Research Methods

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1. Formulate the Research Methods of your selected topic. Based on the chosen methods, please ensure that your incorporate all appropriate elements. 2. Post your Research Methods.3. Then, read the posts submitted by two other classmates and provide meaningful feedback for improvement.

Role of Opioid Education for the Youth (Week 7)

There are set ways that the government is using to create awareness of the opioid crisis. Some of these methods are, there have been a wide range of adverts and TV commercials that show the effect that opioid abuse can have on a human being. These commercials are not directed to a specific group but instead they are being used to create awareness in this way: when parents and guardians watch the commercials and get informed on what signs they should look for to know if someone is under opioid abuse (Knaggs, 2019). This can help parents and guardians in spotting their affected youth, relatives and neighbors and help them get though their addiction or even seek for professional help. The commercials can also aid youths to discover how harmful opioids can be to a human body if they are induced for recreational purposes.The government has also introduced education of the youth about opioid abuse and addictions. The schools are keen on teaching the youths on the dangers of using the substances as well as offering help for those who are already affected by opioid abuse. This education is meant to encourage and congratulate those who are free of the substances and at the same time giving hope to those who are already in the practice. It gives them hope of reforming and getting over their addiction. This so far has worked positively and have seen a lot of youth reforming and engaging in positive and conducive activities (Burgos-Chapman, Trevisan, & Sevarino, 2016).
What the professor said: “You have incorrectly completed this section. You need to explain the steps you took in order to complete your research, the tools you used and how you handled those tools. The method is about your research and not about other people’s research! Most probably you used a meta-analysis method. Please read samples submitted by other classmates, which I approved. Also, you may check practice that we completed in class.” This is a clear example of plagiarism. Please fix and resubmit.

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Respond to the discussion question. Psychopharmacology

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For this Discussion, review the case Learning Resources and the case study excerpt presented. Reflect on the case study excerpt and consider the therapy approaches you might take to assess, diagnose, and treat the patient’s health needs.

Case: An elderly widow who just lost her spouse. 

Subjective: A patient presents to your primary care office today with chief complaint of insomnia. Patient is 75 YO with PMH of DM, HTN, and MDD. Her husband of 41 years passed away 10 months ago. Since then, she states her depression has gotten worse as well as her sleep habits. The patient has no previous history of depression prior to her husband’s death. She is awake, alert, and oriented x3. Patient normally sees PCP once or twice a year. Patient denies any suicidal ideations. Patient arrived at the office today by private vehicle. Patient currently takes the following medications: 

• Metformin 500mg BID 

• Januvia 100mg daily 

• Losartan 100mg daily 

• HCTZ 25mg daily 

• Sertraline 100mg daily 

Current weight: 88 kg

Current height: 64 inches

Temp: 98.6 degrees F

BP: 132/86 

By Day 3 of Week 7

Post a response to each of the following:

• List three questions you might ask the patient if she were in your office. Provide a rationale for why you might ask these questions.

• Identify people in the patient’s life you would need to speak to or get feedback from to further assess the patient’s situation. Include specific questions you might ask these people and why.

• Explain what, if any, physical exams, and diagnostic tests would be appropriate for the patient and how the results would be used.

• List a differential diagnosis for the patient. Identify the one that you think is most likely and explain why.

• List two pharmacologic agents and their dosing that would be appropriate for the patient’s antidepressant therapy based on pharmacokinetics and pharmacodynamics. From a mechanism of action perspective, provide a rationale for why you might choose one agent over the other.

• For the drug therapy you select, identify any contraindications to use or alterations in dosing that may need to be considered based on the client’s ethnicity. Discuss why the contraindication/alteration you identify exists. That is, what would be problematic with the use of this drug in individuals of other ethnicities?

• Include any “check points” (i.e., follow-up data at Week 4, 8, 12, etc.), and indicate any therapeutic changes that you might make based on possible outcomes that may happen given your treatment options chosen.

Respond to the these discussions. All questions need to be addressed.

Discussion 1 En

Three questions to ask the patient and a rationale for asking these questions.

How may I be of assistance today? This question creates a rapport between you and the patients, and it makes her know that the doctor is ready to listen and help her.

What are you doing to cope with grief after losing your husband? This question will help the care provider assess the approaches the patient is using to cope with grief and be able to identify the ones working and not working for the patient.

