Need Help ?

Our Previous Samples

Assignment Clarifying ResearchIntroduction to Assignment Clarifying ResearchAssi ...

Assignment Clarifying Research

Introduction to Assignment Clarifying Research

Assignment Clarifying Research Purpose

A baccalaureate nurse understands, relates, and values the fundamental elements of research, process, and designs as a foundation for an evidence-based practice (American Association of Colleges of Nurses, 2008; Quality and Safety Education for Nurses, 2018).

This assignment provides a learning activity to demonstrate understanding of the significance of research, the types of research and designs, the importance of sampling, utilization, and how research contributes to a credible nursing profession.
Directions for Preparing the Scholarly Worksheet, Assignment: Clarifying Research

ORDER COMPREHENSIVE NURSING SOLUTIONS NOW

Read each of the instructions.

Download and complete the required Clarifying Research Worksheet under Templates below.
Review the Week 5 Assignment Tutorial (Links to an external site.) (Transcript (Links to an external site.)) which reviews your Week 5 Assignment. Tutorial may look slightly different session to session. Grading criteria and rubric will be the same.

Two or more supporting scholarly sources are required. Textbooks are not allowed and should not be used as a scholarly source. Use the Chamberlain Library to locate relevant, scholarly sources.
No more than two direct quotes are allowed.

You should be using mostly your own words to demonstrate your understanding of the topics/criteria for this assignment. Citations and references must be included.
Submit the completed assignment on the Week 5: Assignment.

Templates

Clarifying Research Worksheet (Links to an external site.)

Best Practices

  • For questions about this assignment, please contact your instructor.
  • Spell check for spelling and grammar errors prior to final submission.
  • Please see the grading criteria and rubrics.
  • Please use your browser’s File setting to save or print this page.

Integrity Matters: Review the syllabus and follow the Academic Integrity policy in the Student Handbook (Links to an external site.)

  • Scholarly Sources and Citations
  • Two or more supporting scholarly sources are required.
  • No more than two direct quotes are allowed.
  • Use APA format in citations and references.
Clarifying Research Worksheet

Name:

Date: 

CriteriaSignificance of

Research

 

Use your own words to summarize:

a) the need for nursing research.

b) the significance for all professional nurses (BSN) to understand the basic principles of research.

c) why this course is important to complete.

Quantitative Research

Use your own words to summarize:
a) quantitative research and what you learned about this type of research.

b) one quantitative design that you learned; explain one important feature that helped you understand this design.

c) the significance of this type of research and how it can be used to improve nursing practice problems.

Qualitative Research

 

Use your own words to summarize:

a) qualitative research and what you learned about this type of research.

b) one qualitative design that you learned; explain one important feature that helped you understand this design.

c) the significance of this type of research and how it can be used to improve nursing practice problems.

 Research Sampling

Use your own words to summarize:

a) what is sampling and why is sampling important.
b) one sampling strategy you learned that can be used in quantitative research. Include what you learned.
c) one other sampling strategy that you learned.

Credible Nursing

Profession

 

Use your own words summarize:
a) How does research help make nursing practice safe.

b) Share a way you believe research has impacted nursing practice.

c) Why is research critical for creating an evidence-based nursing profession.

Utilization

Use your own words summarize:

a) how you plan to utilize your learning to make a difference in your practice. Use your current area of nursing or where you hope to work as a nurse.
b) how you believe this course is meant to help you practice as a BSN.

c) what you learned from completing the clarifying research worksheet activity.

Also Read:

Discussions Working with Yan Ping Paper

HLT 306V Advanced Patient Care 

Assignment Disseminating EBP

Assignment – Workplace Safety Initiative Proposal

Assessment Tool Worksheet Assignment Paper


READ MORE >>

Assignment Describe your level of disaster preparednessAssignment Describe your ...

Assignment Describe your level of disaster preparedness

Assignment Describe your level of disaster preparedness

For this paper you must cite and reference 2 sources. The paper should be 2–3 pages and written using current APA format. Your paper should address the following:a. How would you prepare for the following situation? (provide realistic examples and details for safety and survival)(Scenario) At this moment, you are sitting at home working on your WCU class.

Suddenly, the National Weather Bureau sends an alert across your cell phone—a tornado is headed your way. You have 15 minutes before touchdown in your neighborhood. What is your plan? This is a ‘shelter in place’ scenario, you cannot outrun the tornado. Identify a safe place in your home to take shelter.You must include research. Cite and reference two sources and explain the recommended safety measures in a tornado emergency and how you would apply them to your specific living arrangements.b. How prepared are you in the event of a disaster?

Describe your level of disaster preparedness using specific examples and references to your “go-bag” and preparedness checklist assignments. Example: “I am more prepared for a water-related disaster than a fire-related disaster even though I live in a highly secluded, forested area.

I have a boat as transportation in the event of flooding, but I do not have rain barrels or fire barrier supplies on hand.”Example: “There were many missing items on my preparedness checklist. I realized that I do not own a flashlight. If I had to use my phone as a light it would drain the battery very quickly.c. Reflect on how prepared you were before this class and compare it with how prepared you are now. Have you acquired any new emergency items? Do you plan to take any additional trainings or certification courses? Have you shared your knowledge with friends and family?

ORDER NOW FOR ORIGINAL, ORDER THROUGH BOUTESSAY

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.


READ MORE >>

2020). Data obtained from these patients will be shared among different healthc ...

2020). Data obtained from these patients will be shared among different healthcare workers for evaluation of their progress and recommendations on adjustments needed to render the proposed intervention successful. Therefore
all healthcare workers with whom the information will be shared must uphold confidentiality and obtain informed consent from the rightful owners.

Issues around the principle of non-maleficence are also likely to arise. Most patients living with CF have a limited capacity to perform physical exercises


READ MORE >>

it discusses the proposed intervention’s implementation ...

it discusses the proposed intervention’s implementation

READ MORE >>

Assignment Disseminating EBPIntroduction to Assignment Disseminating EBPAssignme ...

Assignment Disseminating EBP

Introduction to Assignment Disseminating EBP

Assignment Disseminating EBP

As your EBP skills grow, you may be called upon to share your expertise with others. While EBP practice is often conducted with unique outcomes in mind, EBP practitioners who share their results can both add to the general body of knowledge and serve as an advocate for the application of EBP. 

You will explore strategies for disseminating EBP within your organization, community, or industry.

Review the Resources and reflect on the various strategies presented throughout the course that may be helpful in disseminating effective and widely cited EBP.

This may include: unit-level or organizational-level presentations, poster presentations, and podium presentations at organizational, local, regional, state, and national levels, as well as publication in peer-reviewed journals.

Reflect on which type of dissemination strategy you might use to communicate EBP.

Post at least two dissemination strategies you would be most inclined to use and explain why. Explain which dissemination strategies you would be least inclined to use and explain why.

Identify at least two barriers you might encounter when using the dissemination strategies you are most inclined to use. Be specific and provide examples. Explain how you might overcome the barriers you identified Assignment Disseminating EBP.

CLICK HERE TO ORDER YOUR PROFESSIONAL PAPER

The dissemination of EBP results serves multiple important roles. Sharing results makes the case for your decisions. It also adds to the body of knowledge, which creates opportunities for future practitioners. By presenting results, you also become an advocate for EBP, creating a culture within your organization or beyond that informs, educates, and promotes the effective use of EBP.

