CASE STUDY

Calvin is a 36-year-old lawyer who is coming in today for a worsening cough over the past four days. He has had some yellow sputum sporadically throughout the day; he says he has felt hot but has not taken his temperature. He has a history of asthma and has been using his Proventil inhaler every 2 to 3 hours for the past 3 to 4 days. He has no other medication. He says that other than the cough, he feels a little fatigued, and he notices that his energy level is less when he plays hockey with his men’s league twice a week.  His SaO2 is 96%, HR 102, and BP 144/82. He has bilateral wheezes posteriorly on inspiration, worse at the base.

CASE STUDY

Mason is a 55-year-old homeless man who you are seeing today for the first time. He is a smoker and states that he has frequent colds and a routine morning cough. He used to be short of breath just walking up hills, but he now has difficulty breathing with everyday activities and is having trouble finding food because he cannot walk very far. He just wants medicine to help him survive on the streets. On examination, you find him using his accessory muscles to breathe. His vital signs are 99°, 100 beats per minute, 28 respirations/min., and blood pressure 140/90. Breath sounds are distant with end-expiratory wheezes. He has a slight barrel chest and neck vein distention.

Literature Summary

  1. Select and review five research articles related to the practice issue and proposed intervention of your PICOT question from your Week 2 assignment. These articles may include quantitative, qualitative, or mixed methods studies (original research), systematic reviews, meta-analyses, or meta-syntheses (synthesis), or clinical practice guidelines (CPGs).  
  2. Complete one table for each selected article. 
  3. Follow APA grammar, spelling, word usage, and punctuation rules consistent with formal, scholarly writing. 

Include the following sections (detailed criteria listed below and in the grading rubric). 

  1. State the PICOT statement from your Week 2 assignment, including:  
    1. Population (P)
    2. Intervention (I)
    3. Comparison (C)
    4. Outcome (O)
    5. Timeframe (T)
    6. Use standard PICOT format and label each element 
  2. For each article, identify the information as appropriate for the type of article selected
    1. Full APA reference and Chamberlain Library permalink  
    2. Purpose
    3. Methods
    4. Search strategy
    5. Sample and participants
    6. Discussion of inclusion criteria
    7. Findings
    8. Limitations
    9. Relevance to the identified practice issue or proposed intervention
  3. Ensure each article meets the following:
    1. Article is published in a peer-reviewed nursing journal
    2. Publication date is current within five years

Application of Epidemiology

Investigate population health and epidemiological data to learn about prevalent disease trends within your geographic region. Compare and contrast your findings with disease rates and trends in a different geographic area of your choosing.

Statistics from valid, reliable sources such as professional population health-focused organizations, governmental agencies, local and state health departments, and the Centers for Disease Control and Prevention are appropriate sources to validate assessment findings.

Include the following sections (detailed criteria listed below and in the grading rubric)

  1. Prevalent Infectious and Chronic Diseases
    1. Describe the selected geographic region.
    2. Identify the prevalent infectious and chronic diseases in the region.
    3. Compare and contrast the prevalence of those diseases in a separate geographic region of your choosing, noting similarities and differences.
    4. Discuss the variables that contribute to the noted similarities and differences.
    5.  Provide an in-text citation from one scholarly source to support your writing. 
  2. Application of the Epidemiological Model
    1. Select and describe one of the prevalent diseases noted in the previous section.
    2. Discuss physical and social determinants of health that influence the disease process.
    3. Identify and explain one epidemiological model that will be applied to the selected disease (e.g., Epidemiological Triangle, Web of Causation, or another legitimate epidemiological model).
    4. Apply the epidemiological model to the selected disease in a well-developed, comprehensive manner, addressing the entire model.
    5. Provide an in-text citation from one scholarly source to support your writing. 
  3. Levels of Prevention
    1. Explain the levels of prevention used within population health practice.
    2. Discuss one primary prevention to address the disease.
    3. Discuss one secondary prevention to address the disease.
    4. Discuss one tertiary prevention to address the disease.
    5. Provide an in-text citation from one scholarly source to support your writing. 
  4. Reflection
    1. Describe how the advanced practice nurse can monitor the application and efficacy of the prevention strategy.
    2. Discuss how you will apply the identified prevention strategies in your practice.
    3. Reflect on what you have learned from this assignment.

Disaster Recover Plan

PPT and 3 pages script. Please see instructions and files

Community Resources-a2

Please see instructions and files

Research Project

This section of your change project should include:

  1. A reference to the project’s benefits in terms of cost, time, and/or quality that address needs or changes, results, impacts, or consequences that the project has on people, programs, or institutions.
  2. Goals and objectives that are measurable, shared, and hypothetically agreed on by all key stakeholders. They are directly linked to the concept of project success factors.
  3. What variables need to be considered and and whether or not you have control over them.   
    • For example, if you were to implement a clinic-wide practice change, would budget be an issue and how would you address that variable?
    • If you were to implement your study, consider how would you gather data. Would you choose the qualitative or quantitative method?
  4. An explanation of what your research will provide to the community, or to social change.
  5. A description of the desired outcomes: Specifically, state the purpose, focus, and viewpoint of the project as well as its expected accomplishments.
    • While you may not be implementing your project, you should have a goal in mind that relates to solving your problem.
    • Establish a timeline for accomplishing your project goal(s).

This section should be 3–4 pages in length, not including the cover or reference page, and should address the intended outcomes of your project. You must reference a minimum of 3 scholarly articles.

Discussion Post

There are many possible sources of literature available (e.g., electronic databases, such as Medline, Cinahl, and PubMed). Which specific scholarly articles did you use and why did you choose them for your topic?

Health Promotion Plan Presentation

PPT and 3 pages script.

hypothetical health promotion plan

Please see instructions and files