Prescribed Drugs with Complimentary Alternative Medicine (CAMs)

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Case Study:

Prescribed Drugs with Complimentary Alternative Medicine (CAMs)
Mr. X, a 42-year-old male presents to your primary care practice today complaining of low back
pain.
History – Mr. X states that he has had chronic low back pain since he had a skiing accident about
10 years ago. Three days ago, he felt a pulling sensation in his lower back after moving some
boxes. The pain intensity increased over the subsequent 24 hours and is now steady, aching in
nature, at 3-4 out of 10. Mr. X also has Type2 diabetes, which is well controlled on metformin
with a HGA1c of 5.6. He has a history of DVT 4 months ago for which he takes Coumadin, INR is
WNL. He is followed by a specialist for this problem. He recently started taking two OTC
products; kava kava for what he describes as “anxiety” and Coenzyme Q10 on the advice of a

friend.
Social – Mr. X is a smoker, 1 pack per week for 15 years. No alcohol or drug use. He is employed
as an accountant and has medical insurance. He is divorced.
PE/ROS – Complains of low back stiffness and pain on movement with occasional spasms
related to moving in certain directions. You note he has mild difficulty getting onto the exam table
but gait is normal. He denies weakness/numbness/tingling of legs, no radiation, no change in
bowel or bladder habits. BMI 27. All range of motion of the back is decreased by 25%. Straight
leg lift is negative bilaterally, DTR intact. All other systems WNL.
Medications:
Metformin 1000mg ER one tab daily – Type II Diabetes controlled
Coumadin 5 mg. daily – Hx of DVT – Controlled
Kava Kava 50 mg. tid – Self-medication for anxiety
CoQ10 – 200 mg. daily. – Self-medication for unknown reason
Assignment Directions:
1. Provide a diagnosis for the patient and your rationale for the diagnosis ( The diagnosis I think
is Acute LUMBAR STAIN)
2. Provide a treatment plan specifically for this patient, pharmacologic and non-pharmacologic.
3. Comment on the use of OTC products in relation to Mr. X’s current chronic and acute disease
diagnoses and medications. Include drug-drug interactions and side effect profiles.
4. Provide an education plan for Mr. X
5. Present this Assignment as a PowerPoint presentation with between 12 and 16 slides (not
including opening slide and resource slide).

6. You will use the Narrative notes section of the presentation to include the majority of your
evidentiary support of your treatment choices and education of family complete with in-text
citations using APA formatting,
RUBRIC
A correct diagnosis is provided with appropriate rationale.
An appropriate treatment plan for the case study patient is provided with rationale for treatment
choices.
A thorough education plan is provided which also include aspects of therapeutic communication.
A thorough discussion of the kinetics and dynamics of OTC products is provided and a rationale
for including or excluding them from the treatment plan is provided.
Supports opinions and ideas with relevant and credible sources of information.
All sources must be peer-reviewed, and not older than five years.

The Role of the Nurse Informaticist in Systems Development and Implementation

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Assume you are a nurse manager on a unit where a new nursing documentation system is to be
implemented. You want to ensure that the system will be usable and acceptable for the nurses
impacted. You realize a nurse leader must be on the implementation team.

Review the steps of the Systems Development Life Cycle (SDLC) and reflect on the scenario
presented.
Consider the benefits and challenges associated with involving a nurse leader on an
implementation team for health information technology.
The Assignment: (2-3 pages)
In preparation of filling this role, develop a 2- to 3-page role description for a graduate-level nurse
to guide his/her participation on the implementation team. The role description should be based
on the SDLC stages and tasks and should clearly define how this individual will participate in and
impact each of the following steps:
Planning and requirements definition
Analysis
Design of the new system
Implementation
Post-implementation support
APA Citation

An Analysis on the Concept of End of Life Decisions and Care

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This is a research paper you will be writing on the concept of end of life decisions and care in the State of California. This research paper MUST be a minimum of 8 pages – not counting cover, references, and exhibits page.

——————Begin Writing Prompt————

End- of -life issues are one of the top ethical and legal issues that health professionals will face in the 21st century.

Write a research paper that will analyze the concept of end-of- life decisions and care. Your research paper needs to include the following: 1. Introduction on the current state of end of life decisions and care in California and how this will be the top ethical and legal issues that health professionals will face in the 21st century. Provide examples of current case studies.

2. Discuss laws in the State of California regarding end -of -life decisions and care. Describe the current laws in detail.

3. Discuss “consent” in end-of-life decisions and care. Provide examples for illustration purposes.

4. Discuss whether healthcare ethics or institutional review boards participate in end-of –life decision and care issues. Discuss examples. 5. Discuss the role of government including HIPAA in end-of- life decisions and care.