To Prepare:

  • Review the final PowerPoint presentation you submitted in Module 5, and make any necessary changes based on the feedback you have received and on lessons you have learned throughout the course.
  • Consider the best method of disseminating the results of your presentation to an audience.

To Complete:

Create a 5-minute, 5- to 6-slide narrated PowerPoint presentation of your Evidence-Based Project.

  • Be sure to incorporate any feedback or changes from your presentation submission in Module 5.
  • Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.

Evidence-based practice focus on essential elements that can help create a highly integrated environment where it is possible to attain better outcomes. Assignment Disseminating EBP

The evidence-based practice focuses on a specific problem where the findings can be compared with other results previously obtained. Dissemination of evidence-based practice findings can be evaluated based on different settings, mainly where the practice will be applied.

The work of evidence-based practice (EBP) is a relentless process that requires practitioners to continuously provide evidence in support of their decision-making process and policy/practice changes. Healthcare workers may use the EBP model to initiate and implement policy changes which will improve patient care.

During the process, practitioners must present their appeals to the lawmakers providing evidence to why should the changes happen. There are several ways of disseminating the evidence. Melnyk and Fineout-Overholt (2018) define dissemination as “the process of distributing or circulating information widely” (p. 752).

Two dissemination strategies that I would be most inclined to use

The best dissemination strategies that I would consider include a unit-level presentation and local dissemination (Harvey & Kitson, 2015). Unit-level dissemination is only successful, especially in ensuring where the issue that has been considered help improving the underlying problem within the unit.

Different units with a given setting can have a varied assessment of the operational environment. This means there is a need to take into consideration the context under which the evidence-based practice. Therefore, ensuring that the engagement is strategic help ensure that based on the results, the intervention that is put in place is unit-based (Brownson et al., 2018).

Organizations strive to implement essential aspects of improving their performance. However, evidence-based practice eliminated the uncertainty risk, which is crucial in attaining better outcomes.

Local dissemination entails significant players at the local level, which is a better aspect that helps provide a strong emphasis on institutional development (Hall & Roussel, 2016).  However, it is essential to ensure that dissemination of outcomes is done in an environment where there exist resources and technical ability to attain better results.

Skills and knowledge among the population are likely to be a challenge in successfully implementing the developed practice. There is a need to manage the needs of existing stakeholders, which is essential and help in organizational planning as well as service delivery.

The implementation of evidence-based practice should focus on creating a profoundly transformed environment where it is easier to implement positive change. Therefore, training is crucial in empowering stakeholders on how to implement evidence-based practice (Brownson et al., 2018).

Least Inclined Dissemination Strategies to be used

The least inclined dissemination strategies to be used in communicating EBP are poster presentations and podium presentations. The poster presentations may not give out enough information, and the presentation may not look engaging and exciting, thereby losing the aim of the presentation.

The podium presentation, on the other hand, may encounter poor turnout of participants. There could be poor publicity of the presentation leading to poor attendance.

Disseminating EBP Sample Student Work

Background

A foot ulcer is one of the problems that have been linked to diabetes among different individuals. Foot ulcers can be easily identified since they can be seen in terms of the sores that are visible. Proper handling of diabetes has the potential of reducing foot ulcers among different individuals. In Maryland, there is a high correlation between foot ulcers and diabetes and many people have suffered as a result of foot ulcers.

From the analysis of the causes of foot, ulcers result in pain among the patients. One of the main symptoms that have been identified among different individuals is the swollen foot that usually stains the socks. A black tissue, eschar, also develop on the foot.

The signs that have been identified are not always obvious in the patients. In Maryland, the large population has diabetes and is at risk of getting foot ulcers. Foot ulcers are associated with poor blood circulation besides having other effects that can result in other activities.

Foot ulcer has had a direct impact on the healthcare since it reduces the quality of care among different individuals. Treating foot ulcers is also expensive since it requires fitting diabetic shoes, casts, having shoe braces, having compression wraps, and using the shoe inserts that have direct impacts on the life of the individuals who have foot ulcers.

The cost of treating and handling foot ulcers has been vital in ensuring that there is wellness and that the health of different people is maintained. Foot ulcer has cost the government and many individuals when improving the care of the patients. Assignment Disseminating EBP

However, various ways have been advanced through which foot ulcers can be prevented including the use of footbaths, disinfection of the skins from where there is an ulcer, using enzymes to treat the ulcers, and keeping the ulcers as dry as possible.

Therefore, the health impacts of ulcers increase the cost of managing diabetes and are also a risk in the management of diabetes and other conditions.

The practice-based question in this project is whether homeopathic remedies can be used in reducing foot ulcers in Maryland instead of the conventional medical and surgeries? In answering this question, a homeopathic remedy can be implemented in the management of foot ulcers and the reduction of various activities that contribute to the foot ulcers.

Management of foot ulcers is a step that improves the quality of life among different individuals. Therefore, the case of managing foot ulcers in Maryland requires a coordinated approach that takes into account various activities including the homeopathic remedies and prevention of the factors that can contribute to the improvement of the quality of care.

The use of homeopathic remedies like honey can be useful in clearing bacteria and healing the ulcers that have been vital among different people. Therefore, homeopathic management of foot ulcers in Maryland would be vital in ensuring that the quality of care is improved while at the same time reducing the cost that is incurred in managing the patients.

Evidence

The data are collected from primary and secondary sources to provide an understanding of the foot ulcers in Maryland. From the population of individuals with foot ulcers and diabetes, a qualitative approach is used to capture their experiences and feelings (White, Dudley-Brown, & Terhaar, 2019).

Developing the clinical guidelines is also conducted by the discussions held by the patients. Therefore, it is a process that looks at the development of the disease while at the same time handling different problems linked with foot ulcers. Assignment Disseminating EBP

Interviews and Focus Group Discussions are vital in capturing the experiences and feelings of the patients. Maryland is one of the areas in the United States that have been identified to have an increase in diabetes and foot ulcers. Identification of the problems related to diabetes and foot ulcers remains vital in guiding the operations and handling of the problems.

The practice setting from which the collection of evidence was done was clinic settings in Maryland. These are the clinics that attempt to handle the issues of foot ulcers and diabetes. In the clinics, the patients who are treated provided the data that are required in understanding the nature of the problem. Maryland has several clinics for handling the problem of ulcers.

However, patients vary by age and this was also important in ensuring that the correct numbers of patients are captured. The identities of the patients are kept confidential to maintain the principle of privacy and confidentiality. Assignment Disseminating EBP

Therefore, the data has been collected from the patients and the professionals who have been linked with the operations and improvement of the activities in the process. The primary sources of information remain vital in understanding and collecting the evidence required for rational decision-making.

Results

The results indicate that the foot ulcers that affect several people are due to poorly managed diabetes. In other words, if the diabetes of the patients can be managed properly then the foot ulcers among the patients can be reduced considerably.

The result of the evidence provides an understanding of the problems and also works towards ensuring elaborating the patterns that have existed Assignment Disseminating EBP. Furthermore, foot ulcers have been important in identifying different activities and also painting the lifestyles that have been affecting different individuals. The results of the activities also indicate that the problems can be solved and this has been vital in guiding the operations and the methods that people employ in managing foot ulcers.

