Applying and Sharing Evidence to Practice

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After the data have been analyzed, conclusions are made regarding what the findings mean. Then, this information must be shared with your healthcare team. Discuss the findings of the articles. Would you apply the evidence found to your practice? Explain your answer. Translating research into practice is the final and most important step in the research process. Review information you found your nursing clinical issue and explain ways in which you would share the research-based evidence with your peers. Article attached

Teaching proposal

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Develop a community teaching proposal designed to address the needs of a diabetic population in your community.

Select one of the following as the focus for the teaching plan: Primary Prevention/Health Promotion Secondary Prevention/Screenings for a Vulnerable Population

In your teaching proposal address the following topics:  Epidemiological Rationale for Topic (statistics related to the topic): Nursing Diagnosis: Readiness for Learning: Identify the factors that would indicate the readiness to learn for the target aggregate. Include emotional and experiential readiness to learn. Learning Theory to Be Utilized: Explain how the theory will be applied. Goal: Healthy People 2020 (HP2020) objective(s) utilized as the goal for the teaching. Include the appropriate objective number and rationale for using the selected HP2020 objective (use at least one objective from one of the 24 focus areas). If an HP2020 objective does not support your teaching, explain how your teaching applies to one of the two overarching HP2020 goals. How Does This HP2020 Objective Relate to Alma Ata’s Health for All Global Initiatives. Develop Behavioral Objectives (Including Domains), Content, and Strategies/Methods:  Creativity: How was creativity applied in the teaching methods/strategies?  Planned Evaluation of Objectives (Outcome Evaluation): Describe what you will measure for each objective and how. Planned Evaluation of Goal:  Describe how and when you could evaluate the overall effectiveness of your teaching plan. Planned Evaluation of Lesson and Teacher (Process Evaluation): Barriers: What are potential barriers that may arise during teaching and how will those be handled? Communication: How will you begin your presentation (hook them in)? How will you end your presentation (go out with a bang)? What nonverbal communication techniques will you employ?

Complete the “Community Teaching Work Plan Proposal.” This will help you organize your plan and create an outline for the written assignment.

Prepare this assignment according to the guidelines found in the APA Style Guide,

BHA415 Module 1 SLP:

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POLICYMAKING IN THE GOVERNMENT AND THE PRIVATE SECTOR Explain the difference between regulatory health policies and allocative health policies. What are determinants of health? How are they related to the determinants of health policy? SLP Assignment Expectations Conduct additional research to gather sufficient information to justify/support your analysis. Limit your response to a maximum of 3 pages. Support your paper with a minimum of 3 reliable sources. The course textbook counts as one, and at least one of the others should be a peer-reviewed article. Use the following link for additional information on how to recognize peer-reviewed journals: http://www.angelo.edu/services/library/handouts/peerrev.php Please use the following resource for evaluating information found on the internet: https://www.library.georgetown.edu/tutorials/research-guides/evaluating-internet-content You may use the following source to assist in your formatting your assignment: https://owl.english.purdue.edu/owl/resource/560/01/.

Essay – Discussion /// Class : Cultural Diversity in Healthcare

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* Topic : Barries to Healthcare access for Clients From Cuba. ( My Choice )
* Discuss barriers to healthcare access for clients from one culture. You must select one culture (Cuban, Native American, Indian, Haitian, etc.) and discuss the barriers to access healthcare for this culture members.
Minimum 300 words  At least 3 cited references 

African American health care practices in childbirth

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Conduct a literature search to locate a journal article related to the health or health care practices of African-American Present a summary of the journal article, and examine how the information presented may impact your nursing practice. Please provide a copy of the journal article (or hyperlink) if possible. 400 words 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3209742/pdf/JPE20-1_PTR_A7_045-053.pdf

Assignmen""@@@6

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 Write a brief Introduction why you chose these decisions .

