21 y/o female college student, was seen in the student health center for increasing episodes of abdominal fullness and discomfort with alternating diarrhea and constipation.

Description

Case study 2

21 y/o female college student, was
seen in the student health center for increasing episodes of abdominal fullness and discomfort
with alternating diarrhea and constipation. Reports being 
diagnosed with irritable bowel
syndrome several years ago, was told to eat more fiber, but 
nothing has seemed to be effective
in reducing her abdominal distress, is taking a heavy course 
load this semester, has to work 20
hours each week for her work-study contract, and eats mainly 
fast foods and drinks several coals
daily.

 

CASE STUDY 3
Mr. Begay is a 55-year old Native American man admitted with a diagnosis of
cirrhosis of the

liver.  He has been vomiting for 2 days and noticed
blood in the toilet when he vomits.  He
has

had cirrhosis for 12 years,
acknowledges that he had been drinking heavily for 20 years but has

been sober for the past 2
years.  He complains of anorexia, nausea,
and abdominal discomfort. 

On his physical examination, the
findings were thin and malnourished, has moderate ascites,

jaundice of sclera and skin, 4+
pitting edema of the lower extremities, liver and spleen are

palpable.  The laboratory values are as follows: total
bilirubin: 15mg/dl, serum ammonia 220

mcg/dl, AST 190 U/L, ALT 210 U/L.

 

 

 

CASE STUDY 4

 

75 y/o African-American male, was
admitted to the hospital emergency department with partial-

thickness burns that involved his
face, neck, and upper trunk, lacerated right leg, injuries

occurred about 24 hours earlier when
he fell out of a tree onto his burning gas grill while trying

to get his cat. Complains of
slightly hoarse voice and irritated throat, states that he tried to treat

himself because he does not have
health insurance, has been coughing up sooty sputum, and

complains of severe pain in left
hip.

Leg wound is gaping and looks
infected, temperature 101.1 F, x-rays reveal a fractured right tibia

and fractured left hip, WBCs
26,400/μl with 80% neutrophils (10% bands), and surgery is

performed to repair the left hip.

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27 y/o African-American male, was admitted to the hospital because of an uncontrollable fever, he was transferred from a long-term care facility,

Description

Case Study 14

27 y/o African-American male, was admitted to the hospital because
of an uncontrollable fever, he was transferred from a long-term care facility,
he has a history of a gunshot wound to his left chest, following a cardiac
arrest after the accident he developed hypoxic encephalopathy, he has a
tracheostomy and GT in place, he has a history of MRSA in his sputum, family
says that they visit him regularly and are very devoted to him. Pt is thin,
cachectic in moderate respiratory distress, unresponsive to voice, touch, or
painful stimuli, temp is 104F, heart rate is 120, resp rate is 30, and O2 Sat
is 90% on room air, chest auscultation revealed crackles and scattered rhonchi
in the left upper lobe, serum albumin 2.8 g/dl, WBC 18,000μl, sputum spec is
thick, green, foul smelling with culture pending, ABG = pH 7.29, PaO2 80mm Hg,
PaCO2 40mm Hg, bicarb 16 mEq/L, stool culture positive for C.diff, Chest x-ray
revealed infiltrate in the left upper lobe, no pleural effusions noted.

 

 

 

 

 

 

Case Study 15

30 y/o African-American female mother of two preschoolers, comes
to the emergency department with severe wheezing, dypsnea, andanxiety, she was
in the ER only 6 hours ago with an acute asthma attack, treated in the ER
previously with nebulized albuterol and responded

quickly, can speak only one-to-three-word sentences secondary to
dypsnea, allergic to cigarette smoke, began to experience increased SOB and
tightness in her chest when she returned home,

used albuterol MDI without spacer repeatedly at home with no
relief, physical exam revealed using accessory muscles to breath, has audible
wheezing, respiratory rate 34/min, auscultation

reveals no air movement in lower lobes, heart rate 126, ABG: PaO2
80mm Hg, PaCO2 35mm Hg, pH 7.46, PEFR: 150 L/min with her personal best 400L/min.

