Discussion, APA, 2 References, similarities less 5%

Family Nurse practitioner program

1. Reflect back over the past 14 weeks and describe how your achievements in this course have prepared you to meet the MSN program outcomes.

Read the following article:

https://www.mdedge.co m/clinicianreviews/artic le/152683/practicemanagement/whatareyou-worth-basicsbusiness-healthcare

Please use the article, if you don’t find It, just answer without it

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Friday 11 (Trends)

The IOM published report, “Future of Nursing: Leading Change, Advancing Health,” makes recommendations for lifelong learning and achieving higher levels of education.

In 1,000-1,250 words, examine the importance of nursing education and discuss your overall educational goals.

Include the following:

1.  Discuss your options in the job market based on your educational level.

2.  Review the IOM Future of Nursing Recommendations for achieving higher levels of education. Describe what professional certification and advanced degrees (MSN, DNP, etc.) you want to pursue and explain your reasons for wanting to attain the education. Discuss your timeline for accomplishing these goals.

3.  Discuss how increasing your level of education would affect how your competitiveness in the current job market and your role in the future of nursing.

4.  Discuss the relationship of continuing nursing education to competency, attitudes, knowledge, and the ANA Scope and Standards for Practice and Code of Ethics.

5.  Discuss whether continuing nursing education should be mandatory. Provide support for your response.

You are required to cite to a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.  

Prepare this assignment according to the 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. 

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. 

Friday 11 

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wk2 assign PATHO 6501

Module 1 Assignment: Case Study Analysis

An understanding of cells and cell behavior is a critically important component of disease diagnosis and treatment. But some diseases can be complex in nature, with a variety of factors and circumstances impacting their emergence and severity.

Effective disease analysis often requires an understanding that goes beyond isolated cell behavior. Genes, the environments in which cell processes operate, the impact of patient characteristics, and racial and ethnic variables all can have an important impact.

Photo Credit: Getty Images/Hero Images

An understanding of the signals and symptoms of alterations in cellular processes is a critical step in the diagnosis and treatment of many diseases. For APRNs, this understanding can also help educate patients and guide them through their treatment plans.

In this Assignment, you examine a case study and analyze the symptoms presented. You identify cell, gene, and/or process elements that may be factors in the diagnosis, and you explain the implications to patient health.

To prepare:

By Day 1 of this week, you will be assigned to a specific case study for this Case Study Assignment. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor.

The Assignment (1- to 2-page case study analysis)

Develop a 1- to 2-page case study analysis in which you:

  • Explain why you think the patient presented the symptoms described.
  • Identify the genes that may be associated with the development of the disease.
  • Explain the process of immunosuppression and the effect it has on body systems.
By Day 7 of Week 2

Submit your Case Study Analysis Assignment by Day 7 of Week 2.

Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The sample paper provided at the Walden Writing Center provides an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templates). All papers submitted must use this formatting.

CASE STUDY

Scenario 4: A 65-year-old obese African American male patient presents to his HCP with crampy left lower quadrant pain, constipation, and fevers to 101˚ F. He has had multiple episodes like this one over the past 15 years and they always responded to bowel rest and oral antibiotics. He has refused to have the recommended colonoscopy even with his history of chronic inflammatory bowel disease (diverticulitis), sedentary lifestyle, and diet lacking in fiber. His paternal grandfather died of colon cancer back in the 1950s as well. He finally underwent colonoscopy after his acute diverticulitis resolved. Colonoscopy revealed multiple polyps that were retrieved, and the pathology was positive for adenocarcinoma of the colon. 

Learning Resources

Required Readings (click to expand/reduce)

McCance, K. L. & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier.
 Chapter 1: Cellular Biology; Summary Review
 Chapter 2: Altered Cellular and Tissue Biology: Environmental Agents(pp. 46-61; begin again with Manifestations of Cellular Injury pp. 83-97); Summary Review
Chapter 3: The Cellular Environment: Fluids and Electrolytes, Acids, and Bases,
Chapter 4: Genes and Genetic Diseases (stop at Elements of formal genetics); Summary Review
Chapter 5: Genes, Environment-Lifestyle, and Common Diseases (stop at Genetics of common diseases); Summary Review

Chapter 7: Innate Immunity: Inflammation and Wound Healing
Chapter 8: Adaptive Immunity (stop at Generation of clonal diversity); Summary Review
Chapter 9: Alterations in Immunity and Inflammation (stop at Deficiencies in immunity); Summary Review
Chapter 10: Infection (stop at Infectious parasites and protozoans); (start at HIV); Summary Review
Chapter 11: Stress and Disease (stop at Stress, illness & coping); Summary Review
Chapter 12: Cancer Biology (stop at Resistance to destruction); Summary Review
Chapter 13: Cancer Epidemiology (stop at Environmental-Lifestyle factors); Summary Review Note: You previously read these chapters in Week 1 and you are encouraged to review once again for this week.