  

Decision 1

The PMHNP will administer 10 mg of zyprexa orally at bed time and initiate 230mg of invega sustenna through intramuscular, in addition to 156 mg via the same route on day four. A similar dose will be administered within one months’ time. In addition the PMHNP will administer 10mg of Abfility orally at bed time. Expected outcome for this decision is a 25% decrease in the PANSS score (Stahl, 2013). This decision is also expected to alleviate the patient’s psychotic symptoms and achieve normalcy within one month. A slight weight gain is also expected as the drugs are known to increase weight in patients. Because I don’t select the other decisions, the patient is expected to have faster and noticeable changes in psychotic behavior within two weeks of treatment commencement. 

Decision 2

At this point the PMHNP will decide to continue with use of medications selected in decision 1 (Stahl, 2013). However the PMHNP will instruct the administering nurse to begin intramuscular injections of 300mg of Abfility and continue with 10 mg of the same drug in the morning. At this point, PANSS is expected to decrease by 50 % although the patient will also have noticeable weight gain due to use of invega sustenna (Stahl 2014). Because I don’t select other decisions, the patient is expected to have less cardiovascular drug toxicities and experience reduced risks for adverse drug reactions between Invega sustenna and Haldol Deaconoate. 

Decision 3

The decision at this point is to have the patient continue with Invega Sustenna and provide psychological counseling on the effects of the drugs associated with weight gain. It will be essential to explain to the patient that the weight gain from this drug is minimal in comparison with other drugs (Stahl, 2013). The PMHNP will set an appointment follow up date with the patient after one month duration and refer to the nutritionist and physical activity instructor. The difference between expected outcome in decision 3 and results of the decision is Abfility may not be efficacious for more than a period of 6 months given that it does not bind to D 2 receptors in a similar manner as Invega Sustenna. This will necessitate the PMHNP to change to Abfility Maintena because it is easily tolerated by patients on Abfility. 

Because I don’t select the other decisions, the patent will be able to utilize the same drug for the longest possible duration and optimize on their efficacy prior to switching to other types of medication (Stahl, 2013). Since the patient may not have the mental capacity to participate in the decision making process or make autonomous mental health decisions, it is essential to discuss treatment options with the spouse and explain the importance of adherence to treatment (Stein & Giordano, 2015). In addition, the mental health nurse is required to make those decisions which will benefit the patient and also outweigh the risk for adverse health outcomes. 

References

For Essays Guru -unit 3 mn566

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Poor Patient Outcome

Relying solely on the classic features of a disease may be misleading. That’s because the clinical presentation of a disease often varies: the symptoms and signs of many conditions are non-specific initially and may require hours, days, or even months to develop.

Generating a differential diagnosis; that is, developing a list of the possible conditions that might produce a patient’s symptoms and signs — is an important part of clinical reasoning. It enables appropriate testing to rule out possibilities and confirm a final diagnosis.

This case portrays a poor patient outcome after a misdiagnosis.

Case scenario

A previously healthy 35-year-old lawyer presents to a primary care office with a chief complaint of chest pain and a non-productive cough. The pain started suddenly 2 hours prior to coming to the office while the patient was sitting at his desk. The patient describes the pain as sharp in nature, constantly present but made worse with inspiration and movement, and with radiation to the base of the neck. His blood pressure in the right arm and other vital signs are normal.

On physical examination the only findings of note are chest wall tenderness and a faint cardiac murmur. The ECG in the office is normal. The patient is observed for an hour in the office and assessed. He is diagnosed with viral pleurisy and sent home on non-steroidal analgesics.

The following day the patient collapses at home and cannot be resuscitated by the paramedic service. An autopsy reveals a Type 1 aortic dissection with pericardial tamponade.

Written Assignment:

Developing a list of possible conditions that might produce a patient’s symptoms and signs is an important part of clinical reasoning. As an NP in primary care what would you have done differently? Discuss the importance of creating a list of differentials for this patient. How could it have changed this outcome?