 

 

 

 

 

 

 

 

Case Study 16

Phillip Lockwood, a 66-year old African American married man,
comes to the primary health outpatient clinic because of an inability to void
for the past 12 hours and pain in the lower abdomen.  He complains of the urge to void and is
restless and agitated.  His examination
shows

he has prostate enlargement on digital rectal examination,
hematuria and WBCs in urine, a tender and palpable bladder above the umbilicus,
PSA test 6ng/ml.  An indwelling catheter
is inserted by a urology resident and he is admitted to the hospital.

 

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27 y/o African-American male, was admitted to the hospital because of an uncontrollable fever,

Description

Case Study 14

27 y/o African-American male, was admitted to the hospital because
of an uncontrollable fever, he was transferred from a long-term care facility,
he has a history of a gunshot wound to his left chest, following a cardiac
arrest after the accident he developed hypoxic encephalopathy, he has a
tracheostomy and GT in place, he has a history of MRSA in his sputum, family
says that they visit him regularly and are very devoted to him. Pt is thin,
cachectic in moderate respiratory distress, unresponsive to voice, touch, or
painful stimuli, temp is 104F, heart rate is 120, resp rate is 30, and O2 Sat
is 90% on room air, chest auscultation revealed crackles and scattered rhonchi
in the left upper lobe, serum albumin 2.8 g/dl, WBC 18,000μl, sputum spec is
thick, green, foul smelling with culture pending, ABG = pH 7.29, PaO2 80mm Hg,
PaCO2 40mm Hg, bicarb 16 mEq/L, stool culture positive for C.diff, Chest x-ray
revealed infiltrate in the left upper lobe, no pleural effusions noted.

 

 

 

 

 

 

Case Study 15

30 y/o African-American female mother of two preschoolers, comes
to the emergency department with severe wheezing, dypsnea, andanxiety, she was
in the ER only 6 hours ago with an acute asthma attack, treated in the ER
previously with nebulized albuterol and responded

quickly, can speak only one-to-three-word sentences secondary to
dypsnea, allergic to cigarette smoke, began to experience increased SOB and
tightness in her chest when she returned home,

used albuterol MDI without spacer repeatedly at home with no
relief, physical exam revealed using accessory muscles to breath, has audible
wheezing, respiratory rate 34/min, auscultation

reveals no air movement in lower lobes, heart rate 126, ABG: PaO2
80mm Hg, PaCO2 35mm Hg, pH 7.46, PEFR: 150 L/min with her personal best 400L/min.

 

 

 

 

 

 

 

 

Case Study 16

Phillip Lockwood, a 66-year old African American married man,
comes to the primary health outpatient clinic because of an inability to void
for the past 12 hours and pain in the lower abdomen.  He complains of the urge to void and is
restless and agitated.  His examination
shows

he has prostate enlargement on digital rectal examination,
hematuria and WBCs in urine, a tender and palpable bladder above the umbilicus,
PSA test 6ng/ml.  An indwelling catheter
is inserted by a urology resident and he is admitted to the hospital.

 

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21 y/o female college student, was seen in the student health center for increasing episodes of abdominal fullness and discomfort with alternating diarrhea and constipation.

Description

Case study 2

21 y/o female college student, was seen in the
student health center for increasing episodes of 
abdominal fullness and discomfort with
alternating diarrhea and constipation. Reports being 
diagnosed with irritable bowel syndrome several
years ago, was told to eat more fiber, but 
nothing has seemed to be effective in reducing
her abdominal distress, is taking a heavy course 
load this semester, has to work 20 hours each
week for her work-study contract, and eats mainly 
fast foods and drinks several coals daily.

  Case study 3

 

Case Study 3

Mr. Begay is a 55-year old Native American man
admitted with a diagnosis of cirrhosis of the 
liver. He has been vomiting for 2 days and
noticed blood in the toilet when he vomits. He has 
had cirrhosis for 12 years, acknowledges that he
had been drinking heavily for 20 years but has 
been sober for the past 2 years. He complains of
anorexia, nausea, and abdominal discomfort. 
On his physical examination, the findings were
thin and malnourished, has moderate ascites, 
jaundice of sclera and skin, 4+ pitting edema of
the lower extremities, liver and spleen are 
palpable. The laboratory values are as follows:
total bilirubin: 15mg/dl, serum ammonia 220 
mcg/dl, AST 190 U/L, ALT 210 U/L.