Justiz-Vaillant, A. A., & Zito, P. M. (2019). Immediate hypersensitivity reactions. In StatPearls. Treasure Island, FL: StatPearls Publishing. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK513315/
Credit Line: Immediate Hypersensitivity Reactions – StatPearls – NCBI Bookshelf. (2019, June 18). Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK513315/. Used with permission of Stat Pearls.
Note: This article was presented in the Week 1 resources. If you read it previously you are encouraged to review it this week.

Required Media (click to expand/reduce)

Foundational Concepts of Cellular Pathophysiology – Week 2 (8m)
Accessible player –Downloads–Download Video w/CCDownload AudioDownload Transcript

Immunity and Inflammation

Khan Academy (2010, February 24). Inflammatory response | Human anatomy and physiology  | Health & medicine [Video file]. Retrieved from https://www.youtube.com/watch?v=FXSuEIMrPQk  
Note: The approximate length of the media program is 14 minutes.

Soo, P. (2018, July 28). Pathophysiology Ch 10 alterations in immune function [Video file]. Retrieved from https://www.youtube.com/watch?v=Jz0wx1-jTds   
Note: The approximate length of the media program is 37 minutes.

Acid-Base Balance #1

MedCram. (2012, April 28). Medical acid base balance, disorders & ABGs explained clearly [Video file]. Retrieved from https://www.youtube.com/watch?v=4wMEMhvrQxE
Note: The approximate length of the media program is 13 minutes.

Acid-Base Balance #2

MedCram. (2012, April 29). Medical acid base balance, disorders & ABGs explained clearly | 2 of 8 [Video file]. Retrieved from https://www.youtube.com/watch?v=GmEeKVTpOKI  
Note: The approximate length of the media program is 15 minutes.

Hyponatremia

MedCram. (2017, December 23). Hyponatremia explained clearly [LK1] (remastered) – Electrolyte imbalances [Video file]. Retrieved from https://www.youtube.com/watch?v=bLajK5Vy55M
Note: The approximate length of the media program is 15 minutes.

Online Media from Pathophysiology: The Biologic Basis for Disease in Adults and Children

In addition to this week’s media, it is highly recommended that you access and view the resources included with the course text, Pathophysiology: The Biologic Basis for Disease in Adults and Children. Focus on the videos and animations in Chapters 3, 7, and 8 that relate to alterations in immunity, hyponatremia, and acid/base balance.

Note: To access the online resources included with the text, you need to complete the FREE online registration that is located at https://evolve.elsevier.com/cs/store?role=student

To Register to View the Content
  1. Go to https://evolve.elsevier.com/cs/store?role=student
  2. Enter the name of the textbook, Pathophysiology: The Biologic Basis for Disease in Adults and Children, or ISBN 9780323654395 (name of text without the edition number) in the Search textbox.
  3. Complete the registration process.
To View the Content for This Text
  1. Go to https://evolve.elsevier.com/
  2. Click on Student Site.
  3. Type in your username and password.
  4. Click on the Login button.
  5. Click on the plus sign icon for Resources on the left side of the screen.
  6. Click on the name of the textbook for this course.
  7. Expand the menu on the left to locate all the chapters.
  8. Navigate to the desired content (checklists, videos, animations, etc.).

Note: Clicking on the URLs in the APA citations for the Resources from the textbook will not link directly to the desired online content. Use the online menu to navigate to the desired content.

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Wednesday DEC 9 (PATHO 1)

Discuss how elimination complexities can affect the lives of patients and their families. Discuss the nurse’s role in supporting the patient’s psychological and emotional needs. Provide an example.