Are you living with someone at home, and are you following your regimen correctly? By asking this question, the care provider will understand the type of support system available at home and know which support to prescribe for the patient and if the support at home is helping the patient follow her regimen correctly.

People in the patient’s life to speak to or get feedback from to further assess the patient

People in the patient’s life to speak to include her children, her aide, and close friend per her authorization. The feedback I will get from these people will help me know the severity of the patient’s problem. Some of the questions I will ask them are;

1. Has the patient been experiencing worse symptoms of depression since her husband’s dead? This question will help me understand people close to her can know when she is depressed.

2. Does the patient complain about her treatment regimen? This question will allow me to know the side effects of the treatment if any.

3. Has the sleeping patterns changes recently? This question will help me understand the severity of insomnia.

Physical and diagnostic tests

The physical exams appropriate for this patient include heart rhythm, eye assessment, and oxyhemoglobin saturation. The diagnostic tests for this patient include polysomnography and actigraphy tests. These tests will be used to measure the patient’s sleep patterns. The actigraphy measures sleep efficiency, sleep latency, and total sleep time, and polysomnography will diagnose sleep disorders (Niel et al., 2020)

Differential diagnoses for the patient

The patient’s differential diagnoses include generalized anxiety disorder, major depressive disorder, and restless leg syndrome. Major depressive disorder (MDD) is likely to explain why the patient is experiencing insomnia. MDD’s clinical presentation include insomnia, difficulty concentrating, appetite loss, and hopelessness. The patient’s husband’s loss contributed to depression, which affected her sleeping pattern. According to Bennabi et al. (2019), patients with MDD are at risk of experiencing sleeping disorders.  Since the patient is responding to grief, her chances of developing MDD are high.

Pharmacologic agents and their dosing

Selegiline Transdermal patch. Apply 6mg daily dose, which is applied every day. If symptoms do not improve, the dose can be increased by 3mg daily for two weeks until it reaches a maximum of 12gm daily. The drug inhibits Monoamine Oxidase-B isoenzyme (Bied et al., 2015).

Eszopiclone. The required dose is 3mg, which is administered orally before the patient goes to bed. It is the first-line drug for insomnia, and it interacts with gamma-aminobutyric acid (GABA) receptors at the allosterically binding sites at the benzodiazepine receptors. The drug works by slowing brain activities to allow sleep. The drug induces sedation and hypnosis hence causing sleep (Dixon et al., 2015). Since the patient is complaining of insomnia, eszopiclone will be appropriate in improving this symptom.

Drug therapy contraindications

Contraindications of using selegiline transdermal include increased risks of serotonin syndrome. The drug contraindicates in the patients taking selective serotonin reuptake inhibitors, mirtazapine, and other vasoconstrictors and analgesics.

Check points

After administering these drugs, the patient will be assessed after a four-week interval to determine if the symptoms have improved. If the symptoms have not improved after four weeks, selegiline transdermal will be increased by 3mg for four weeks until 12gm, which is the maximum dose per day. If the symptoms improve within the first four weeks, the regimen will be maintained until the patient completes the dose. After completing the dose, the patient will sleep well and the symptoms of depression will be well managed.

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Home work

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Review your strategic plan to implement the change proposal, the objectives, the outcomes, and listed resources. Develop a process to evaluate the intervention if it were implemented. Write a 150-250 word summary of the evaluation plan that will be used to evaluate your intervention.

The assignment will be used to develop a written implementation plan.

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

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Public Health Nursing Presentation

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Competency

Describe the foundations of public and community health nursing.

Scenario

The faculty in your nursing program have asked senior nursing students to create an infographic to improve potential nursing students’ understanding of public and community health nursing. You are a senior nursing student who has just completed your community rotation. You are very excited to share information about the world of public and community health nursing with incoming nursing students.

Instructions

Prepare an infographic that:

  • Explains the scope of the public and community health nurse’s role.
  • Describes the importance of public health nursing to the community well-being.
  • Illustrates the role of the public health nurse from the 1800s to present day.
  • Explains how public health operations work in the local community and state-level health systems.
  • Defines settings where nurses address the needs of community-based populations.
  • Provides stated ideas with professional language and attribution for credible sources with correct APA citation, spelling, and grammar in the infographic.