  Case study 4

 

Case study 4

75 y/o African-American male, was admitted to the
hospital emergency department with partial-

thickness burns that involved his face, neck, and
upper trunk, lacerated right leg, injuries

occurred about 24 hours earlier when he fell out
of a tree onto his burning gas grill while trying

to get his cat. Complains of slightly hoarse
voice and irritated throat, states that he tried to treat

himself because he does not have health
insurance, has been coughing up sooty sputum, and

complains of severe pain in left hip.

Leg wound is gaping and looks infected,
temperature 101.1 F, x-rays reveal a fractured right tibia

and fractured left hip, WBCs 26,400/μl with 80%
neutrophils (10% bands), and surgery is

performed to repair the left hip

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Develop a research table to organize and summarize the research studies.

Description

Develop a research table to organize
and summarize the research studies. Using a summary table allows you to be more
concise in your narrative description. Only research studies used to support
your intervention are summarized in this table. Refer to the “Evaluation
Table Template,” available in the textbook appendix. Use the
“Evaluation Table Template” as an adaptable template.

Write a narrative of 750‐1,000 words
(not including the title page and references) that presents the research
support for the projects problem and proposed solution. Make sure to do the
following:

1.    
Include a description of the search
method (e.g., databases, keywords, criteria for inclusion and exclusion, and
number of studies that fit your criteria).

2.    
Summarize all of the research
studies used as evidence. The essential components of each study need to be
described so that readers can evaluate its scientific merit, including study
strengths and limitations.

3.    
Incorporate a description of the
validity of the internal and external research.

It is essential to make sure that
the research support for the proposed solution is sufficient, compelling,
relevant, and from peer‐reviewed professional journal articles.

Although you will not be submitting
the checklist information or the evaluation table you design in Topic 3 with
the narrative, the checklist information and evaluation table should be placed
in the appendices for the final paper.

Prepare this assignment according to
the APA 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.

References

1.https://researchguides.uic.edu/c.php?g=252338&p=3950157

2. https://www.cebm.net/2014/06/critical-appraisal/

3. https://www.ahrq.gov/gam/index.html

4. https://rnao.ca/bpg

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It is becoming increasingly important for registered nurses to assume a leadership role in a changing health care system.

Description

Assignments 2 & 3

Value: 40% each
Submit assignment via link in the Assessment section of the course home page
Due Date : Negotiable (suggested completion after Units 4 and 8)

Purpose

It is becoming increasingly important for registered nurses to assume a leadership role in a changing health care system. Hence, registered nurses must be able to assess and act to fulfill their own learning needs in order to work to their full scope of practice. To complete this assignment, consider an issue or trend in nursing or health care and choose one of the options from the bulleted list below. Your papers must be scholarly in presentation, reflective of course content, and although they may be related to one another, they must not be duplications.

The following is a brief description of each type of paper/project. Please refer to the assignment expectations assessment section below for a detailed description of each type of paper/project.

Note: There is a 10 page limit for all written papers excluding title and reference pages. (with the exception of the professional portfolio):

Paper/Project Options:

  • Position Paper: presents an arguable position on an issue with the goal of convincing the audience that this position is valid. The position paper is related to course content; be clear as to difference between a position paper, discussion paper, and an issue paper
  • Discussion Paper: discusses a situation or dilemma representing a variety of views; consists of a reasoned defense of the recommendations. The discussion paper is related to course content; for example one could frame a question and then proceed with discussion of the answer.
  • Issue Paper: presents a balanced view of a situation or dilemma in which both sides of the situation are clearly articulated. The issue paper is related to course content that follows the framework from your textbook – Framing and Analyzing the Issue.
  • Literature Review:is an account of what has been published on a topic by accredited scholars and researchers; the purpose is to convey to what knowledge and ideas have been established on a topic, including the strengths and weaknesses. The literature review is related to course content.
  • Website Critique:: is a formalized, critical appraisal of a website; the goal is to turn critical reading into a systematic evaluation in order to deepen insight into that website. This is an analysis of several (5-7) interesting Web sites that relate to a particular issue and or take a position on that issue. Critique the verifiability of information in each web site including the authority of the Web site. Compare and contrast how the issue is presented, and provide an executive summary of each Web site.
  • Professional Portfolio: is a convenient system to tell the story of one’s career. It might include: original documents (e.g. resume/curriculum vitae, professional association memberships, license/board results), supporting materials (e.g. letters of recommendation, publications, presentations, certifications, job descriptions, evaluations), and collateral pieces (e.g. thank you letters, articles and books you have read). This is a beginning professional portfolio. Portfolio should not exceed a 15 page limit including title page and any appendices (this page limit is an exception to the 10 pages as stated above).

