Discussion post: Carpal Tunnel Syndrome

What can you as nursing teaching your patients about “Carpal Tunnel Syndrome”? 

I need patient teaching PowerPoint on the “Carpal Tunnel Syndrome.” I only two slides, what I can teaching my patient about Carpal Tunnel Syndrome and what they can do for the condition not to get worse. 

Use the scholarly articles that are less than 5 years published and one from the book we are using in the class.

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Informatics in Nursing

 Please answer two questions with a minimum of 150 words. 

Please write a clear response to 2 of my classmate’s posts with a minimum of 150 words for each post. Thank you 

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Illness and Disease Management Week 3

In a Microsoft Word document of 4-5 pages formatted in APA style, describe the information collected about a person with a chronic illness. Please note that the title and reference pages should not be included in the total page count of your paper.

Using the information from the interview you conducted in Week 2:

  • List the support needs of your participant beginning with the highest priority and then in descending order.
  • Provide examples of appropriate interventions of the professional caregiver, for example, the nurse.
  • Discuss how to implement objectives of Healthy People 2020 to increase wellness.
  • Discuss nursing’s role as an advocate for participant acceptance of diagnosis and treatment.
  • Discuss the impact of the environment on patient’s health.
    • Include social determinants that impact care.

Support your responses with examples and information from library resources, textbook and lectures.

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nurs 6051 discussion walden

 

Discussion: The Application of Data to Problem-Solving

In the modern era, there are few professions that do not to some extent rely on data. Stockbrokers rely on market data to advise clients on financial matters. Meteorologists rely on weather data to forecast weather conditions, while realtors rely on data to advise on the purchase and sale of property. In these and other cases, data not only helps solve problems, but adds to the practitioner’s and the discipline’s body of knowledge.

Of course, the nursing profession also relies heavily on data. The field of nursing informatics aims to make sure nurses have access to the appropriate date to solve healthcare problems, make decisions in the interest of patients, and add to knowledge.

In this Discussion, you will consider a scenario that would benefit from access to data and how such access could facilitate both problem-solving and knowledge formation.

To Prepare:

  • Reflect on the concepts of informatics and knowledge work as presented in the Resources.
  • Consider a hypothetical scenario based on your own healthcare practice or organization that would require or benefit from the access/collection and application of data. Your scenario may involve a patient, staff, or management problem or gap.

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The Nurse Practice Act in Your State

 

  • Are NPs able to practice independently in the state?
  • Based on the practice restrictions in your state, what are one or two identified barriers to NP practice?
  • Does your state require NPs to have a collaboration or supervisory agreement with a physician?
  • Does your state require ‘residency’ hours with a physician or NP before the NP can practice independently? How many hours? Do you support having residency hours as a requirement to independent practice?

Due 3/7/21

  • 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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Competencies in APN

Discuss the influence of the Consensus Model for APRN: LACE. Why is it important? Support your discussions with at least two current scholarly articles (less than 5 years). Consensus Model Retrieved September 2018  from Consensus Model for APRN Regulation.

Additional Resource:

AACN’s APRNs Consensus Model Toolkit 

Due 3/13/21

  • 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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Results/ Cholesterol

Topic: Effect of Cholesterol in the Human Body 

 1. Based on the information collected in the Research Method, formulate the Results section of your selected topic. Do not forget that your Results section needs to provide a visual (table, graphic, figure, etc.) and a narrative paragraph that helps your reader understand the information presented in the visual. Please do not interpret the results!2. Post your Results.Attached is the research method I wrote and also the class notes for the results.  

Research method:

Effect of Cholesterol in the Human Body 

 For this study, a meta-analysis method was used to synthesize different results found among several studies. The researcher accessed the virtual library through the MRU home page. Then, the researcher accessed the EBSCOhost databases. Once there, the researcher selected both MEDLINE Complete and CINAHL Complete. An advanced search was performed, for which the following keywords were entered in the Boolean search: “Cholesterol”, “human body”, and “affects.” The search was limited to references providing full text, peer reviewed, and abstract available. A limitation was set for research published within the last five years, from 2016 to 2021. Additionally, researcher consulted only articles published in English. The search provided access to a total of 29,454 articles, of which only five (5) studies were selected based on their relevance with the topic; the other 29,449 were discarded. 