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The Impact of Healthcare Trends on the APN Roles

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Arnautova (2018) in the article ‘Top Healthcare Industry Trends to Watch in 2018 and Beyond’ outlined five (5) trends that will revolutionize how we provide and consume healthcare services over the next decade. These healthcare trends include:

  1. Telemedicine
  2. Artificial Intelligence
  3. Robotics
  4. IoT and wearables
  5. Blockchain

Select 1 of the 5 trends and discuss the potent positive and negative impacts the trend will have on the APN role(s) (Clinician, Educator, Researcher, Administrator, Entrepreneur, Consultant, and Leader).

Reference: Arnautova, Y. (2018). Top healthcare industry trends to watch in 2018 and beyond. Retrieved August 20, 2018 from https://www.globallogic.com/blogs/top-healthcare-industry-trends-to-watch-in-2018-and-beyond/

Expectations

Due 3/5/21

  • Length: A minimum of 250 words, not including references
  • Citations: At least one high-level scholarly reference in APA from within the last 5 years

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Anxiety Case Study

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Ivy, age 23, is a white woman who graduated from college last year. She began working as an accountant one month after graduating. Approximately two months ago, she moved into a two-bedroom apartment with another woman who works at the same accounting firm. She states that her roommate recommended that she sees a doctor to find out if she has anemia or “some sort of fatigue syndrome.” She states that she has felt “restless” and “on edge” for most of the past nine months. She becomes easily fatigued and irritable and has difficulty concentrating and falling asleep. She states that sometimes her mind “just goes blank,” and she is worried that her work performance is no longer excellent.

She reports that all her life she had good grades in school and was very successful in everything she attempted. Although she has been “a worrier from the day I was born,” now she worries more than she ever has and feels nervous “all the time.” Ivy reports that she has a good relationship with her boyfriend, but they do not get to see each other very often because he is attending graduate school 100 miles away. She reports having a satisfying sexual relationship with him. She denies having any problems with relationships with her parents, roommate, or peers. She denies having any financial worries unless she is fired from her job for poor work performance. She reports that she has always been healthy and has taken good care of herself. The only medication she takes is birth control pills, which she has taken for the past four years without any adverse effects.

Diagnosis: Generalized Anxiety Disorder

1. List specific treatment goals for Ivy.

2. What drug therapy would you prescribe? Why?

3. What are the parameters for monitoring the success of the therapy?

4. Describe specific patient monitoring based on the prescribed therapy.

5. List one or two adverse reactions for the selected agent that would cause you to change therapy.

6. What would be the choice for second-line therapy?

7. What dietary and lifestyle changes should be recommended for this patient?

8. Describe one or two drug–drug or drug–food interactions for the selected agent.

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Nursing

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Select one of the following as the focus for the teaching plan:

1. Primary Prevention/Health Promotion

2. Secondary Prevention/Screenings for a Vulnerable Population

3. Bioterrorism/Disaster

4. Environmental Issues

Use the “Community Teaching Work Plan Proposal” resource to complete this assignment. This will help you organize your plan and create an outline for the written assignment.

1. After completing the teaching proposal, review the teaching plan proposal with a community health and public health provider in your local community.

2. Request feedback (strengths and opportunities for improvement) from the provider.

3. Complete the “Community Teaching Experience” form with the provider. You will submit this form in Topic 5.

Prepare this assignment according to the guidelines found in the APA Style Guide

 

Community Teaching Work Plan Proposal

Planning and Topic

Directions: Develop an educational series proposal for your community using one of the following four topics:

1. Bioterrorism/Disaster

2. Environmental Issues

3. Primary Prevention/Health Promotion

4. Secondary Prevention/Screenings for a Vulnerable Population

Planning Before Teaching:

Name and Credentials of Teacher:

 
Estimated Time Teaching Will Last: Location of Teaching:

 
Supplies, Material, Equipment Needed: Estimated Cost:

 
Community and Target Aggregate:

 
Topic:

 

 

Identification of Focus for Community Teaching (Topic Selection):

 

Epidemiological Rationale for Topic (Statistics Related to Topic):

 

 

Teaching Plan Criteria

Your teaching plan will be graded based on its effectiveness and relevance to the population selected. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Nursing Diagnosis:

 

 

 

 

 

Readiness for Learning: Identify the factors that would indicate the readiness to learn for the target aggregate. Include emotional and experiential readiness to learn.

 

 

 

 

 

 

Learning Theory to Be Utilized: Explain how the theory will be applied.