If a serious diagnosis comes to mind based on a patient’s symptoms: Ask yourself; Have you considered the likelihood of it and whether it needs to be ruled out by testing or referral? Because many serious disorders are challenging to diagnose, have you considered ruling out the worst case scenario? Ask yourself: Do you have sufficient understanding of the clinical presentation to offer an opinion on the diagnosis? What other diagnosis could it be? How might the treatment to date have altered the patient outcome? What other diagnostic and laboratory or imaging was needed in order to make a complete differential list?  What support tools would you consider using in helping to create a differential diagnosis list? Are you familiar with the current clinical practice guidelines for the investigation of a suspected condition such as chest pain? 5 pages

Occupational Therapy

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hi I am occupational Therapy student I have 9Occupational therapy interview) please I need Occupational therapy writer to help me 

Neurologic Sysytem

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 Week 11

Chapter 22.

Neurologic System

Lobes and principal fissures of the cerebral cortex, cerebellum, and brainstem (left hemisphere, lateral view).

Make a chart differentiating between descending and ascending spinal tracts.

What occurs if the spinal cord is incompletely severed?

Describe the nervous system.

Name the three major units of the brain.

Differentiate between the descending spinal tracts and the ascending spinal tracts of the spinal cord.

What is the function of the pituitary gland?

Name the fourth cranial nerve and state its function.

List the risk factors for cerebrovascular accidents.

Why is the 5.07 monofilament test used?

Explain the 0 to 4+ scale for scoring deep tendon reflexes. Scoring deep tendon reflexes

You are observing the neurologic examination of a 75-year-old man. You notice that before beginning the physical examination, the examiner asks the patient whether he is currently taking any medication. Why is it important to assess medications used by older adults? 

What is the potential long-range effect on a child if meningitis occurs during the first year of life?

EI, a 44-year-old patient, comes in for a follow-up visit regarding his diabetes. Today he is complaining of numbness, tingling, and burning in his feet. His recent laboratory studies demonstrate an elevated hemoglobin A1c and hyperlipidemia. You diagnose him with peripheral neuropathy.

1- What are the possible etiologies of the peripheral neuropathy? What is the most likely cause?

2- Describe the patient’s objective findings with peripheral neuropathy.

3- What is the best physical assessment technique to determine peripheral neuropathy.  

reply to vivian

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Bronchitis 

       A cough is a common symptom of many conditions. One condition where we see a cough is with bronchitis. This illness results from inflammation of the bronchial tubes and the cough commonly expels mucus (MedlinePlus, 2017). This mucus is usually think and may have a discoloration (Mayoclinic, 2018). Other symptoms associated with bronchitis include shortness of breath, wheezing, a low-grade fever, and tightness of the chest (MedlinePlus, 2017). This condition could be chronic or acute.  
                                        Diagnosis and Treatment
Determining what type of bronchitis is necessary. Acute bronchitis may present more like a cold while chronic bronchitis has a cough that brings up mucus and lasts for three months or longer. Getting proper patient history is helpful in diagnosis which type of bronchitis the patient has. Acute bronchitis is related to a viral infection and medication is not effective. This type may also occur as a result from a previously acquired cold or another type of respiratory infection.  
       Chronic bronchitis is related to cigarette smoke and other environmental factors. This type is also considered if the patient has multiple episodes of acute bronchitis. Chronic bronchitis is more serious than acute since it is related to a constant irritation and inflammation of the bronchial tubes. Other diagnostic tests that may be used include exam, x-ray, sputum tests, and a lung function test (Mayoclinic, 2018).Treatment for bronchitis may include medication related to coughing or other medication if another underlying condition like asthma or allergies exist. Using lifestyle modifications is also beneficial. Avoiding irritants, using a humidifier, and using protection are all great options (Mayoclinic, 2018).  

                                          Reference

Mayoclinic. (2018). Bronchitis. Retrieved from https://www.mayoclinic.org/diseases-conditions/bronchitis/symptoms-causes/syc-20355566

 (Links to an external site.)Links to an external site.MedlinePlus. (2017). Acute bronchitis. Retrieved from  https://medlineplus.gov/acutebronchitis.html (Links to an external site.)Links to an external site.