Foot ulcers have can easily be identified as a result of the sores and the fluids that it produces among different patients. It results from diabetic individuals who have not been properly taking care of themselves. Black tissues are also found in the foot of the patients who have foot ulcers making them easily identifiable among different individuals. In Maryland, many people have diabetes that is not properly taken care of.

In these foot ulcers, different activities have been identified as the presence of ulcers with no infections, deeper ulcers that expose tendons and joints, abscesses from the infections of different people, and foot which are at risk even though there are no ulcers.

Therefore, the cases of ulcers among different people have been identified to cause problems and this has been reflected in the cases presented. Foot ulcers can also be identified among different individuals who had previously been infected by the disease. The rate of reoccurrence has been on the rise due to a lack of proper care among individuals.

In looking at the issue of foot ulcers, the existence of the ulcers and sores among different individuals also indicate problems that are associated with handling the issue while at the same time ensuring that the patients are not well taken care of.

The evidence was gathered from the patients and based on their experiences. The experiences of the patients provided an understanding of different activities while at the same time ensuring that the best healthcare facility is achieved Assignment Disseminating EBP. Therefore, the evidence that has been identified in the process of understanding foot ulcers includes vital medical records. Foot ulcers have always occurred due to poorly managed diabetes.

Identification of the black scars has been essential in understanding different activities and working towards identifying and diagnosing the diseases and other conditions.

The causes of foot ulcers range from poor circulation of blood, high blood sugar, nerve damage, as well as irritated feet that are also wounded. Poor blood circulation is a type of disease that has been linked with vascular problems.

Poor circulation does not permit the healing of the feet of different individuals. In many cases, the existence of type 2 diabetes presents difficult management of foot ulcers. The case has remained vital in the handling of diabetes and managing the diseases. Nerve damage has a long term impact on the foot of individuals. It is one of the contributors of foot ulcers that have had an impact on the progression of the disease.

The severity of the foot ulcers has been affected by nerve damage and this can be linked to the symptoms that are exhibited in the case of foot ulcers. Nerve damage has the potential of making the feet tingly and painful and this can contribute to the opening of the sores in the foot.

Critically, it can contribute to the destruction of the cells. The case of nerve damage can be seen in different activities that may also contribute to other diseases. In diabetes, dry skin is one of the most common activities that can be identified and has been presented numerously. The feet of different individuals may appear to be cracking.

The feet also appear to be having calluses, corns and also bleeding. Among the patients observed in Maryland, the pieces of evidence have been provided in what has been observed from the skin and the body Assignment Disseminating EBP. These are indications of foot ulcers and poorly managed diabetes type 2.

One of the recommendations is the use of honey in controlling and management of foot ulcers. The use of honey is referred to as the homeopathic management of foot ulcers. In the management of foot ulcers, the sores must be dried and the treatment must also be managed.

The management of the disease also captures different activities including the nutrition that is vital among different individuals. Changing and adjusting the nutrition is also vital as it helps in controlling diabetes while at the same time ensuring that the patients do not get the foot ulcers that have been affecting them directly.

Physical exercises have also been vital as it has controlled many activities and working towards developing a system that promotes the health of individuals. Therefore, the clinical guideline provided must make a provision for physical exercise and also promoting nutrition critically in ways that ensure that the patients in Maryland are helped and that this prevents the diseases and handling of different activities. Therefore, the management of foot ulcers in Maryland requires a range of approaches.

Assignment Disseminating EBP References

  • White, K. M., Dudley-Brown, S., & Terhaar, M. F. (Eds.). (2019). Translation of evidence into nursing and healthcare. Springer Publishing Company. https://connect.springerpub.com/content/book/978-0-8261-4737-0

Also Read:

Discussions Working with Yan Ping Paper

HLT 306V Advanced Patient Care 

Assignment – Workplace Safety Initiative Proposal

Assessment Tool Worksheet Assignment Paper

Assignment Clarifying Research

EB006: Disseminating Evidence-Based Practice Changes: Analyze dissemination strategies for evidence-based practice changes in healthcare.

