Case Soap Note

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Please see attachment 

250 word dEVELOPING A PICOT Question Nursing

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Due 9/13  6 pm EST

250 WORDS not including references APA

 

According to the American Association of Colleges of Nursing, the Masters prepared nurse “recognizes that the master’s-prepared nurse applies research outcomes within the practice setting, resolves practice problems, works as a change agent, and disseminates results.” Many research ideas emerge from practice and/or the educational environment. Formulating a well-built research question is challenging. Asking the right question facilitates the search process when conducting a review of the literature.

Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer reviewed journal evidence to support the student’s position.

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

Discussion

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** Read the document, NCLEX-RN Test Plan version (April 2023) pdf that is posted below.

Respond to the following:

Question will be posted in chat

Advanced Nursing Inquiry and Evidence Based Practice

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Identify an article that is at least five years old. Summarize the statistical findings and discuss the significant it has on nursing.

Please post your initial post by Wednesday midnight with 400 words and one scholarly article. Please answer two peers by Saturday midnight. 

Discussion post for Presidential Agendas

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Resources to use:

 

 

To Prepare:

  • Review the Resources and reflect on the importance of agenda setting.
  • Consider how federal agendas promote healthcare issues and how these healthcare issues become agenda priorities

 Post your response to the discussion question: Consider a population health topic that rises to the presidential agenda level. Which social determinant most affects this health issue? How did two recent presidents handle the problem? What would you do differently?

sociology discussion 7

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Respond to two (2) of the following prompts:

  1. Describe formal and informal education. From your experiences with schooling, provide specific examples of each and explain how they are built into the curriculum or culture of the school. (USLO 6.1)
  2. Reflecting on your own experience (or your child’s) with schooling, explain one sociological theory that best relates to your (or your child’s) academic journey. Describe two examples of how this theory applies to your schooling. (USLO 6.4)
  3. What do you think is the most significant concern with the education system today? Provide a suggestion for how this issue could be improved. (USLO 6.3)
  4. What is the difference between mainstreaming and inclusion? Which do you think is the optimal way to include people with disabilities in the classroom and why? (USLO 6.2)
  5. Karl Marx studied the social impact of religion and believed religion reflects the material base, which is comprised of the means and modes of production and the relations of production. Marx argued that religion maintains inequality and perpetuates the status quo. Is Marx’s argument that religion maintains inequality and perpetuates the status quo true? Present an example that supports your assessment of Marx’s argument. (USLO 6.8)
  6. Emile Durkheim argued that religion promotes social cohesion, and social control, as well as offering meaning and purpose to human life. Is Durkheim’s argument true? Present an example that supports your assessment of Durkheim’s argument. (USLO 6.8)
  7. What is required of a society for its political structure to be considered democratic? While this question might seem straightforward, it is not and is a topic of contentious debate in current political philosophy circles. The Democracy Index lists 60 different indicators that must be considered when discerning whether a nation is a democracy. While you in no way will be expected to discuss all indicators, please talk about a few of the conditions that must exist for a government to qualify as a democracy. Include textual evidence to support your view. (USLO 6.5, 6.6)
  8. In recent years in the United States, citizens have increasingly made claims that our judicial system is institutionally racist. Evidence provided for these claims has pointed toward unfair drug sentencing laws, stop and frisk policies, the use of police force, and the overwhelming number of black men in prisons and jails in comparison to the rest of the population. Select one claim and discuss whether these claims have merit, presenting specific examples to support your position. Include textual evidence to support your view. (USLO 6.7)

discussion post communication

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Complete the Typefinder Personality TestLinks to an external site.. For the class discussion, post your response to the following questions:  

  • Did taking the test provide you with any new insight?  
  • How might considering the personalities of those with whom you interact support interpersonal communication? When possible, provide examples from your own experience.  
  • Discuss strategies for resolving disagreements and conflicts. Describe a time that you have dealt with a conflict or disagreement in a professional setting and how you handled the situation?  
  • Could it have been handled better if you were in the same situation again?   
  • Incorporate strategies found in the unit presentations, textbook, or other professional or academic sources.   

