – Added: 9/11/16

 Choose one of the five studies discussed in the video. (You can explore other websites/articles/sources to find out more about the study).

Give some thought to the following questions and post your response in the DB:

In a couple of sentences, summarize what took place in the study.

Address the following:

Why do you believe the participants took part in this study?

What ethical principles were violated in this research study?

Would an experiment such as this be conducted today? Why or why not?

Your initial post must be posted before you can view and respond to colleagues, must contain minimum of two (2) references, in addition to examples from your personal experiences to augment the topic. The goal is to make your post interesting and engaging so others will want to read/respond to it. Synthesize and summarize from your resources in order to avoid the use of direct quotes, which can often be dry and boring. No direct quotes are allowed in the discussion board posts.

Post a thoughtful response to at least two (2) other colleagues’ initial postings. Responses to colleagues should be supportive and helpful (examples of an acceptable comment are: “This is interesting – in my practice, we treated or resolved (diagnosis or issue) with (x, y, z meds, theory, management principle) and according to the literature…” and add supportive reference. Avoid comments such as “I agree” or “good comment.”

Objectives

Identify unethical practices in the conduct of research

Describe how reasoning for participation may be influenced by incentives

  • Discuss measures that are currently in place to prevent unethical research
  • Points: 30

Nursing Excellence-The Engagement – Experiential Learning Project

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Question

My topic is related to medication errors. 

The Engagement – Experiential Learning Project is the culminating academic endeavor of nursing students who earn a baccalaureate degree in nursing from Ohio University. The experiential learning project provides students with the opportunity to explore a problem or issue of particular personal or professional interest that is somehow related to one of the following nursing competencies: patient-centered care, teamwork/collaboration, evidence based practice, quality improvement, safety or informatics (QSEN: http://www.qsen.org) – Please use the Graduate Competencies to complete your assignment.

The project must demonstrate your ability to synthesize and apply the knowledge and skills acquired through this academic program to real-world nursing issues and problems. This final project will affirm your ability to think critically and creatively, to solve practical problems related to nursing practice or the facilitation of patient-centered care, to make reasoned and ethical decisions, and to communicate effectively orally and in writing.  Remember, your project is to be actually implemented during the five weeks of this course. 

Objectives

Students will have the opportunity to synthesize knowledge and apply skills acquired in the nursing academic and practice settings.

Students will extend their academic experience into areas of nursing practice interest, working with new ideas, issues, organizations, and individuals.

Students will demonstrate the ability to think and act critically and creatively about nursing practice issues and will further develop their analytical and ethical leadership skills necessary to address and help solve these issues.

Students will refine the ability to utilize evidence based research and demonstrate proficiency in written and communication skills.

Students will demonstrate achievement of the Ohio University program outcomes and the ability to extend and refine their knowledge and skill in the realization of their personal and professional goals met as a result of the summative experience. 

diversity assign. M

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QUESTION

Overview 

This week, you will consider your own cultural background and how it impacts the care you provide to your patients.

For this written assessment we will focus on cultural competency, humility, and health inequities. First, complete this week’s readings and learning activities.

Then, address the following questions on the template provided.  

Define and describe health inequalities. How would you advocate for patients, families, and communities? 

Discuss your results for each of the test (a brief response for all 6 of the tests). 

Discuss if you are culturally competent or have cultural humility. Or are you not there yet? Why? What are your next steps? 

Points: 40

References

  1. Minimum of four (4) total references: two (2) references from required course materials and two (2) peer-reviewed references. All references must be no older than five years (unless making a specific point using a seminal piece of information)

Peer-reviewed references include references from professional data bases such as PubMed or CINHAL applicable to population and practice area, along with evidence based clinical practice guidelines. Examples of unacceptable references are Wikipedia, UpToDate, Epocrates, Medscape, WebMD, hospital organizations, insurance recommendations, & secondary clinical databases.

  1. Style

Unless otherwise specified, all the written assignment must follow APA 7th edition formatting, citations and references. Click here to download a Microsoft Word APA template. Review this annotated student sample paper guide which draws attention to relevant content and formatting in 7th edition APA style. Make sure you cross-reference the APA 7th edition book as well before submitting the assignment. Refer to the ‘LEARNER SUPPORT’ tab for more information regarding APA 7th edition with comparisons to 6th edition.

  1. Number of Pages/Words

Unless otherwise specified all papers should have a minimum of 600 words (approximately 2.5 pages) excluding the title and reference pages.

MSW 610 week 10 discussion post

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QUESTION

Classroom Participation

Students are expected to address the initial discussion question by Wednesday of each week. Participation in the discussion forum requires a minimum of three (3) substantive postings (this includes your initial post and posting to two peers) on three (3) different days. Substantive means that you add something new to the discussion supported with citation(s) and reference(s), you are not just agreeing. This is also a time to ask questions or offer information surrounding the topic addressed by your peers. Personal experience is appropriate for a substantive discussion, however should be correlated to the literature.

All discussion boards will be evaluated utilizing rubric criterion inclusive of content, analysis, collaboration, writing and APA. If you fail to post an initial discussion or initial discussion is late, you will not receive points for content and analysis, you may however post to your peers for partial credit following the guidelines above.

Initial Response

Instructions:

Explain how CBT and DBT can bring clients closer to the “truth” when it comes to controlling emotions, behavior, and thoughts.

Describe the similarities and differences of both therapies and provide examples of the effectiveness of each therapy in social work practice.

Please be sure to validate your opinions and ideas with citations and references in APA format.

Estimated time to complete: 2 hours

Peer Response

  • Instructions:

Please read and respond to at least two of your peers’ initial postings. You may want to consider the following questions in your responses to your peers:

Compare and contrast your initial posting with those of your peers.  

How are they similar or how are they different?

What information can you add that would help support the responses of your peers?

Ask your peers a question for clarification about their post.

What most interests you about their responses?