Discussion 4

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Where can you find evidence to inform your thoughts and scholarly writing? Throughout your degree program, you will use the research literature to explore ideas, guide your thinking, and gain new insights. As you search the research literature, it is important to use resources that are peer-reviewed and from scholarly journals. You may already have some favorite online resources and databases that you use or have found useful in the past. For this Discussion, you explore databases available through the Walden Library.

To prepare:

  • Review the information presented in the Learning Resources for using the Walden Library, searching the databases, and evaluating online resources.
  • Begin searching for a peer-reviewed article that pertains to your practice area and is of particular interest to you.
  • Identify the database that you used to search for a peer-reviewed article in your area of practice and interest.
  • Reflect on your experience with searching the database. Did you note any difficulties when searching for an article? What steps/strategies did you find helpful for locating a peer-reviewed article? Would this database be useful to your colleagues? Would you recommend this database?
  • Once you have select your peer-reviewed article, evaluate its strengths and weaknesses in terms of scholarly writing, bias, opinion, quality of evidence, and appropriateness to its target audience.

Post a brief summary of your peer-reviewed article, the database you located your article in, your database searching experience, key words utilized in the search, and analysis of the strengths and weaknesses of the article.

Support your Discussion assignment with specific resources used in its preparation using APA formatting. You are asked to provide a reference for all resources, including those in the Learning Resources for this course.

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DNP-805 Topic 2 DQ 2

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Max Points: 5.0

 

You are now a DNP-prepared nurse in a new leadership position in clinical practice. Analyze your new practice workflow to incorporate seeing patients and in regards to communication with the health care team and the infusion of the EHR into your practice. What elements do you need to consider if this position is in a magnet acute-care hospital in a busy metropolitan area? How might your practice change if the setting was a rural regional clinic system?

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infection

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Antimicrobial agents are essential components in the treatment of various bacterial infections as they help to kill or prevent the growth of microbes such as bacteria, fungi, and protozoans. Prior to the discovery of antimicrobial agents, treatment options for patients with bacterial infections were limited. For many patients, treatment often resulted in the amputation of limbs or even death. Today, treatment options for bacterial infections typically have a more positive prognosis. Due to the various types of infections presented in patients, it is essential to be able to identify the underlying cause of the infection—whether bacterial or viral—before recommending drug treatments. This will help you identify whether or not an antimicrobial agent would be appropriate and which specific agent would target the infection. In this Assignment, you consider the appropriate use of antimicrobial agents for infections.

To prepare:
  • Review this week’s media presentation on principles of antimicrobial therapy, as well as Chapter 8 of the Arcangelo and Peterson text.
  • Consider the categories of antimicrobial agents.
  • Think about differences between viral and bacterial infections.
  • Reflect on why proper identification of the infection is key to selecting the proper antimicrobial agent.

Write a 3- to4- page paper that addresses the following:

  • Describe the categories of antimicrobial agents.
  • Describe differences between viral and bacterial infections.
  • Explain why proper identification of viral and bacterial infections is key to selecting the proper antimicrobial agent.

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discussion

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Clinical Documentation Improvement (CDI)

Physician documentation is the source by which the coder begins to select the correct diagnosis and procedure codes. There has been a lot of discussion for physicians to improve their clinical documentation.

Research Clinical Documentation Improvement (CDI) related to ICD 10 and indicate how this movement benefits the clinical coding specialist /medical coder in their day to day work.

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Week 2 Assignment Patient Educational Flyer

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Details:

 

Design a 1-2 page patient education flyer/pamphlet for an alternative medicine/herbal product.

Describe the product, its intended use, side effects, adverse reactions, and safety issues (risks and benefits of using an alternative medication/herbal product versus a prescription medication).

The flyer should include at least two community and/or online resources for the patient to obtain more information.

APA format is not required, but solid academic writing is expected.

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 not required to submit this assignment to Turnitin.

 

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Nursing homework help

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Discussion: Influencing Social Change

Individuals with psychiatric mental health disorders are frequently stigmatized not only by society as a whole, but also by their friends, family, and sometimes healthcare providers. In your role, however, you have the opportunity to become a social change agent for these individuals. For this Discussion, consider how you might make a positive impact for your clients and advocate for social change within your own community.

Learning Objectives

Students will:

· Apply strategies to become a social change agent for psychiatric mental health

Learning Resources

Note:  To access this week’s required library resources, please click on the link to the Course Readings List, found in the  Course Materials  section of your Syllabus.

