Discussion Patho 5

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  1. Describe diagnostic criteria for nausea and vomiting and treatment recommendations
  2. Discuss symptoms of GERD, complications, and drug management
  3. Compare and contrast Crohn’s disease and Ulcerative colitis
  4. Discuss Diabetes, its causes, symptoms, and treatment 

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in the current APA style with support from at least 2 academic sources.

Discussion Post

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Mrs. Demetilla Hernandez is a 63-year-old Cuban woman who seeks consultation at the Liberty health-maintenance organization (HMO) clinic because of weakness, lethargy, and fatigue that she has experienced for the last 2 months. A week ago, while cooking dinner at her daughter, Mariana’s house, she momentarily lost her balance and slipped on the kitchen floor. Although Mrs. Hernandez sustained only a mild bruise on her leg, her daughter insisted on taking her to the clinic for a check-up because of her persistent symptoms.

Mrs. Hernandez, widowed 4 years ago when her husband died of a heart attack, lives with Mariana, aged 40. Mariana is divorced and has three children: Luis, age 15; Carolina, age 10; and Sofia, age 7. Since moving into Mariana’s house, Mrs. Hernandez has been managing the household while Mariana is at work. Mrs. Hernandez prepares the family’s meals, attends to the children when they come home from school, and performs light housekeeping chores. Mariana is employed full-time as a supervisor at the local telephone company. The family, originally from Cuba, has been living in Miami for 12 years. Carolina and Sofia were born in Miami, but Luis came from Cuba with his parents when he was 3 years old. Mrs. Hernandez, who does not speak English, converses with her daughter and grandchildren in Spanish. Although the children and their mother occasionally speak English among themselves, the family’s language at home is Spanish.

At the Liberty HMO clinic, Mrs. Hernandez was diagnosed with essential hypertension and non–insulin-dependent diabetes mellitus. The physician prescribed an oral hypoglycemic drug and advised Mrs. Hernandez to exercise daily and to limit her food intake to 1500 calories a day. Mrs. Hernandez was concerned because she usually prepares traditional Cuban meals at home and was not sure whether she could tolerate being on a diet. Besides, she explained to Mariana, she thought the dishes she prepares are very “healthy.” Proof of that, she stated, is that her three grandchildren are plump and nice-looking. Mrs. Hernandez told her daughter that, instead of buying the prescribed medicine, perhaps she should go to the botanica and obtain some herbs that would help lower her blood sugar.

  1. What are the typical Cuban communication patterns you need to be aware of in dealing with Mrs. Hernandez?
  2. How would you assist Mrs. Hernandez in developing a plan for a 1500-calorie diet and regular exercise?
  3. Would you encourage Mrs. Hernandez to go to the botanica to purchase some herbs? How would you approach her desire to use herbs instead of the prescribed oral hypoglycemic agent?
  4. Discuss some common folk practices that Cuban families may use to maintain health or cure common ailments.

Diversity Discussion 5

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  1. Describe the family structure of some East Indian Hindu families and the effect the family organization may have on health-seeking behavior.
  2. What are the contributing factors that lead to the high birth rate in Haiti and among Haitian immigrants? 
  3. List religious needs a Jewish client may have while being hospitalized with which nursing staff can assist. 

Submission Instructions:

  • Your initial post should be at least 500 words, formatted, and cited in current APA style with support from at least 2 academic sources.  

Module 4 Concept Map

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  1. Read Chapter 5 – The Health Care Delivery System in The Future of the Public’s Health in the 21st CenturyLinks to an external site.

https://www.ncbi.nlm.nih.gov/books/NBK221227/

Download the Concept Map Actions and fill in the six concepts that you found are important to provide equitable healthcare services. (No handwritten assignment will be accepted).

Module 4 discussion

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  1. Watch the short video Ethics in Action – Drivers of Migration, Human Trafficking, and Modern SlaveryLinks to an external site..
  2. Choose one of the basic five ethical principles listed below and describe how it applies to the issues in the video:
    1. Autonomy
    2. Justice
    3. Beneficence
    4. Non-maleficence
    5. Fidelity
  3. Write an original post (at least 240 words or more) on your thoughts, feelings and similar experiences. Use at least one reference to support your ideas.

Placenta Acreta and its risks

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3-4 paragraph  APA format single spaced, on Placenta accreta and its risks. Watch for AI usage, must be under 8% and must include research information on how placenta accreta is causes and what its risks are. 

