CONSORT

Step 1. Critical:  all else depends on your finding a Randomized Controlled (Clinical) Trial Peer-Reviewed Journal Article (Level II Evidence)  Review Figure 1.1,~ p. 13 of your textbook for the Level of Evidence Pyramid, which shows an RCT is at Level II. When you communicate with physicians about an article, they respect the article more when it is at least on the Level II evidence pyramid, which suggests more credibility and possibly better input regarding outcomes of care.  Find your peer-reviewed Randomized Controlled Trial (RCT) article related to your area of interest.  If you are not sure of how to find articles using our DCN Databases,do the following:

  1. Go to the DCN Home Page
  2. Notice that there are 3 columns and 3 rows, each with a green heading category.  Go to the second row, first column, and click on Databases. Once your see the top heading, Database Access, look below and see “For DCN Students: Database Use Tutorial (MP4 Recording). Study the tutorial, and it will assist you in finding a Randomized Controlled (Clinical) Trial article
  3. If you need further assistance with finding an article after you review the tutorial, email Mr. Madsen, Director of the LRC. He has a Masters of Library Services degree, and can assist you in finding articles that you may not be able to access. If you find an article that charges a fee, e-mail Mr. Madsen the article you need, and he can usually get the full text article for you at no charge. His email address is [email protected].

Step 2.  Once you have your article, read it, and then look at the CONSORT Checklist, and write the page number in the article that has the information the checklist requires. (FYI, researchers who publish their research use this checklist to be sure they have everything in their article, or it is often not accepted by premier scholarly publishers). The checklist is worth 25 points, as it takes time and discernment to do it correctly.

Step 3:  Once your fill out the CONSORT CHECKLIST (25 points), you must then write a formal summary of the Analysis of Strengths and Weaknesses (worth 8 points) that you will notice is on the CONSORT checklist. The following steps are to assist you in distilling the specifics for what is required in the Analysis of Strengths and Weaknesses for the CONSORT checklist. .

Step 4  Specifics of the ANALYSIS OF STRENGTHS AND WEAKNESSES.  Review ~p. 9 of your research textbook, and then note how to write
 

  1. Introduction  (1 point)

                   + Purpose of the RCT (discuss)

  1. Overall Strengths and Weaknesses  (1 point) 

                  +  Research Design (Discuss)

                  +  Important Findings

  1. Reliability and Validity  (2 points) (Check the

     methods, instruments, measurements or

     procedures sections of article); statistics; Level of Evidence and

     implications; cause-effect measurement; any threats to internal

     or external validity

  1. Ethics (1 point)

                  +  IRB? +Conflict of Interest +Informed Consent Signed

  1. Topic/Summary  (2 points)

                 + Implications

                 + Limitations

                 + Recommendation(s)

Community health

Use the internet and other resources (including health department and agency annual reports) to complete the table below. Compare the demographic and health data from the target community to city, state and national data.

Data Table 1:

Community Indicators

Target Community

[Name]

City/County

[Name]

State

[Name]

United States

[or other country or regions]

Demographics

Age

Race

Gender

Education level
(may need to divide this into two or more categories)

Income level (
again, may need categories)

Percent living at or below FPL
(federal poverty line)

Unemployment rate

Data Table 2:

Health Status Indicators

Target Community
[Name]

City/County

[Name]

State

[Name]

United States

[or other country or regions]

Life expectancy

Infant mortality;

Maternal/ child health outcomes

Morbidity and mortality data

(i.e., prevalence of diseases, causes of death; include several categories)

Data Table 3:

Physical/Social Environment

(Tailor to your target problem, include at least 5 indicators)

Target Community
[Name]

City/County

[Name]

State

[Name]

United States

[or other country or regions]

Liquor store density

School readiness/reading proficiency

School absenteeism

Homicide rate

Youth homicide rate

Vacant lot density

Food desert
(percentage assigned)

The Target Community is “Annapolis Family support center”. Please google it to see what they do and fill out the above table as you search for the information on the internet.

Conc of Pathophys w4 discussion

Week 4 Discussion: Respiratory Alterations (USLOs 1, 2, 3, 4)

You are caring for 8-year-old Elliot Collins. He was admitted to the Pediatric Intensive Care Unit (PICU) with status asthmaticus after suffering an asthma attack while playing football in the neighborhood with some friends.

Based on this information, your prior knowledge of this client (refer to medical card from the Collins-Kim family tree interactive), and your knowledge of the pathophysiology of  asthma, respond to the following prompts:

1. Thoroughly explain the pathophysiology of asthma. Use a 
scholarly or 
authoritative source to support your answer.

2. Examine each of the following three factors related to this disease process. 
Support all three with a scholarly source.

1. cultural

2. financial

3. environmental implications

3. Identify 3-5 priority nursing interventions for the client while in the PICU.

4. Describe labs and diagnostic testing you would want to include in client’s plan of care and why. What are critical indicators? 
Support with a scholarly source.

5. What members of the interdisciplinary team need to be included for holistic patient-centered care? 
Provide a rationale and support with a scholarly source.

Reflection Week 2

 

Write 1-2 paragraphs reflecting on your learning for the week. Guiding questions are provided or you may write about what you felt was most significant to you for the week.

  • What do you most look forward to in your new role as an NP?
  • What concerns do you have about transitioning to the role?
  • Did anything about the APN roles surprise you?