Required Readings

 

Angermeyer, M. C., Matschinger, H., & Schomerus, G. (2013). Attitudes towards psychiatric treatment and people with mental illness: Changes over two decades. The British Journal of Psychiatry, 203(2), 146–151. Retrieved from http://bjp.rcpsych.org/content/203/2/146.full

 

Bui, Q. (2012). Antidepressants for agitation and psychosis in patients with dementia. American Family Physician, 85(1), 20–22. Retrieved from http://www.aafp.org/journals/afp.html

Note: Retrieved from from the Walden Library databases.

 

Dingfelder, S. F. (2009). Stigma: Alive and well. American Psychological Association, 40(6), 56. Retrieved from http://www.apa.org/monitor/2009/06/stigma.aspx

 

Jenkins, J. H. (2012). The anthropology of psychopharmacology: Commentary on contributions to the analysis of pharmaceutical self and imaginary. Culture, Medicine and Psychiatry, 36(1), 78–79. doi:10.1007/s11013-012-9248-0

 

Note: Retrieved from from the Walden Library databases.

Price, L. H. (2010). Violence in America: Is psychopharmacology the answer? Brown University Psychopharmacology Update, 21(5), 5. Retrieved from http://onlinelibrary.wiley.com/journal/10.1002/(ISSN)1556-7532

Note: Retrieved from from the Walden Library databases.

Optional Resources

 

Bennett, T. (2015). Changing the way society understands mental health. National Alliance on Mental Illness. Retrieved from http://www.nami.org/Blogs/NAMI-Blog/April-2015/Changing-The-Way-Society-Understands-Mental-Health

 

Mechanic, D. (2007). Mental health services then and now. Health Affairs, 26(6), 1548–1550. Retrieved from http://content.healthaffairs.org/content/26/6/1548.full

 

Rothman, D. J. (1994). Shiny, happy people: The problem with “cosmetic psychopharmacology.” New Republic, 210(7), 34–38.

To prepare for this Discussion:

· Reflect on how you might influence social change for psychiatric mental health.

Note : For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on  Submit !

By Day 3

Post an explanation of how you, as a nurse practitioner, might become a social change agent for psychiatric mental health. Include how you might advocate for change within your own community.

 

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final written assignment

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Project: Scholar-Practitioner Project: Public Health Leadership Theory

The Assignment (9–12 pages):
Section 1 — Abstract and Introduction (1–2 pages)
Section 2 — Revised Literature Review and Problem Statement (5–7 pages):
Literature Review to include:
A synthesis of the literature of 15–20 peer reviewed, scholarly resources
A description of theoretical gaps in the research
Problem Statement to include:
An explanation of the specific problem that addresses identified gaps within the literature
An explanation of how your problem statement incorporates implications for positive social change.
Section 3 — Personal Public Health Leadership Theory (2–3 pages):
An articulation of your personal Public Health Leadership Theory
Section 4 — Revised Visual Representation of Your Public Health Leadership Theory (3–4 pages):
Your visual representation should include:
Your personal Public Health Leadership Theory to address the gaps identified in the literature
A visual representation of the theory (e.g. table, graph, matrix)
A explanation on how the theory addresses the literature gap identified in Week 5
A description of how your theory incorporates aspects of systems thinking
Section 5 — Empirical Evaluation Plan for a Public Health Leadership Theory (3–4 pages):
You will assess if the newly developed leadership theory addresses the problem you have been working on. What methodological steps will you use? How will you collect data? Suggestion – start with how theories in our text are evaluated. It does not have to be detailed, but it must include the methods, measures and analytic techniques.
If the assignments are done correctly, there should be an alignment from the topic of choice to the evaluation:
The topic is researched in the literature
The literature review points out a theoretical gap that needs to be addressed by leadership
The gap is turned into a problem statement
A leadership theory to address the problem proposed
The theory is depicted in a visual; and finally
An evaluation plan describes how the newly developed theory resolves the problem identified in the literature
To further help, examples (Two final projects – permission given to post) are located in the Doc Sharing area for this week
Section 6 — Conclusion (1–2 pages)
Section 7 — References
An APA-formatted reference list of 15–20 peer-reviewed, scholarly journals

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Class 4 Unit 3 Topic 1

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Purpose: Comment the Discussion (Class 504 Unit 3 Comment 2)

 

Thing to Remember:

Answer this discussion with opinions/ideas creatively and clearly. Supports post using several outside, peer-reviewed sources.

