2nd rerply

RE: Discussion – Week 6-one page three references

COLLAPSE

    The peer review article I chose, was about using acetaminophen for pain management post op laparoscopic surgery ( Annals of Medicine and Surgery, 2017).  I decided to use this topic, because I have been working in the ortho floor lately, and noticed a lot of physicians prescribing Tylenol to patients post op, around the clock. I kept asking the charge nurse and other nurses why, and nobody seemed to have a definite answer, as to why. Doctors would explain to me, that it was way to prevent prescribing hard core pain medications, instead. Due to the fact, that when the patients are discharged, they will not be able to get that IV Dilaudid, at home. 

    I searched for my article using the Walden University. I found the search for this article on the website, to be easy and user-friendly. On top of the search, the library gave me additional topics related to my search. Similar to Youtube, you can continue clicking on interesting things, and the next thing you know, two hours have passed, and you are reading on why cats have 9 lives! In other words, I found the Walden University library to be very useful for me and my colleagues. I would so recommend it to not just my colleagues, but to the whole Walden University campus, and future colleagues to com

 The DNP scholar, who is seeking to learn more about the different types of inquiry, Research, Quality Improvement, and Evidence-based practice, will bridge the gap between knowledge, research, application, and translation of evidence to nursing practice. There will be interrelationships between nursing practice, education, theory, and research. A systematic review is an important tool for the DNP scholar who is seeking evidence (Polit & Beck, 2017). Dang & Dearholt inform us that systematic reviews utilize meta-synthesis and meta-analysis to analyze the results of several studies. Therefore, these two most reliable methods and the highest standards in evidence-based care could lead the DNP scholar; further determine the effects of nursing interventions, prevention, treatment, and rehabilitation. Case-controlled studies, case series, and case reports make the DNP do in depth research of individual units, which gives insight into the specific intervention. Cohort studies considered observational studies where the DNP scholar can be able to answer questions on the disease etiology, diagnosis, and prognosis except interventions. DNP scholar uses random control trials to measure the different interventions therefore make the best clinical decision on the outcome of each intervention. Critically appraised individual articles are less reliable however, it helps to assess the outcomes for evidence doing an individual study. Critically appraised topics help to understand the strength of evidence provided and creates an understanding on how to evaluate and synthesize multiple research studies. The least reliable evidence yet helpful for the DNP scholar is the ideas, opinions anecdotes, and editorials. It is crucial as a DNP scholar to understand the pyramid of evidence (all seven levels) and to identify the levels needed for their study. 

Exercise Content

1. State Strategies (20% of grade)
   The purpose of this assignment is to familiarize students with health reform strategies adopted by states. Students will select a state health policy reform innovation and describe the rationale, how it was adopted (e.g., federal waivers, passage by state legislature), the funding structure, and (to the extent statistical data are available) its impact. Students should summarize their findings in a 1-2 page, single-spaced memo.
   Sample memo attached. A memo is required, see attached sample.
   A few examples of state innovations include Vermont’s single payer system, Massachusetts’ health reforms and Kentucky’s Medicaid healthcare program (none of these can be used).
   Please see attached rubric.. 

im from Miami Florida. 

PLEASE USE THE LINK PROVIDED BELOW WHICH IS THE PDF VERSION OF THE TEXTBOOK TO VIEW THE DISCUSSION QUESTIONS AT THE END OF CHAPTER 5 TO ASSIST IN ANSWERING THE QUESTIONS: 

https://drive.google.com/file/d/1Lho7gBgscbBQ1CFC16v6zMPSPHm2iDDV/view

NO HEADER OR FOOTER

FONT: ARIEL 12 POINT FONT, DOUBLE SPACED

** HIGHLIGHT THE NUMBER OF WORDS AFTER EACH PARAGRAPH**

** 20 PARAGRAPHS TOTAL**

ON Page 1: 

Discussion Question 1—Please write 4 paragraphs with each paragraph containing 50-60 words.

ON Page 2: 

Discussion Question 3—Please write 4 paragraphs with each paragraph containing 50-60 words.

ON Page 3: 

Discussion Question 4—Please write 4 paragraphs with each paragraph containing 50-60 words.

ON Page 4: 

Discussion Question 5—Please write 4 paragraphs with each paragraph containing 50-60 words.

ON Page 5: 

Experiential Exercise 2—Please write 4 paragraphs (one answering each question) with each paragraph containing 50-60 words.

Care Management, Case Management, and Home Healthcare

1. In thinking of five social determinants of health as identified in Healthy People 2020, identify the social determinants specifically that may be barriers to home care and case or care management services. Explain your answer.