QUESTION DESCRIPTION

Strengthen Your Knowledge of EBP

Instructions:

1. Review the following website:
   • http://www.umassmed.edu/
2. Then answer the following questions:
   • How did the information you got from the website contribute to your knowledge of EBP?
   • How might this information influence your use of EBP in your clinical practice?
3. Be sure to clearly indicate which article you read in your answer.
4. Your response should be 50 – 100 words.
5. Please respond to at least one (1) of your classmates.

You will be graded as follows:

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Neurological System Case Study – #1

Mrs. Smith is an 85 year female with a history of Hypertension, diabetes and osteoarthritis. Her daughter who cares for her reports that she became suddenly confused beginning last night. She knows her daughter but has been unable to remember her grandchildren’s names. She continuously asks her daughter “What are those kids doing in our house?” .Her mother was in and out of bed all night and slept very little. Her daughter does say that her mother seemed better this morning, but on the way to your office she became more confused again. Review of systems is significant for a dry cough for the past few days. She has not had a fever. Her appetite has been poor. Her exam is normal except for some fine crackles in her left lung base. Mrs. Smith’s daughter says” My dad had Alzheimer’s and now it looks like I am going to have to go through that with my mother”

1) What are the possibilities for change in Mrs. Smith’s current mental status?

2) What is your top differential diagnosis? Give 3 reasons why you chose that diagnosis.

3) How can you differentiate depression, dementia and delirium?

4) Explain to Mrs. Smith’s daughter what treatment is needed and what you think her prognosis is.

Do one page

Provide references.

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QUESTION DESCRIPTION

Week 3 Assignment

Based on the specialty area and role that you selected (USE FAMILY NURSE PRACTITIONER) in W1 Assignment 4, in a 3- to 4-page paper (excluding the title page, references, and appendices) create a scenario or case study to illustrate the type of organization you would expect to work in as this type of nursing professional. Include in the scenario or case study:

•List the type of organization.

•List the type of and how many clients it serves.

•Identify the professional fit for advanced nursing role.

•Implement your new nursing role in the organization.

•Identify a board of nursing in your state (FLORIDA) (specifically the Nurse Practice Act), which would support your role in this type of organization.

Must be APA formatted with at least 2 or more peer reviewed articles, and you must include an introduction, body (USE THE BULLET POINTS FOR HEADINGS) all bullet points need to be 5-8 sentences long, and a solid conclusion to wrap up the paper. No PLAGIARISM

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Acute Pancreatitis 

       Acute pancreatitis is a condition where the pancreas inflames suddenly which can be mild or life threatening. This is an illness that usually requires the patient to be hospitalized. Some causes of this condition include gallstones, alcohol abuse, and even a virus. This condition could be hereditary and having cystic fibrosis may also contribute to this disease. A main symptoms of acute pancreatitis is severe abdominal pain.  If gallstones cause acute pancreatitis the pain comes on suddenly while alcohol results in a more gradual onset of pain. Other common symptoms include pain that increases with coughing, vigorous movement, and breathing deeply. The degree to which someone has symptoms also varies. Some patients may only have moderate to severe pain while others may have changes to their breathing, sweating, become tachycardic, and could have pleural effusion (Bansal, 2019).  

Diagnostic testing for Acute Pancreatitis 

       In order to diagnosis acute pancreatitis, blood tests and imaging may be used. There is not a conclusive blood test for this illness but testing can indicate a likelihood of having this condition. Some findings that indicate this illness is an increase in pancreatic enzymes amylase and lipase. The patient may also have an increase in white blood cells and blood urea nitrogen. Some imaging used to diagnosis acute pancreatitis include ultrasounds, Computed tomography (CT), magnetic resonance cholangiopancreatography (MRCP), and endoscopic retrograde cholangiopancreatography. Most of these imaging tests show inflammation or changes to the pancreas (Bansal, 2019).   

Treatment 

       Some treatment for acute pancreatitis include IV fluids, pain medication, nutritional education, and in some cases endoscopy or surgery. Most of the treatment will occur in a hospital setting. (Bansal, 2019). The IV fluids are to help prevent dehydration, pain medication is necessary for those with abdominal pain. Unfortunately, not all patients are fortunate enough to get pain relief through pain medication with this illness. If a patient is hospitalized it is not uncommon for that patient to fast. This is necessary to help the pancreas recover and help get inflammation under control. In severe cases, a feeding tube could be warranted. Other ways to help with treatment could include enzymes to help improve digestion and moving toward low-fat meals that are also high in nutrients (Mayo Clinic, 2018).  As a provider, if I had a patient come in that I suspected could have acute pancreatitis I would refer this patient to the ER to be properly evaluated. I would not want to waste time on this patient in the event there condition was already severe or worsened.  

Reference 

Bansal, R. (2019). Acute Pancreatitis. Retrieved from https://www.merckmanuals.com/home/digestive-disorders/pancreatitis/acute-pancreatitis

 (Links to an external site.)

Links to an external site.

Mayo Clinic. (2018). Pancreatitis. Retrieved from https://www.mayoclinic.org/diseases-conditions/pancreatitis/diagnosis-treatment/drc-20360233

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QUESTION DESCRIPTION

Topic 8 DQ1

Based on how you will evaluate your EBP project, which independent and dependent variables do you need to collect? Why?

Topic 8 DQ2

Not all EBP projects result in statistically significant results. Define clinical significance, and explain the difference between clinical and statistical significance. How can you use clinical significance to support positive outcomes in your project?

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