Evidence-Based Practice for Healthcare Professionals Patient-centered care

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Evidence-Based Practice for Healthcare Professionals Patient-centered care

This paper focuses on Evidence-Based Practice for Health Professionals. This assessment requires you to present the results of (ideally) one of the articles you will use in your Assessment 2: Literature Review.

Evidence Based Practice for Health Professionals

Assessment 1: Oral Presentation
Length: Three (3) minutes (maximum)
Weighting: 20%

Task
This assessment requires you to present the results of (ideally) one of the articles you will use in your
Assessment 2: Literature Review.

That is, your task is to present an overview of a research article to your peers i.e. other students undertaking paramedic or human services programs.

Your challenge is to capture in three minutes and with no more than two (2) PowerPoint slides, the key components and overall message of the article.

After hearing your presentation, your peers should be left in no doubt that they understand what the article is about, the nature of the research, how it was conducted and what the key findings are.
Short presentation times are the norm at professional conferences. Another example of short scholarly presentations can be found in 3MT (Three Minute Thesis) competitions. Examples of these will be shared in class to give you inspiration and insight into what can be achieved in a short period of time.

Aims

Completing this assessment should:
Firstly, Increase your confidence in discussing research and research terminology

Secondly, Demonstrate your comprehension of a particular research article

Thirdly, Develop your ability to communicate research findings to peers

Fourthly, Assist you with locating literature for your Literature Review assessment piece

Also, Allow you to present in a safe environment in a focused but hopefully fun way.

Format

This assessment will take the form of a three (3) minute maximum presentation accompanied by no more than two (2) PowerPoint slides. Your presentation will be recorded using the recording function available in Zoom. You will not be assessed on your production values or editing skills, but we do expect that you present yourself professionally, provide accurate information with correct spelling and grammar on your slides. You must appear in person on your video at some point.

Instructions: Evidence Based Practice for Health Professionals

1. Consider the Aims, Task and Format of the assessment.

2. Choose a topic:
Firstly, Choose something that is of interest to you related to your discipline.

Secondly,  For paramedic students this may be something related to a clinical intervention such as medication management, or pre-hospital care of a particular injury or condition.

Thirdly, Alternatively, you may wish to look at research that is about the profession e.g. professional identity development in paramedicine, transition to practice for paramedic students.

Fourthly,  For human services students this may be related to practice such as approaches to case management, counselling styles or aspects of service provision to particular population groups.

3. Research the topic by searching the appropriate databases via the USQ library. You need to ensure a body of research literature exists about your topic.

Firstly,  Aim to collect journal articles that have been publish ed with in the last five (5) years, though articles publish ed in the last ten (10) years are acceptable.

Secondly,  It is acceptable to look beyond your own discipline if the topic has relevance. For example, human services students may find appropriate articles in the social work, counselling or sociology databases. Paramedic students may find topics of interest addressed in nursing, emergency medicine or sociology databases.

Thirdly, You may need to read material from other sources such as texts, government health department and other reliable sources and websites in order to give you the context and background information you need to understand the topic.

Fourthly, If in doubt about your topic selection, consult your tutor or course examiner.

4. Select one (1) primary research article to present. This excludes literature reviews, systematic reviews and meta-analyses.

5. Your presentation should include:

Firstly, Title, author/s, year of publication – include reference on first slide

Secondly,   Describe what the research article is about – topic

Thirdly, How was it done – research approach and method

Fourthly, State the key finding/s or most important recommendation – outcomes

Also, state why this is worth knowing – the “So what?” test.

6. Submit via Study desk
·         Submit your recording as an MP4 file (instructions will be provided)
·         Submit the Marking Guide as a word document with your name and student ID completed (provided on Study desk at submission point).

53-year-old male with leg swelling

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53-year-old male with leg swelling

Family Medicine 07: 53-year-old male with leg swelling. Based on your performance and the expert feedback in your HISTORY collection, describe two missed questions and your understanding of why they were important

Family Medicine 07: 53-year-old male with leg swelling

Week 6 DQ 1

Assignment
Complete only the History, Physical Exam, and Assessment sections of the Aquifer virtual case: Family Medicine 07: 53-year-old male with leg swelling.

Discussion Question 1
Based on your performance and the expert feedback in your HISTORY collection, describe two missed questions and your understanding of why they were important to collect for this case history. Use specific references from your text to explain.

Discussion Question 2
Based on your performance and the expert feedback in your PHYSICAL EXAM collection, describe two errors in your exam performance or documentation. Use specific references from your text to explain the importance of these findings in correct assessment of this client.