Assessment Rubric

Rubric Criteria0 Not Present1 Needs Improvement2 Meets ExpectationsModule 1: Environments Conducive to Evidence-Based PracticeCreate a 10- to- 13-slide narrated PowerPoint presentation in which you address the following:   Explain the clinical issue of interest that is most conducive to an evidence- based practice change in your healthcare organization.   Learning Objective 1.1 – Analyze evidence-based practice changes in healthcare organizationsThe presentation explaining the clinical issue of interest that is most conducive to an evidence-based practice change in a healthcare organization is missing.The presentation inaccurately or vaguely explains the clinical issue of interest that is most conducive to an evidence-based practice change in a healthcare organization.The presentation accurately and clearly explains in detail the clinical issue of interest that is most conducive to an evidence-based practice change in a healthcare organization.Module 2: Evidence-Based Practice and ChangeDescribe the evidence- based practice change you would recommend implementing to address the clinical issue of interestThe presentation describing the evidence-based practice change recommended for implementation to address the clinical issue of interest selected is missing.The presentation inaccurately or vaguely describes the evidence-based practice change recommended for implementation to addressThe presentation clearly and accurately describes in detail the evidence-based practice change recommended for implementation to addressRubric Criteria0 Not Present1 Needs Improvement2 Meets Expectationsthat you selected. Be specific and provide examples.   Learning Objective 2.1 – Recommend evidenced-based changes for practice informed by evidenced-based and peer- reviewed research the clinical issue of interest selected.   The response minimally synthesizes and integrates resources that may support the responses provided.the clinical issue of interest selected.   The response synthesizes and integrates at least two outside resources and two competency-specific resources that fully support the responses provided.Module 3: Dissemination and Engagement in Evidence-Based PracticeCompare at least two dissemination strategies that you might recommend to communicate evidence- based practice changes to your organization and explain why.   Learning Objective 3.1 – Recommend dissemination strategies to communicate evidenced-based practice changes in healthcare organizationsThe presentation comparing at least two dissemination strategies recommended to communicate evidence-based practice changes to a healthcare organization is missing.   The responses explaining why these dissemination strategies are recommended is missing.The presentation inaccurately or vaguely compares at least two dissemination strategies recommended to communicate evidence-based practice changes to a healthcare organization.   The responses provide a inaccurate or vague explanation as to why these dissemination strategies are recommended.The presentation accurately and thoroughly compares two or more dissemination strategies recommended to communicate evidence-based practice changes to a healthcare organization.   The responses provide an accurate and detailed explanation as to why these dissemination strategies are recommended.Compare at least two dissemination strategies that you would be least inclined to recommend toThe presentation comparing at least two dissemination strategies not recommended to communicate evidence-The presentation inaccurately or vaguely compares at least two dissemination strategies not recommended toThe presentation accurately and thoroughly compares two or more dissemination strategies not recommendedRubric Criteria0 Not Present1 Needs Improvement2 Meets Expectationscommunicate evidence- based practice changes to your organization and explain why.   Learning Objective 3.2 – Analyze dissemination strategies not conducive to the communication of evidence- based practice changes in healthcare organizationsbased practice changes to a healthcare organization is missing.   The responses explaining why these dissemination strategies are not recommended is missing.communicate evidence-based practice changes to a healthcare organization.   The responses provide a inaccurate or vague explanation as to why these dissemination strategies are not recommended.to communicate evidence- based practice changes to a healthcare organization.   The responses provide an accurate and detailed explanation as to why these dissemination strategies are not recommended.Identify at least two barriers that you might encounter when using the dissemination strategies that you are most inclined to use. Learning Objective 3.3 – Identify barriers to dissemination and communication strategies for evidence-based practice changesThe presentation identifying at least two barriers encountered when using the dissemination strategies recommended to communicate evidence-based practice changes in a healthcare organization is missing.The presentation inaccurately or vaguely identifies at least two barriers encountered when using the dissemination strategies recommended to communicate evidence-based practice changes in a healthcare organization.The presentation clearly and accurately identifies in detail two or more barriers encountered when using the dissemination strategies recommended to communicate evidence-based practice changes in a healthcare organization.Explain how you might overcome the barriers that you identified. Be specific and provide examples. Learning Objective 3.4 – Analyze approaches for overcomingThe presentation explaining approaches for overcoming barriers when disseminating and communicating evidence-based practice changes in a healthcare organization is missing.The presentation inaccurately or vaguely explains approaches for overcoming barriers when disseminating and communicating evidence-based practiceThe presentation clearly and accurately explains in detail approaches for overcoming barriers when disseminating and communicating evidence-based practiceRubric Criteria0 Not Present1 Needs Improvement2 Meets Expectationsbarriers for communicating evidence-based practice changes changes in a healthcare organization.changes in a healthcare organization.Assignment Disseminating EBPMastery RubricNoYesExceeds Expectations: Disseminating Evidence-Based Practice ChangesLearning Objective – Analyze dissemination strategies for evidence-based practice changes in healthcareA comprehensive, detailed, and in-depth presentation is not provided and fails to synthesize appropriate dissemination strategies to communicate evidence-based practice changes in healthcare organizations.A comprehensive, detailed, and in-depth presentation is provided that synthesizes appropriate dissemination strategies to communicate evidence-based practice changes in healthcare organizations.Assignment Disseminating EBPProfessional Skills Assessment0 Not Present1 Needs Improvement2 Meets ExpectationsPS001: Written Communication: Demonstrate graduate-level writing skills.Learning Objective PS 1.1: Use proper grammar, spelling, and mechanics.Multiple major and minor errors in grammar, spelling, and/or mechanics are highly distracting and seriously impact readability.Multiple minor errors in grammar, spelling, and/or mechanics are distracting and negatively impact readability.Writing reflects competent use of standard edited American English. Errors in grammar, spelling, and/or mechanics do not negatively impact readability.Learning Objective PS 1.2: Organize writing to enhance clarity.Writing is poorly organized and incoherent. Introductions, transitions, and conclusions are missing or inappropriate.Writing is loosely organized. Limited use of introductions, transitions, and conclusions provides partial continuity.Writing is generally well organized. Introductions, transitions, and conclusions provide continuity and a logical progression of ideas.Learning Objective PS 1.3: Apply APA style to written work.APA conventions are not applied.APA conventions for attribution of sources, structure, formatting, etc., are applied inconsistently.APA conventions for attribution of sources, structure, formatting, etc., are generally applied correctly in most instances. Sources are generally cited appropriately and accurately.Learning Objective PS 1.4: Use appropriate vocabulary and tone for the audience and purpose.Vocabulary and tone are inappropriate and negatively impact clarity of concepts to be conveyed.Vocabulary and tone have limited relevance to the audience.Vocabulary and tone are generally appropriate for the audience and support communication of key concepts.Professional Skills Assessment0 Not Present1 Needs Improvement2 Meets ExpectationsPS002: Oral Communication: Use Effective Oral Presentation Skills.PS 2.1: Use clear enunciation, correct pronunciation, comfortable pacing, and appropriate volume.Speaker mumbles or speaks in a monotone, mispronounces words, and/or struggles to find appropriate pacing or volume.Speaker inconsistently uses clear enunciation, correct pronunciation, comfortable pacing, and appropriate volume.Speaker engages the audience through mostly clear enunciation, correct pronunciation, comfortable pacing, and appropriate volume.PS 2.2: Organize information to be presented.Information is disorganized to a degree that impedes audience understanding.Organization of information minimally supports audience understanding.Organization of information generally enhances audience understanding of concepts.PS003: Technology: Use Technology tools effectively.Learning Objective PS 3.1: Use images and layout of presentations to effectively communicate content to a specific audience.Learning Objective PS 3.1: Use images and layout of presentations to effectively communicate content to a specific audience.Learning Objective PS 3.1: Use images and layout of presentations to effectively communicate content to a specific audience.Learning Objective PS 3.1: Use images and layout of presentations to effectively communicate content to a specific audience.Learning Objective PS 3.2: Use appropriate vocabulary and tone for the audience and purpose.Learning Objective PS 3.2: Use appropriate vocabulary and tone for the audience and purpose.Learning Objective PS 3.2: Use appropriate vocabulary and tone for the audience and purpose.Learning Objective PS 3.2: Use appropriate vocabulary and tone for the audience and purpose.Professional Skills Assessment0 Not Present1 Needs Improvement2 Meets Expectations PS005: Critical Thinking and Problem Solving: Use critical thinking and problem-solving skills to analyze professional issues and inform best practice. Learning Objective PS 5.1: Analyze assumptions and fallacies.Analysis of assumptions is missing.Response is weak in assessing the reasonableness of assumptions in a given argument.Response generally assesses the reasonableness of assumptions in a given argument.   Response does not adequately identify and discuss the implications of fallacies or logical weaknesses in a given argument.Response identifies and discusses the implications of fallacies and/or logical weaknesses in a given argument.Learning ObjectiveAssessment of multipleResponse does not identify norResponse identifies and considers PS 5.3:perspectives is missing.adequately consider multiplemultiple perspectives and alternatives.Assess multiple perspectives or alternatives. perspectives and   alternatives.   PS006: Information Literacy: Apply appropriate strategies to identify relevant and credible information and data in order to effectively analyze issues and make decisions.Learning Objective PS 6.1: Identify credible sources.Credible sources are missing.Some sources are credible, appropriate, and relevant to the topic.Most sources are credible, appropriate, and relevant to the topic.Learning ObjectiveAnalysis is missing.Analysis superficially reflectsAnalysis clearly reflects relevance of findingsPS 6.2: relevance of findings to theto the identified problem, issue, or purpose.Analyze findings from identified problem, issue, or relevant sources. purpose. 

Evidence-Based Practice Proposal Final Paper Example

Cystic Fibrosis (CF) is a prevalent genetic illness triggered by abnormalities in the cystic fibrosis transmembrane conductance regulator (CFTR) gene. Even though many other body systems can be affected, the classic CF phenotype is marked by persistent respiratory infections resulting in pancreatic insufficiency, bronchiectasis, and high sweat chloride. Respiratory system infections, gastrointestinal congestion, and malabsorption are some of the clinical symptoms of the cha


READ MORE >>

Assignment: Develop an effective communication style for interacting with curren ...

