Differential Diagnosis for Skin Conditions

Properly identifying the cause and type of a patient’s skin condition involves a process of elimination known as differential diagnosis. Using this process, a health professional can take a given set of physical abnormalities, vital signs, health assessment findings, and patient descriptions of symptoms, and incrementally narrow them down until one diagnosis is determined as the most likely cause.
In this Lab Assignment, you will examine several visual representations of various skin conditions, describe your observations, and use the techniques of differential diagnosis to determine the most likely condition.
To Prepare
Review the Skin Conditions document provided in this week’s Learning Resources, and select one condition to closely examine for this Lab Assignment.
Consider the abnormal physical characteristics you observe in the graphic you selected. How would you describe the characteristics using
clinical terminologies?
Explore different conditions that could be the cause of the skin abnormalities in the graphics you selected.
Consider which of the conditions is most likely to be the correct diagnosis, and why.
Search the library for one evidence-based practice, peer-reviewed article based on the skin condition you chose for this Lab
Assignment.
Review the Comprehensive SOAP Exemplar found in this week’s Learning Resources to guide you as you prepare your SOAP note.
Download the SOAP Template found in this week’s Learning Resources, and use this template to complete this Lab Assignment.
The Lab Assignment
Choose one skin condition graphic (identify by number in your Chief Complaint) to document your assignment in the SOAP (Subjective,
Objective, Assessment, and Plan) note format rather than the traditional narrative style. Refer to Chapter 2 of the Sullivan text and the
Comprehensive SOAP Template in this week’s Learning Resources for guidance. Remember that not all comprehensive SOAP data are
included in every patient case.
Use clinical terminologies to explain the physical characteristics featured in the graphic. Formulate a differential diagnosis of three to five
possible conditions for the skin graphic that you chose. Determine which is most likely to be the correct diagnosis and explain your reasoning using at least three different references, one reference from current evidence-based literature from your search and two different references from this week’s Learning Resources.

Evaluation of Quantitative Research Article

You may select an article focusing on a healthcare topic of your choice or an article focusing on one of the following topics: falls and fall
prevention, pain management in children, opioid abuse, hepatitis C, catheter associated urinary tract infections, or hand hygiene and infections in hospitals. You may use the same topic that was used in part A.
Must include full article with assignment.
APA format with at least 1 reference
1. Describe how the researcher addresses the following four areas in the selected journal article:
background or introduction (e.g., the purpose of the study)
review of the literature (e.g., research used to support the study)
data analysis (e.g., how the researcher analyzed the data)
methodology (e.g., research type and sampling methods)
2. Evaluate whether the evidence presented in each of the four areas of the journal article from part B1 supports the outcome of the study and implications for future research.
3. Explain how the protection of human subjects and cultural considerations were addressed by the researcher, using specific information from the journal article from part B.
4. Identify one strength and one limitation of the study.
5. Describe how the evidence from the article in part B informs current nursing practices.
C. Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized.

Roles of RN. Roles and Responsibilities of RN.

Required

Discussion of the different roles of nurse as RN (7-8 pages, APA style).

Medicare and Medicaid. Quality Improvement Organization (QIO).

Medicare and Medicaid. Quality Improvement Organization (QIO).

Signature Assignment: Medicare and Medicaid
Consider how people qualify to receive Medicare and/or Medicaid and write a paper that addresses the bullets below. There should be four (4) sections in your paper; one for each bullet below. Separate each section in your paper with a clear brief heading that allows your professor to know which bullet you are addressing in that section of your paper. Start your paper with an introduction and include a “Conclusion” section that summarizes all topics. This paper should consist of at least 1650 words. APA. 2 sources.
This week reflect upon the Medicare and Medicaid programs to address the following:
• Describe the Quality Improvement Organization (QIO) and explain how the QIO improves policies and healthcare for Medicare beneficiaries.
• Briefly define the qualifications for Medicare and Medicaid benefits. How can qualifications be modified to serve more people who are
considered a vulnerable population?
• Discuss the impact (including at least two positive and two negative aspects) that the ACA has had on benefits and coverage for Medicare and Medicaid recipients.
• Describe your role(s) as a healthcare leader as it applies to the practice of advocating for cost effective care for vulnerable populations.

