Nursing Assignment

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Below is my nursing assignment and this is the Professor’s instruction:

· Please write one paragraph for each question.

· Each question should be one paragraph (no less than 3 sentences and no more than 7 sentences), and well detailed.

· Plagiarized content of your assignment will get you a zero or withdrawal from class.

· Copying all or part of your classmate’s answers will earn you a zero.

· Works cited for each question is required.

· Deadline for submission is Wednesday 28th August 2019 by 6:00pm EST.

QUESTIONS:

1. Discuss one male reproductive system disorder and relate how you would plan and intervene

2. Discuss one diagnosis related to transgender care and how you would plan and intervene

3. Discuss one sexually transmitted disease in men or women and related few possible treatments

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Discussion: Assessing Musculoskeletal Pain

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Discussion: Assessing Musculoskeletal Pain

The body is constantly sending signals about its health. One of the most easily recognized signals is pain. Musculoskeletal conditions comprise one of the leading causes of severe long-term pain in patients. The musculoskeletal system is an elaborate system of interconnected levers that provides the body with support and mobility. Because of the interconnectedness of the musculoskeletal system, identifying the causes of pain can be challenging. Accurately interpreting the cause of musculoskeletal pain requires an assessment process informed by patient history and physical exams.

In this Discussion, you will consider case studies that describe abnormal findings in patients seen in a clinical setting.

                                           To prepare:

· By Day 1 of this week, you will be assigned to one of the following specific case studies for this Discussion. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor.

· Your Discussion post should be in the Episodic/Focused SOAP Note format rather than the traditional narrative style Discussion posting format. Refer to Chapter 2 of the Sullivan text and the Episodic/Focused SOAP Template in the Week 5 Learning Resources for guidance. Remember that all Episodic/Focused SOAP notes have specific data included in every patient case.

                                      Case : Ankle Pain

A 46-year-old female reports pain in both of her ankles, but she is more concerned about her right ankle. She was playing soccer over the weekend and heard a “pop.” She is able to bear weight, but it is uncomfortable. In determining the cause of the ankle pain, based on your knowledge of anatomy,

· what foot structures are likely involved?

· What other symptoms need to be explored? What are your differential diagnoses for ankle pain?

· What physical examination will you perform? What special maneuvers will you perform? Should you apply the Ottawa ankle rules to determine if you need additional testing?

With regard to the case study you were assigned:

· Review this week’s Learning Resources, and consider the insights they provide about the case study.

· Consider what history would be necessary to collect from the patient in the case study you were assigned.

· Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?

· Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.

Post an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in the Week 5 resources.

Provide evidence from the literature to support diagnostic tests that would be appropriate for each case.

List five different possible conditions for the patient’s differential diagnosis, and justify why you selected each.

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NUR550-D6Q2R1

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Minimum of 250 words with peer review reference

Identify a clinical prevention intervention to promote health and wellness for a population with which you are familiar. Have these clinical prevention interventions been successful? Why or why not?

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Hypothesis testing in Research

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Provide two different examples of how research uses hypothesis testing, and describe the criteria for rejecting the null hypothesis. Discuss why this is important in your practice and with patient interactions.

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NUR630-D4Q1R2

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Minimum of 250 words with peer review reference

You are the nurse leader on an obstetrics unit. You have been tasked to utilize a Six Sigma approach for standardizing the discharge process. Where do you start?

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Power Point about Paperwork reduction act

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What is paperwork reduction act?

Definition?

Objectives?

Function?

Relation with healthcare policy and delivery system.

Power Point

turinitin report attached

Apa Format

minimum 10 slides

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Nursing homework help

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In quantitative research, we looked at the rate of falls numerically before and after the implementation of a program. In qualitative research, if you were interested in study the impact of falls on the patient’s quality of life, you could obtain this information through personal interviews. The unit of measurement would be the words that the patient uses, and a qualitative method would be used to analyze this data.

Give a different example of qualitative research design. How does qualitative research improve quality of care and health outcomes?

Peer Response 1:

 

Stephanie Knaggs posted

 

There are many ways that qualitative research can improve quality of care and health outcomes. For example, qualitative research studies can “explain the mechanisms by which interventions, evaluated within trials, might achieve their effect” (Booth, 2016, para. 1). Also, they can “investigate differences in effects between different population groups” and “identify which outcomes are most important to patients, carers, health professionals, and other stakeholders” (Booth, 2016, para. 1). Furthermore, qualitative studies can “explore the impact of acceptance, feasibility, meaningfulness, and implementation-related factors within a real world setting” and therefore contribute to enhancements to future interventions (Booth, 2016, para. 1). An example of a qualitative study could be nurse perception of care delivery and patient safety in emergency departments. Nurses could be interviewed and asked questions regarding their ability to provide effective and safe care to their patients. They could also be asked about barriers to implementing safety practices and what tools they needed to provide better outcomes of care delivery. This type of qualitative study could be useful in identifying ways in which policies or procedures need to change, staffing adjustments, equipment or technology maintenance or upgrades, or even scripting conversations with patients to improve their perception of delivery of care. A quantitative study could then be performed to test the relevance and effectiveness of changes implemented as a result of the qualitative study. References

Booth, A. (2016). Searching for qualitative research for inclusion in systematic reviews: a structured methodological review. Systematic Reviews. 5:74. Retrieved October 10, 2019 from: https://systematicreviewsjournal.biomedcentral.com/articles/10.1186/s13643-016-0249-x

Peer 2 Response:

 