Assignment: Develop an effective communication style for interacting with current patients

ORDER HERE FOR ORIGINAL, ORDER THROUGH BOUTESSAY ON Assignment: Develop an effective communication style for interacting with current patients

Robert is a paper in APA explaining my evolution as a nursing student through the Med surgical 2 Class .I attach you the rubric with all the information required

nursing_evolution_rubric_final_version.docx

Unformatted Attachment Preview

Nursing Evolution Rubric CRITERIA
  1. Reflects on current theory and clinical class with concepts and theories using the Program Learning Outcomes and BSN Essentials listed in the syllabus.
  2. Develops an effective communication style for interacting with current patients, families, and the interdisciplinary health team when providing holistic, patient centered nursing care to populations encountered in this course.
  3. Models leadership when providing safe, quality nursing care; coordinating the healthcare team, and Meets Expectations

Reflects on current theory class and clinical and how courses support each other (transfer of knowledge to apply to clinical)Focused to Current Term.

Synthesizes theories and concepts from liberal education to build an understanding of the human experience.

Uses skills of inquiry and analysis to address practice issues 4.

  • Applies knowledge of social and cultural factors in the care of populations encountered in this course.
  • Reflects on providing holistic patient care to populations encountered in this course.

Approaching Expectations 2 1.

  1. Limited reflection on current theory class and clinical and how courses support each other (transfer of knowledge to apply to clinical)- Focused to Current Term.
  2. Describes inter-collaborative involvement (i.e. Interprofessional rounds; consultations and interaction with PT/OT; Respiratory Therapy, Pharmacist consultation–describe their role/ contribution.)
  3. Describes limited inter-collaborative involvement
  4. Does not describes intercollaborative involvement
  5. Describe an event that demonstrates:

Application of leadership concepts, skills and decision making

Describes limited leadership concepts, skills and decision making in the provision of high quality nursing care, Gives no examples of leadership concepts, skills and decision making in the provision of high quality nursing care, healthcare team coordination

Limited synthesis of theories and concepts from liberal education to build an understanding of the human experience

Use limited skills of inquiry and analysis to address practice issues 4. Applies limited knowledge of social and cultural factors in the care of populations encountered in this course. 1. A limited reflection on providing holistic patient care to populations encountered in this course.

Not Meeting Expectations 0-11.No reflection on current theory class and clinical and how courses support each other2. Does not synthesize theories and concepts from liberal education to build an understanding of the human experience3. Does not use skills of inquiry and analysis to address practice issues4. Does not apply knowledge of social and cultural factors in the care of populations encountered in this course.1. No reflection on providing holistic patient care to populations encountered in this course. Nursing Evolution Rubric when tasked with oversight and accountability for care delivery. APA style Paper (2-3 pages). Current References the provision of high quality nursing care, • healthcare team coordination • the oversight and accountability for care delivery 2. Describe an event that demonstrates leadership, appropriate teambuilding and collaborative strategies to effectively implement patient safety and quality improvement initiatives within the context of the interprofessional teamThe Paper must be an APA Style (2-3) pages with current references • healthcare team coordination and the oversight and accountability for care delivery the oversight and accountability for care delivery in a variety of settings 2. Limited description of an event that demonstrates leadership, appropriate teambuilding and collaborative strategies to effectively implement patient safety and quality improvement initiatives within the context of the interprofessional team 2. Does not describe an event that demonstrates leadership, appropriate teambuilding and collaborative strategies to effectively implement patient safety and quality improvement initiatives within the context of the interprofessional team.

READ MORE >>

Assignment DNP800 Module 5 to 8Assignment DNP800 Module 5 to 8Assignment DNP800 ...

Assignment DNP800 Module 5 to 8

Assignment DNP800 Module 5 to 8

Assignment DNP800 Module 5 to 8

module 5 discussion

Choose a research article and discuss the data collection process and the positive and negative aspects of the process.

Module 6 discussion

Choose one research article that includes either physiological or psychological knowledge and discuss how the knowledge would be used to influence the healthcare paradigm.

Module 7 discussion

Identify an implementation project that you have experienced. Discuss what worked and what did not work in the process.

Module 8 discussion

Describe three ethical considerations in research and knowledge acquisition and sharing

Assignment DNP800 Module 5 to 8: Module 5 Assignment

Remember to submit your work following the file naming convention FirstInitial.LastName_Mx. For example, J.Smith_M01.docx. Remember that it is not necessary to manually type in the file extension; it will automatically append.

Start by reading and following these instructions:

1. Quickly skim the questions or assignment below and the assignment rubric to help you focus.

2. Read the required chapter(s) of the textbook and any additional recommended resources. Some answers may require you to do additional research on the Internet or in other reference sources. Choose your sources carefully.

3. Consider the discussion and the any insights you gained from it.

4. Create your Assignment submission and be sure to cite your sources, use APA style as required, check your spelling.

Assignment:

Subject Matter Experts and Data Collection – Your interview should be 1500-1700 words and should include at least three (3) citations. Clearly mark each heading to identify the interviews and summaries. Follow the guidelines for APA writing style. Be sure to use APA guidelines for referencing in an interview.

Choose a research topic that interests. This can be any topic you would like to research either qualitatively or quantitatively Assignment DNP800 Module 5 to 8.

An example might be effectiveness of a tool for monitoring home administration of medications however you can choose any topic you like. Develop a tool for collecting data (be sure to keep it fairly simple in the interests of the project), find three subject matter experts and have them evaluate your data collection tool through interviews. Include their assessment of the effectiveness of the tool.

Be sure to include any recommendations for change in the tool. Then describe how the tool will change based on the recommendations Assignment DNP800 Module 5 to 8.

Module 6 Assignment (Assignment DNP800 Module 5 to 8)

Remember to submit your work following the file naming convention FirstInitial.LastName_M01.docx. For example, J.Smith_M01.docx. Remember that it is not necessary to manually type in the file extension; it will automatically append.

Start by reading and following these instructions:

1. Quickly skim the questions or assignment below and the assignment rubric to help you focus.

2. Read the required chapter(s) of the textbook and any additional recommended resources. Some answers may require you to do additional research on the Internet or in other reference sources. Choose your sources carefully.

3. Consider the discussion and the any insights you gained from it.

4. Create your Assignment submission and be sure to cite your sources, use APA style as required, check your spelling.

Assignment:

Successful Data Collection Tools – Develop a 15 slide PowerPoint presentation. Be thorough and include rational and references for your recommendations Assignment DNP800 Module 5 to 8.

Using the tool you evaluated in the previous week. Develop a PowerPoint presentation sharing how the data collected in the tool is driven by physiological and psychological concepts. Address what the end goal of the healthcare paradigm will be with the data collected. Assignment DNP800 Module 5 to 8

Assignment DNP800 Module 5 to 8: Module 7 Assignment

Remember to submit your work following the file naming convention FirstInitial.LastName_M01.docx. For example, J.Smith_M01.docx. Remember that it is not necessary to manually type in the file extension; it will automatically append. Assignment DNP800 Module 5 to 8

Start by reading and following these instructions:

1. Quickly skim the questions or assignment below and the assignment rubric to help you focus.

2. Read the required chapter(s) of the textbook and any additional recommended resources. Some answers may require you to do additional research on the Internet or in other reference sources. Choose your sources carefully.