Discussion Question 3
Based on your performance on the PHYSICAL EXAM collection, describe one key finding that you included in your list and describe a specific physical exam that you can perform at the point-of-care to further evaluate the finding. Use specific references from your text.

Discussion Question 4
Based on your performance and the expert feedback in your ASSESSMENT identification of problem categories, choose one missed/incorrect category and use specific references from your text to explain the importance of this category in arriving at correct differential diagnoses for this client.

Discussion Question 5
Based on your performance and the expert feedback in your ASSESSMENT of differential diagnoses, describe one incorrect/missed differential diagnosis and use specific references from your text to support the inclusion of the diagnosis for this client.

Submission Details: • Please make sure you are using scholarly references and they should not be older than 5 years. Your posts/references must be in APA format.

CASE INTRODUCTION HISTORY

The waiting room at the family clinic
You are working at a family medicine clinic with Dr. Hill. She tells you, “The next patient, Mr. Smith, is a 53-year-old male with a chief concern of swelling and pain in his left lower extremity.”

Before you go to see Mr. Smith, a quick review of the chart reveals that he has type 2 diabetes, hypertension, and hyperlipidemia. You note that he has not been to the office in the past six months, and it appears that he should be out of all of his medications.

When you enter the examination room, Mr. Smith, an obese, middle-aged male, greets you from where he is sitting. You introduce yourself and ask him what brings him to the office today.

He replies, “It’s my left leg. The past four days it has been red, swollen, and painful—and it seems to be getting worse.”
You ask him to tell you more about this problem.

He says, “It began several days ago, and the swelling seems to be getting worse. It hurts all the time; it doesn’t even get better when I rest it. Additionally, it seems to get a little worse when I move around. It hurts to walk as soon as I try to stand on it.”

REASON FOR VISIT HISTORY

You meet Mr. Smith and interview him about his leg problem.
Now that you have a general sense of Mr. Smith’s issue, you ask more focused questions.
“Did you do anything to injure your foot?”
“Before this happened, were you sitting down for a long time without getting up and using your legs, such as taking a long airplane trip; or have you been on bed rest?”
“When was the last time you were in the office?”
“Have you been taking your medication?”
After talking with Mr. Smith more, you discover:
Social History: Does not drink alcohol, but does smoke 1.5 packs of cigarettes daily, he is unmarried, and lives in public housing with his three children and one grandchild.
Review of Systems: No fever or chills, no chest pain, no shortness of breath, and no swelling of the right leg.

 

 

Administration of antibiotics have to do with C. diff infection

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Administration of antibiotics have to do with C. diff infection

This is a paper that requires the student to Administration of antibiotics have to do with C. diff infection. The paper also provides additional information to use in the writing of the assignment paper. Below is the assessment description to follow:

Administration of antibiotics have to do with C. diff infection

Chapter 18 – Assignment

Instructions:
Read the Case Study 18-1 in Chapter 18 of the textbook.( the link to the book is attached below I believe 18 is 692 )
Answer the following questions:
What factors put Mr. Douglas at greater risk of developing pressure ulcers?
What factors would delay wound healing for this patient?
What stage would you classify this wound?
Also, what are the signs and symptoms of an active infection in a wound?
What products would you use for this type of wound?
If handled correctly, do you feel like this wound would heal completely?
Your paper should be:
One (1) page or more.
Use factual information from the textbook and/or appropriate articles and websites.
Cite your sources – type references according to the APA Style Guide.

Chapter 11 – Assignment

Instructions:
Read the Case Study 11-2: Go to the Hospital and Come Back with Four More Medications in Chapter 11 of the textbook. (book is attached below
Once you have read the Case Study thoroughly, answer the following questions:
Firstly, what does the administration of antibiotics have to do with a Clostridium difficile (C. diff infection) infection?
Secondly, list all the inappropriate medications prescribed for K.L. and describe the reason why they are inappropriate.
Thirdly, what kind of treatment regimen is utilized for a patient with a C. diff infection?
Fourthly, do any of these treatments regimens raise suspicion as being inappropriate for K.L.?
Lastly, list the therapy and if contraindicated, give a reason why it is inappropriate

Remember, ensure that the pages are exclusive of the cover and the reference pages. Also, ensure that you include all the references you use in finding research for this assignment paper. References should be at least three for the paper. All references, citation, and writing should follow the APA formatting and styling guidelines. Finally, ensure you focus on the assignment topic in detail.