Assignments Expectations

What is a Position Paper

A position paper presents an arguable opinion about an issue. The goal of a position paper is to convince the audience that your opinion is valid and worth listening to. Ideas that you are considering need to be carefully examined in choosing a topic, developing your argument, and organizing your paper. It is very important to ensure that you are addressing all sides of the issue and presenting it in a manner that is easy for your audience to understand. Your job is to take one side of the argument and persuade your audience that you have well-founded knowledge of the topic being presented. It is important to support your argument with evidence to ensure the validity of your claims, as well as to address the counterclaims to show that you are well informed about both sides.

Writing a Position Paper

Issue Criteria

To take a side on a subject, you should first establish the arguability of a topic that interests you. Ask yourself the following questions to ensure that you will be able to present a strong argument:

  • Is it a real issue, with genuine controversy and uncertainty?
  • Can you distinctly identify two positions?
  • Are you personally interested in advocating one of these positions?
  • Is the issue narrow enough to be manageable?

Analyzing an Issue and Developing an Argument

Once your topic is selected, you should do some research on the subject matter. While you may already have an opinion on your topic and an idea about which side of the argument you want to take, you need to ensure that your position is well supported. Listing out the pro and con sides of the topic will help you examine your ability to support your counterclaims, along with a list of supporting evidence for both sides. Supporting evidence includes the following:

  • Factual knowledge – Information that is verifiable and agreed upon by almost everyone.
  • Statistical Inferences – Interpretation and examples of an accumulation of facts.
  • Informed Opinion – Opinion developed through research and/or expertise of the claim.
  • Personal Testimony – Personal experience related by a knowledgeable party.

In considering your audience, ask yourself the following questions:

  • Is your topic interesting?
  • Can you manage the material within the specifications set by the tutor?
  • Does your topic assert something specific and propose a plan of action?
  • Do you have enough material to support an opinion?

Organization

Your introduction should lead up to a thesis that organizes the rest of your paper. There are three advantages to leading with the thesis:

  • The audience knows where you stand.
  • The thesis is located in the two strongest places, first and last.
  • It is the most common form of academic argument used.

Generic Sample Outline for a Position Paper

Introduction

  • Introduce the topic
  • Provide background on the topic
  • Assert the thesis [your view on the issue]

Counter Argument

  • Summarize the counterclaims
  • Provide supporting information for counterclaims
  • Refute the counterclaims
  • Give evidence for argument

Your Argument

  • Assert point #1 of your claims
  • Give your opinion
  • Provide support
  • Assert point #2 of your claims
  • Give your opinion
  • Provide support
  • Assert point #3 of your claims
  • Give your opinion
  • Provide support

Conclusion

  • Restate your argument
  • Provide a plan of action

[Reference: University of Hawaii-West O’ahu. (1998). Writing a position paper. UHWO Writing Center]


What is a Discussion Paper

A discussion paper is a formal discourse or exposition on a topic in which there is an exchange of views culled from the literature. A discussion paper differs from a position paper in that a discussion paper consists of the reasoned defense of your recommendations. In order to offer your own recommendations on an issue, you must present a variety of opinions or recommendations based on the literature. Your goal in writing a discussion paper is to formulate and share your own opinions so that your recommendations are a natural extension of your paper.

Writing a Discussion Paper

There are a variety of things a discussion paper can aim to accomplish. Many features of good discussion writing invite comparison and contrast of specific authors, clinical practice, or different interpretations of a nursing issue, such as telehealth. Discussing the significance of both what is common and what is different will prompt you and the reader to new insights.

A good discussion paper is modest, and makes a small point, but it makes that point clearly and succinctly, and it offers good reasons in support of it. In other words, your paper must offer recommendations. It can’t consist in the mere report of your opinions, nor in a mere report of the opinions of the authors you discuss.