3. Consider the discussion and the any insights you gained from it.

4. Create your Assignment submission and be sure to cite your sources, use APA style as required, check your spelling.

Assignment:

**BENCHMARK** Assessment, Implementation, and Review – Write a 2500-2700 word essay addressing each of the following points/questions. Support your ideas with at least three (5) scholarly citations in your essay.

Use strict APA guidelines to format the paper. The cover page and reference page do not count towards the minimum word amount and an abstract and table of contents are not necessary and if included are not part of the overall word count. Assignment DNP800 Module 5 to 8

Choose a project that you would like to implement in a healthcare delivery environment. Research the topic. Develop a plan to implement the knowledge found in the research. Discuss how you would evaluate the project. Include a discussion of what you will do if the project does not successfully launch. Assignment DNP800 Module 5 to 8

Module 8 Assignment (Assignment DNP800 Module 5 to 8)

Remember to submit your work following the file naming convention FirstInitial.LastName_M01.docx. For example, J.Smith_M01.docx. Remember that it is not necessary to manually type in the file extension; it will automatically append Assignment DNP800 Module 5 to 8.

Start by reading and following these instructions:

1. Quickly skim the questions or assignment below and the assignment rubric to help you focus.

2. Read the required chapter(s) of the textbook and any additional recommended resources. Some answers may require you to do additional research on the Internet or in other reference sources. Choose your sources carefully.

3. Consider the discussion and the any insights you gained from it.

4. Create your Assignment submission and be sure to cite your sources, use APA style as required, check your spelling.

Assignment:

Sharing Knowledge – Write a 1500-1700 word essay addressing each of the following points/questions. Support your ideas with at least three (3) scholarly citations in your essay. Use strict APA guidelines to format the paper. Assignment DNP800 Module 5 to 8

The cover page and reference page do not count towards the minimum word amount and an abstract and table of contents are not necessary and if included are not part of the overall word count Assignment DNP800 Module 5 to 8.

Investigate three professional journals and describe the process and criteria they use for selecting work to be published. Describe how you would work to meet this process and criteria. Describe challenges you perceive in getting work published in the journals. Assignment DNP800 Module 5 to 8

Assignment DNP800 Module 5 to 8: Module 8 Assignment

Reflection Artifact

Please consider how you have developed the knowledge, skills, and attitudes that enable your achievement of the Course Goals listed in the syllabus. Assignment DNP800 Module 5 to 8

Then write a reflection of minimum of 1000 words describing how this course has helped you achieve these goals. Finally, chose one assignment that you feel represents your best learning (artifact) in the course.

Take a few minutes to revise it, according to comments from your professor. Combine these into one document. Assignment DNP800 Module 5 to 8

Finally, submit the assignment into the drop-box and save a copy of it in a folder on your personal computer Assignment DNP800 Module 5 to 8.


READ MORE >>

Assignment Family GenogramAssignment Family GenogramThis assignment will help yo ...

Assignment Family Genogram

Assignment Family Genogram

This assignment will help you gain a better understanding of your family dynamics by completing a genogram. A genogram is like a road map to your family history. This assignment will be a two-step process.

First you will complete research on family genograms. Genopro.com is a helpful website that you can use for assistance with this assignment. (Hint – this is a great resource!) Write a one-page summary (in your own words) on your research and explain. Any information you use from any source needs to be cited! Please discuss:

  • The history of genograms
  • How genograms are used
  • How genograms are completed
  • What are the benefits of using a genogram

For the second part of this assignment you will “map out” your immediate family. You may need to contact extended family members for help Assignment Family Genogram. If that’s not possible, no problem, do the best you can with the information you have. You’ll start with you and your significant other as well as your children. Then, if possible, please go back two generations.

Remember, a genogram is  more  than a family tree. You need to identify relationships and their status (strong, weak, abusive, etc.), behavioral patterns (teen pregnancy, divorce, substance abuse, etc.), health issues and/or any other issues that you know of or become aware of during your research.

You may complete this assignment as a Word doc using whatever shapes, symbols, colors, etc. you want or you can draw your genogram by hand, scan it, and upload it as an attachment Assignment Family Genogram. PLEASE keep in mind that this is not an art class – I’m not looking for a masterpiece.

The purpose of this assignment is for you to see what patterns emerge within your family. The project should also include relationship lines and a significant events timeline . After you’ve completed your genogram please write a two-page summary, in a Word doc, that includes the answers to the following questions (as well as anything else you’d like to share):

1. What did you learn about your family history? (Please share as much as you are comfortable with. This assignment is very personal and your instructor is the only person who will read it.)

2. What was the experience of collecting information like for you?

3. Are there any patterns that emerged that surprised you? (For example communication, addiction, teen pregnancy, mental healthy issues, etc.) Why or why not?

4. How could a genogram help a couple strengthen their relationship?

5. How could parents use a genogram to educate their children?

6. Conclude your paper by summarizing what you learned from this assignment and how you can apply it to your family.

Your summary should be written in APA format with factual information to support your thoughts and ideas Assignment Family Genogram. The rubric (below) is what I’ll use to grade your project:

RubricPossible pointsPoints earnedStudent submitted a genogram that’s clearly labeled and contains a key.10Student submitted research to include history, uses, how to, and benefits of genograms.20Student summary includes:What the student learned about the family historySurprising patterns

How a genogram could help a couple strengthen their relationship

How a genogram could help parents educate children

Student incorporated information from the textbook and genopro.com

40Conclusion summarizes what student learned from this assignment and how it can be applied to his/her own family10No spelling or grammar issues APA formatMeets length requirement20100

Assignment Family Genogram: Family Genome Project

A family genogram is a diagrammatic illustration of the history of a family’s behavioral patterns and medical history over several generations (Sitnik-Warchulska & Izydorczyk, 2018). A family genogram is an essential tool for evaluating a family member’s risk of developing a particular condition Assignment Family Genogram. Additionally, Jabbari and Rouster (2021) note that family genograms enable us to understand family dynamics which refer to the pattern of interactions among relatives, their relationships, and various factors that shape these interactions. Family systems stem from Bowen’s family systems theory.

According to this theory, family members are dependent on each other for physical, emotional, and economic support (Jabbari & Rouster, 2021). Consequently, supportive and secure family relationships manifest with advice, love, and care, while stressful family relationships are loaded with conflicts, critical feedback, and instability. In this piece of writing, I will construct my family genogram (3 generations) and finally discuss family system theories to support the dynamics of family genograms. (See Appendix for the genogram).

The Genogram

The first generation of the genogram consisting of my grandparents from both maternal and paternal sides is mainly geriatric. The significant critical finding from this generation is that my paternal grandfather was involved in a road traffic accident at 55 years and subsequently developed acute stress disorder, which resolved after treatment.

Similarly, my maternal grandmother has recently been diagnosed with hypertension and is currently on medication. The second generation generally is free from psychopathologies and medical-related issues, except for my paternal aunt, who suffered postpartum depression following her first delivery, which resolved.