Additionally, view the TED Talk “The Power of Introverts”Links to an external site. by Susan Cain (TED, 2012). Respond to the following questions:  

  • Did her talk give you any new perspective on the process or skill of communication, especially with regard to personality and interpersonal engagement?  
  • Share how you may relate to her talk and/or to the material we studied for this week. 

Be sure to respond to your peers as well.  As a reminder, connect to a scholarly source beyond the TED Talk. 

Reference

TED. (2012). The power of introverts. https://www.ted.com/talks/susan_cain_the_power_of_introverts 

Nursing Pathophysiology case study assignment

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Assignment #1: Musculoskeletal Conditions 

Please kindly use (APA, 7th ed.) references separately under each question.

Case Study 

Mrs. L is a 63-year-old woman who reports constant back pain. Further inquiry into her medical history revealed that over the past 3 years, she has suffered fractures of her femur and wrist after minor falls. She experienced menopause at age 49. Mrs. L has a secretarial job, drives to work, and she “does not have time for exercise.” She reports that she consumes 8 to 10 cups of coffee a day and has been a smoker most of her adult life. She has not seen her physician recently nor had a recommended bone density test because of the time and cost involved.

Questions

. Relate Mrs. L’s history to the diagnosis of osteoporosis. What risk factors are present,

  and how does each predispose to decreased bone density?

. Explain the cause of pathological fractures in this patient.

. How could osteoporosis have been prevented in Mrs. L? 

. Discuss the treatments available to the patient.

Assignment  #2: Cardiovascular system 

Please kindly use (APA, 7th ed.) references separately under each question.

Case Study: 

Mr. K. is a 57-year-old man who consulted his physician after noticing marked leg pains while playing golf. He had previously noticed increasing fatigue and discomfort in his legs associated with moderate exercise. When sitting for extended periods with legs dangling, his legs became red, and sometimes his feet felt numb. His history indicates he smokes cigarettes and is chronically overweight. His blood cholesterol and other lipid levels are abnormal, and his physician suspects peripheral atherosclerosis as the cause of his discomfort.

Questions

. Discuss the development of atherosclerosis, including the predisposing factors in this 

case and the pathophysiological changes. 

. Discuss the complications that might develop in this patient.

. Discuss the treatments for all aspects of the patient’s condition, including slowing the progress of the atherosclerosis, maintaining circulation in the leg, and treating complications.

Assignment #3: The Central Nervous system 

Please kindly use (APA, 7th ed.) references separately under each question.

Case Study 

Ms. J, a 19-year-old college student, has been living in a dormitory on campus. She began experiencing severe headaches, neck pain, and nuchal rigidity, along with irritability and nausea. She noticed that when lying with her hips flexed, she found it very hard to stretch out her legs. Within a day her condition deteriorated, she experienced a tonic-clonic seizure, and she was quickly admitted to the hospital. Tests revealed increased intracranial pressure, fever, and leukocytosis. Bacterial meningitis was suspected, and a lumbar puncture was scheduled.

Questions

. Describe the pathophysiologic changes associated with bacterial meningitis.

. Discuss the diagnostic tests available for identifying meningitis. What are the likely 

characteristics of the CSF to be found in this case?

. Which signs indicating elevated intracranial pressure are likely to be present?

. Discuss the treatments available to help this patient and possible long-term 

complications.

Assignment #4: Shock 

Please kindly use (APA, 7th ed.) references separately under each question.

Case Study 

Ms. L, a 19-year-old woman with no previous medical history, was involved in a serious automobile accident in which her best friend died. Examination by EMT personnel first on the scene revealed she had only minor scrapes and bruises and no sign of head trauma. While in route by ambulance to the hospital, Ms. L complained of thirst and appeared restless. Further examination indicated a rapid pulse and respirations, with her blood pressure now at 100/60 mm Hg. She appeared less responsive to the paramedics. She was slipping into circulatory shock as they checked her again for internal injuries.

Questions

. Discuss the contributing factors to shock in this case and the pathophysiologic 

changes causing the changes in vital signs. 

