Power Point

 is based in Ocala Florida/Marion County, the slides should be based on the spirit of the community, social interactions, common goals and interests, barriers, and challenges, including any identified social determinate of health. 

every slide with pictures and speaker notes and references

Shouldbe 3or 4slides

 

This assignment consists of both an interview and a PowerPoint (PPT) presentation.

Assessment/Interview

Select a community of interest. It is important that the community selected be one in which a CLC group member currently resides. Students residing in the chosen community should be assigned to perform the physical assessment of the community.

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reply db backpain

Reply Amanda

Causes  Lower back pain is a common complaint seen in primary care. An acute episode is considered lower back pain lasting less than three months (Balague et al, 2007). Emergent causes associated with the complaint of lower back pain include; tumors, infections, inflammatory conditions, disc herniation, or vertebral fractures (Balague et al, 2007). Non-emergent causes include urinary tract infections, muscle strain.  Assessment  This complaint must be thoroughly investigated to rule out any emergent causes. “Patients should be assessed when standing and unclothed for spine symmetry, posture, and flexibility. Palpation can assess spinal (bone) versus paraspinal (soft tissue) pain and its severity” (Atlas et al, 2001).  Diagnostics  -Generally, imaging is not indicated for non-specific low back pain (Balague et al, 2007). If symptoms do not resolve with conservative treatment, imaging should be considered (Atlas et al, 2001). Advanced imaging such as a CT or MRI should be obtained in patients with a strong suspicion of serious etiology (Atlas et al, 2001). Other diagnostics which may be considered to identify etiology include; complete blood count, erythrocyte sedimentation rate, and urinary analysis.  Treatment          Treatment should begin as conservative with management including NSAIDs, activity modification, stretching, manipulation, application of heat/cold, and exercise for 4-6 weeks (Atlas et al, 2001). If symptoms do not improve or resolve management modalities may need to be elevated. Narcotics may be considered if pain is not managed well on NSAIDs.  Referral  Referral should be considered when a diagnosis is uncertain, when a patient is unresponsive to therapy, or for potential surgical candidates (Atlas et al, 2001).  Specialists which patients may be referred to include; psychiatry, orthopedic, neurology, neurosurgery, or rheumatology.     

References  

 Atlas, Steven J,M.D., M.P.H., & Deyo, Richard A,M.D., M.P.H. (2001). Evaluating and managing acute low back pain in the primary care setting. Journal of General Internal Medicine, 16(2), 120-31. doi:http://dx.doi.org/10.1111/j.1525-1497.2001.91141.x 

 Balagué, F., Mannion, A. F., Pellisé, F., & Cedraschi, C. (2007). Clinical update: Low back pain. The Lancet, 369(9563), 726-8. doi:http://dx.doi.org/10.1016/S0140-6736(07)60340-7 (Links to an external site.)Links to an external site.     

Balagué, F., Mannion, A. F., Pellisé, F., & Cedraschi, C. (2012). Non-specific low back pain. The Lancet, 379(9814), 482-91. doi:http://dx.doi.org/10.1016/S0140-6736(11)60610-7 (Links to an external site.)Links to an external site.

Reply Candace 

Lower back pain is common but emergent situations could depict this sensation and may be an emergent situation. Health care providers must assess the patient thoroughly. Palpation of the affected area is essential to identify and differentiate misalignment, muscle tightness, swelling, calcium deposits, lumps and/or nodules (Simms, 2015). Differential diagnosis is essential in developing an appropriate treatment plan. This patient could have possible cauda equina syndrome which is a medical emergency. The cause of this medical emergency is multiple lumbar root compressions at the spinal cord root. Surgical decompression may be required to reduce or eliminate pressure on the nerve. Other differential diagnosis for lower back pain include muscle strains, primary spine disease, disc herniation, and degenerative arthritis. In the majority of cases, a precise diagnosis cannot be made (Dunphy, Winland-Brown, Porter, & Thomas, 2015). The history and physical along with test such as lumbar xray and MRI is neccessary. Majority of the time, symptoms will improve in about one to four weeks. Pharmacological treatment can include NSAIDs and muscle relaxants for one to two weeks. Non-pharmacological pain can include heat therapy and ice therapy. Management can also require the patient to get out of bed after two days of rest. If the primary physician cannot manage the symptoms the patient can be referred to a specialist such as neurologist and orthopedic surgeon. The neurologist can test for any brain abnormalities and diseases that affect the neurological system. The orthopedic consult can be on standby just in case the patient needs immediate surgery for compression.  References