The aforementioned generations are both Christians, strongly believe in monogamy and condemn divorce as well as substance use Assignment Family Genogram. The third generation is mainly composed of my two sisters and me. However, the third generation is currently in school. No deaths were reported in the genogram.

It is worth mentioning that this genogram is not detailed as most of the information was principally obtained from my parents, raising the possibility of concealing vital details. Finally, I must say that the relationships in the family have been supportive since childhood from both paternal and maternal sides, with few conflicts. See the appendix section for the diagram.

Family System Theory

The family theory comprises a spectrum of prepositions that attempt to explore particular aspects of family life. Understanding these theories is critical to comprehending family dynamics and appropriate family therapy. For instance, the Bowenian approach explores eight family system theories, including differentiation of self, emotional triangle, emotional cut-off, family projection process, multigenerational transmission process, sibling position, societal emotional process, and nuclear family emotional process (Erdem & Safi, 2018).

The above theories interact in a complex manner to influence a family’s behaviors and dynamics. Sibling position describes the different roles that siblings assume within the family based on the different expectations, parental discipline, and societal processes Assignment Family Genogram. For example, older siblings are expected to act responsibly and as role models to the younger ones.

Meanwhile, emotional cut-off involves a family member deploying emotional distancing from the family to manage emotional challenges and other family issues. According to Erdem and Safi (2018), this reduces stress and tension at that particular moment Assignment Family Genogram. Later, tension, conflicts, and disabling relationship will arise due to this detachment. Conversely, the family projection process highlights the risk of transmission of relationship difficulties, anxiety, and emotional concerns among family members within an emotional triangle.

Finally, the nuclear family emotional process strives to explain problematic areas within a nuclear family, including intimate partner conflict, emotional distance, impaired functionality in children, and problematic behaviors in one partner Assignment Family Genogram. In conclusion, these family system theories offer a unique opportunity for nurses to assess behavioral patterns and family relationships and attend to family concerns in a clinical setting effectively.

Assignment Family Genogram References

Erdem, G., & Safi, O. A. (2018). The cultural lens approach to Bowen family systems theory: Contributions of family change theory: Bowen family systems and family change. Journal of Family Theory & Review, 10(2), 469–483. https://doi.org/10.1111/jftr.12258

Jabbari, B., & Rouster, A. S. (2021). Family Dynamics. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK560487/

Sitnik-Warchulska, K., & Izydorczyk, B. (2018). Family patterns and suicidal and violent behavior among adolescent girls-genogram analysis. International Journal of Environmental Research and Public Health, 15(10). https://doi.org/10.3390/ijerph15102067

Assignment: Family Genogram


READ MORE >>

Assignment: Formal vs Informal CounselingAssignment: Formal vs Informal Counseli ...

Assignment: Formal vs Informal Counseling

Assignment: Formal vs Informal Counseling

Difference between Formal vs Informal Counseling. A survey of mental health and includes diagnosis, counseling and effectiveness of counseling.

  • Discuss differentiation of formal (professional) from informal (non-professional) counseling. Why is this differentiation essential?

© BrainMass Inc. brainmass.com March 21, 3:41 pm ad1c9bdddf
https://brainmass.com/psychology/abnormal-psychology/160570

Formal vs Informal Counseling Solution Preview

Hi,

This is an interesting topic! Let’s take a closer look.

Assignment: Formal vs Informal Counseling RESPONSE:

Formal vs. Informal Counseling. A survey of mental health and includes diagnosis, counseling and effectiveness of counseling. Discuss differentiation of formal (professional) from informal (non-professional) counseling. Why is this differentiation essential?
Counseling comes in two flavors: formal and informal, which are indeed very different, each having advantages and disadvantages based on the situation and person.

Assignment: Formal vs Informal Counseling

Assignment: Formal vs Informal Counseling INFORMAL COUNSELING

Informal counseling is defined in different ways. It consists of nothing more entering into conversation and listening to someone, such as being available or pulling someone aside for a quiet word about some problem they’re having. Assignment: Formal vs Informal Counseling. However, in a work situation, for example, as a supervisor might engage in informal counsel on the spur of the moment about something that happened only a second ago. In fact, this is probably the best use of this type of counseling, according to some.

The important thing to remember about informal counseling is to use the Golden Rule of Counseling – praise in public, reprimand in private. Assignment: Formal vs Informal Counseling. Don’t, for example, ever bite a big piece off of someone in front of everybody. All that does is embarrass the person unnecessarily and can destroy their self-esteem. It will also make you seem like a complete tyrant. No one wants to work for someone or be in relationship with someone who, if something goes wrong, will make her or him feel stupid in public.


READ MORE >>

Assignment Katherine Harris iHuman Case StudyNSG 6435 Week 4 Discussion: iHuman ...

Assignment Katherine Harris iHuman Case Study

NSG 6435 Week 4 Discussion: iHuman Case Study – HEENT and Respiratory Infections

This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area.

To support your work, use your course textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Assignment Katherine Harris iHuman Case Study

Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Assignment Katherine Harris iHuman Case Study. Cite sources in your responses to other classmates. Complete your participation for this assignment.

For this assignment, you will complete an iHuman case study based on the course objectives and weekly content. iHuman cases emphasize core learning objectives for an evidence-based primary care curriculum. Assignment Katherine Harris iHuman Case Study.

Throughout your nurse practitioner program, you will use the iHuman case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.

The iHuman assignments are highly interactive and a dynamic way to enhance your learning. Material from the iHuman cases may be present in the quizzes, the midterm exam, and the final exam.

  • Here you can view information on how to access and navigate iHuman.
  • This week, complete the iHuman case titled “Katherine Harris.”

Apply information from the iHuman Case Study to answer the following questions:

  • Do you recommend a limited or an involved use of antibiotics in treatment of these diseases and other unconfirmed bacterial illnesses and why? What are the standards regarding the use of antibiotics in pediatric population, and what assessment findings would warrant prescribing an antibiotic for Asthma symptoms?
  • Using national guidelines and evidence-based literature, develop an Asthma Action Plan for this patient. Assignment Katherine Harris iHuman Case Study.
  • Do the etiology, diagnosis, and management of a child who is wheezing vary according to the child’s age? Why or why not? Which objective of the clinical findings will guide your diagnosis? Why? When is a chest x-ray indicated in this case?

Week 7 Assignment 1: Discussion: iHuman Case Study-Gonorrhea

**Discuss the questions that would be important to include when interviewing a patient with this issue.

Why are you seeking help today? I have been having burning when I pee and vaginal discharge for a few days. I was worried that I had another bladder infection, but these symptoms are a little different.

When did your pain with urination start? About three days ago

What are the events surrounding the start of your pain with urination? Well, it came on pretty much with the discharge. It was hard to tell what’s what

Does anything make your pain with urination better or worse? Soaking in a warm bath helps

Do you have any other symptoms associated with painful urination? Well, yeah. The discharge I told you about.

Have you had problems with painful urination like before? Yes, with my bladder infection last year. But I’m wondering if this is really the same thing.

How often do you have pain with urination?   Every time I pee.

What is the appearance, smell, texture and quantity of the vaginal discharge? Oh boy…I hate having to answer these questions. Yellow, kind of mucousy, kind of creamy. Not too smelly.

