Discussion 2

Discuss Patients with Hyperkalemia.

Use APA format.

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APA Discuss the use of Evidence-based Guidelines in Practice by Patient Provider, Healthcare Agency

 

 Discuss the use of Evidence-based Guidelines in Practice by Patient Provider, Healthcare Agency

·         250-word minimum

·         At least 1 outside scholarly reference is required besides the course textbook .

·         Must answer the discussion question and address the topic in the reply

         post.

Must respond to 1 other discussion question. Reply must be a minimum of 100 w

Turnit it similarity maximum 20%

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Identify two GCU Library scholarly databases

 Identify two GCU Library scholarly databases that will help you find the best research articles to support your EBP proposal. Discuss why these two databases are better than Google Scholar or a general Internet search. 

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community nursing concepts

Before starting with our week 1 discussion topic, please introduce yourself to the class, and carefully respond to the below questions:

  • What is your name?
  • Why do you want to be a nurse?
  • What do you hope to learn in this class?
  • What questions do you have on the course syllabus or the first live Instructors session?

Then discuss how poverty (i.e., “being poor”) and other social factors affect cumulative risk, susceptibility, resiliency, and vulnerability.

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community nursing concepts

Before starting with our week 1 discussion topic, please introduce yourself to the class, and carefully respond to the below questions:

  • What is your name?
  • Why do you want to be a nurse?
  • What do you hope to learn in this class?
  • What questions do you have on the course syllabus or the first live Instructors session?

Then discuss how poverty (i.e., “being poor”) and other social factors affect cumulative risk, susceptibility, resiliency, and vulnerability.

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Nursing Research Paper

  

This paper will have an 8-page narrative (8 pages maximum – 5 point deduction for over page limit) plus a title page, abstract page, and reference list. 

You must use a minimum of four original research articles for your paper.

The purpose is to write a review of the literature on to answer your PICOT question using original research evidence. Discuss how this health problem is applicable in both the United States and a non-USA country, and appraise four original research studies on this topic.

This is a scholarly paper, written as if it was a “Review of the Literature” article published in a nursing journal. Select articles published within the past five years (2014 to present). Do not use a non-peer review journal. Do not use a literature review article or systematic review article or clinical protocols as one of your articles. At least TWO of the four original research report articles MUST BE authored by nurses and published in a peer-reviewed nursing journal.  At least ONE of the two nursing research studies must address nursing practice in a non-USA country.

  • Page      1: Title page Create a title for your paper. Refer to your APA Manual.
  • Page      2: Abstract The abstract should open with a sentence that will serve      as an introduction to and purpose of the paper. Then describe what is in      each part of the paper. An abstract is usually a brief outline of the      contents of the paper that typically does not exceed 250 words. At the end      of the abstract place the phrase Key Words, and denote 3-4 keywords      that would describe your paper (as for publication and indexing in CINAHL      or PubMed).
  • Pages      3-11: Narrative 
  • Heading:      Significance and Background: Start the paper with a short paragraph      that introduces the health problem in your PICOT question. (Approximately      ½-page).
  • Heading:      Purpose: Clearly define the global health problem, and discuss why it      is important for nursing (why you are discussing this topic).       Discuss what is known about this problem in the United States and in a      non-USA country.  For example, if the focus is adult hypertension,      discuss guidelines for defining hypertension in the US and in a non-USA      country.  (Approximately 1 page).
  • Heading:      Methods: Discuss the methods used to select the following research      studies. Next use the subheading:
  • Sub-headings:      Study #1: Nursing research Study in the USA (Approximately 1½ pages)
  • Sub-headings:      Study #2: Nursing Research Study Non-USA (Approximately 1½ pages)
  • Sub-headings:      Study #3: Nursing Research Study USA or Non-USA (Approximately 1½      pages)
  • Sub-headings:      Study #4: Nursing Research Study USA or Non-USA (Approximately 1½      pages)
  • Heading:      Conclusion.  Summarize the key points from your discussion. How      would you translate (use) the new evidence found from your appraisals to      change practice or answer your PICOT question? (Approximately 1 page).
  • Page      12+: Reference page: Refer to your APA      Manual .