Tiffany Spitzner posted

 

Qualitative research is about establishing the answers to the why’s and how’s in a question. Information gathered is subjective as opposed to objective information. (Polit & Tatano Beck, 2018) The sample is selected by convenience rather than a purpose for these studies. Today, healthcare is based on the patient experience and outcomes for the patient. Patient satisfaction surveys, such as Press Ganey, allows for the patient to provide personal feedback on their experience during the time of their stay in the organization. A patient satisfaction survey, or a Press Ganey, is a type of survey that measures the patient’s perception of their experience by using a point system, on the care they received. (Otani, Waterman, Dunagan, & Ehinger, 2012) Based on these results, an organization can apply new strategies in care and experience to improve patient satisfaction and to ensure a quality experience is priority. Such changes, based on survey results, can be improved communication, increased time sensitivity, and cut down on wait times. Also, data collected through these surveys point to better care delivery, improved patient satisfaction, and reimbursement for the organization. References Otani, K., Waterman, B., Dunagan, C., & Ehinger, S. (2012). Patient Satisfaction: How Patient Health Conditions Influence Their Satisfaction. Journal of Healthcare Management; Chicago, 57(4), 276-292. Retrieved from www.proquest.com/snhu.edu Polit, D., & Tatano Beck, C. (2018). Essentials of Nursing Research (9th ed.). http://dx.doi.org/LCCN 2016043994 | ISBN 9781496351296

 

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CLC – Evidence-Based Practice Project: Intervention Presentation on Diabetes

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This is a Collaborative Learning Community (CLC) assignment.

As a group, identify a research or evidence-based article published within the last 5 years that focuses comprehensively on a specific intervention or new treatment tool for the management of diabetes in adults or children. The article must be relevant to nursing practice.

Create a 4 slide PowerPoint presentation on the study’s findings and how they can be used by nurses as an intervention. Include speaker notes for each slide and references.

Article: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5000621/

Include the following:

1. Describe the intervention or treatment tool and the specific patient population used in the study.

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

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Assignment: Lab Assignment: Assessing the Genitalia and Rectum

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Assignment: Lab Assignment: Assessing the Genitalia and Rectum

Patients are frequently uncomfortable discussing with healthcare professional’s issues that involve the genitalia and rectum; however, gathering an adequate history and properly conducting a physical exam are vital. Examining case studies of genital and rectal abnormalities can help prepare advanced practice nurses to accurately assess patients with problems in these areas.In this Lab Assignment, you will analyze an Episodic note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions.

To Prepare

Review the Episodic note case study your instructor provides you for this week’s Assignment. Please see the “Course Announcements” section of the classroom for your Episodic note case study.Based on the Episodic note case study:

Review this week’s Learning Resources, and consider the insights they provide about the case study. Refer to Chapter 3 of the Sullivan resource to guide you as you complete your Lab Assignment.

Search the Walden library or the Internet for evidence-based resources to support your answers to the questions provided.

Consider what history would be necessary to collect from the patient in the case study.

Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition.

How would the results be used to make a diagnosis?

Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.

The Lab Assignment

Using evidence-based resources from your search, answer the following questions and support your answers using current evidence from the literature.

Analyze the subjective portion of the note.

List additional information that should be included in the documentation.Analyze the objective portion of the note.

List additional information that should be included in the documentation.

Is the assessment supported by the subjective and objective information? Why or why not?

Would diagnostics be appropriate for this case, and how would the results be used to make a diagnosis?

Would you reject/accept the current diagnosis? Why or why not?

Identify three possible conditions that may be considered as a differential diagnosis for this patient.

Explain your reasoning using at least three different references from current evidence-based literature.

Case Study

Subjective:

•CC: “I have bumps on my bottom that I want to have checked out.”

•HPI: AB, a 21-year-old WF college student reports to your clinic with external bumps on her genital area. She states the bumps are painless and feel rough. She states she is sexually active and has had more than one partner during the past year. Her initial sexual contact occurred at age 18. She reports no abnormal vaginal discharge. She is unsure how long the bumps have been there but noticed them about a week ago. Her last Pap smear exam was 3 years ago, and no dysplasia was found; the exam results were normal. She reports one sexually transmitted infection (chlamydia) about 2 years ago. She completed the treatment for chlamydia as prescribed.

•PMH: Asthma•Medications: Symbicort 160/4.5mcg

•Allergies: NKDA

•FH: No hx of breast or cervical cancer, Father hx HTN, Mother hx HTN, GERD

•Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)

Objective:

•VS: Temp 98.6; BP 120/86; RR 16; P 92; HT 5’10”; WT 169lbs•Heart: RRR, no murmurs

•Lungs: CTA, chest wall symmetrical

•Genital: Normal female hair pattern distribution; no masses or swelling. Urethral meatus intact without erythema or discharge. Perineum intact. Vaginal mucosa pink and moist with rugae present, pos for firm, round, small, painless ulcer noted on external labia

•Abd: soft, normoactive bowel sounds, neg rebound, neg murphy’s, neg McBurney

•Diagnostics: HSV specimen obtained

Assessment:•Chancre

Plan: This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.

NOTE: THIS IS THE LINK TO DOWNLOAD THE BOOK:

https://www.sendspace.com/file/3dx3zx

CHECK THE ASSIGNMENT FOR PLAGIARISM

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Discussion: Developing a Culture of Evidence-Based Practice

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In this Discussion, you will explore strategies for disseminating EBP within your organization, community, or industry.

To Prepare:

  • 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.

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