A discussion paper usually begins by putting some thesis or argument on the table for consideration. Then it goes on to do one or two of the following:

  • Criticize that argument; or show that certain arguments for the thesis are no good
  • Defend the argument or thesis against someone else’s criticism
  • Offer reasons to believe the thesis
  • Offer counter-examples to the thesis
  • Contrast the strengths and weaknesses of two opposing views about the thesis
  • Give examples which help explain the thesis, or which help to make the thesis more plausible
  • Argue that certain authors are committed to the thesis by their other views, though they do not come out and explicitly endorse the thesis
  • Discuss what consequences the thesis would have, if it were true
  • Revise the thesis, in the light of some objection

Your paper has to show some independent thinking. Try to come up with your own arguments, or your own way of elaborating or criticizing or defending some issue we looked at in this course. Merely summarizing what others have said won’t be enough.

Proposed Outline of a Discussion Paper

Introduction

  • Briefly highlight the most salient points of your topic
  • State your main thesis on the topic for discussion

Background

  • Provide background information from the literature on your general topic area

Definition And Scope

  • Provide a definition of your topic Outline the scope of the topic-does this affect all of Canada, or just your province or your health care region? Explain.
  • How do nurses or the health care system factor into the topic?

Benefits And Challenges

  • Describe the benefits to nurses or the health care system
  • Describe the challenges that nurses [or other health care providers] face in this topic
  • What does the literature say about the benefits and challenges?

Impact And Implications

  • What is the impact on nurses or the health care system?
  • How will this affect human resource management?
  • What other implications do you foresee; what does the literature say about implications?

Recommendations

  • What do you think needs to be done next?
  • Who do you think should be involved?
  • What are the recommendations from the literature?
  • Would you agree or disagree with the literature and why?

Conclusion

  • Restate your thesis
  • Provide a summary of your recommendations

People very often attempt to accomplish too much in a discussion paper. The usual result of this is a paper that’s hard to read, and which is full of inadequately defended and poorly explained claims. So don’t be over-ambitious. Don’t try to establish any earth-shattering conclusions in your paper.

[Reference: Pryor, J. (2004). Guidelines on writing a philosphy paper. Princeton University.]


What is an Issue Paper?

An issue paper differs from a position paper or a discussion paper in that an issue paper consists of a balanced view of a situation or dilemma in which both sides of the situation are clearly articulated. Because authors will often disagree about the kinds of solutions that should be implemented in remedying the situation or dilemma, you are expected to provide an overview of the various points of view found in the literature regarding how this issue should be resolved. Based on your literature review, you will be expected to discuss how you believe this issue should be resolved and provide your own rationale.

Writing an Issue Paper

Searching The Literature

In writing an issue paper you will be expected to search for a variety of literature resources. Relying on your course textbooks or the material in your study guide is not sufficient. You will be expected to search through the Athabasca University Online Library database (you may also use the online Library from another University if you have access), and you may also use the Internet to search through any of the online scholarly databases. In addition, there are many links to articles and online databases in this resources site which you may use.

Defining the Issue

Once you have a sound understanding of your topic, you will need to clearly define the issue. Recall that an issue has two sides so your definition of the issue should include a balanced view.

For example: The electronic patient record has many advantages such as a time saver, clarity, and accessibility, but it also comes with the challenges associated with security, increased financial costs, and implementation problems. Your issue statement might be: Even though there are significant benefits to an electronic record, not every health region has the financial resources to implement the proper security protocols necessary to ensure patient privacy.

Framework of Your Issue Paper

Introduction

  • Introduce your issue
  • Identify both sides of the issue
  • Provide an issue definition
  • Discuss the significance of the issue for nursing

Body of Paper

  • Describe your own opinions and beliefs about this issue
  • Analysis of the issue is completed through discussion of appropriate frameworks
  • Barriers to resolution are identified
  • Possible resolution strategies are explored

Conclusion

  • Briefly summarize your findings and give directions for future research, or recommendations for further study

[Reference: Pryor, J. (2004). Guidelines on writing a philosphy paper. Princeton University.]


What is a Literature Review?

A literature review is an account of what has been published on a topic by accredited scholars and researchers.

In writing the literature review, your purpose is to convey to your reader what knowledge and ideas have been established on a topic, and what their strengths and weaknesses are. As a piece of writing, the literature review must be defined by a guiding concept (e.g., your research objective, the problem or issue you are discussing, or your argumentative thesis). It is not just a descriptive list of the material available, or a set of summaries.