Wednesday dece 9

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Policy Analysis Paper- Abortion clinic access (Due 48 hours)

 

1) Minimum 7 full pages (Follow the 3 x 3 rule: minimum three paragraphs 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

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 6 references per part not older than 5 years (No blogs or web pages- Only official webs: FDA, CDC…)

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

__________________________________________________________________________________

Topic:  Abortion clinic access 

Purpose : 

To investigate & integrate knowledge of advanced nursing practice, scholarly inquiry, & leadership by examining a policy at the level of clinical practice, health care systems, or public/social health policy. 

You must strictly follow the following scheme. You must use titles and subtitles.

Introduction (Maximum 1 pages): 

1. Generally define & describe the policy issue to be addressed. 

2. Identify the purpose of analysis, the targeted level of policy (i.e., clinical practice, health care systems, or public/social health) & significance of topic.

3. Identify questions the policy analysis is intended to address.  

Background:

1. Provide details of the issue or problem, including its nature/scope,

relevant literature & history, & the context within which the issue

exists.

2. Describe existing policy addressing the issue, if any.

3. Discuss strengths & shortcomings in existing policy.

4. Identify & describe key stakeholders (individuals & groups) that

are or will be affected by the policy & why

Analysis 

1. Identify alternative policies to achieve objectives. 

2. Establish/identify criteria that will be used for selection of “best” policy. 

3. Evaluate each alternative & its potential impact relative to the healthcare & patient outcomes. 

4. Assess the trade-offs between alternatives. 

Recommendations  

 1. Based on the analysis, identify the “best” alternative to address the current issue & policy situation. 

2. Provide rationale for selection. 

3. Describe possible strategies to implement selected alternative. 

4. Identify barriers to implementation of selected alternative. 

5. Describe methods to evaluate policy implementation.  

Discussion (1 page) 

1.  Discuss analysis & recommendations relative to the original questions identified, & the level of policy it is intended to address (i.e., clinical practice, health care systems, or public). 

2. Identify limitations of analysis. 

3. Discuss implications for practice, education, research, & policymaking.  

Conclusion ( minimum 1/2 page) 

1. Summarize findings & recommendations of analysis 

2. Identify questions to be addressed in future studies or policy analyses 

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LITERATURE REVIEW AND CRITICAL APPRAISAL WK 7

 

This week’s first assignment is STEP 3 – Literature Review and Critical Appraisal.

The student will complete the following items and submit a Word doc to the assignment link. 

  1. Provide a title that conveys or describes the assignment.
  2. Literature Review – Provide the key terms used to guide the search for the evidence and provide at least five (5) summaries of research studies to support the evidence.
  3. Critical Appraisal of Literature – Discuss the strengths and weaknesses of the evidence, what is known from the evidence and any gaps in knowledge from the research evidence.
  4. References – Cite a minimum of five scholarly references in APA 6th ed format.
  5. 4-5 PAGES

Expectations

  • Format: Completed paper with references in APA 7th ed. format
  • File name: Save the file with Student First Name_Last Name_Part 3  

(PICOT Question;

For elderly patients above 60 years with pressure ulcers (P), will negative pressure wound therapy (I) as opposed to standard moist wound therapy (C) improve the healing of the pressure ulcer (O) during their two-week stay at the hospital (T)?)

IMPORTANT NOTICE

See attached paper as it has everything you are to do in this paper and you MUST use the Critical Analysis article to guide you in your analysis that is also attached; the EBP pyramid paper also attached.

  • Use the paper you submitted in week 5 (part 2) as this may reflect what you will do for your capstone project. In this version of that paper, you are to do the following: (PUT THE PAPER IN A WORD DOCUMENT NOT PDF and NO APA templates as edits cannot be made to help you learn in either format)
    • Make sure your title page is accurate with a proper title of the project, your name, US University, MSN 563, your faculty name
  • Title the first section on page one: Introduction –
    • Restate the CON approved list of subjects
    • Restate your PICOT question
    • Then you MUST give a one to two paragraph discussion of the key terms you used to guide the search for the evidence and the search engines you used to obtain the articles you will discuss.
  • Title the next section Critical Analysis of Five Research Articles: all articles have to be within the last 5 years of publication
    • then present summaries of five (5) of the research studies you used to support your project and use the appraisal criteria below to do this part of the paper.
      • Title of the article and the journal
      • Author and Date of publication – has to be within the past 5 years to be used as evidence
      • Type of article published: systematic review, meta-analysis, random clinical trials, cohort studies, etc
      • EBP pyramid level of evidence (Ranks are levels I – VII)
      • Include what was the purpose, process, and outcomes of that research
      • Was the study appropriate and valuable to improve health
      • Who were the participants, how many, was a power analysis done to determine if statistical analysis should be performed
      • Was randomization or volunteer, or specific sample selection used
      • If a systematic review or meta-analysis, how did the authors determine what articles to choose to review?
      • What was the intervention?
      • Were the instruments used to analyze the data valid and reliable
      • What were the results? This includes the stats findings
      • What were the strengths and weaknesses of the published article?
      • This includes the EBP pyramid, the instruments reliability/validity, sample size, type of analysis done, results, limitations, etc
      • Did the strengths or weaknesses predominate and should the article be used to support your project and practice change?
      • Just because it is a level 1 on the EBP pyramid does not mean that it is a quality paper