. Discuss the signs and symptoms of shock, including the rationale for each, as seen in 

the early stage, and as compensation mechanisms respond.

. Discuss emergency and follow-up treatment for shock and for complications that may

 arise if not treated quickly.

. Compare the types of shock, giving a specific cause, classification, and any significant 

changes in onset or manifestations.

Discussion

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Discussion: PICOT Question

Over the course of the next eight weeks, we will be examining concepts related to nursing research and the translation of evidence to practice. To help you better understand the process, you will be identifying a practice issue for nurse practitioners.
 You will develop a PICOT question associated with the issue, find evidence to support a change in practice, and present your recommendations for change to your peers. This week, we will work on helping you refine your area of interest so that you will be able to develop a concise question for next week’s assignment. You are encouraged to use the area of interest you chose for the project in NR500NP and/or NR501NP; however, you may choose a different area if you wish.

Select an issue in nurse practitioner (NP) practice that is of interest to you and in which you would like to see a practice change occur. Conduct a review of literature to see what is currently known about the topic. In 1-2 paragraphs, describe the scope and relevance of the issue and your recommended change. Provide reference support from at least two outside scholarly sources to support your ideas. 
Please pick something you can do as a NP in your practice that is patient focused. Your intervention needs to relate to a measurable patient health outcome. Please avoid anything that would require a policy or law change, such as full-practice authority. Burnout and satisfaction surveys also are not appropriate topics as they are not patient centered. 

Review this 4-minute video to gain a better understanding of the requirements of a PICOT question. The PICOT question is not a research question, but a quality improvement issue that requires a practice change. 

Hello, my name is Dr. Lynch. Hey, I'm an assistant professor a Chamberlain University College of Nursing. Today we're gonna talk about pico questions and best practices in formulating these questions. There are five parts to a pico question. Patient intervention, comparison, outcome in time. The slides subsequently we will discuss each part of this question. The first ingredient for cooking up a pico question is population. Pick a broad topic, drill down, focus down so that then your population is very specific. Type two diabetic female patients age 30 to 40 who consume over 400 g of carbohydrates per day. A bunch more specific population then patients with diabetes intervention. What intervention do you think will make a difference? Is that supported by the scholarly literature? What is being done in clinical practice today? Are there better alternatives? You must use an intervention based on scholarly literature? Remember the definition of scholarly literature is a US based peer reviewed journal article geared for clinicians published in the past five years, or the latest clinical practice guideline. Comparison. So what is the standard of care currently? Patients without the intervention, patients without a condition, patients without risk factor. This part defines another population who will be used as a comparison against the group receiving the intervention. What is your desired outcome? The outcome should relate directly to the intervention and outcomes should be measurable. Time. This is a specific timeframe to demonstrate the outcome. In quality improvement efforts, the timeframe has to be realistic and manageable. Not over years, may not be even over months, but it could be. But it is usually a short timeframe to make an improvement effort. Many students ask what the differences between pico research and quality improvement questions. This chart will help you understand the difference. The pico question used here is in postoperative kidney transplant adults aged 65 to 75, how does a health coach compared with no health coaching affect hospital readmission rates within 90 days of discharge? This is a perfect pico question compared to the research question or QI question that also could be asked about this matter. Here's an example. In real life, you're a nurse practitioner working in a skilled nursing facility, the rate of false as unacceptable. And your care team has come together to discuss what should be done about this. Your pico question is, in elderly patients between age 65.75 residing in a sniff, how do fall prevention programs with risk assessment compared to fall prevention programs without risk assessment effect fall rates within 90 days after the intervention. So you can see how this question will guide how you view the literature on this topic. You will be looking for fall prevention with risk assessment in the scholarly literature to see what has worked in other places. What are the crucial ingredients in an outpatient fall prevention program? The literature holds the key, holds the answer to these questions. If you need further assistance, please contact your instructor directly. You can also contact the librarians at the Chamberlain library who can be accessed through many means, email, chat on real time. This material comes from Malbec and find out overhauled book evidence-based practice in nursing and health care, a guide to best practice, which is a great addition to your library.