Elderly Adult Assessment And EBP Interventions

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Eliopoulos, C. (2018). Gerontological nursing (9th ed.). Philadelphia, PA: Lippincott, Williams,
Eliopoulos, C. (2018). Gerontological nursing (9th ed.). Philadelphia, PA: Lippincott, Williams, &
Wilkins. Provides a narrative addressing all required components. Provides methods to assess
pain. Demonstrates research of subject and new information/methods specific to geriatric client.
Includes dementia and cognitive impairment assessment Thoroughly describes barriers to pain
assessment and pain management in the elderly. Assessment Discusses EBP intervention
strategies with multiple alternatives with proper citation. Assessment Describes measures to
reduce intrinsic risks to safety and well-being of older persons. Assessment Describes
adjustments that can be made to the environment to promote safety and function of older
persons. APA Style & Format 7th edition Utilize APA format margins, fonts, spacing, headings,
title page(2 points) Maximum 6 pages narrative not including title and reference pages (required)
(2 points) Correct spelling, grammar, narrative flow (2 points) Correct use of citations and
references (5 points) Minimum 2 scholarly non-text references (within last 5 years) (4 points)

Disciplinary Assignment

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Using Exhibit 14-1 as a guide write up the following discipline action. Complete the disciplinary forms providing initial counseling, oral warning, written warning, suspension without pay and discharge using the facts of the case below. Please provide specific steps you would follow as a manager as you proceed with the disciplinary process. and also answer the following questions: 1.Why should corrective action be taken as soon as possible and practical following an infraction? 2.Why is it inadvisable to skip steps in the disciplinary process leading up to an employee’s involuntary termination? 3.Why do senior executives require no significant disciplinary action be implemented without involvement of the HR department? Facts: A Nurse, Susie causes trouble on the unit, complains about other workers and does not complete tasks assigned on 9-14. . Charge Nurse, Helen brings issue to your attention on 9-15. You are the Department Head. Two other employees, Fred and Cindy bring issue to your attention on 9-16. Charge nurse, Helen tells you Nurse Susie is still not getting along with the team members and not doing her work on 10-1. Two other employees, Fred and Cindy tell you Nurse Susie not doing work again last night and bring issue to your attention on 10-2 Nurse, Susie has a blow up with another employee, Charlie on 10-10. There are witnesses to the blow up. Charlie, Fred, Cindy and Helen and two family members. Nurse, Susie was terminated on 10-13 by Supervisor Nurse Helen

Article Critique Assignment

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Instructions 

The purpose of the article critique assignment is to strengthen your skills at critically assessing
the literature. An assigned article will be given, and students will provide a 1-2 page single-spaced critique of the article. Two article critique assignments will be given during the semester.
Questions are listed below each section to guide your critiques (you do not have to answer every
single question). They are mainly to help. The article critique assignment is 4 parts:
I. Article Summary
Provide a brief, one to two paragraph summary of the article.
Questions to consider:
1. What is the purpose of the research?
2. What are the research questions/hypotheses?
3. What study design was used?
4. What sampling methodology was used?
5. What are the main, overall results?
6. What limitations are stated?
7. What are the main overall conclusions or recommendations the researchers state?
II. Article Strengths
Write one to two paragraphs on the article’s strengths.
Questions to consider:
1. What are the strengths of the article’s introduction and research questions? Do they fill an
important research gap? Are they relevant to the field?
2. What are the strengths of the article’s study design, methodology, or sampling strategy?
Are novel techniques used? Is a strong study design employed?
3. What are the strengths of the article’s results and discussion section? Are the results
presented in a clear manner? Are graphs or charts utilized? Do the researchers make
strong recommendations? Are implications for the field strong?
III. Article Weaknesses
Write one to two paragraphs on the article’s weaknesses. You can organize this in the
same order the article is written (i.e., discuss weaknesses in the introduction, then the
methods, etc.), or you may organize it by discussing the most important weaknesses
first and the least important weaknesses last.
Questions to consider:

1. What are the weaknesses in the introduction? Are the research questions not explicitly
stated?

2. Could a better study design have been utilized? Are the authors lacking their description
of the study design, sampling methodology, and data analysis? Could other statistical
techniques be employed?
3. Are results unclear? Are tables unorganized? Do the researchers not highlight important
results?
4. What major limitations are discussed that you consider weaknesses of the article? What
limitations in the discussion section are missing or not discussed?
5. Are recommendations or conclusions lacking? Are there other implications that aren’t
discussed? Did researchers “over reach” regarding their results and conclusions?
IV. Article Critique Discussion
The purpose of the article critique discussion is to promote conversation around the
articles and to share ideas about strengths, weaknesses, and other general
observations about the article.

Some examples of questions the instructor may post include:

  •  “The study design for this article is a cross-sectional study. What other study designs
    would have been more appropriate to answer the research question?”
  • “The study participants were limited to patients without cardiovascular complications.
    Why do you think the authors made this restriction?”
  •  “Chronic Obstructive Pulmonary Disorder (COPD) was measured in this study using
    self-report. What other ways would have been useful to measure COPD in this
    population?”

