December 16, 2019

Post a description of how you would diagnose and prescribe treatment for the patient in the scenario.

Please read the assignment in full. If you cannot do it; don’t say you can and not deliver awesome work. I have already not had a good experience on this site so I am looking for graduate level work. The assignment is a Discussion Post, not a paper, but it should include and introduction and summary and ALL of what the assignment says to include. PLEASE READ CAREFULLY. Thanks. Discussion 1: Cardiovascular Alterations At least once a year, the media report on a seemingly healthy teenage athlete collapsing during a sports game and dying of heart complications. These incidents continue to outline the importance of physical exams and health screenings for teenagers, especially those who play sports. During these health screenings, examiners check for cardiovascular alterations such as heart murmurs because they can be a sign of an underlying heart disorder. Since many heart alterations rarely have symptoms, they are easy to miss if health professionals are not specifically looking for them. Once cardiovascular alterations are identified in patients, it is important to refer them to specialists who can further investigate the cause. Consider the following scenario: A 16-year-old male presents for a sports participation examination. He has no significant medical history and no family history suggestive of risk for premature cardiac death. The patient is examined while sitting slightly recumbent on the exam table and the advanced practice nurse appreciates a grade II/VI systolic murmur heard loudest at the apex of the heart. Other physical findings are within normal limits, the patient denies any cardiovascular symptoms, and a neuromuscular examination is within normal limits. He is cleared with no activity restriction. Later in the season he collapses on the field and dies. To Prepare Review the scenario provided, as well as Chapter 25 in the Huether and McCance text. Consider how you would diagnose and prescribe treatment for the patient. Select one of the following patient factors: genetics, ethnicity, or behavior. Reflect on how the factor you selected might impact diagnosis and prescription of treatment for the patient in the scenario. By Day 3 Post a description of how you would diagnose and prescribe treatment for the patient in the scenario. Then explain how the factor you selected might impact the diagnosis and prescription of treatment for that patient.
December 16, 2019

Evaluate a primaryquantitativeresearch peer-reviewed journal article (suggested length of 35 pages) that has healthcare implications by doing the following: 1.Identify how the researcher addresses thefivefollowing areas of the selected journal article using the attached Evidence Table: background or introduction review of the literature discussion of methodology data analysis researchers conclusion 2.Critique whether the evidence presented ineachsection of the journal article supports the researchers conclusion. 3.Explain the protection of human subjects and cultural considerations of the journal article. 4.Identify strengths and limitations of the study. 5.Describe how the evidence informs nursing practice.

Requirements:Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources even if cited correctly. Use the Turnitin Originality Report available in Taskstream as a guide for this measure of originality. The rubric provides detailed criteria for evaluating your submission. You are expected to use the rubric to direct the creation of your submission. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course. Note: Research evidence must not be more than ten years old. A.Evaluate a primaryquantitativeresearch peer-reviewed journal article (suggested length of 35 pages) that has healthcare implications by doing the following: 1.Identify how the researcher addresses thefivefollowing areas of the selected journal article using the attached Evidence Table: background or introduction review of the literature discussion of methodology data analysis researchers conclusion 2.Critique whether the evidence presented ineachsection of the journal article supports the researchers conclusion. 3.Explain the protection of human subjects and cultural considerations of the journal article. 4.Identify strengths and limitations of the study. 5.Describe how the evidence informs nursing practice. B.Evaluate a primaryqualitativeresearch peer-reviewed journal article (suggested length of 35 pages) that has healthcare implications by doing the following: 1.Identify how the researcher addresses thefivefollowing areas of the selected journal article using the attached Evidence Table: background or introduction review of the literature discussion of methodology data analysis researchers conclusion 2.Critique whether the evidence presented ineachsection of the journal article supports the researchers conclusion. 3.Explain the protection of human subjects and cultural considerations of the journal article. 4.Identify strengths and limitations of the study. 5.Describe how the evidence informs nursing practice. C.Acknowledge sources using APA-formatted in-text citations and references for content that is quoted paraphrased or summarized.
December 16, 2019

What are other facilities using in the community?