Pathophysiological disease understanding on Case study regarding Mr M

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Pathophysiological disease understanding on Case study regarding Mr M

This is an assignment of a Case study regarding Mr. M on pathophysiological disease understanding. Also, this assessment analyzes the clinical manifestations and treatment protocols

Pathophysiological disease understanding on Case study regarding Mr. M

I‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍t is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols. Also, how they affect clients across the life span. Evaluate the Health History and Medical Information for Mr. M., presented below. Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Firstly, Health History and Medical Information Health History Mr. M., a 70-year-old male, has been living at the assisted living facility where you work. He has no know allergies. He is a nonsmoker and does not use alcohol. Limited physical activity related to difficulty ambulating and unsteady gait. Medical history includes hypertension controlled with ACE inhibitors, hypercholesterolemia, status post appendectomy, and tibial fracture status postsurgical repair with no obvious signs of complications. Current medications include Lisinopril 20mg daily, Lipitor 40mg daily, Ambien 10mg PRN, Xanax 0.5 mg PRN, and ibuprofen 400mg PRN.

However, the case Scenario Over the past 2 months, Mr. M. seems to be deteriorating quickly. He is also having trouble recalling the names of his family members, remembering his room number, and even repeating what he has just read. Also, he is becoming agitated and aggressive quickly. He appears to be afraid and fearful when he gets aggressive. Additionally, he has been found wandering at night and will frequently become lost, needing help to get back to his room. Mr. M has additionally become dependent with many ADLs, whereas a few months ago he was fully able to dress, bathe, and feed himself.

Questions on Case study regarding Mr. M

The assisted living facility is concerned with his rapid decline and has decided to order testing. Objective Data 1.Temperature: 37.1degrees C 2.‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍BP 123/78 HR 93 RR 22 Pox 99% 3.Denies pain 4.Height: 69.5 inches; Weight 87 kg Laboratory Results 1.WBC: 19.2 (1,000/uL) 2.Lymphocytes 6700 (cells/uL) 3.CT Head shows no changes since previous scan 4.Urinalysis positive for moderate amount of leukocytes and cloudy5.Protein: 7.1 g/dL; AST: 32 U/L; ALT 29 U/L Critical Thinking Essay In 550-850 words, critically evaluate Mr. M.’s situation. Include the following:

1.Describe the clinical manifestations present in Mr. M. 1.Based on the information presented in the case scenario, discuss what primary and secondary medical diagnoses should be considered for Mr. M. Then, explain why these should be considered and what data is provided for support.

2.When performing your nursing assessment, discuss what abnormalities would you expect to find and why.

3.Describe the physical, psychological, and emotional effects Mr. M.’s current health status may have on him. Also, discuss the impact it can have on his family.

4.Discuss what interventions can be put into place to support Mr. M. and his family.

5.Given Mr. M.’s current condition, discuss at least four actual or potential problems he faces. Provide rationale for each.

Nursing theory structure and function – Hispanics and diabetes control

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Nursing theory structure and function – Hispanics and diabetes control

This is an essay paper on Nursing theory structure and function focusing on the Hispanics and diabetes control.

Nursing theory structure and function – Hispanics and diabetes control

Firstly, identify a problem in a specified patient population …….Hispanics and diabetes control or medication or diet compliance…… your choice

Secondly, which middle range nursing theory to apply in order to effect a positive outcome two theories (middle range) .Use Leiningers transcultural and any other

Thirdly what are the possible outcomes to measure the theory’s effectiveness. Then, how your theory choice might reduce the theory practice gap

Directions

Please progress through this assignment as follows: 1. Write a theory paper that includes the following:

  • • A title page
  • An introduction, setting up your chosen topic
  • An identification of an issue from your advanced nursing practice population
  • A decision on an appropriate middle range theory to guide related patient care • or system
  • A decision on an outcome(s) that can be used to evaluate the care’s effectiveness
  • A description or summary of implications for practice as to how your theory • choice reduces the theory practice gap
  • A clear summary of the paper •
  • A reference page includi‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍ng at least five (5) refereed journal articles
  • An appendix containing conceptual map

Lastly, briefly describe the approach you plan on taking. Include population, location, any interventions and plan for evaluation of the outcome. In addition, identify two mid-range theories you are considering for carrying out the paper.

Additionally, describe how the theory will guide the development of your project It is important to not only look at nursing mid-range theories, but look to other disciplines as well. Also, the logic model or systems theory may be used as a larger organizing framework or paradigm, but you should apply a mid-range theory or conceptual framework in this assignment that offers an explanation for the interrelation of the major concepts within the framework.

