Formulate a PICOT statement

Review the Topic Materials and the work completed in NRS-433V to   formulate a PICOT statement for your capstone project.

A PICOT starts with a designated patient population in a particular   clinical area and identifies clinical problems or issues that arise   from clinical care. The intervention should be an independent,   specified nursing change intervention. The intervention cannot require   a provider prescription. Include a comparison to a patient population   not currently receiving the intervention, and specify the timeframe   needed to implement the change process.

Formulate a PICOT statement using the PICOT format provided in the   assigned readings. The PICOT statement will provide a framework for   your capstone project.

In a paper of 500-750 words, clearly identify the clinical problem   and how it can result in a positive patient outcome.

Make sure to address the following on the PICOT statement:

  1. Evidence-Based Solution
  2. Nursing Intervention
  3. Patient Care
  4. Health Care Agency
  5. 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.

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history of hypertension, chronic heart failure, and sleep apnea

Use the following Case Scenario, Subjective Data, and Objective Data to answer the Critical Thinking Questions.

                                                   Case Scenario

Mrs. J. is a 63-year-old woman who has a history of hypertension, chronic heart failure, and sleep apnea. She has been smoking two packs of cigarettes a day for 40 years and has refused to quit. Three days ago, she had an onset of flu with fever, pharyngitis, and malaise. She has not taken her antihypertensive medications or her medications to control her heart failure for 4 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure.

Subjective Data

  1. Is very anxious and asks whether she is going to die.
  2. Denies pain but says she feels like she cannot get enough air.
  3. Says her heart feels like it is “running away.”
  4. Reports that she is so exhausted she cannot eat or drink by herself.

Objective Data

  1. Height 175 cm; Weight 95.5 kg
  2. Vital signs: T 37.6 C, HR 118 and irregular, RR 34, BP 90/58
  3. Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint; all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation
  4. Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%
  5. Gastrointestinal: BS present: hepatomegaly 4 cm below costal margin

Critical Thinking Questions

What nursing interventions are appropriate for Mrs. J. at the time of her admission? Drug therapy is started for Mrs. J. to control her symptoms. What is the rationale for the administration of each of the following medications?

  1. IV furosemide (Lasix)
  2. Enalapril (Vasotec)
  3. Metoprolol (Lopressor)
  4. IV morphine sulphate (Morphine)

Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.

Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide rationale for each of the interventions you recommend.

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family structure and style

Due Date: Feb 10, 2019 23:59:59       Max Points: 150

Details:

Understanding family structure and style is essential to patient and family care. Conducting a family interview and needs assessment gathers information to identify strengths, as well as potential barriers to health. This information ultimately helps develop family-centered strategies for support and guidance.

This family health assessment is a two-part assignment. The information you gather in this initial assignment will be utilized for the second assignment in Topic 3.

Develop an interview questionnaire to be used in a family-focused functional assessment. The questionnaire must include three open-ended, family-focused questions to assess functional health patterns for each of the following:

  1. Values/Health Perception
  2. Nutrition
  3. Sleep/Rest
  4. Elimination
  5. Activity/Exercise
  6. Cognitive
  7. Sensory-Perception
  8. Self-Perception
  9. Role Relationship
  10. Sexuality
  11. Coping

Select a family, other than your own, and seek permission from the family to conduct an interview. Utilize the interview questions complied in your interview questionnaire to conduct a family-focused functional assessment. Document the responses as you conduct the interview.

Upon completion of the interview, write a 750-1,000-word paper. Analyze your assessment findings. Submit your questionnaire as an appendix with your assignment.

Include the following in your paper:

  1. Describe the family structure. Include individuals and any relevant attributes defining the family composition, race/ethnicity, social class, spirituality, and environment.
  2. Summarize the overall health behaviors of the family. Describe the current health of the family.
  3. Based on your findings, describe at least two of the functional health pattern strengths noted in the findings. Discuss three areas in which health problems or barriers to health were identified.
  4. Describe how family systems theory can be applied to solicit changes in family members that, in turn, initiate positive changes to the overall family functions over time.

