Discuss a clinical problem or issue in your area of practice that would be appropriate for an EBP project and formulate a researchable question using PICOT format. The discussion should not be too long about 2-3 paragraphs.

The initial posting (IP) and the response to peer  posting each (RTP) require one reference from an English titled, peer reviewed NURSING journal less than 5 y/o. The references must be from different journal articles.

IMPORTANT: The articles posted in each unit are to facilitate your understanding of the topic and help you meet the identified learning objectives. They are not to be used as references for any of your course work. 

However, FOR THIS WEEK ONLY:  I want you to use the articles in Unit 1 as your sources.

*The initial posting also requires a reference from the course textbook.

Professional, governmental, or educational organizations (.org, .gov, or .edu) 

may be used as supplemental references.

*The maximum number of references:  IP = 2, RTP = 2.

Postings with more than the maximum number of will be returned to the student.

APA format required. See grading criteria and rubric for discussion postings.

Please see the attached articles 

Please also use the following textbook:

 

Polit, D. E & Beck, C. T. (2018). Essentials of nursing research: Appraising    evidence for nursing practice(9th. ed.). Philadelphia, PA: Wolters Kluwer

ISBN: 978-1-4963-5129-6

  

Directions: 

For this assignment you are required to write a paper exploring the history of developmental disabilities using the “Parallels in Time: A History of Developmental Disabilities” website: http://www.mnddc.org/parallels/index.html.  Be sure to use appropriate, respectful language throughout your paper. 

Your assignment should include the following components:  A minimum 500-word Summary discussing the 3      topics/time periods of your choice (You can choose from Part 1 or 2).      Please title each section in      your summary; and A minimum 250- word Personal Reaction about what you      learned and how you felt learning about the treatment and history of people      with developmental disabilities; and A minimum of 250-word response on How This Relates to The Course information covered so far.  Student Self-Score Checklist (see page 3)

Formatting your paper (See page 2 for example) 

– Times New Roman, Size 12 font

– Double-Spaced

– 1.0 Margins

– Indention first sentence of each paragraph

– Title for each section (Summary, Personal Reflection, How Information Relates to the Course)  Summary: Section 1: Title of Topic/Time Period of       your choice Section 2: Title of Topic/Time Period of       your choice Section 3: Title of Topic/Time Period of       your choice

 

Post a discussion related to your research  related to client education related to hyperlipidemia treatment and life-style behaviors.  Provide references in APA format and include in-text citations for quoted or paraphrased content in you post.  Points to consider are the methodology used for teaching the client, how to assess a client’s readiness to learn and the subjects needed to be taught and why.  

Your post should be 300 words or more and you are required to respond to one classmate with a substantive comment on the topic.

PLEASE USE CITATIONS FROM ATTACHMENT PROVIDE , SUBJECT HYPERLIPIDEMIA.  

 How to Write the Introduction 1. Write the hook. The hook must include a metaphor word. What is a metaphor? A metaphor is a comparison between two unlike things. For example, I’m drowning in homework. 2. Use the S.O.A.P.S.Tone acronym to guide you through the middle of the introduction paragraph. 3. Thesis/Claim In one sentence, use strong language to express the purpose of your argument. Use an implicit thesis. Since the first paragraph is a counterargument, start the thesis sentence with that information. Example Thesis: Though not all people agree, it is evident that nursing facilities must treat LPNs better, because these employees are the most needed. How to Write the Conclusion 1. Write the telegraphic sentence. Show your concluding thought in a short sentence. Thus technique helps capture the readers’ attention. 2. Point-by-point method Look at your body paragraphs- counterargument, argument 1, argument 2, and argument 3- and write one sentence for each body paragraph. These sentences should be in a positive tone and they should remind the reader of the paragraph’s purpose. 3. Restate the thesis/claim. Using the explicit thesis statement structure, restate the thesis/claim. 4. Wrap the hook. Refer back to the metaphor word you used in the hook (introduction). Write the final sentence of the essay using a word related to the metaphor word you opened the essay with. • The conclusion should have 7 sentences. • There is no need to cite sources in the introduction and conclusion paragraphs. 

ANSWER BOTH QUESTIONS 
Neurological System Case Study – #1

Mrs. Smith is an 85 year female with a history of Hypertension, diabetes and osteoarthritis. Her daughter who cares for her reports that she became suddenly confused beginning last night. She recognizes her daughter but has been unable to remember her grandchildren’s names. She continuously asks her daughter “What are those kids doing in our house?” Her mother was in and out of bed all night and slept very little. Her daughter does say that her mother seemed better this morning, but on the way to your office she became more confused again. Review of systems is significant for a dry cough for the past few days. She has not had a fever. Her appetite has been poor. Her exam is normal except for some fine crackles in her left lung base. Mrs. Smith’s daughter says, “My dad had Alzheimer’s and now it looks like I am going to have to go through that with my mother”

1) What are the possibilities for change in Mrs. Smith’s current mental status?

2) What is your top differential diagnosis? Give 3 reasons why you chose that diagnosis.

3) How can you differentiate depression, dementia and delirium?

4) Explain to Mrs. Smith’s daughter what treatment is needed and what you think her prognosis is. Neurological System Case Study – #2

A 40-year-old male comes to see you for follow up. He states that he had a seizure at home yesterday and was taken to the emergency room. He is accompanied by his wife who witnessed the seizure. He states he has never had a seizure in the past.

Discussion Questions:
1) What would you ask him and his wife regarding the seizures, and why? 

2) What would be the most important parts of a physical exam in this patient and why?

3) What lab or radiology tests would you want to do and why? He tells you he has no insurance so be sure to defend the importance of a particular test.