Article Critique Using ANA Framework

Using ANA Framework to Critique an Article 

Instructions

Choose one of the articles listed in Resources or find a peer reviewed research article on the topic of Interprofessional collaboration.
Read and critique the article
Write a 4-5 page paper addressing each of the items in the ANA Framework for How to Read and Critique a Research Study (see below). Analyze the study carefully and draw conclusions based upon evidence. Use correct APA formatting including a cover sheet and reference page.
ANA Framework for How to Read and Critique a Research Study
Critiquing the research article
Title – Does it accurately describe the article?
Abstract – Is it representative of the article?
Introduction – Does it make the purpose of the article clear?
Statement of the problem – Is the problem properly introduced?
Purpose of the study – Has the reason for conducting the research been explained?
Research question(s) – Is/are the research question(s) clearly defined and if not, should they be?
Theoretical framework – Is the theoretical framework described? If there is not a theoretical framework, should there be?
Literature review – Is the literature review relevant to the study, comprehensive, and include recent research? Does the literature review support
the need for the study?
Methods – Is the design appropriate for the study? Does the sample fit with the research design and is the size sufficient? Was a data collection instrument needed? How were data collected? Were reliability and validity accounted for?
Analysis – Is the analytical approach consistent with the study questions and research design?
Results – Are the results presented clearly in the text, tables and figures? Are the statistics clearly explained?
Discussion – Are the results explained in relationship to the theoretical framework, research questions, and the significance to nursing?
Limitations – Are the limitations presented and their implications discussed?

Nursing Theories: Betty Neuman Theory. Betty Neuman – Nursing Theory

Betty Neuman Systems Model

Power Point
How does the nursing theory prove the conceptual model
Give example of Evidence-Based Practice
Use APA to cite intext sources and references

Notes: 

-Nursing theory

-comprehensive flexible holistic

-person’s relationship to stress

Neuman Systems Model,

-three levels of prevention

-community health nurse

-flexible

-holistic perspective

Falls Prevention in the Elderly Patients

Evidence-Based Project
Is there a difference between “common practice” and “best practice”?
When you first went to work for your current organization, experienced colleagues may have
shared with you details about processes and procedures. Perhaps you even attended an
orientation session to brief you on these matters. As a “rookie,” you likely kept the nature of your
questions to those with answers that would best help you perform your new role.
Over time and with experience, perhaps you recognized aspects of these processes and
procedures that you wanted to question further. This is the realm of clinical inquiry.

Clinical inquiry is the practice of asking questions about clinical practice. To continuously improve
patient care, all nurses should consistently use clinical inquiry to question why they are doing
something the way they are doing it. Do they know why it is done this way, or is it just because
we have always done it this way? Is it a common practice or a best practice?
In this Assignment, you will identify clinical areas of interest and inquiry and practice searching
for research in support of maintaining or changing these practices. You will also analyze this
research to compare research methodologies employed.
To Prepare:
Review the Resources and identify a clinical issue of interest that can form the basis of a clinical
inquiry.
Based on the clinical issue of interest and using keywords related to the clinical issue of interest,
search at least four different databases in the Walden Library to identify at least four relevant
peer-reviewed articles related to your clinical issue of interest. You should not be using
systematic reviews for this assignment, select original research articles.
Review the results of your peer-reviewed research and reflect on the process of using an
unfiltered database to search for peer-reviewed research.
Reflect on the types of research methodologies contained in the four relevant peer-reviewed
articles you selected.
Part 1: An Introduction to Clinical Inquiry

Create a 4- to 5-slide PowerPoint presentation in which you do the following:
Identify and briefly describe your chosen clinical issue of interest.
Describe how you used keywords to search on your chosen clinical issue of interest.
Identify the four research databases that you used to conduct your search for the peer-reviewed
articles you selected.
Provide APA citations of the four peer-reviewed articles you selected.
Part 2: Identifying Research Methodologies
After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet
template to analyze the methodologies applied in each of the four peer-reviewed articles. Your
analysis should include the following:
The full citation of each peer-reviewed article in APA format.
A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how
it relates to your clinical issue of interest, including a brief explanation of the ethics of research
related to your clinical issue of interest.
A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.
A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the
methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.
A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peerreviewed articles you selected.
Submit Part 1 and Part 2 of your Evidence-Based Project.
Note: Part 1 is a 4-5 slide PowerPoint and Part 2 is the Matrix. Be sure to attach both of your
documents (Part 1 and Part 2) before you click Submit

Nurse Educator Core Competencies

Summarize 8 Nurse Educator Competencies as per the World Health Organization (WHO). (1,600 words)

DNP Project. PICOT Question

Introduction:

This writing assignment will give you the opportunity to determine your area of interest for your DNP scholarly project and begin writing chapter one draft for the project. Please complete the readings for this week and last before taking this important step. As a guide to what questions to ask yourself about your phenomenon of interest please follow the directions. Prior to completing the assignment for this week, you must have had an email dialog and phone call with your DNP chairperson about your ideas for the Phenomenon of Interest (POI). Picking out your POI is an important step; you will want to seek guidance so as not to plan a project that is not feasible to successfully complete based on rules in your workplace and design/ timing of your project.