 

Literature Review/ Effect of Cholesterol in the Human Body

According to study done by (Jeong.et.al 2018), it was discovered that increased cholesterol levels were associated with high risk of contracting cardiovascular diseases (CVD) in young adults. Furthermore, it was discovered that young adults with decreased cholesterol levels had a reduced risk of contracting CVD. From this research study, there is a direct correlation between cholesterol levels and incidences of CVDs. The main inconsistency with this study is that it was mainly focused on young adults, thus excluding the older people who are the ones that are adversely affected by this disease. (Sonoda.et.al 2018) used the Friedewald equation as the standard method to evaluate the low-density lipoprotein cholesterol (LDL-C) levels. A constant value, five, was used although the study to come up with the ratios. The problem with this study was that the LDL-C levels obtained from Friedewald were not accurate. It was proposed that the researchers should use the novel method for LDL-C estimation as it gave more accurate results compared to Friedewald theory. There was no direct connection between the lipoprotein cholesterol levels and incidences of CVDs amongst the patients.

            A more dynamic approach was used by (Soran.et.al 2018) which involved the administering cholesterol lowering medication on its patients. A sample size of 100 was used for patients who had undergone 10 years treatment on the cholesterol lowering drugs. It was discovered that patients with reduced cholesterol level concentration were less likely to contract CVDs. The major problem arising from this study is that the patients had to undergo treatment for a period of not less than 10 years before being considered as suitable candidates for this study. Research done by (Wahid.et.al 2016) revealed that general body wellness is associated with the shift from inactivity to small amounts of activity. This conclusion provides a direct correlation between physical fitness and incidences of CVDs. It was discovered that people who engaged in physical activity were less likely to contract CVDs while those that were inactive were at a high risk of contracting CVDs. This research finding is perhaps the most accurate because a large sample size of 3439874 participants in 179393 events over a period of 12.3 years was used. It was concluded that a shift from being inactive to engaging in physical activity levels of about 150 minutes of moderate-intensity aerobic session per week was associated with reduced CVD mortality by 23% and a decrease in CVDs incidences by 17%.

            Study done by (Estruch.et.al 2018) revealed that CVD risk can be reduced by taking Mediterranean diet supplemented with extra-virgin oil or nuts opposed to taking a reduced-fat diet. This came as a shocker to many people who followed the popular belief that taking foods with the least amount of fats would prevent them from contracting CVDs. Of all the dietary measures used in this study, the Mediterranean diet proved to be the most effective in lowering attack by CVDs.

References. 

Estruch, R., Ros, E., Salas-Salvadó, J., Covas, M. I., Corella, D., Arós, F., … & Martínez-González, M. A. (2018). Primary prevention of cardiovascular disease with a Mediterranean diet supplemented with extra-virgin olive oil or nuts. New England journal of medicine378(25), e34. 

Jeong, S. M., Choi, S., Kim, K., Kim, S. M., Lee, G., Park, S. Y., … & Park, S. M. (2018). Effect of change in total cholesterol levels on cardiovascular disease among young adults. Journal of the American Heart Association7(12), e008819. 

Sonoda, T., Takumi, T., Miyata, M., Kanda, D., Kosedo, I., Yoshino, S., & Ohishi, M. (2018). Validity of a novel method for estimating low-density lipoprotein cholesterol levels in cardiovascular disease patients treated with statins. Journal of atherosclerosis and thrombosis, 44396. 

Soran, H., Adam, S., & Durrington, P. N. (2018). Optimizing treatment of hyperlipidemia: Quantitative evaluation of UK, USA and European guidelines taking account of both LDL cholesterol levels and cardiovascular disease risk. Atherosclerosis278, 135-142. 

Wahid, A., Manek, N., Nichols, M., Kelly, P., Foster, C., Webster, P., … & Scarborough, P. (2016). Quantifying the association between physical activity and cardiovascular disease and diabetes: a systematic review and meta‐analysis. Journal of the American Heart Association5(9), e002495.

Research Method for Effect of Cholesterol in the Human Body

For this study, a meta-analysis method was used to synthesize different results found among several studies. The researcher accessed the virtual library through the MRU home page. Then, the researcher accessed the EBSCOhost databases. Once there, the researcher selected both MEDLINE Complete and CINAHL Complete. An advanced search was performed, for which the following keywords were entered in the Boolean search: “Cholesterol”, “human body”, and “affects.” The search was limited to references providing full text, peer reviewed, and abstract available. A limitation was set for research published within the last five years, from 2016 to 2021. Additionally, researcher consulted only articles published in English. The search provided access to a total of 29,454 articles, of which only five (5) studies were selected based on their relevance with the topic; the other 29,449 were discarded. 

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The Self-Aware Leader

 

Consider a time when you led change at the organizational or individual level. What was the result? Looking back, what could you have done differently to improve results?

          The DNP scholar must have strong leadership skills because they are responsible for leading change. Healthcare professional management and leadership are essential for improving quality and transforming care. Leadership is defined as the relationship between those who lead and those who choose to follow and act to direct and coordinate the activities of a team or group of people toward a common goal (Ladkin, 2020).