Evidence-Based Practice and Evaluation of the Project Through Measurable Goals

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Practicum Discussion

Discussion  to incorporate all of the information you have gathered from the community—including the population itself, health data, interviews/conversations with interested community members, and your community assessment, including your Windshield Survey—as well as what you have gathered from scholarly literature to propose measurable interventions. Measurable interventions mean that the results can be measured through some data that could be collected (Stanhope, 2016). This requires thinking in terms of actions and then measuring results. An evaluation of interventions is important to see whether or not they are effective in solving a health care problem. Remember, you will need to use the data you gathered to determine whether or not a problem exists in your community and to then determine whether your interventions might be effective.

Please discuss the following points in your Practicum Discussion:

Identify one evidence-based behavior change that would promote health in your selected population.
Suggest one specific culturally sensitive, evidence-based, measureable intervention to address the health problem for your selected population.
Think in terms of measuring outcomes. What outcomes would you expect to see once the intervention(s) are in place? Be specific.

Ethical Practice in Nursing

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Discuss about ethical decision making in nursing practice. How can professional practicing nurse incorporate PLUS (policies, legal, universal, self) ethical components (1,250).

Off-Label Drug Use in Pediatrics

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The unapproved use of approved drugs, also called off-label use, with children is quite common.
This is because pediatric dosage guidelines are typically unavailable, since very few drugs have
been specifically researched and tested with children.
When treating children, prescribers often adjust dosages approved for adults to accommodate a
child’s weight. However, children are not just “smaller” adults. Adults and children process and
respond to drugs differently in their absorption, distribution, metabolism, and excretion.
Photo Credit: Getty Images

Children even respond differently during stages from infancy to adolescence. This poses
potential safety concerns when prescribing drugs to pediatric patients. As an advanced practice
nurse, you have to be aware of safety implications of the off-label use of drugs with this patient
group.
To Prepare
Reflect on situations in which children should be prescribed drugs for off-label use.
Think about strategies to make the off-label use and dosage of drugs safer for children from
infancy to adolescence. Consider specific off-label drugs that you think require extra care and
attention when used in pediatrics.
Write 2-pages narrative in APA format that addresses the following:
Explain the circumstances under which children should be prescribed drugs for off-label use. Be
specific and provide examples.
Describe strategies to make the off-label use and dosage of drugs safer for children from infancy
to adolescence. Include descriptions and names of off-label drugs that require extra care and
attention when used in pediatrics.

Nutrition (or Physical Activity) in the Newspapers

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For news articles look at the Health sections of major newspapers such as the Washington Post or the New York Times. Other news outlets such as ScienceDaily, CBC, BBC, and NPR.

Search strategy:
1. Pick either a nutrition (or physical activity) influencing factor or health/performance issue to search (For example, caffeine (nutrition factor) or breast cancer (health issue)
2. Add the word “study”
3. Google it!

Step 2: Find the original research article being reported on in the news article.
–But how do you find this article??
Some news articles provide citation information for the original research article
Some news articles provide a link to the original research article
Sometimes, you have to do some detective work using the information in the news article

Where to find Review article? Pubmed

Remember to attach the news article, original research article and review article

Community Health Assessment Exercise

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Give evidence for each section with local, state and global data. Students may use picture or video to depict and respond to the following.

SECTION I: Community Structure (6%)
A. Name of Community:
B. Map & Identification of Geographical Boundaries
C. Historical Evolution of the Community
D. Housing Conditions
E. Educational Facilities (Sources of evidence)
F. Places of Worship
G. Leading Industries in the Community
H. Transportation
I. Library Services
J. Communication
K. Availability of Merchandise & Food Commodities
L. Evidence of Cultural Activities/Influences in the Community

SECTION II: Population Statistics (5%)
A.Population
B.Age
C.Race
D.Gender
E. Employment
F. Family Income (Percent of population)
G.Educational Level of People Over 18 Years of Age (Percent of population) H.Marital Status/Family Structure Distribution
I. Vital Statistics
J. Communicable Diseases (Top 10)
K.Leading Causes of Death

SECTION III: Environmental Health & Safety (5%)
A.Sanitation
B.Recreational and Entertainment Opportunities
C.Law Enforcement
D.Fire and Rescue
E. Disaster Planning

SECTION IV: Health Related Resources (2%)
A. Health Services (including public, acute, home care, community, long term, occupational)
B. Social Services (elderly services, pregnant & parenting teams, family services, problemfocused services)
Make a research paper base of City of Carson, California. Can use US government websites / data statistics / ci.carson.ca.us

SECTION V: Government and Public Policies (3%)
A.Government Structure
B.Economics
C.Public Issues in the Community
Conclusion (2%)

You may use CDC, local government, state or federal health and human services, WHO, or other governmental agencies to gather your information.

Health Care Utilization and Case Management

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Instruction:
-What is utilization and case management?
-How is this related to managed care and quality care and control issues?
-How does APNP (Advanced Practice Nurse Practitioner) clinical expertise and patient management skills provide a foundation for utilization and case management?
-Provide an example of how case management improves patient care outcomes.
-Use an EBP (Evidence-Based Practice) research article to support your case.
Provide detailed examples.

Reflection Paper (Final Year Project)

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Write a reflection paper of your final year project from start to finish. Start with how you chose the topic. How you planned to finish? How did you go about it? Were there any challenges? How did you overcome the challenges? …………………these are just suggestions. You can add more. (Make it about 3,500 words).