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria.

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. Please refer to the directions in the Student Success Center.

Family Health Assessment Part I  
1
Unsatisfactory
0.00%2
Less than Satisfactory
75.00%3
Satisfactory
79.00%4
Good
89.00%5
Excellent
100.00%80.0 %Content 15.0 %Interview Questionnaire Assessing Functional Health Patterns Interview questionnaire is omitted. The interview questionnaire presented does not include family-focused functional health patterns. More than three of the functional heath patterns have been omitted. Four or more of the functional health patterns have fewer than three open-ended questions.The interview questionnaire presented is incomplete. One or two of the functional heath patterns have been omitted. Two or three of the functional health patterns have fewer than three open-ended questions. Overall, the interview questionnaire is inconsistent with the assignment criteria. The interview questionnaire presented. One of the functional heath patterns has been omitted. One of the functional health patterns has fewer than three open-ended questions. Overall, the interview questionnaire is consistent with the assignment criteria. Some of the open-ended questions are not family-focused or not relevant to the scope of the assignment.The interview questionnaire presented. All functional heath patterns are included, and each has three open-ended questions that are family focused and relevant to functional health patterns. The interview questionnaire is consistent with the assignment criteria. Overall, the open-ended questions are family-focused and relevant to the scope of the assignment.The interview questionnaire presented and demonstrates strong insight into family-focused assessment strategies. All functional heath patterns include three highly relevant open-ended questions. 15.0 %Family Structure (individuals, relevant attributes of family composition, race/ethnicity, social class, spirituality, environment)Description of family structure omitted.A partial description of family structure is presented. Not all individuals are included. Relevant attributes are listed but incomplete. Some attributes are missing. There are inaccuracies.A summary of family structure is presented. All individuals are included. Most relevant attributes listed are summarized. Some aspects are vague. There are minor inaccuracies.The family structure is described. All individuals and relevant attributes are presented. Overall, the discussion provides insight into the family structure.The family structure is clearly described. All individuals and relevant attributes are discussed in detail. The discussion demonstrates an in-depth perspective into family structure.15.0 %Family Health and Health BehaviorsHealth behaviors and current health of the family are not presented.Health behaviors and current health of the family are partially presented. Overall, the health and health behaviors of the family are unclear. Health behaviors and current health of the family are summarized. Overall, the health and health behaviors of the family are generally presented.Health behaviors are identified and presented. The current health behaviors of the family are described. Health behaviors are identified and presented in detail. The current health of the family is described. A clear understanding of family health and health behavior is demonstrated.15.0 %Findings (functional health patterns strengths, health problems or barriers to health)Functional health pattern strengths, health problems, and barriers to health are not presented as indicated in assignment criteria.Two functional health pattern strengths, and three health problems or barriers to health are partially presented. Some aspects presented are not relevant, or are not consistent with findings.Two functional health pattern strengths, three health problems, and barriers to health are summarized. Aspects presented are relevant and generally consistent with findings. Two functional health pattern strengths, three health problems, and barriers to health are discussed. Aspects presented are relevant and consistent with findings.Two functional health pattern strengths, three health problems, and barriers to health are discussed. Discussion identifies and assesses key aspects from findings. Discussion demonstrates insight into assessment of findings to identify functional health pattern strengths and health problems or barriers.20.0 %Application of Family Systems TheoryApplication of family systems theory is not presented.Application of family systems theory is partially presented. It is unclear how the theory will be applied to positively change overall family functions over time. There are inaccuracies in the application or representation of the theory. Application of family systems theory is presented. A general discussion on how the theory will be applied to initiate positive changes in family functions over time is presented. There are minor inaccuracies in the application or representation of the theory.Application of family systems theory to initiate positive changes in family functions over time is discussed. The manner in which the theory is applied is relevant and generally supports steps toward the desired outcomes.Application of family systems theory to initiate positive changes in family functions over time is thoroughly discussed. The manner in which the theory is applied is highly relevant and strongly supports steps to achieving the desired outcomes.15.0 %Organization and Effectiveness  5.0 %Thesis Development and PurposePaper lacks any discernible overall purpose or organizing claim.Thesis is insufficiently developed or vague. Purpose is not clear.Thesis is apparent and appropriate to purpose.Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.15.0 %Organization and Effectiveness  5.0 %Argument Logic and ConstructionStatement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.15.0 %Organization and Effectiveness  5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use)Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present.Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used. Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used. Writer is clearly in command of standard, written, academic English.5.0 %Format 2.0 %Paper Format (use of appropriate style for the major and assignment)Template is not used appropriately or documentation format is rarely followed correctly.Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.Template is used, and formatting is correct, although some minor errors may be present. Template is fully used; There are virtually no errors in formatting style.All format elements are correct. 3.0 %Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)Sources are not documented.Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.Sources are documented, as appropriate to assignment and style, and format is mostly correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.100 %Total Weightage