1 References, find resources that are 5 years or less

No errors with APA format 6 Edition

 

To Comment:

According to our text Melnyk and Fineout-Overholt (2015) external evidence is from research whereas internal evidence is the clinic practice as a result of a quality improvement project or evidence based practice. Porzsolt et al. (2003) define internal evidence as the clinicians “current knowledge” (n.p.).

My internal evidence for my PICOT is the knowledge that 100% of my endoscopic carpal tunnel patients in the past year have required revision with open carpal tunnel release. My external evidence are the randomized controlled trials that I found on my literature search via Ebscohost databases CINAHL and Cochrane determining there is no statistical difference in either procedure in regards to outcome in a 6-month time frame.

Searching utilizing a database to answer a PICOT questions does have its advantages over web-based search. When searching the web, you must ensure that the information is current and valid even when using and academic search engine such as google scholar. Web based searches often lead to too many results requiring more time for the clinician to weed through relevant information. The internet has made research at bedside possible however the clinician should be aware of the “soundness of the evidence, comprehensiveness and specificity, database ease of use, and access to database” when searching for literature (Hain & Kear, 2015). Although web base search engines will yield you numerous results you should be conscious as a clinician only relying on this information. Melnyk and Fineout-Overholt (2015) recommend utilizing another source when you find your research on google or google scholar. Many databases have healthcare literature allowing a clinician to narrow by certain criteria. CINAHL for example allows you to narrow by full text, peer reviewed evidence based literature results. Cochrane database is great for systemic reviews however the disadvantage is most full text articles require a fee. PubMed is a free database for clinicians to use when i the field and holds more citations then MEDLINE (Melnyk & Fineout-Overholt, 2015). However, Hain and Kear (2015) point out PubMed only produces the abstract.

 

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Nursing homework help

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Purpose: Comment the Discussion (Class 505 Unit 3 Comment 1)

 

Thing to Remember:

Answer this discussion with opinions/ideas creatively and clearly. Supports post using several outside, peer-reviewed sources.

1 References, find resources that are 5 years or less

No errors with APA format 6 Edition

 

To Comment:

There are 3 levels of protection, primary, secondary and tertiary prevention.  Primary prevention is preventing the patient from developing by reducing and possible removing risk factors. An example would be teaching a patient who is overweight about the importance of eating healthier choices, investing in daily exercises, and avoiding unhealthy habits such as smoking and drinking to prevent type II diabetes.

The secondary level of prevention is performed after the patient has been diagnosed with the disease.  An example would be a patient who has a fasting blood glucose level of more than 125mg/dl but does not display any symptoms will be diagnose as type II diabetic.  Early detection and education of healthy eating choices, routine exercises and healthy lifestyle habits can prevent further progression of the disease and possible cure the disease.

The third type of prevention is tertiary and is for the patient who already diagnosed with the disease, symptomatic, and requires treatment.  This patient is no longer at risk for disease but is at risk for further complications.  This type of prevention would be practice with a patient diagnosed with diabetes who has not yet developed other common comorbidies like hypertension, cardiovascular disease, and kidney disease.  Adhering to medication instructions, checking blood glucose as recommended, healthy eating habits, routine exercising, avoiding unhealthy habits like smoking and or alcohol consumption, life changes to expect, and importance of life change to avoid further complications.

References

Bhattacharya, P., & Roy, A. (2017). Primary prevention of diabetes mellitus: current strategies and future trends. Italian Journal of Medicine, 11, 15-22. Retrieved from http://italjmed.org/index.php/ijm/article/view/itjm.2016.634/821

Fletcher, R. (2013). Clinical epidemiology (5th ed.). Retrieved from [Chegg] https://ereader.chegg.com/#/books/9781469829784/

Thomas, M., & Atkins, R. (2006, September 1,). Blood pressure lowering for prevention and treatment of diabetic kidney disease. Drugs. Retrieved from http://web.a.ebscohost.com.lib.kaplan.edu/ehost/pdfviewer/pdfviewer?vid=7&sid=a4a3ed7e-b2de-4e84-b203-5a9151725e0f%40sessionmgr4006

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Article

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This is the first of three Journal Article Assignments that you will complete in this course. For this assignment, you will locate one peer-reviewed journal article related to a topic covered in Module 1 and create a professionally designed PowerPoint presentation. In the presentation, you must identify and explain the purpose of the study (article), interpret definitions and variations in definitions, if any. Length of the presentation should be at least five minutes long and include audio embedded on each slide.

 

Further information about this assignment, including a grading rubric, can be found in the Start Here folder.

 

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