 

 

 

 

 

Goal: Healthy People 2020 (HP2020) objective(s) utilized as the goal for the teaching. Include the appropriate objective number and rationale for using the selected HP2020 objective (use at least one objective from one of the 24 focus areas). If an HP2020 objective does not support your teaching, explain how your teaching applies to one of the two overarching HP2020 goals.

 

 

 

 

 

How Does This HP2020 Objective Relate to Alma Ata’s Health for All Global Initiatives

 

 

 

 

Develop Behavioral Objectives (Including Domains), Content, and Strategies/Methods:

Behavioral Objective and Domain

Example – Third-grade students will name one healthy food choice in each of the five food groups by the end of the presentation. (Cognitive Domain)

 Content (be specific)

Example – The Food Pyramid has five food groups which are….

Healthy foods from each group are…. Unhealthy foods containing a lot of sugar or fat are….

 Strategies/Methods

(label and describe)

Example – Interactive poster presentation of the Food Pyramid. After an explanation of the poster and each food category, allow students to place pictures of foods on the correct spot on the pyramid. Also, have the class analyze what a child had for lunch by putting names of foods on the poster and discussing what food group still needs to be eaten throughout day.
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 2. 2.
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 3. 3.
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 4. 4.

 

 

Creativity: How was creativity applied in the teaching methods/strategies?

 

 

 

Planned Evaluation of Objectives (Outcome Evaluation): Describe what you will measure for each objective and how.

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Planned Evaluation of Goal: Describe how and when you could evaluate the overall effectiveness of your teaching plan.

 

 

 

 

Planned Evaluation of Lesson and Teacher (Process Evaluation):

 

 

 

 

Barriers: What are potential barriers that may arise during teaching and how will those be handled?

 

 

 

 

Therapeutic Communication

4.2 Communicate therapeutically with patients.

 

How will you begin your presentation and capture the interest of your audience? Describe the type of activity will you use with your audience to exhibit active listening? Describe how you applied active listening in tailoring your presentation to your audience? How will you conclude your presentation? What nonverbal communication techniques will you employ?

 

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Evaluation of Jean Watson’s Theory of Caring

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Theory Evaluation:

Include a discussion of whether/how the theory appears to be accurate/valid (based on empirical testing of the theory as discussed above).  Discuss the generalizability of the theory.  Summarize the strengths and weaknesses of the theory.  Discuss whether/how the theory is congruent with current nursing standards and current nursing interventions or therapeutics.  Explain whether/how the theory is relevant socially and cross-culturally.  Describe how the theory might contribute to the discipline of nursing.

APA format, at least 2-3 pages double spaced, at least 4 references.

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NURSING ASSIGNMENT- delegation in the workplace

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 Learning Objectives for this assignment include:

  • Apply the principles of delegation in the healthcare setting.
  • Demonstrate the use of clinical reasoning in prioritizing and evaluating the delivery of client care.
  • Demonstrate principles of collaborative practice within the nursing and healthcare teams fostering mutual respect and shared decision-making to achieve stated outcomes of care.

For this discussion, we are going to focus on delegation in the workplace. Read the following scenario, review the 2019 Regulations Governing the Practice of Nursing document from the Virginia Board of Nursing, Part VI (pages 20-23. see attached and then submit your answers the three questions below (Be sure to reference your information source in APA format!) You are working the night shift on a medical unit and have been assigned charge nurse responsibilities. You are working with four RNs, one LPN, and two CNAs (nurse’s aides or care partners).  A patient becomes pulseless and is not breathing, and the nurse assigned to the patient’s care calls a code. The nurse is occupied at this patient’s bedside for 1.5 hours until the patient is stabilized and transferred to the intensive care unit. The nurse also has four other assigned patients. In addition to the nurse assigned to the patient requiring resuscitation, two of the other RNs working on your unit are assisting in the code. 

(1) During the time of the resuscitation efforts, what tasks could be delegated to the UAP (NCP) in order to help with the care of the patients that are assigned to the three RNs that are involved in the resuscitation?

(2) How will you, as the charge nurse, maintain the safety of the other patients on your unit while the three RNs are occupied with the resuscitation efforts?

(3) How might effective delegation to other team members contribute to care for the patients on the unit?