Use as part of the references the Book Philosophies and theories for advanced nursing practice (chapters plus other 4, 5 ,6 and 10 as needed) and 4 or more references Butts, J. B., & Rich, K. L. (2018).Also, philosophies and theories for advanced nursing practice. (3rd edition). Sudbury, MA: Jones ‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍& Bartlet AP

Nursing burnout syndrome capstone project implementation

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Nursing burnout syndrome capstone project implementation

This is an assignment that focuses on the nursing burnout syndrome capstone project implementation. The paper also discusses the successful aspects of the project.

The nursing burnout syndrome capstone project implementation

Nursing Burnout syndrome (part 2)
C‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍hapter 3. Implementation

A. Firstly, evaluate How you implemented your capstone project by doing the following: Describe the actual steps taken to implement your capstone project. (Starting a resilience program for nurses within the hospital)

B. Secondly, identify interprofessional relationships that promoted implementation of your capstone project. (i.e directors, administration, physicians, and also counselors) Also, discuss how the relationship identified in part B facilitated the implementation of your project. Chapter 4. Post capstone Project Consideration

C. Thirdly, discuss the most successful aspects of your capstone project. (i.e the results, the rollout plan). Additionally, explain how the successes of your project can help to inform future projects.

D. Fourthly, discuss aspects of your project that did not go well as anticipated. (i.e nurses not buying into the resilience programs initially.) So, explain how understanding of what did‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍ not go well can help to inform future projects. (understanding that stress is hard to talk about or that more information needs to be given)

E. Then, explain how your capstone project bridged the gap between evidence and current practice. (the hospital currently doesn’t have programs in place for nursing burnout syndrome.)

F. Also, discuss the organization’s plan to support the post implementation of the capstone project, including plan for short-term and long term maintenance.

G. Subsequently, discuss the resources needed for post implementation support. Chapter 5. Reflection

H. Discuss how you integrated two MSN program outcomes into your capstone project.

J. Create an abstract for your capstone project, including: Problem identification Plan for addressing the problem under investigation Implementation process

K. Lastly, when you use sources, include all in-text citations and references in APA fo‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍rmat

Hospice and Palliative Nursing Association assignment

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Hospice and Palliative Nursing Association assignment

This is a paper that is focusing on the The Hospice and Palliative Nursing Association assignment. The paper also provides additional information to use in the writing of the assignment paper. Below is the assessment description to follow:

The Hospice and Palliative Nursing Association assignment

For this assignment I need you to answer the questions to the relating topics

Chapter 27 – Assignment

The Hospice & Palliative Nursing Association is the leader in palliative care nursing in the U.S. The website is full of great information.(https://advancingexpertcare.org//)

Instructions:

Firstly, observe several of the pages in the organization’s website.
Secondly, summarize what you believe is the purpose of the organization?
Thirdly, how do they support the practice of nursing and in what areas? Support your answers with evidence from the website.
Based on your reading in the chapter answer the following question:
Firstly, what is the difference between palliative care and hospice care?
Your paper should be:
One (1) page or more.
Use factual information from the textbook and/or appropriate articles and websites.
Cite your sources – type references according to the APA Style Guide.

Chapter 20 – Assignment

Ms. B was told that she had a brain aneurysm.  She made an advance statement of wishes saying that she did not want surgery if the aneurysm burst.  However, shortly after she made this statement of wishes, the aneurysm burst and a team of surgeons took her to surgery believing that if not treated with surgery she would surely die.  The hospital (Hospital #1) backed the decision of the surgeons thinking if there was no intervention the hospital would be liable for her death. This all happened as the family were alerted to the emergency and also were making travel arrangements as they were all from out-of-town.

Unfortunately, the outcome of the surgery was that she became ventilator-dependent paralyzed from the neck down and needing 24-hour care.  Once the family was in the hospital, they held a family conference agreeing that Ms. B would not want to continue on in this state, and they petitioned the hospital to remove her from the ventilator. The hospital refused still believing the potential for legal ramifications.  The family was distraught; but eventually, with the guidance of a lawyer they retained, they were able to have her transferred to another facility (Hospital #2) that was willing to take her off the ventilator knowing that the chances of her making it were slim.  The felt that they were honoring her wishes along with her families’ wishes.

Roles and responsibilities of nurses in Australia

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Roles and responsibilities of nurses in Australia

This is a paper that requires the student to examines roles and responsibilities of nurses in Australia. The paper also provides additional information to use in the writing of the assignment paper. Below is the assessment description to follow:

Examines roles and responsibilities of nurses in Australia

Assignment 1 – Written Assignment

HSNS376/576 Assignment 1

This assessment relates to: Learning Outcomes 1-5
Assessment 1: Safeguarding patient care

This assignment examines roles, and also responsibilities nurses have about making decisions about practice aiming to keep patients safe in Australian healthcare.  As a core skill for a nurses reflection is a conscious effort to think systematically about an activity or incident that allows us to consider what was positive or challenging and if appropriate plan how it might be enhanced, improved or done differently in the future.