BUILDING A HEALTH HISTORY

  

Post a summary of the interview and a description of the communication techniques you would use with your assigned patient.

 Explain why you would use these techniques. 

Identify the risk assessment instrument you selected and justify why it would be applicable to the selected patient.

 Provide at least five targeted questions you would ask the patient.

Case study 50 year old LBTQIA male graduate student working in the college bookstore

Academic and Professional Network

 

Complete Part 1 of your Academic Success and Professional Development Plan Template. Be sure to address the following:

  • Identify at least two academic and at least two professional individuals or teams to collaborate with to be successful in your MSN program and as a practicing nurse.
  • Explain why you selected these individuals and/or teams and how they will support your success in the MSN program and as a practicing nurse.

 This criterion is linked to a Learning Outcome 

Complete Part 1 of your Academic Success and Professional Development Plan Template. Be sure to: · Identify at least two academic and at least two professional individuals or teams to collaborate with to be successful in the MSN program and as a practicing nurse 

 Explain why these individuals and/or teams were selected. Explain how these individuals and/or teams will support success in the MSN program and as a practicing nurse. 

 Written Expression and Formatting—English Writing Standards: Correct grammar, mechanics, and proper punctuation 

Complete Part 1 of your Academic Success and Professional Development Plan Template. Be sure to: · Identify at least two academic and at least two professional individuals or teams to collaborate with to be successful in the MSN program and as a practicing nurse h

Hinduism


Hindu Deity Discussion

Discuss the following:

It is said that there are over 

330 million gods and goddesses
 within the Hindu religion and each god/goddess has his or her own story that reveals his or her own religious significance. For this discussion, you will be selecting 


2 different Hindu gods/goddesses

 of your choosing that you would be interested in learning more about.

For each selected Hindu deity, you must provide the following:

1.
Name and Title (Ex: Vishnu, God of Preservation)

2.
Image of the deity

3.
Brief explanation of why you chose that specific god/goddess. Below are some examples of this:

· Maybe that Hindu god/goddess reminds you of a Christian saint or biblical character who is the Catholic patron/patroness of a particular human endeavor, career field, or avocation that somehow pertains to you.

· Ex: Saint Cecilia Patroness of Musicians and Sarasvati Hindu Goddess of Music

· Maybe you found the specific image of that god/goddess intriguing.

· Maybe there is a pop culture reference to the deity.

· Ex: TV series, movie, book, video game, etc.

4.
Deity in Scripture

· Summarize a story from the Hindu scriptures in which that the deity plays a major role.

· This can be their origin story or another important story about the deity.

5.
Relationship to other Hindu Deities

· How is this specific deity related to at least 

2 other Hindu deities?

· Ex: Is the selected deity a mother/father to another deity or possibly a husband/wife of another deity?

6.
Imagery & Symbolism

· Explain the traditional symbolism associated with the selected deity.

· Ex: Color of their skin, why they are depicted with specific animals, pose or stance in which they are depicted, any object they may be holding or that are depicted around them

 

Submission Instructions:

·
Your post should be at least 200 words. You must include all of the required elements within your post.

Websites for assistance in selecting specific Hindu gods/goddesses:

·

BBC: God or Gods?Links to an external site.

·

Hindu GalleryLinks to an external site.

·

Hindu Gods and GoddessesLinks to an external site.

·

Information on HinduismLinks to an external site.

·

Ten of the Most Important Hindu GodsLinks to an external site.

NB: No direct quotation

Nursing Homework

Aron Ralston, an avid outdoorsman, was hiking in a narrow canyon in Southern Utah when he upset a large boulder that rolled down the canyon after him. As it fell, the boulder relodged itself between the narrow canyon walls and in the process pinned Aron’s right wrist between the boulder and the canyon wall. Aron was alone and was unable to free himself from the situation. After being trapped for five days, with no help arriving, Aron eventually made the decision to free himself by breaking the bones in his forearm with the weight of his body and amputating his hand with a dull pocketknife. After freeing himself, he hiked an additional seven miles before the search and rescue crews found him. His arm required further surgery to repair it. After the surgery, the nurses would ask Aron, “On a scale of 0-10, what is your pain level with 0 being no pain and 10 being the most pain you have ever experienced?”. Aron would reply, “0.25”. When asked about giving such an odd answer, he stated that even though he was in pain after the surgery, it was minimal compared to the pain he experienced when he cut through his ulnar nerve to free himself from being trapped by the boulder.

1. As you reflect on this story, how does it help you understand that pain is a subjective experience for your client? What types of questions will you ask your client to adequately assess their pain level?

2. Why is it important to understand that not all clients experience pain the same?

3. What objective data may be noted when a client is in pain?

4. How might pain be manifested in vital sign measurements?

5. What effects might chronic pain have on the general health of a client?

Theory Logic Model for a Project

Please see the attachment for instructions

Module 3 Discussion

Single-payer Systems – What Works (and What Doesn’t Work) Outside of the United States

After researching a country (outside of the United States) with a single-payer health care system, share a summary of information regarding how the single-payer system works in that country of your choice. Include both the specific benefits and specific drawbacks of the system. Look at the discussion board to see what countries’ information has already been posted, and choose a country that is not posted yet to ensure a wide variety of examples for us to review. Your summary should be a concise 200-word response, using peer-reviewed sources to find facts to support your points.