-choose a health care organization (your choice)-a specific HCO

-review attached articles

-describe the healthcare organization website you reviewed. 

-Describe where, if at all, EBP appears (e.g., the mission, vision, philosophy, and/or goals of the healthcare organization, or in other locations on the website). 

-explain whether this healthcare organization’s work is grounded in EBP and why or why not. 

-explain whether the information you discovered on the healthcare organization’s website has changed your perception of the healthcare organization. 

-Be specific and provide examples

-350 words

-3 reference

-use references from articles attached

-APA

  

Evidence-Based Clinical Intervention ( DUE DATE JANUARY 10)

By the due date assigned, submit your Evidence-Based Clinical Intervention to the Discussion Area.

Your Evidence-Based Clinical Intervention should be submitted in a Microsoft Word document following APA style and should include the following:

The medical problem/diagnosis/disease. Typical presenting signs and symptoms      including:

Onset, Characteristics, Location,       Radiation, Timing, Setting, Aggravating factors, Alleviating factors,       Associated symptoms, Course since onset, Usual age group affected Concomitant disease states associated       with the diagnosis The pathophysiology of the problem. Three differential diagnoses and the usual      presenting signs and symptoms in priority sequence with rationales. Reference to at least two current journal      articles that show evidence-based practice as how to best treat this      disorder related to the primary differential. The expected outcomes of the intervention. Algorithms if available.

   

Respond  to at least two of your colleagues who were assigned a different patient than you. Critique your colleague’s targeted questions, and explain how the patient might interpret these questions. Explain whether any of the questions would apply to your patient, and why.

                                               Main Post

                                         CASE STUDY 2 

AG is a 54-year-old Caucasian male who was referred to the clinic to establish care after a recent hospitalization after having a seizure related to alcohol withdrawal. He has hypertension and a history of alcohol and cocaine abuse. He is homeless and is currently living at a local homeless shelter. He reports that he is out of his amlodipine 10 mg which he takes for hypertension. He reports he is abstaining from alcohol and cocaine but needs to smoke cigarettes to calm down since he is not drinking anymore.

The Communication Techniques

A nurse practitioner chooses to use the RESPECT Modell to communicate with the patient to stay productive and patient-centered in all her communication with the patient. RESPECTS stand for (Rapport, Empathy, Support, Partnership, Explanation, Cultural Competence, and Trust) (Ball, Dains, Flynn, Solomon, & Stewart, 2019). The nurse practitioner establishes rapport by seeking the patient’s point of view to avoid being judgmental. She asked the question of how the patient wanted to be addressed. The nurse practitioner shows empathy by asking the patient how he becomes homeless to understand how she can help him get his life back in order. The nurse practitioner supports the patient by asking him about his financial situation to direct him to the proper agency. The patient is at risk for cardiac diseases, lung cancer, and stroke, so the nurse practitioner partnered with the patient to help him stop smoking (Ball et al., 2019).The nurse practitioner needs to explain to the patient to know what cigarette smoking does to the body. Nicotine is a sympathomimetic medicine that releases catecholamines, increases heart rate and cardiac contractility, constricts cutaneous, and coronary blood vessels, and rapidly increases blood pressure (Benowitz, 2009). It is crucial to present the patient with evidence-based practice to address health risks across cultures, and it is essential to assure the patient that what he said will be kept confidential to establish trust (Ball et al., 2019).

The Risk Assessment Instrument

The CAGE questionnaire is a precise tool that has been used for many years to screen patients for addictive behaviors. The GAGE questions have been modified to apply to smoke behavior.  The CAGE questions are as following: 1) Have you ever felt the necessity to cut down or control your smoking, but had trouble doing so? 2) Do you ever get angry or annoyed with people who criticize your smoking or demanding you quit smoking? 3) Do you feel guilty regarding your smoking or about something you did while smoking? And 4) Do you ever smoke within half an hour of waking up (Eye-opened)? The patient is screen positive to two yes responses. The CAGE instrument is used because it is nonthreatening. A study showed that the CAGE questionnaire was used in a medical outpatient embedded in a self-administered questionnaire regarding health habits. Most of the patients did not know that they were filling out an assessment for addictions. The patient must be willing to stop smoking for treatment to be effective (American Family Physician, 2000).

                                      Targeted Questions

1)     How do you want to be addressed?

2)     How are you feeling?

3)     How may we help you?

4)     How do you become homeless and tell us about your financial situation?

5)     Do you need help getting your prescription refill?

6)     When was the last time you drink alcohol or use cocaine?

7)     When was the last time you check your blood pressure and take your amlodipine medication?

8)     When was the last time you had a seizure episode?

9)     When do you start smoking and how many packs do you smoke a day?

10) How can we help you to stop smoking?   

           

                                                References

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.Benowitz, N. L. (2009). Pharmacology of nicotine: addiction, smoking-induced disease, and therapeutics. Annual review of pharmacology and toxicology, 49, 57–71. doi:10.1146/annurev.pharmtox.48.113006.094742American Family Physician. (2000). Assessing Nicotine Dependence. Retrieved from https://www.aafp.org/afp/2000/0801/p579.html

 

 

 

SEE ATTACHMENT

1. Do you agree with Lincoln’s assessment that the nation could not have endured half slave and half free, even, for example, if some political accommodations had been made at the federal level? Why or why not? Also, to what extent do you agree that the Dred Scott decision and the Kansas Nebraska Act were tantamount to an effort to nationalize slavery?  If they were, what might that reveal about the trend in national politics during the 1850s?

2 paragraphs, with reference and in text citation

How would you characterize life for white southerners during the Reconstruction period? To what degree were their needs and interests provided for by the post-war policies put in place, and what lay at the heart of their ill feelings toward those from the northern states who sought a role in rebuilding southern society and its economy?

2 paragraphs with reference and in text citation

After looking more closely at the Reconstruction Era, how, in your view, should President Johnson be judged historically? What appear to have been his most notable strengths and weaknesses (especially politically), and how should his presidency be defined? To what degree was his relative success and failure a product of the circumstances in which he found himself rather than the result of his own actions and decision-making?

2 paragraphs reference and in text citation