Name:Date:Your Instructor’s Name:Purpose: To identify a problem or concern that nursing can change and develop a PICOT question toguide the change project.Directions: Use the form below to complete the Week 3 Assignment PICOT Evidence Worksheet. Thisincludes filling in the table with information about your research question and your PICOT elements andthe second part is filling in the Evidence Worksheet.Step 1: Select the key PICO terms for searching the evidence. Clearly define your PICOT question. Listeach element P (problem, population, or problem), I (intervention), C (Comparison with othertreatment/current practice), and O (Desired outcome), T (Time Frame). Is the potential solutionsomething for which you (as nurse or student) can find a solution through evidence research? Look inyour book for guidelines to developing your PICOT question and also read the required articles.Step 2: Identify the problem. What have you noticed in your work or school environment that isn’tachieving the desired patient or learning outcomes? What needs to change in nursing, what can youchange with the support of evidence in the literature? Describe the problem or practice issue that youwant to research. What is your practice area; clinical, education, or administration? (This is NOT whereyou will list your PICOT question)Step 3: How was the practice issues identified? How did you come to know this was a problem in yourclinical practice? Review the listed concerns and check all that apply.Step 4: What evidence must be gathered? What sources of reliable information will be helpful for yourparticular question?Step 5: What terms will you use in order to make sure that your search is wide enough to obtainrequired information but narrow enough to keep it focused? How will you narrow your search ifneeded?Chamberlain College of Nursing NR 439 PICOT WorksheetNR439 PICOT Worksheet 4/19/17 jw 2PICOT QuestionWhat is the PICOT question?In adults over the age of 65 with Alzheimer’s Disease (P), how doesnonpharmacological therapy (I) compare with those with no form of therapy (C)reduce behavioral and psychiatric symptoms of dementia (BPSD) (O) over thecourse of 30 days.Define each element of the question below:P- (Patient, population, or problem): adults over the age of 65 with Alzheimer’s DiseaseI- (Intervention): nonpharmacological therapy (exercise, musical therapy, art therapy)C- (Comparison with other treatment/current practice): no form of therapyO- (Desired outcome): reduce behavioral and psychiatric symptoms of dementia(BPSD)T- (Time Frame): 30 daysWhat is the practice issue/problem? What is the scope of the issue? What is the need for change?Alzheimer’s Disease (AD) has a huge prevalence in our society today and the numbers affected aregrowing exponentially. Many patient’s in the hospital suffer from some form of Dementia, many ofthem Alzheimer’s. Agitation and anxiety are two of the many symptoms of AD and they are notbeing dealt with as effectively as possible. In order to provide patient’s with the utmost care, thehealthcare system should be doing everything it can to alleviate this agitation and anxiety, as well aseducating the families of those affected on strategies they can employ to do the same at home.What is the practice area?__x_ Clinical__x_ Education___ Administration___ OtherChamberlain College of Nursing NR 439 PICOT WorksheetNR439 PICOT Worksheet 4/19/17 jw 3How was the practice issue identified?(check all that apply)__x_ Safety/risk management concerns__x_ Unsatisfactory patient outcomes___ Wide variations in practice___ Significant financial concerns___ Difference between hospital and community practice___ Clinical practice issue is a concern___ Procedure or process is a time waster___ Clinical practice issue has no scientific base___ Other:What evidence must be gathered? (check all that apply)I would search the following four areas to look for evidence regarding recent research on care ofagitated patients using the search terms below. I would check for recent guidelines regarding art,music, and pet therapy. What are other facilities using in the community? Is there any information onthe patient/family satisfaction survey’s that show patient preferences. Are there any state/medicalregulatory standards regarding these therapies?__x_ Literature search__x_ Guidelines___ Expert Opinion__x_ Patient Preferences___ Clinical Expertise___ Financial Analysis__x_ Standards (Regulatory, professional, community)___ OtherSearch terms/How to narrow the search?Alzheimer’s Disease, Dementia, therapy, nonpharmacological, art therapy, music therapy, exercise,psychiatric, agitation, anxiety, BPSDUse of multiple databases, keeping a list of key words used, using quotation marks to keep wordstogether as a phrase, filtering for peer reviewed or scholarly journal articles, narrowing results byfiltering for the last five years.
December 16, 2019

what are the reasons or issues that cause deterioration of the effectiveness for programs addressing AIDS and HIV?

The purpose of this assignment is to demonstrate that you have mastered the topic/concepts you have researched and can engage in meaningful, scholarly dialog and/or debate with your peers while also offering a unique contribution to the subject.For this assignment, you will Select three (3) questions submitted by your peers and/or your instructor from the discussion board to address formally and in detail for this assignment.Choose questions of intellectual substance; each response should be 2 paragraphs in length.Include the questions above your responses.Present the question in bold text and your response beneath in regular APA style text. You do not need to identify the person who submitted the question.Your responses should be organized, comprehensive, and well written.Use citations and a reference page when appropriate to include supporting evidence; however, your responses should be unique and indicative of your own understanding of the subject.Include a title page.Topic: IMPROVING THE PUBLIC’S PERCEPTION OF HOSPITAL-BASED NURSING CARE**** These are the questions1. 1.Things That Would Help Nurses Assess and Manage Pain More Effectively?2. 2.Can you share the leading causes that lead to childhood obesity?3. 3.What factors have contributed to physicians primarily prescribing opioids even though they are a poor choice for long-term pain management? Is there more of monetary value for the physician prescribing an opioid pain medication?4. 4.Due to the minimal side-effects of medical marijuana, there is less of a need for other medications or treatments to counteract the side-effects that a synthetic opioid medication can produce (e.g., constipation & addiction). How has this influenced the financial aspects of the pharmaceutical and insurance companies?5. 5.How would integrating classes into nursing programs in relation to workplace violence assist with lowering the rates of these types of incidents once a nurse is actively working in the field?6. 6.Are there any pros and cons of bottle feeding in the first 6 months, but with breastmilk?7. 7.what are the reasons or issues that cause deterioration of the effectiveness for programs addressing AIDS and HIV? RubricsThe required number of responses is submitted in the appropriate format. Questions chosen for response are of significant intellectual quality so as to require a substantive reply, and cover a variety of issues. The student does not steer away from challenging or difficult questions for which there may be no exact answer. Responses are organized, comprehensive, and very well written. Responses are academic in tone and are presented professionally. Responses indicate a thorough understanding of the topic and (when applicable) a willingness to explore unexamined or contradictory views. Responses
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