Lesson 9 Discussion

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  1. Now that you know how to search, appraise, and synthesize the evidence, find an EBP systematic review, guideline, or protocol to help you resolve the proposed problem in your EBP project. 
  2. Use one of the secondary source articles from the EBP group project  (preferable a systematic review).
  3. Title the discussion with the name of your EBP project.
  4. Initial post: Your post should be within a range of 150-200 words.
  5. Write a paragraph synthesizing the following questions:
    1. Identify the variables of interest. Does it has clearly stated objectives with pre-defined eligibility criteria for studies
    2. a systematic search that attempts to identify all studies. Describe the search methods. Keywords, databases, inclusion, exclusion criteria.
    3. Were clinical and methodological similarities between compared studies. Were the studies homogeneous or heterogeneous?
    4. Was the assessment of the validity of the findings of the included studies (e.g. risk of bias)
    5. Were methods for appraising the strength of evidence (level and quality) described.
    6. Were conclusions based on results?

APA Format 7th Edition.

Doctoral Writing 1

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 Doctor of Nursing Practice-prepared nurses provide grammatically accurate written summary material that conveys purpose. 

nursing statistics

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Discussion Topics and Questions 

Find a published research study on a topic that you could use for your DNP project that used an independent t-test and find this information from the study:

  • Give the purpose/objective/aim of the study exactly as it is written in the study.
    • What is the population in the study?
    • What is the independent (treatment or intervention) variable?
    • What is the dependent (outcome) variable? If there are multiple dependent variables, choose only one for the focus of this discussion. What is its
    • level of measurement (nominal, ordinal, interval, ratio)? Is it a categorical or continuous variable? You can often determine this as you read the Methods section of the report.
  • If a hypothesis was stated in the article for the independent t-test, give it here and label it as a Ho or Ha. Write the stated hypothesis as an equation. Write the other hypothesis (the Ho or Ha that was not given) in words and an equation. If a hypothesis was not stated, then restate the purpose/objective/aim as a null hypothesis in words and equation format. Do this for both a null and alternative hypothesis. Again, focus on only one independent variable and one dependent variable. Use the format on pp. 217-218 of Kim et al. (2022) and the handout attached to the announcement for this week.
  • What are the assumptions for the independent t-test (Kim et al., 2022, p. 217)? Are they met in this study? Provide information given in the study that can be used to determine whether each assumption is or is not met. What information is not given?
  • What alpha level (level of significance) was used?
  • What are the groups that were tested?
  • Give the mean values with the standard deviation for the outcome variable for the groups.
  • Give the t-statistic, if provided, and p-value for the difference in mean values for the DV you are focusing on.
  • Specifically state the p-value rule for the results of this study to determine whether to reject or fail to reject the null hypothesis.
  • Based on the decision made about the null hypothesis, what type of error is possible (Kim et al., 2022, pp. 131-132 and Table 7-3).
  • What are the usual causes of this type of error? Are any of them present in the methodology for this study?
  • Give the confidence interval for the difference in mean values, if provided. Use the confidence interval around a difference in mean values rule (given in the Overview in Module 5) to determine whether to reject or fail to reject the null hypothesis.
  • The effect size for t-test results is reported as a Cohen’s d statistic (Kim et al., (2022, p. 134). Give this value, if given in the study, and interpret what it means (use the guidelines in the Overview in Module5) in terms of the magnitude or clinical meaningfulness (clinical significance) of the result. If not given, determine the clinical significance of the difference in mean values by using your knowledge, critical thinking, and experience with your patients and setting, would you incorporate the intervention or treatment into your practice? Is your evaluation of the clinical significance of the findings consistent with the statistical significance for the findings and the value of the effect size? Explain your rationale.

Find a published research article the used a paired t-test to test the difference in mean values at two different times.

  • State the null and alternative hypotheses in words and an equation for the outcome variable. You will need to write this from the purpose/objective/aim if a hypothesis is not given.
  • Describe the two times the dependent (outcome) variable was measured.
  • Give the two mean values for the outcome variable for the two times.
  • Give the t-statistic and p-value for the difference in mean values.
  • Specifically state the p-value rule to determine whether to reject or fail to reject the null hypothesis.

Case study 2

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Students much review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references. Answer both case studies on the same document and upload 1 document to Moodle.

The answers must be in your own words with reference to the journal or book where you found the evidence to your answer. Do not copy-paste or use a past students work as all files submitted in this course are registered and saved in turn it in program.

Turn it in Score must be less than 30 % or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 30. Copy-paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement.

All answers to case studies must-have reference cited in the text for each answer and a minimum of 2 Scholarly References (Journals, books) (No websites)  per case Study