 Title the next section: Summary of What is Known

  • In this section discuss what is known from the evidence you presented and identify any gaps in knowledge from the research evidence you discussed.
  • Give a closing statement

References – Cite a minimum of five scholarly references in APA 6th ed format. (7th edition is OK if that is what you have been using). This MUST be in proper APA format.

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Thursday 10 (Patho 2)

Discuss how functional patterns help a nurse understand the current and past state of health for a patient. Using a condition or disease associated with an elimination complexity, provide an example.

Thursday Decem 10

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Friday December 11 (Patho 3)

It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.

Evaluate the Health History and Medical Information for Mr. C., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mr. C., a 32-year-old single male, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He currently works at a catalog telephone center. He reports that he has always been heavy, even as a small child, gaining approximately 100 pounds in the last 2-3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has sleep apnea and high blood pressure, which he tries to control by restricting dietary sodium. Mr. C. reports increasing shortness of breath with activity, swollen ankles, and pruritus over the last 6 months.

Objective Data:

1.  Height: 68 inches; weight 134.5 kg

2.  BP: 172/98, HR 88, RR 26

3.  3+ pitting edema bilateral feet and ankles

4.  Fasting blood glucose: 146 mg/dL

5.  Total cholesterol: 250 mg/dL

6.  Triglycerides: 312 mg/dL

7.  HDL: 30 mg/dL

8.  Serum creatinine 1.8 mg/dL

9.  BUN 32 mg/dl

Critical Thinking Essay 

In 750-1,000 words, critically evaluate Mr. C.’s potential diagnosis and intervention(s). Include the following:

1.  Describe the clinical manifestations present in Mr. C.

2.  Describe the potential health risks for obesity that are of concern for Mr. C. Discuss whether bariatric surgery is an appropriate intervention.

3.  Assess each of Mr. C.’s functional health patterns using the information given. Discuss at least five actual or potential problems can you identify from the functional health patterns and provide the rationale for each. (Functional health patterns include health-perception, health-management, nutritional, metabolic, elimination, activity-exercise, sleep-rest, cognitive-perceptual, self-perception/self-concept, role-relationship, sexuality/reproductive, coping-stress tolerance.)

4.  Explain the staging of end-stage renal disease (ESRD) and contributing factors to consider.

5.  Consider ESRD prevention and health promotion opportunities. Describe what type of patient education should be provided to Mr. C. for prevention of future events, health restoration, and avoidance of deterioration of renal status.

6.  Explain the type of resources available for ESRD patients for nonacute care and the type of multidisciplinary approach that would be beneficial for these patients. Consider aspects such as devices, transportation, living conditions, return-to-employment issues.

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

Prepare this assignment according to the 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. 

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. 

Friday December 11

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Identify the research components, listed on the template

 Using the Week 5 research template identify the research components, listed on the template. Select a nursing research article from the list below and address each of the following criteria:

If a component is not present in the article, its absence should be discussed.

  • Identify the research problem.
  • Identify the research purpose.
  • Summarize the review of literature.
  • Identify the nursing framework or theoretical perspective. 
  • Identify the research questions and hypotheses.
  • Identify the variables.
  • Identify and discuss the appropriateness of the design.
  • Describe the procedures for data collection
  • Discusses the validity and reliability of the instruments, tools, or surveys.
  • Describe the final sample.
  • Summarize the results including statistical analysis used or other method of analysis.
  • Discuss the significance of the study. Did it resolve the question?
  • Discuss the legal and ethical issues of the study. Include the use of human subjects and their protection.
  • Describe any cultural aspects of the study.
  • Describe how the results of the research may affect future nursing practice.
  • Apply the research to your nursing practice.
  • NOTE: If a component is not addressed, the student receives a zero for that component.

