What is a non-cash expense? Provide some examples. What financial statement are non-cash expenses recorded on?  

CASE STUDY # 2

CHEIF OF COMPLAIN: A 45-year-old female presents with a complaint of an itchy red rash on her arms and legs for about two weeks.

SUBJECTIVE:She has been going on a daily basis to the local YMCA with children for Summer camp.

OBJECTIVE:

VS: (T) 98.3°F; (RR) 18; (HR) 70, regular; (BP) 118/74

GENERAL: healthy-appearing female in no acute distress

HEENT: EYES: no injection, no increase in lacrimation or purulent drainage; EARS: normal TM: Normal

SKIN: CTA AP&L

NECK/ THOAT: mild edema with inflammation located on forearms, upper arms, and chest wall, thighs and knees; primary lesions are a macular papular rash with secondary linear excoriations on forearms and legs

Answer the following questions:

1. What other subjective data would you obtain?
2. What other objective findings would you look for?
3. What diagnostic exams do you want to order?
4. Name 3 differential diagnoses based on this patient presenting symptoms?
5. Give rationales for your each differential diagnosis.

Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

Nichole Rivera Week 10- Main PostCOLLAPSE

     Dissemination of evidence in nursing is the sharing of evidence-based knowledge, research, and findings by nurses to others including health care providers and the general public. This educates others in the nursing field, ensures that practice stays up to date, and improves the cost and quality of care. Some of the more common methods of dissemination include policy briefs, publishing findings in national journals or in statewide publications, presenting at conferences, and speaking publicly at professional association meetings, or creating EBP posters (Carpenter, Nieva, & Albaghai, 2020).

     Two methods that I would never use include the two forms of public speaking. I would love to attend those events, but I am not an effective public speaker because I am so uncomfortable with it. Two forms that I would consider using would be the smaller scale ones to start, such as state-wide publications and possibly EBP posters. In regards to the EBP posters, some barriers may be due to the use and delay of a printing service, or a private designer. Another consideration would be mistakes in the printing, having to reprint, or having to find another company to print (Melnyk and Fineout-Overholt, 2018). I believe a barrier to both methods would include not being able to read your audience. Consideration in advance of audience likely to be interested can provide cues for suitable packaging and targeted communication of results. Another barrier resulting from not being able to read your audience may be miscommunication. It is impossible to fit every bit of information on a poster, but I love the abbreviated important facts. If the dissemination is considered lacking, the attempt may be looked at as waste of resources that is unable to influence positive health outcomes (Carpenter, Nieva, & Albaghai, 2020).

References

                Carpenter, D., Nieva, V., & Albaghal, T. (2020, March 04). Rural Health Information Hub (RHIhub). Retrieved November 04, 2020, from https://www.hrsa.gov/library/rural-health-information-hub-rhi-hub

 Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing and healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

Juliet Anyanwu RE: Discussion – Week 10COLLAPSE

Dissemination Strategy

Dissemination strategy is an intentionally-developed approach to disseminating a particular project that comprises identifying targeted potential adopters, evaluating the climate of readiness for change, planning engagement building throughout the project, and allowing project results transfer. Dissemination is the process of distributing or circulating information, generally (Melnyk & Fineout-Overholt, 2018). There are numerous ways of spreading the evidence.  When delivered in a context of caring and a supportive organizational culture, the highest quality of care and best patient outcomes can be achieved (Gallagher-Ford et al., 2011).

Two dissemination strategies that I would be most inclined to use and why

Unit-level presentation and local dissemination are the two dissemination strategies I would want to use. A unit-level presentation and local dissemination are the best dissemination strategies (Harvey & Kitson, 2015). Unit-level dissemination is merely successful, mostly guaranteeing where the issue considered improves the unit’s underlying problem. Different departments with a given setting can have a varied assessment of the operational environment. This means there is a need to take into consideration the context under which the evidence-based practice. Thus, guaranteeing that the engagement is strategic helps ensure that, based on the results, the intervention in place is unit-based (Brownson et al., 2018). Organizations try hard to apply crucial aspects of improving their performance. Nevertheless, evidence-based practice eliminated the uncertainty risk, which is essential in attaining better results.