Writing a Literature Review

A literature review is a piece of discursive prose, not a list describing or summarizing one piece of literature after another. It’s usually a bad sign to see every paragraph beginning with the name of a researcher. Instead, organize the literature review into sections that present themes or identify trends, including relevant theory. You are not trying to list all the material published, but to synthesize and evaluate it according to the guiding concept of your thesis or research question.

  • to identify gaps in the literature
  • to avoid reinventing the wheel (at the very least this will save time and it can stop you from making the same mistakes as others)
  • to carry on from where others have already reached (reviewing the field allows you to build on the platform of existing knowledge and ideas)
  • to identify other people working in the same fields (a researcher network is a valuable resource)
  • to increase your breadth of knowledge of your subject area
  • to identify seminal works in your area
  • to provide the intellectual context for your own work, enabling you to position your project relative to other work
  • to identify opposing views
  • to put your work into perspective
  • to demonstrate that you can access previous work in an area
  • to identify information and ideas that may be relevant to your project
  • to identify methods that could be relevant to your project

Framework for a Literature Review

Introduction

  • Define the topic, or issue to provide context for reviewing the literature.
  • Identify trends, conflicts, or gaps in the literature.
  • Describe your thesis and reason for reviewing the literature;
  • Explain the criteria used in analyzing and comparing literature, and state the scope of the review.

Body of Paper

  • Group research studies and other types of literature according to a central theme or topic. For example:
    • current mainstream versus alternative theoretical or ideological viewpoints, including differing theoretical assumptions, or other conflicts;
    • definitions in use;
    • current research studies;
    • current discoveries about the topic;
    • principal questions that are being asked;
    • general conclusions that are being drawn;
    • methodologies and methods in use;

Discussion of Findings

  • Organize your findings according to your thesis
  • What were the most important points you learned?
  • What is your position based on the findings of your review?

Conclusion

  • Summarize your major findings and identify gaps in the literature, maintaining the focus established in the introduction.
  • Conclude by providing some insight into the relationship between the central topic of the literature review and the nursing profession.

Originality

The aim of these papers is for you to show that you understand the material and that you’re able to think critically about it. To do this, your paper does have to show some independent thinking.

But you should try to come up with your own arguments, or your own way of elaborating or criticizing or defending some issue we looked at in this course. Merely summarizing what the literature has said won’t be enough.

[Reference: Hopkins, G. (1999). How to write a literature review. School of Health Sciences, University of Otago, New Zealand.]


What is a Website Critique?

A critique is a formalized, critical appraisal of a website. It is also a personal response to that site, but it is more than just saying you liked the site or you thought a site was great. Your goal in writing a critique is to turn your critical reading into a systematic evaluation in order to deepen your reader’s (and your own) insight of that website.

When writing a critique of a website, you are expected to analyze and evaluate, not just summarize. A summary merely reports what is or is not in a website; that is, it answers only the question, “What did the website contain?” A critique, on the other hand, analyzes, interprets, and evaluates the website, answering the questions how, why, and how well?

A critique does not necessarily have to criticize the piece in a negative sense. Your reaction to the site may be largely positive, negative, or a combination of the two. It is important to explain why you respond to the site in a certain way. Therefore, you have an obligation, both to the reader and yourself, to clarify your opinions.

Defend your point of view/argument by raising specific issues or aspects of the argument. Explain how the section you might use from the site supports your argument. Your personal response to your assessment should not be the expression of an unsupported or irrelevant personal opinion. Your interpretations and your conclusions must be based on evidence from the site and follow from the ideas you have dealt with in the paper.

Framing Your Critique

Introduction

Introduces the nursing or health care issue or trend. Introduces the websites and presents a brief executive summaryof each web site. Clearly articulates the thesis.

Analysis of the Website

Analyzes each web site according to the authorship of the site using the following guide from Johns Hopkins University, Sheridan Libraries.

Analyzes each web site according the verifiability or accuracy of the information found within the site using the following guide from Johns Hopkins University, Sheridan Libraries.

Compares and contrasts how the information is presented in each site using the following questions as a guide.

  • Does the content effectively offer sufficient information related to the issue? In what way?
  • Does the content appear to be complete, is well organized, and is easy to understand? How?
  • Is the content free of bias, or can the bias be easily detected? In what way?
  • Does the information appear to be accurate based on user’s previous knowledge of subject? Explain.
  • Is the information consistent with similar information in other sources? Which ones and in what way?