          When I reflect on my most outstanding achievement in my nursing field, I am contented to be able to be impactful and resourceful to the healthcare institution.

I began my professional work experience as an ordinary nurse, but I became a nurse care coordinator with hard work and advancement in my education. I knew I was tasked with implementing change where necessary and ensuring diabetes patients received utmost care (Zenger & Folkman, 2013). 

        At my work station, nurses were reluctant in offering quality health care and particularly to diabetic patients. I realized that most of the diabetic patients were readmitted frequently. After an in-depth assessment of the issue, I realized that nurses lacked an accurate medical history of patients.

To curb this, I assigned each nurse a set of patients for which they were responsible for their wellbeing. They were to collect each patient’s medical history, which was clear and detailed.

With time I realized a decline in the number of readmissions among patients.

This basic technique assisted in the reduction of readmission cases. I’m sure I could have done things differently to get the same results, but the process I put in place surpassed my expectations.

Consider when you knew you needed to make a change but chose not to due to time constraints. What was the result? How might you make time to work on necessary personal changes to support your leadership formation?

    It inspired to make a shift many times in my professional career but cannot do so due to time constraints. I work at a large public hospital in Texas City, and the available resources are way below the stipulated flow of patients in the hospital. This condition has left no choice rather than to work with the minimal available resources.

A remarkable experience was an incident when I was assigned the duty of orientating a new staff nurse. While precepting the new nurse, I was thinking about how many things my department missed in orientation, including a preceptor checklist. 
Though I lacked preceptor support, I gave the new nurse all of the handouts and tools I had and created my checklist of the most important things she needed to know to work well in her new position. Because I felt underprepared due to a lack of support, my orientee gave me a positive review and shared her satisfaction with my orientation experience. To assist in my leadership growth, I will continue to search out new ways to strengthen work processes and share my ideas with my coworkers and upper management. I requested the new staff for feedback that would aid in process improvement. I also informed the relevant management of the tools and resources needed for an effective orientation process. 

Consider a time when you led change effectively. List the key insights gained from this effort. How can you use these insights to lead future change efforts?

    There are several critical insights gained from effective leading. For change to be evident, I learned that I needed to be transparent, a timekeeper, leading by example, transparent, respectful, and enhancing teamwork during the change process (Chamberlain College of Nursing, 2021).

Also, the ability to identify and solve issues is another critical insight gained from this effort. All the gained insights will help my professional and outside my professional since they are universal and applied in any given setting. 

What critical external expectations determine the expectations you have for yourself as a leader?

        As I begin my new position as a DNP practice scholar, I realize that I will need to demonstrate outstanding leadership skills because I will be a reform advocate who will also assist in the translation of change into clinical practice.

The DNP scholar has a significant role in leading progress, so I will need to keep working on the Zenger Folkman leadership survey’s weaknesses while also building on the strengths identified. Connecting with other professional groups outside of the workplace is one of the research items I would like to develop.
References
Chamberlain College of Nursing. (2021). NR-703 Week 1: Assessing leadership strengths.  [Online lesson]. Adtalem Global Education.
Ladkin, D. (2020). Rethinking Leadership. https://doi.org/10.4337/9781788119320 
Zenger, J., & Folkman, J. (2013, August). The eight-minute test that can reveal your effectiveness as a leader. Harvard Business Review. https://hbr.org/2013/08/how-effective-a-leader-are-you

I NEED A COMMENT FOR THIS DISCUSSION BOARD WITH ATE LEAST 2 PARAGRHAPS AND 3 SOURCES NO LATER THAN 5 YEARS. 

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Respond to both post below of your colleagues on and respectfully agree or disagree with your colleague’s assessment and explain your reasoning. In your explanation, include why their explanations make physiological sense or why they do not

  

Respond to both post below of your colleagues on and respectfully agree or disagree with your colleague’s assessment and explain your reasoning. In your explanation, include why their explanations make physiological sense or why they do not  

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Pediatric

  • Points 10
  • Submitting a file upload
  • Available Feb 28 at 10:59pm – Mar 7 at 10:59pm 7 days

Ricky Roberts, 2 years old, is brought to the emergency room by his parents and is actively having seizures. His mother tells the nurse that Ricky was diagnosed with epilepsy 6 months ago and that he has been having one seizure after another for the past 40 minutes. The mother states that Ricky has not regained consciousness in between seizures. (Learning Objective 4)

  1. What would be the nurse’s priority action for this child?
  2. What precautions would the nurse take to ensure the safety of an actively seizing child?

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