Articles

Sousa, J.P., & Santos, M. (2019). Symptom management and hospital readmission in heart failure patients. A qualitative study from Portugal. Critical Care Nurse Quarterly 42(1), 81-88.

NOTE: Once accessing the article above, you will need to click on the Full Text link in the left navigation bar.

Nurses’ Preparedness and Perceived Competence in Managing Disasters

The Lived Experiences of People with Chronic Obstructive Pulmonary Disease: A Phenomenological Study

NOTE: Once accessing the article above, you will need to click on the Full Text link in the left navigation bar.

Zaken, Z.B, Maoz, E., Raizman, E. (2018). Needs of relatives of surgical patients: Perceptions of relatives and medical staff. MEDSURG Nursing 27(2), 110-116.

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LITERATURE REVIEW AND CRITICAL APPRAISAL 2

 This week’s first assignment is STEP 3 – Literature Review and Critical Appraisal.The student will complete the following items and submit a Word doc to the assignment link. 

  1. Provide a title that conveys or describes the assignment.
  2. Literature Review – Provide the key terms used to guide the search for the evidence and provide at least five (5) summaries of research studies to support the evidence.
  3. Critical Appraisal of Literature – Discuss the strengths and weaknesses of the evidence, what is known from the evidence and any gaps in knowledge from the research evidence.
  4. References – Cite a minimum of five scholarly references in APA 6th ed format.
  5. 4-5 PAGES

Expectations

  • Format: Completed paper with references in APA 7th ed. format
  • File name: Save the file with Student First Name_Last Name_Part 3  

PICOT Question: on a medical-surgical hospital unit (P), how does implementing hourly nursing rounding (I),compare to no scheduled roundng (c), affect patient safety(o), within 6 month of implementation (T).
IMPORTANT NOTICESee attached paper as it has everything you are to do in this paper and you MUST use the Critical Analysis article to guide you in your analysis that is also attached; the EBP pyramid paper also attached.

  • Use the paper you submitted in week 5 (part 2) as this may reflect what you will do for your capstone project. In this version of that paper, you are to do the following: (PUT THE PAPER IN A WORD DOCUMENT NOT PDF and NO APA templates as edits cannot be made to help you learn in either format)
    • Make sure your title page is accurate with a proper title of the project, your name, US University, MSN 563, your faculty name
  • Title the first section on page one: Introduction –
    • Restate the CON approved list of subjects
    • Restate your PICOT question
    • Then you MUST give a one to two paragraph discussion of the key terms you used to guide the search for the evidence and the search engines you used to obtain the articles you will discuss.
  • Title the next section Critical Analysis of Five Research Articles: all articles have to be within the last 5 years of publication
    • then present summaries of five (5) of the research studies you used to support your project and use the appraisal criteria below to do this part of the paper.
      • Title of the article and the journal
      • Author and Date of publication – has to be within the past 5 years to be used as evidence
      • Type of article published: systematic review, meta-analysis, random clinical trials, cohort studies, etc
      • EBP pyramid level of evidence (Ranks are levels I – VII)
      • Include what was the purpose, process, and outcomes of that research
      • Was the study appropriate and valuable to improve health
      • Who were the participants, how many, was a power analysis done to determine if statistical analysis should be performed
      • Was randomization or volunteer, or specific sample selection used
      • If a systematic review or meta-analysis, how did the authors determine what articles to choose to review?
      • What was the intervention?
      • Were the instruments used to analyze the data valid and reliable
      • What were the results? This includes the stats findings
      • What were the strengths and weaknesses of the published article?
      • This includes the EBP pyramid, the instruments reliability/validity, sample size, type of analysis done, results, limitations, etc
      • Did the strengths or weaknesses predominate and should the article be used to support your project and practice change?
      • Just because it is a level 1 on the EBP pyramid does not mean that it is a quality paper

       Title the next section: Summary of What is Known

  • In this section discuss what is known from the evidence you presented and identify any gaps in knowledge from the research evidence you discussed.
  • Give a closing statement

References – Cite a minimum of five scholarly references in APA 6th ed format. (7th edition is OK if that is what you have been using). This MUST be in proper APA format. 

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