How Do the Sites Stand Up to the Overall Analysis?

Now it is your turn to respond to the critique itself. In other words, what is your general interpretation of your findings? With which parts of the sites do you agree? With which do you disagree? Discuss your reasons for agreement and disagreement, and tie these reasons to your findings from your analysis. Discuss how the authors of the sites might improve their site and explain your reasons for these improvements.

Conclusion

State your conclusions about the overall validity of the information found, and your assessment of the choices you made in selecting the web sites. Remind the reader about the thesis and how well you believe your selections augmented or detracted from your thesis.

References

Behrens, L. (Ed.). (1994). Writing and reading across the curriculum (p. 73-74). New York: Harper Collins.


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In this nursing assignment, Blood Sugar Premier Review of a person’s mental and physical health.

Description

Blood sugar is an important indicator


Blood sugar is an important indicator
In this nursing assignment, Blood Sugar Premier Review of a person’s mental and physical health. Not only is it an indicator of the most prevalent disease of today’s times, diabetes, but it also shows how all the parts of your body are working in conjunction to maintain the coordination. A spike in blood sugar can lead to several serious problems, affecting not only the insulin related receptors of the body, but also other parts of the body like the legs, breaking down specific cells in knee caps and other joints. Also it can cause kidney related problems. Heart problems are developed in persons affected by diabetes. Nerve damage is also not unheard of. But all this need not frighten anyone, for there are several natural methods of replenishing the blood cells of the body and reduce the blood sugar levels.
Submit your assignment in the blackboard. If you consult a physician, then he will prescribe insulin, which is he preferred anti oxidant in case blood sugar. These will tend to break down the excess sugar in the human cells and tend to store the produced energy away from the blood cells so at hat blood sugar levels reduces. Also, this is done so as to reduce sugar levels in the blood, all this sugar is stored in the form of energy at some other place and used at a later time. This solution is handy for people suffering from chronic diabetes, or that of diabetes type I.For people suffering from diabetes type II, which is less chronic than its brother, there are a lot of natural methods, namely, exercises, taking energy rich diet which is low in sugar and carbohydrate content. Also, taking a lot of water helps since it prevents dehydration. Dehydration leads to lot of related disorders that has a marked effect on he blood sugar levels of the body.
Uncontrolled type 1 or type 2 diabetes can ravage your heart, kidneys, brain, and pancreas. While these complications of diabetes are well known, many don’t realize the strong link between diabetes and oral health. In fact, it’s well documented that people with diabetes have much higher rates of oral health issues. Everything from tooth loss to gum disease becomes more likely as diabetes control worsens. Even if you have diabetes, you’re not destined to a toothless existence. Studies show that diabetics who keep their sugar under control greatly reduce their risk of gum disease. Interestingly, the relationship between your mouth and your diabetes is a two way street. It’s thought that your mouth isn’t just a reflection of diabetes care… but an influence of it
For example, periodontal disease, a condition where excessive bacterial growth damages your gums, is known to elicit your body’s stress response. This stress response isn’t confined to your gums… your entire immune system springs into action. While the coordination of your immune system is helpful in keeping infection in check, it also has the unfortunte side effect of making cells less sensitive to insulin.Many researchers think that poor oral hygiene and high blood sugar are part of a vicious cycle. As blood sugar rises, it makes your mouth more susceptible to infections. As infections take hold, blood sugar rises. It’s no wonder that a study published in the Journal of Periodontology found that treating periodontal disease in diabetic populations greatly improved their glycemic control
Uncontrolled type 1 or type 2 diabetes can ravage your heart, kidneys, brain, and pancreas. While these complications of diabetes are well known, many don’t realize the strong link between diabetes and oral health. In fact, it’s well documented that people with diabetes have much higher rates of oral health issues. Everything from tooth loss to gum disease becomes more likely as diabetes control worsens. Even if you have diabetes, you’re not destined to a toothless existence. Studies show that diabetics who keep their sugar under control greatly reduce their risk of gum disease. Interestingly, the relationship between your mouth and your diabetes is a two way street. It’s thought that your mouth isn’t just a reflection of diabetes care… but an influence of it
Submit your assignment in the blackboard before the due date


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Apply principles of primary health care, strategies of health promotion, and epidemiology concepts in working with Children suffering Obesity.