  Dunphy, L., Brown, J., Porter, B., Thomas, D. (2015). Primary Care: The Art and  Science of Advanced Practice Nursing. Philadelphia: F.A. Davis Company.  

Simms, A. (2015). Clinical observations in the treatment of lower back pain. Journal of Chinese Medicine,   107, 39-32.

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Essay

An essay, which should respond to the following attributes:

  • Introduction-Include professional background, but not personal identifiers such as name, place of employment, etc., and the population track of interest (i.e., leadership, FNP, AGNP, etc.). (250 word max.)
  • Learning-Describe how you think about and pursue learning in your profession. (250 word max.)
  • Diversity-Discuss a nursing practice experience that changed or impacted your understanding of diversity and why. (250 word max.)
  • Meaningfulness-Describe an activity that brings meaning to your life. (250 word max.)
  • Leadership-Describe direct or indirect leadership experiences you have had. (250 word max.)
  • Final summary

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Core competencies of systems-based practice and leadership this week.

 

This week’s graded topics relate to the following Course Outcomes (COs).

 

  • CO1: Propose individualized comprehensive care by integrating theories and principles of nursing and related disciplines when planning comprehensive patient-centered care. (PO1)
  • CO2:. Demonstrate leadership strategies that promote safety and improve quality in nursing practice and increase collaboration with other disciplines when planning patient-centered care within systems-based practice. (PO2)
  • CO7: Compare and contrast the professional nursing roles for ADN/diploma through PhD/DNP-prepared nurses in providing cost-effective, quality healthcare in structured and unstructured settings. (PO7)Think of the best leader or manager you have ever known (or your ideal leader or manager) in nursing or another field. How did this person lead others? How did you feel working with this leader? What impact did this person’s leadership style have on your future leadership?

 Think of the best leader or manager you have ever known (or your ideal leader or manager) in nursing or another field. How did this person lead others? How did you feel working with this leader? What impact did this person’s leadership style have on your future leadership? 

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health assesment

Compare the physical assessment of a child to that of an adult. In addition to describing the similar/different aspects of the physical assessment, explain how the nurse would offer instruction during the assessment, how communication would be adapted to offer explanations, and what strategies the nurse would use to encourage engagement.

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Discussion Board_402

one paper.

look to file then visiting the resource links provided discuss the challenges and benefits of WHP in small businesses. 

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class participation

 

We are the midpoint, only four weeks to go. Based on what you have learned so far and perhaps the types of questions you have asked regarding nursing practice, do you have a preference for qualitative and quantitative research? Explain the reasons for your choice.

200- 250 words and support findings.

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Discuss the concepts of mechanical ventilaton

1) List basic types of power sources used for mechanical ventilator

2) Give example of vent that use an electrical and a pneumatic power sources

3)describe a vent internal and external pneumatic circuits

4)compare the functions of the three types of volume displacement drive mechanical vent

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post -luke

Respond  using one or more of the following approaches:

Ask a probing question, substantiated with additional background information, and evidence.

Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

                                                         Main Post

Qualitative research utilizes a research design that takes shape over the course of a study and seeks to understand the realities and viewpoints of the participants (Polit & Beck, 2017). The qualitative study that I will be discussing for this week’s discussion is by Dannecker, Warne-Griggs, Royse & Hoffman (2019) on  Listening to Patients’ Voices: Workarounds Patients Use to Construct Pain Intensity Ratings. The researchers used an interpretivist design within this study. Interpretivism is a theoretical perspective that strives to make sense and understand the world from subjective experiences of individuals (Dannecker, Warne-Griggs, Royse, & Hoffman, 2019). 