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f bioethics in the United States

QUESTION DESCRIPTION

Principalism, especially in the context of bioethics in the United States, has often been critiqued for raising the principle of autonomy to the highest place, such that it trumps all other principles or values. How would you rank the importance of each of the four principles? How do you believe they would be ordered in the context of the Christian biblical narrative?

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QSEN and Effective Management of Care

Question description

Module 02 Written Assignment – QSEN and Effective Management of Care

You have already learned about the overall goal for the Quality and Safety Education for Nurses (QSEN). It is to meet the challenge of preparing future nurses who will have the knowledge, skills and attitudes (KSAs) necessary to continuously improve the quality and safety of the healthcare systems within which they work.

Being able to understand how QSEN relates to care coordination and management of care is essential to quality and safety.

Write a 2 page paper based on the criteria below. Cite 2 research articles using APA editorial format. Use the rubric below for the assignment requirements.

Choose one of the QSEN topics to write your paper on:

  • Patient-centered Care
  • Teamwork and Collaboration
  • Evidence-based Practice (EBP)
  • Quality Improvement (QI)
  • Safety
  • Informatics

Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.

Save your assignment as a Microsoft Word document. (Mac users, please remember to append the “.docx” extension to the filename.) The name of the file should be your first initial and last name, followed by an underscore and the name of the assignment, and an underscore and the date. An example is shown below:

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capstone Project consists of the development of a hypothetical nursing

QUESTION DESCRIPTION

My assignment is divided into 3 parts: Milestone # 1, 2, 3
Topic ( venous catheters related infections ) because this project is divided into three parts. The first attachment is 5 systemic reviews and we have to pick one And base our milestone project on it.
Capstone Project consists of the development of a hypothetical nursing-focused change plan. You will begin the project by determining a problem or opportunity in your professional setting that incorporates evidence-based practices and establish an improvement plan with proposed interventions and outcomes that could be presented to management for implementing change. This is a hypothetical change plan; therefore, actual implementation and measurement is not expected during the eight weeks of this course. However, you should create your change plan with the intent of implementing it in the future within your professional setting. If you are currently not working as a nurse, choose a change plan geared toward a past nursing situation, either something you learned in nursing school or when you were working as a nurse. The Capstone Project is divided into three milestones.
• Milestone #1 is due at the end of Week 3.
• Milestone #2 is due at the end of Week 4.
• Milestone #3 is due at the end of Week 6.
The guidelines and rubrics for all of the milestone assignments can be found in the Course Resources section of the Resources page under Course Home. Each assignment builds on the previous one, so it is recommended that you review all of them before beginning in order to gain insight into where you are going. Now is not too soon to begin working on Milestone #1.