Description

Assignment Topic:

Application of Epidemiology
in Community Health Nursing (Selected sub population Children suffering
Obesity).

Purpose:

The purpose of this assignment is to provide you with
an opportunity to demonstrate utilization of epidemiology research related to
the health of the community, while facilitating your partial achievement of the
following course learning outcomes. Your assignments must include:-

1)    
Apply
principles of primary health care, strategies of health promotion, and
epidemiology concepts in working with Children
suffering Obesity.

 

2)    
Develop
research questions that remain unanswered both in your personal learning and in
the profession of community health nursing; and

 

3)    
Apply
community health knowledge and theory to your own nursing practice consistent
with the Practice Standards for Regulated Members (College Associated of
Registered Nurses of Alberta, 2013) and the Canadian Community Health Nursing Professional
Practice Model and Standards of Practice (Community Health Nurses of Canada,
2011).

Assignment
guidelines

You have to choose Children suffering Obesity as a specific population, then utilizing
the Athabasca University Library Database conduct a search of the epidemiology
literature and select one research study related to your specific population (Children suffering Obesity) for
critique.

Your work will achieve maximum value or grade if it is
succinct and insightful and clearly shows how you have applied the theory
learned to a practical situation.

Marking Criteria

1)    
Each
element of the assignment guidelines is addressed.

2)    
Ability
to analyze, evaluates, create, and engage in critical inquiry is evident
throughout.

3)    
Adheres
to APA (6th edition) scholarly
format- Minimum 5 pages

(excluding title, references and appendix pages).

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What Client History & Assessment Data help support your priority diagnoses?

Description

DB #2 CAD, MI, HF

Mr Sullivan: Adult CAD, MI, HF

 

Mr. Sullivan, a 79 y/o current 1 pk/day smoker for over 50 yrs, has the diagnoses of Hypertension (HTN), Hyperlipidemia (HLD) & a relative new diagnosis of Coronary Artery Disease (CAD) having had a Non ST Elevation Myocardial Infarction (NSTEMI) 4 weeks ago.  He presents to the Health Clinic today for a routine follow-up following his MI. 

 

He tells the Health Care Provider that he is short of breath (SOB) lately, has been sleeping in the recliner for the past week as he would wake up when sleeping in his bed, with air hunger.  He tells you that he now gets SOB walking up the driveway after retrieving his newspaper in the morning. He also tells you that his socks are quite tight around his ankles & his shoes seem too small.

 

He has no medication or food allergies. Home medications include: EC ASA 81 mg daily, clopidogrel 75 mg daily, metoprolol tartrate 50 mg q 12 hr, lisinopril 5 mg daily, atorvastatin 40 mg hs, and NTG SL prn chest pain.

 

Vital Signs:  BP 156/88, HR 110, RR 26, POX 90% RA, Temp 97.8.  Weight 89 kg today; on hospital discharge weight documented at 81 kg.

Physical Assessment:  Neuro A & O x3; Neck +JVD to the ear lobe; Lungs crackles throughout; Heart Sounds regular, tachycardic, S3, S1,S2, no murmurs appreciated; Abd soft, nontender, non-distended, bowel sounds +; Extremities PP+, 3+ pitting pedal edema.

 

Response to the Questions:

  1. Explain the pathophysiology r/t to the top 2 priority diagnoses.
  2. What Client History & Assessment Data help support your priority diagnoses?
  3. Do all the clients medical diagnoses link together?  If so how?


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The central competency of advanced practice nursing is direct care.

Description

Discussion Board II: Competencies of APRN

Investigate the competencies needed by the advanced practice nurse: 

The central competency of advanced practice nursing is direct care. Please choose one of the following prompts to address in your initial post this week.

  • Consider two of the six characteristics that comprise APRN direct care, and elaborate on their use and application in your upcoming APRN practice.
  • Consider the concept of moral distress in nursing. Do you anticipate this impacting your practice as a APRN- why or why not? How might you prevent/react/respond to this issue?

 

 Respond to at least two fellow student’s posts

  • Identify similarity or difference in position and 
  • experiences as described
  •  by your peers, and comment on
  •  your own position and/or experiences.


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