Directions:

Include the following elements in this draft:

  1. Introduce your specific practice problem to the reader in a few paragraphs to clearly describe your phenomenon of interest (Introduction is not used as a heading in APA style papers, the project title should start the first page of text) You will want to include a few statistics about the issue with citations. These can be a mix of primary and secondary sources, but very limited website use. Citations need to be 10 years or less in age. This section should hook and intrigue the reader.
  2. Describe your interest level and expertise in relation to this phenomenon.
  3. Describe the purpose and aims of your project. One paragraph/no citations. This is a SUPER important part of your project, as this will form the basis of it. The purpose statement is essential to the IRB application. This needs to be as specific (narrow) as possible. “The purpose of my scholarly project is to___________.” Also, include the more specific aims for the project. Include what do you hope for as a result of investigating this particular practice problem
  4. Describe the type of Inquiry and analysis for the project. This is a brief paragraph about your plans for methodology. What kind of inquiry is this? A practice improvement project? A quality improvement project? What method of data collection are you planning?
  5. Describe the background. Two or three paragraphs. Citations need to be all primary sources here. In this section, give the reader a glimpse into what will be coming in your chapter two (a detailed review of literature section). Focus on the background as it relates to your specific purpose. Answer this question: What is known (from the research) about your project problem? This section is more detail regarding the problem and what you introduced at the beginning of this paper.

Assignment Specifics

  • Do not include the questions in this assignment, only the answers.
  • Follow the rubric closely.
  • Aim for 4–5 pages in length not counting title or reference page.
  • This paper will provide a good opportunity to start to really work on your writing skills, including paragraph construction, topic sentences, and grammar. A well written paragraph begins with an opening topic sentence that is general enough to encompass all the sentences that follow. If you think of a scaffold, the topic sentence will be the board at the very top, with all of the other sentences connecting, in a logical manner, below that top scaffold. As you start to write multiple paragraphs, you will want to use transitional words or statements within your topic sentences so that the paragraphs are connected together in a logical way as well. Stop and take a close look at the sample papers in your APA book. You will see good examples of topic sentences and transitional words/phrases used by those authors. In addition, start to pay attention to the way published authors write as you explore the data bases and gather articles for your project and concept analysis.

Important Details to Remember:

  • Be sure to review the rubric for the evaluation criteria for this paper as 4–5 pages in length not including title or reference page.
  • Chairperson approval of your project idea and plans are necessary to complete this assignment.
  • Contact/ Email your instructor to discuss your POI topic and paper.

Similarity Score

  • After submitting your assignment, select Submission Details to view your similarity score.
  • Your similarity score will appear as a percentage next to your submitted file.
  • Contact your chair and instructor to discuss your topic of interest.

Rubric

Rubric for Phenomenon of Interest for DNP Scholarly Project

Rubric for Phenomenon of Interest for DNP Scholarly Project
Criteria This criterion is linked to a Learning Outcome Ratings Pts
 Development:The paper has a clear introduction, and covers the directions completely. Key Elements points 1-5 are explicit and well developed. 30 30.0 pts
Style: Is the paper thoughtful and original? Does the author’s voice come through? Are there very few (1-2) direct quotes? 5 5.0 pts
Does each paragraph begin with a topic sentence? Do the sentences beyond the topic sentence flow logically from the first sentence? 5 5.0 pts
Organization: Do the paragraphs build on each other in a logical way, one paragraph building on the next? Are there appropriate transitions between paragraphs? 5 5.0 pts
APA Format: Include a title page; citations in text (as applicable); references (as applicable). Demonstrates integration of course literature. 10 10.0 pts
Are the rules of grammar followed (as described in the APA book) with few errors? 10 10.0 pts
Formatting: Does the paper meet the length and margin requirements? Appropriate style and size of font? 10 5.0 pts
This criterion is linked to a Learning Outcome Spelling, Editing/Proofing. 10 5.0 pts
Total Points: 85.0

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Continuing Care Retirement Community: To move or not to move

In this scenario, you are the newly appointed CEO for the Continuing Care Retirement
Community, which is under the large Hospital System. A board retreat is coming up, and you
must help the board with a critical decision: relocate the facility to a more suburban area, or stay
in its current, metropolitan area location. By gaining a solid understanding of the key target ratios
that the Board is responsible for, you may find that a more financially feasible alternative should
be considered.
Click the link below to view the scenario, then return to this assignment to submit your video.

Record and upload a 3- to 4-minute video presenting the points to make to the board in this case
study.
Highlight in detail the pros and cons to staying in the current, metropolitan area.
Highlight in detail the pros and cons to moving to a suburban area.
Prepare and use visual aids to demonstrate the points above.
After you present all your information, provide a solid recommendation with supporting
information on your decision.
click below
To view the scenario, click the link “To Move or Not to Move” below. Then return to this
assignment to submit your video.
Week 6: To Move or Not to Move