Case study

In 2001, 18-month-old Josie King died of dehydration and a wrongly administered narcotic while an inpatient at Johns Hopkins Hospital.  Her mother, Sorrel King, tells the story of how this happened and explains her role as a consumer (parent) in improving patient safety.

*Please note Josie’s story is a confronting and also avoidable tragic incident that occurred in a hospital. Please be aware that it may cause you distress and seek support if you need it. You can discuss with the unit coordinator, or contact UNE Student Support.

The Josie King Story

In preparation for the assessment task
View – the video of Josie’s story
Additionally, review – the associated relevant documents below

i.  Firstly, review the NMBA Registered Nurse Standards of Practice https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards/registered-nurse-standards-for-practice.aspx

ii.   Secondly, Australian Commission Safety and Quality in Health Care National Safety and Quality Health Service (NSQHS) Standards: Partnering with consumer standard and follow to the link Partnering with patients in their own care.

iii. Thirdly, Code of conduct; Code of conduct for nurses

iv. Fourthly, Code of Ethics;  Code of ethics for nurses from 1 March 2018, the International Council of Nurses Code of ethics is in effect for all nurses in Australia

 

Doctoral Study Problem Statement creation as an independent scholar

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Doctoral Study Problem Statement creation as an independent scholar

This is an assignment that discusses the Doctoral Study Problem Statement creation as an independent scholar. Applying Business Strategy to Your Doctoral Study

Doctoral Study Problem Statement creation as an independent scholar

Applying Business Strategy to Your Doctoral Study.  The process of creating a Doctoral Study Problem Statement enables you, as an independent scholar, to develop a concise but comprehensive understanding of the business challenge being examined. In addition, by sharing your experience with colleagues, you can gain further insight into the process of becoming a successful doctoral independent scholar and strategic planner.

For this Discussion, you will apply the tools and information from this course to support the development of your Doctoral Study Problem Statement. To prepare for this Discussion, consider the research you have already done for your Doctoral Study Problem Statement, which you submitted for this week’s Assignment, and think about how your perspective as an independent scholar has evolved during this course.

By Day 5 Post an application of strategic planning concepts to professional and academic contexts. Your application should include answers to the following:

What concepts did you find that changed the way you developed your Hook statement?

What connections did you discover that helped to ground your Anchor statement?

How did your General Business Problem incorporate any key learning outcomes for the course?

How will this course content help you refine your Specific Business Problem?

Be sure to support your work with a minimum of two specific citations. From this week’s Learning Resources and at least one additional scholarly source. By Day 7 Respond to at least two of your colleagues’ postings in one or more of the following ways:

Finally, Compare your initial posting with that of your colleague, including insights on integrating strategic planning concepts.

Lastly, Provide a suggestion for an additional tool or concept discussed in this course to better support your colleague’s posting, including a rationale for your suggestion.

Genitalia and Rectum diagnosis assessment on episodic case study

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Genitalia and Rectum diagnosis assessment on episodic case study

This is an assignment that focuses on the Genitalia and rectum diagnosis assessment based on the episodic case study.

The Genitalia and Rectum diagnosis assessment on episodic case study

Firstly, review th‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍e Episodic note case study your instructor provides you for this week’s Assignment. Please see the attached section of the classroom for your Episodic note case study. • Based on the Episodic note case study: Review this week’s Learning Resources, and consider the insights they provide about the case study. Refer to Chapter 3 of the Sullivan resource to guide you as you complete your Lab Assignment.

Secondly, search the school library or the Internet for evidence-based resources to support your answers to the questions provided. Consider what history would be necessary to collect from the patient in the case study.

Thirdly, consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?

Identify at least five possible conditions that you may consider in a differential diagnosis for the patient.

The Lab Assignment post 3 pages Using evidence-based resources from your search, answer the following questions and support your answers using current evidence from the literature.

• Analyze the subjective portion of the note. List additional information that you are to include in the documentation.

• Analyze the objective portion of the note. List additional information that should be included in the documentation.• Is the assessment supported by the subjective and objective information? Why or why not?

• Would diagnostics be appropriate for this case. Also, how would the results be used to make a diagnosis?

• Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that you may consider as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-‌‌‍‌‌‍‍‍‌‍‍‌‍‍‍‌‌‌‍based literature.

• Use 4 to 5 references less than 10 years old