Is there vaginal discomfort or itching? No, nothing like a yeast infection.

Are you sexually active? Yes, I am.

How often are you having intercourse? Well, let’s just say I like men and they like me. I’ve been with a few different guys over the last 6 months. I haven’t done it with anyone since this started a few days ago. The last time was maybe a week ago?

Are you having or have you had unprotected sex? Yeah, I guess so. Sometimes I forget about condoms if I’ve been drinking. I’m on the pill, so I guess I’m protected that way.

Do you use precautions to prevent the transmission of sexual diseases? Nothing but the pill.

Do you have more than one sexual partner? Yes

Do you have new or multiple sexual partners with similar symptoms? Well, no one has told me he has any problem.

Have you had any sexually transmitted disease? Not that I know of.

Do you have sex with men, women, or both?  I’m heterosexual.

Are you taking any prescription medications? No, other than the pill.

Are you taking any over the counter medications? Yeah, sometimes I take ibuprofen with my period. You know, like for cramps and headaches.

Do you have any pelvic pain? No

Do you have any blood in your urine? No

Do you have any genital sores or discharge? No sores, but I do have some vaginal discharge.

**Describe the clinical findings that may be present in a patient with this issue.

 Symptoms are often nonspecific and may include increased vaginal discharge, dysuria, urinary frequency, and intermenstrual or postcoital bleeding. If the infection has been long-standing, symptoms can include low abdominal or low back pain (Dowell & Kirkcaldy, 2013)

**Are there any diagnostic studies that should be ordered on this patient? Why?

The Centers for Disease Control and Prevention (CDC) recommends testing on self- or clinician-collected endocervical and vaginal swab specimens, as well as on urine specimens. Nucleic acid amplification testing (NAAT) is the most sensitive and specific for gonorrheal and chlamydial infections, and it also allows for testing on the widest variety of specimen types (“Cervicitis Workup,” 2017).   

**List the primary diagnosis and three differential diagnoses for this patient. Explain your reasoning for each.

Primary diagnosis – Cervicitis: Culture-proven, uncomplicated gonorrhea

Candida vaginitis is a vaginal yeast infection that is caused by the organism

Candida albican that is a naturally occurring microorganism in the vaginal area. Lactobacillus bacteria keeps its growth in check although if there’s an imbalance in your system, these bacteria won’t work effectively (Martin Lopez, 2015). This leads to an overgrowth of yeast, which causes the symptoms of vaginal yeast infections. Clinically a diagnosis is made by the presence of external dysuria and vulvar pruritus, pain, swelling, and redness. Signs also include vulvar edema, fissures, excoriations, and thick curdy vaginal discharge. This is not supported by clinical & physical assessment.

Pelvic inflammatory disease (PID) is an infection of the upper part of the female reproductive system namely the uterus, fallopian tubes, and ovaries, and inside of the pelvis (Brunham, Gottlieb & Paavonen, 2015). Signs and symptoms, when present may include lower abdominal pain, vaginal discharge, fever, burning with urination, pain with sex, or irregular menstruation. Untreated PID can result in long term complications including infertility, ectopic pregnancy, chronic pelvic pain, and even cancer (Brunham et al, 2015). This is not supported by clinical & physical assessment.

Urinary Tract Infection is caused by a bacterium or virus infecting the kidneys. The infection may affect one or both upper urinary tracts which consist the ureter, renal pelvis, and kidney interstitium (Flores-Mireles, Walker, Caparon, & Hultgren, 2015). The infection is probably spread by ascending uropathic microorganisms?along the ureters, or can be carried through the bloodstream from other parts of the body.

Though many bacteria and viruses can cause pyelonephritis,?it is usually associated with ProteusPseudomonas though bacterium?Escherichia coli?is often the cause (Flores-Mireles et al., 2015). Symptoms are usually acute, with fever, chills, and flank or groin pain with most cases occurring in young adult women although older adults may have nonspecific symptoms, such as low-grade fever and malaise (Flores-Mireles et al., 2015). This is not supported by clinical & physical assessment.

**Discuss your management plan for this patient, including pharmacologic therapies, tests, patient education, referrals, and follow-ups.

Several factors should affect the decision to provide presumptive therapy for cervicitis or to await the results of diagnostic tests. Treatment with antibiotics for C. trachomatis should be provided for those women at increased risk for this common STD with a dose of Ceftriaxone 250 mg IM and Doxycycline 100 mg orally twice a day for 7 days can be used as an alternative in women who are not pregnant or breast feeding (Ebrahimy et al., 2015).

Patients must be educated that cervicitis is a preventable, sexually transmitted infection (STI) and that the most effective way to prevent the transmission of the infective agents is to avoid sexual intercourse without protection or infected partners. Partners should be notified and examined if chlamydia, gonorrhea, or trichomoniasis. Partners should then be treated for the STDs for which the index patient received treatment. Education on avoiding reinfection, patients and their sex partners should abstain from sexual intercourse until therapy is completed (Öztürk & Ulubay, 2016).

Follow-up should be conducted as recommended for the infections for which a woman is treated. If symptoms persist, women should be instructed to return for re-evaluation because women with documented chlamydial or gonococcal infections have a high rate of reinfection within 6 months after treatment. Therefore, repeat testing of all women with chlamydia or gonorrhea is recommended 3-6 months after treatment, regardless of whether their sex partners were treated (Ebrahimy et al., 2015).

References for Assignment Katherine Harris iHuman Case Study:

  • Brunham, R. C., Gottlieb, S. L., & Paavonen, J. (2015). Pelvic inflammatory disease. The New England Journal of Medicine, 372(21), 2039.
  • Cervicitis Workup. (2017).  Retrieved from http://www.cdc.gov/std/treatment/2013/chlamydial-infections.htm
  • Dowell, D., & Kirkcaldy, R. D. (2013). Effectiveness of gentamicin for gonorrhoea treatment: Systematic review and meta-analysis. Postgraduate Medical Journal, 89(1049), 142-147. doi:10.1136/postgradmedj-2012-050604rep
  • Ebrahimy, F., Dolatian, M., Moatar, F., & Majd, H. A. (2015). Comparison of the therapeutic effects of garcin and fluconazole on candida vaginitis. Singapore Medical Journal, 56(10), 567-572. doi:10.11622/smedj.2015153
  • Flores-Mireles, A. L., Walker, J. N., Caparon, M., & Hultgren, S. J. (2015). Urinary tract infections: Epidemiology, mechanisms of infection and treatment options. Nature Reviews. Microbiology, 13(5), 269. doi:10.1038/nrmicro3432
  • Martin Lopez, J. E. (2015). Candidiasis (vulvovaginal). BMJ Clinical Evidence, 2015
  • Öztürk, M., & Ulubay, M. (2016). Treatment of cervicitis; LEEP versus cryotherapy. Journal of the Turkish German Gynecological Association, 17, S7.
  • Taylor, S. N. (2014). Cervicitis of unknown etiology. Current Infectious Disease Reports, 16(7), 1-5. doi:10.1007/s11908-014-0409-x
  • Cervicitis Workup. (2017).  Retrieved from http://www.cdc.gov/std/treatment/2013/chlamydial-infections.htm

READ MORE >>
WhatsApp