 The purpose of this study was to understand the challenges that people who suffer from chronic pain face when trying to describe and rate their pain. A recurring theme within the study was that everyone perceives pain differently and that trying to rate it using traditional methods often times did not accurately represent their current pain levels (Dannecker, Warne-Griggs, Royse, & Hoffman, 2019). Many of the participants found it easier to remember a specific physical activity that caused their pain to become worse and use that experience to provide a valued context for communicating pain experiences (Dannecker, Warne-Griggs, Royse, & Hoffman, 2019). 

Appropriateness of Design 

 When conducting a qualitative study, it is important that the design used is appropriate for answering the questions the study seeks to answer (Polit & Beck, 2017).  The study conducted by Dannecker, Warne-Griggs, Royse, & Hoffman (2019) sought to understand and explain patients’ point of view regarding how they describe pain intensity, and the usefulness of pain intensity measures for describing their pain. This type of design incorporates phenomenology, which focuses on the meaning of lived experiences (Polit & Beck, 2017). By better understanding how physical activities can inflict pain, providers may be able to better evaluate and treat it. 

Ethical Challenges

There are some ethical challenges that researchers can face when conducting a qualitative study specifically in regards to informed consent. As mentioned earlier, a qualitative study design can change over the course of a study (Polit & Beck, 2017). Since the design can change throughout the study,  researchers cannot guarantee the direction of data collection methods such as interviews and observation (Houghton, Casey, Shaw, & Murphy, 2010). In order to address this concern, the researchers within this study obtained informed consent that was reviewed by their institutional review board and provided those patients with written study information before focus group meetings and written and verbal study information at those meetings (Dannecker, Warne-Griggs, Royse, & Hoffman, 2019). 

Qualitative Design

A qualitative research design was most appropriate for this specific study because it seeks to investigate phenomena in an in-depth and holistic fashion using a flexible research design (Polit & Beck, 2017). If the researchers would have used a quantitative design, they would have only sought to quantify or measure those patients pain without seeking to determine how or why different factors influenced their pain. The interpretivist approach was appropriate in seeking to understand those patient’s subjective view of pain (Dannecker, Warne-Griggs, Royse, & Hoffman, 2019). 

References

Dannecker, E. A., Warne-Griggs, M. D., Royse, L. A., & Hoffman, K. G. (2019). Listening to 

Patients’ Voices: Workarounds Patients Use to Construct Pain Intensity Ratings. Qualitative Health Research, 29(4), 484–497. https://doi.org/10.1177/1049732318773714

Houghton CE, Casey D, Shaw D, & Murphy K. (2010). Ethical challenges in qualitative 

research: examples from practice. Nurse Researcher, 18(1), 15–25. Retrieved from 

https://search-ebscohost-com.ezp.waldenulibrary.org/login.aspx?direct=true&db=rzh&AN=104957511&site=ehost-live&scope=site

Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for 

nursing practice (10th ed.). Philadelphia, PA: Wolters Kluwer.

 

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week 6

 Due Date: Mar 24, 2019 23:59:59       Max Points: 100

Details:

While the implementation plan prepares students to apply their research to the problem or issue they have identified for their capstone change proposal project, the literature review enables students to map out and move into the active planning and development stages of the project.

A literature review analyzes how current research supports the PICOT, as well as identifies what is known and what is not known in the evidence. Students will use the information from the earlier PICOT Statement Paper and Literature Evaluation Table assignments to develop a 750-1,000 word review that includes the following sections:

  1. Title page
  2. Introduction section
  3. A comparison of research questions
  4. A comparison of sample populations
  5. A comparison of the limitations of the study
  6. A conclusion section, incorporating recommendations for further research

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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. Please refer to the directions in the Student Success Center

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