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Endocrine System Case Study

QUESTION DESCRIPTION

Endocrine System Case Study

Joan Barker, age fifty-six years, comes for a routine physical examination. She states that she has been in perfect health and has no complaints. She has a history of asthma but currently requires no medications of any kind. Her physical examination is completely normal, except for a 2-cm firm, nontender, nonmobile mass in the upper outer quadrant of her left breast. She indicates that she does not perform regular breast self-examination and that she did not know the mass was there. She has no family history of breast cancer and has never been pregnant.

Answer the following questions about Ms. Barker’s condition:

What term is used to describe the benign condition that may have caused Ms. Barker’s breast mass?What is inside the cysts of fibrocystic breast disease?Mammography and ultrasonography reveal a solid lesion (not cystic). What is the most common type of breast cancer?Biopsy determines that Ms. Barker has invasive carcinoma of the breast. What is the difference between ductal carcinoma in situ and invasive carcinoma of the breast?Ms. Barker’s breast cancer has metastasized to her lungs. What is the difference between metastatic lung cancer and primary lung cancer?

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Brain Based Learning

Before completing this discussion, be sure to review Chapters 6 and 7 of your text as well as the Environmental and Genetic Influence on Intelligence (Links to an external site.)Links to an external site. and Multiple Intelligence (Links to an external site.)Links to an external site. videos. You may also awnt to review the “Brain Based Learning and its Relation with Multiple Intelligence”, “Intelligence: Foundations and Issues in Assessment”,  and “Rising Scores on Intelligence Test”, articles from the recommended resources, After examining the research in human development presented in your required resources, complete the following discussion:

The definition of intelligence is controversial.  Briefly contrast different views of intelligence, making sure you take into account the content of at least one of the videos. Discuss one of the controversies that surround the definition of intelligence, the measurement of intelligence, or the sources of individual differences.

Your initial post must be at least 300 words and use a minimum of one scholarly source located in the Ashford University Library or on Google Scholar that is cited and referenced

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analyze a common STDs & urological disorder

  Select a patient population (young adult, adult or geriatric), and briefly analyze a common STDs & urological disorder (ex – UTI, Hematuria, Urolithiasis, Urinary Incontinence, Ac. Pyelonephritis, HIV, Bacterial vaginosis, Chlamydia, Gonorrhea, Trichomoniasis, Syphilis) that may affect this population. Briefly tell how it impacts the patient’s quality of life and analyze the current research evidence on this topic and gold standard of care if any for your chosen population. (You may use an example from your clinical rotation (past or present) that you have encountered). Describe how you, the FNP, can/or have made a difference in the care of patients with this specific condition and tell of one specific patient care teaching the patient can benefit from.  

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Case Study expectations, what I am looking for:

1. Your chosen disease/condition

2. Population affected

3. Impact on QOL

4. Current/new/recent research/EBP that will benefit/support this patients with the specific disease (If there are none please state so)

5. Recommendation for treatment or Gold standards for treatment if any (can be tied into the current research as above) (If there are no gold standards then please state so, but there should be some recommendations)

6. Please tell what/how you  (speak in the first person), as the FNP caring for this patient with this specific disease can make a difference in his/her care and incorporate patient care/self help teaching that can help him/her minimize disease symptoms.

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Only one page

Reference less tham 5 years

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health promotion and disease prevention.

An important role of nursing is to provide health promotion and disease prevention. Review the 2020 Topics and Objectives on the Healthy People website. Choose a topic of interest that you would like to address, in conjunction with a population at-risk for the associated topic. The topic is: Native Americans and substance abuse.

Create 5 slide PowerPoint presentation for your topic and focus group. Include speaker notes and citations for each slide, and create a slide at the end for References.

Address the following:

  1. Identify      interdisciplinary health professionals important to include in the health      promotion. What is their role? Why is their involvement significant?

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria and public health content.

Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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. Please refer to the directions in the Student Success Center.

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