Local dissemination involves essential players at the local level, which is a better aspect that emphasizes institutional development (Hall & Roussel, 2016).  Nevertheless, it is crucial to ensure that the dissemination of outcomes is done in an environment with resources and technical aptitude to achieve better results. Knowledge and Skills among the population are likely to be a challenge in efficiently implementing the developed practice. There is a need to manage existing stakeholders’ needs, which is crucial and helps organizational planning and service delivery. Implementing evidence-based practice should create an intensely transformed environment where it is easier to apply the positive change. Thus, training is essential in sanctioning stakeholders to implement evidence-based practice (Brownson et al., 2018). 

Least Inclined Dissemination Strategies to be used

Posters presentation and Podium presentation are the least inclined dissemination strategies I would use in communicating EBP. The poster presentations may not give out enough information, and the presentation may not look exciting and engaging, thereby losing the presentation’s aim. The podium presentation, on the other hand, may experience a low turnout of participants. There could be meager publicity for the presentation leading to low attendance.

Barriers to be Encountered and Overcoming These Barriers

Different obstacles and facilitators in implementing evidence‐based practice interventions have been recognized (Sidani et al., 2016). Unit level Presentation: Lack of interest from staff interest is the obstacle that can experience from the unit level presentation.  An example is staff resistance when a change needs to be applied that the team does not like or want. One of the ways to overcome this obstacle is by involving the staff in the presentation. For example, they are making a member of employees one of the speakers at the presentation. In that manner, they will be very interested in their presentation.

 Local Dissemination: The barrier that could be facing in using peer-reviewed journals is the lack of access to the journals. An example is journals that consent to a subscription fee, which often puts off many readers. One way to defeat this barrier is by giving the readers of such journals free online access.

References

Brownson, R. C., Colditz, G. A., & Proctor, E. K. (Eds.). (2018). Dissemination and implementation research in health: translating science to practice. Oxford University Press.

Gallagher-Ford, L., Fineout-Overholt, E., Melnyk, B. M., & Stillwell, S. B. (2011). Evidence-based practice, step by step: implementing an evidence-based practice change. AJN The American Journal of Nursing, 111(3), 54-60.

Hall, H. R., & Roussel, L. A. (Eds.). (2016). Evidence-based practice. Jones & Bartlett Publishers.

Harvey, G., & Kitson, A. (2015). Implementing evidence-based practice in healthcare: a facilitation guide. Routledge.

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

Sidani, S., Manojlovich, M., Doran, D., Fox, M., Covell, C. L., Kelly, H., … & McAllister, M. (2016). Nurses’ Perceptions of Interventions for the Management of Patient‐Oriented Outcomes: A Key Factor for Evidence‐Based Practice. Worldviews on Evidence‐Based Nursing, 13(1), 66-74.

1) Minimum 2 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

              Part 1: Minimum 1 page

              Part 2: minimum 1 page

Submit 1 document per part

2)¨******APA norms

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

         Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references per part not older than 5 years

5) Identify your answer with the numbers, according to the question.

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc 

__________________________________________________________________________________ 

Part 1:  Physical Assessment 1

See PPT Ch07

The nurse is completing a cardiovascular assessment on a patient diagnosed with orthostatic hypotension. 

1. Identify what can result in a false high or false low blood pressure reading.

Based on specific medical conditions, the nurse may assess variations in vital signs. 

2. Discuss medical conditions that are associated with variations in a person’s vital signs.

Part 2:  Physical Assessment 2

 See PPT Ch09

The nurse is caring for a 60-year-old patient diagnosed with a cervical spinal cord injury in the ICU.

1. Discuss potential risk factors for pressure ulcers in this patient population and others.

Search http://annals.org/article.aspx?articleid=2173506 for the 2015 recommendations for treatment of pressure ulcers. 

2. Discuss the findings in relation to what is the current practice in your hospital facility.