Each of the subheadings should include for each article:

  • What was the purpose of the study (research questions, purposes, and hypotheses)?
  • What was the study design?
  • How was the sample obtained?
  • What inclusion or exclusion criteria were used?
  • Who from the sample actually participated or contributed data? Was the sample size adequate? Explain.
  • What methods were used to collect data (e.g. sequence of events, timing, types of data, and measures)?
  • Was an intervention /treatment/clinical protocol tested?  Explain.
  • What data analysis methods were used?
  • What were the main findings of this study?
  • Was this a credible study? Why? Why not?

This review is a scholarly paper in APA format and with at least three APA references (two articles and textbook), cited both in the text and the reference page.

 PICOT: In hospitalized patients, does the use of central line care maintenance bundles compared to non-utilization of central line care bundles reduce the rate of CLABSI during the process of improvement implementation?  

Articles:  https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4939802/ 

http://ajcc.aacnjournals.org/content/25/2/165.full 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4874848/ 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5738873/ 

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Critical Aspects of Nursing II

Summarize Nursing reflection on Learning and the reflection on the covered topics

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article analysis and evaluation 2

Discuss ways your organization uses technology to gather patient and health care information, and how this information and data are used to direct patient care and outcomes.

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State Board of Nursing

Compare with ANA

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Post-Logan

Respond  on two different days who selected different types of anemia than you, in the following ways:

Share insights on how the anemia you selected is similar to or different from the one your colleague selected.

Discuss how genetic, gender, ethnic, age, and behavioral factors impact the diagnosis and prescription of treatment for anemic patients.

                                          Main Post

                                           Anemia

Anemia is an insufficient amount of red blood cells that carry vital oxygen to the tissues. There are different types of anemia with unique pathological processes. This post will explore the pathophysiology of iron deficiency and folate deficiency anemia, including the impact of behavior on these disorders.

Iron deficiency anemia is like it sounds. The body has a deficiency of iron and cannot produce enough hemoglobin to oxygenate the tissues properly. The heme molecules that constitute hemoglobin need iron as it attracts oxygen to attach to the red blood cell (erythrocyte). When it is not available, hematopoiesis (red blood cell formation) cannot occur. The body has some reserves of iron, but it does not last because hematopoiesis happens throughout life. Red blood cells die or are lost through bleeding and need replacement. The causes of iron deficiency include inadequate dietary intake, chronic blood loss, and metabolic disorders via insufficient delivery or absorption. In all types of anemia, patients present with classic symptoms of weakness, fatigue, dyspnea, and paleness (Hammer & McPhee, 2019). Obtaining a serum ferritin level is the best way to measure iron deficiency as the iron binds to ferritin. Treatment includes increasing dietary intake of iron or giving supplemental iron after ruling out a chronic bleed (most often the gastrointestinal tract). If there is bleeding, this needs correction to resolve the anemia.

Folate deficiency anemia is an insufficient amount of folic acid. Folic acid is necessary for RNA and DNA synthesis in erythrocytes (Huether & McCance, 2017). Folate deficiency occurs more often in alcoholics or malnourished individuals. Symptoms that can present with this type of anemia include watery diarrhea, stomatitis, burning mouth syndrome, and ulcers in the mouth to name a few. Treatment requires an oral supplement of folic acid until blood levels rise to adequate levels. Although different in their pathology, both types of anemia effect hematopoiesis, and this is critical for oxygen delivery to the tissues.

Behavior

Adequate dietary intake of iron and folate can reduce these types of anemia. However, as mentioned above, with iron deficiency anemia, it is essential to determine the cause because it could be from bleeding. Odewole et al. (2013) conducted a study of folate deficiency anemia after the mandatory enrichment of folic acid into cereal grains in the United States. The researchers found only two individuals out of over 1500 surveyed, suggesting that this type of anemia is nearly nonexistent in the United States. (Odewole et al., 2013). 

References

Hammer, G. D., & McPhee, S. J. (2019). Pathophysiology of disease: An introduction to clinical medicine (8th ed.). New York, NY: McGraw-Hill Education.

Huether, S. E., & McCance, K. L. (2012). Understanding pathophysiology (6th ed.). St. Louis, MO: Mosby.

Odewole, O. A., Williamson, R. S., Zakai, N. A., Berry, R. J., Judd, S. E., Qi, Y., … Oakley Jr., G. P. (2013). Near-elimination of folate-deficiency anemia by mandatory folic acid fortification in older US adults: Reasons for Geographic and Racial Differences in Stroke study 2003-2007. The American Journal of Clinical Nutrition, 98(4), 1042–1047. Retrieved from https://doi-org.ezp.waldenulibrary.org/10.3945/ajcn.113.059683 

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