Your response should be scholarly, between 150 and 200 words for each question, and include at least one peer-reviewed nursing journal article to support your comments. (Your in-text citations and reference should in in correct APA format.) Be sure to use correct grammar and sentence structure.

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Capstone Evidence-Based Practice Paper Guidelines

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NR452 Capstone Course Capstone Evidence-Based Practice Paper Guidelines NR452_RUA- Capstone Evidence-Based Guidelines Revised: 03/2021 3 In this paper the student will provide a detailed description of the relationship between the category from the NCLEX-RN examination blueprint, the priority concept (topic), and professional practice. 1) Write a 4-6 page paper (not including the title page or reference page) using APA format 2) Include the following sections a. Introduction- 20 points/8% • Offer a detailed description of the statement of purpose for thepaper. • Identify a priority concept (topic) from the Individual Student ATI Assessment Trends: Longitudinal Performance Table drawn from one (1) of the four (4) main categories of the NCLEX-RN examination blueprint:  Assurance of a safe and effective careenvironment  Health promotion and maintenance of health  Preservation of the patient population’s psychosocial integrity  Preservation of the patient population’s physiologicalintegrity • Provide a detailed description of the relationship between the category from the NCLEX-RN examination blueprint and the priority concept (topic). b. Importance – 20 points/8% • Describe the importance of the priority concept (topic) to professional practice • Describe the health of the patient population. • Include the potential negative effect to professional practice if the priority concept (topic) is unresolved. • Include the potential negative effect to the patient population if the priority concept (topic) is unresolved. c. Healthcare Disparities, Inequalities, and Interventions- 70 points/28% • Identify patient populations that may be negatively influenced by the priority concept (topic) if unresolved. • Identify healthcare resources to support evidence-based professional practice related to the priority concept (topic). • Summarize potential priority concept (topic) healthcare disparities and inequalities related to diverse populations.

• Propose an evidence-based solution for the priority concept (topic) related to healthcare disparities. • Identify three (3) evidence-based practice interventions. • Prioritize the identified evidence-based practice interventions and provide rationale. • Discuss two (2) patient education considerations related to the priority concept (topic). d. Legal & Ethical Considerations and Intervention Challenges- 40 points/16% • Identify at least one (1) ethical and one (1) legal implication for addressing the priority concept (topic) in professional practice. • Discuss at least one (1) strategy in prevention of an ethical dilemma related to the priority concept (topic) in professional practice. • Discuss at least one (1) strategy in prevention of legal consequences related to the priority concept (topic) in professional practice. • Identify one (1) anticipated challenge to the success of preventing the priority concept (topic) in professional practice. • Identify one (1) anticipated challenges to the success of resolving the priority concept (topic) in professional practice. e. Participants and Interdisciplinary Approach – 20 points/8% • Identify all the parties who will be involved in the implementation of the priority concept (topic) interventions. • Discuss the role of each member in the intervention implementation for the priority concept (topic). • Identify a minimum of two (2) members of a discipline outside of nursing. • Discuss the benefit of including the identified interdisciplinary member from disciplines outside nursing to promote evidence-based professional practice. NR452 Capstone Course Capstone Evidence-Based Practice Paper Guidelines NR452_RUA- Capstone Evidence-Based Guidelines Revised: 03/2021 4 f. Quality Improvement– 20 points/8% • Provide at least one (1) benefit in patient outcomes from addressing the priority concept (topic) within the clinical environment. • Provide at least one (1) benefit to the nursing profession that will result from addressing this priority concept (topic) in clinical professional practice. • Discuss at least one (1) resource utilized to promote improved patient outcomes in the clinical environment. • Discuss at least one (1) resource utilized to increase professional nurse knowledge promoting improved clinical professional practice. g. Conclusion – 20 points/8% • Provide a thorough recap of the purpose to promote increased evidence-based professional practice knowledge related to the priority concept (topic) deficiency. • Summarize resources identified to support improved evidence-based professional practice related to the priority concept (topic). • Include a complete statement describing why addressing the priority concept (topic) matters and to whom. h. APA Style and Organization– 20 points/8% • References are submitted with paper. • Uses current APA format and is free of errors. • Grammar and mechanics are free of errors. • At least three (3) scholarly, peer reviewed, primary sources from the last 5 years, excluding the textbook, are provided. Each section should have a cited source to support information provided. For writing assistance (APA, formatting, or grammar) visit the APA Citation and Writing page in the online Chamberlain library.

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