Discuss what is HIPAA and how it relates to end of life decisions and care.

Provide examples.

—————-End Writing Prompt—————

Additional Important Instructions:

-Your answers/responses must be based on the reading materials listed in the attached filed, titled, “reading materials.”

-You must use a minimum of 10 sources, at least 8 of the 10 minimum sources must come from the list of “reading materials” attached to this order.

-Your answer to this writing prompt MUST be based on the readings from the attached, “reading materials.”

-You are welcome to use your own sources, but at least 8 of your sources must be from the list, titled, “reading materials.”

-Additionally, you must use at least three peer reviewed journal articles in your paper.

-Make sure you are answering ALL parts of the question prompts.

-To make sure you are covering all the required materials, please use sub-headings in your paper. This will also help your paper “flow” better.

-Make sure you are citing your references appropriately, per APA guidelines, both in-text and on the reference page.

-You must use at least 3 exhibits in your paper

– this could be a chart or graph, or whatever you think would help the paper.

You must refer to these three exhibits in your paper and make sure these “exhibits” are displayed in your “exhibits” page (at the end of your paper, after the references page).

Writing expectations include competency in the following:

-Sentence Structure

-Verb Tense and Agreement

-Pronoun Use

-Possessive Use

-Punctuation

-Spelling

-Focus and Organization

-Thesis Statement & Conclusion

-Please do not forget to use sub-headings to make sure you are covering everything that is required!

Please be very, very detailed in your responses to make sure you cover each topic extensively!

Provide examples for each required topics/discussions.

-Please do not forget to use at least 3 exhibits in your paper to help you make your case/point.

“Exhibits/Artifacts” should be in the “exhibits page” and not part of the minimum 8 pages of text.

Although, you should refer to it in your paper.

-Must be double-spaced with 1-inch margins and typed in 12-point Times New Roman.

-Your Essay should have a Cover Page, References page, and Exhibits Page.

-Essays should be proofread for spelling and grammar mistakes.

-Essays should be in APA style.

-You must cite all texts used, including page numbers to avoid plagiarism.

-Your essay must have a thesis statement and conclusion that are both supported by research and analysis.

IOM and Future of Nursing Report and Nursing Profession

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The Future of Nursing: Leading Change, Advancing Health

Review the IOM report, “The Future of Nursing: Leading Change, Advancing Health,” and
explore the “Campaign for Action: State Action Coalition” website. In an essay, discuss the
influence the IOM report and state-based action coalitions have had on nursing practice, nursing
education, and nursing workforce development, and how they continue to advance the goals for
the nursing profession.

Include the following:

Describe the work of the Robert Wood Foundation Committee Initiative that led to the IOM
report, “Future of Nursing: Leading Change, Advancing Health.”
Outline the four “Key Messages” that structure the IOM Report recommendations. Explain how
these have transformed or influenced nursing practice, nursing education and training, nursing
leadership, and nursing workforce development. Provide examples.
Discuss the role of state-based action coalitions. Explain how these coalitions help advance the
goals specified in the IOM report, “Future of Nursing: Leading Change, Advancing Health.”
Research the initiatives on which your state’s action coalition is working. Summarize two
initiatives spearheaded by your state’s action coalition. Discuss the ways these initiatives
advance the nursing profession.
Describe barriers to advancement that currently exist in your state and explain how nursing
advocates in your state overcome these barriers.
You are required to cite to a minimum of four sources to complete this assignment. Sources must
be published within the last 5 years and appropriate for the assignment criteria and relevant to
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.

Experimental and Nonexperimental Research Design

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Provide examples of experimental and nonexperimental research design.

Contrast the levels of control applied to each

Sampling Theory

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Describe sampling theory and provide examples to illustrate your definition.

Discuss generalizability as it applies to nursing research.

Administrative Collaborative Health Project: Population-based Care on a Hospital COVID Unit

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Instructions:

Develop and implement an administrative collaborative health project that will contribute to the student’s ability to achieve the course objectives and outcomes and benefit the organization. The student will assess the need for the project, develop and implement the project. The project will be presented to the targeted audience or recipients of the project.

Title and description of my project: Administrative Collaborative Health Project: Population-based care in the hospital on a COVID Unit – Population-based care enables Collaborative Care Teams to focus on patients who aren’t improving or responding well to their treatments….testing, bedding, utilization, treatment, disparities, studies, nursing retention, assignments.

Please see attachment(Discussion board attachment) and information for guidance of content and organizing paper.

The criteria for the written portion of this assignment is as follows:

1. Introduction and description of the project Issue or need for the project

2. Describe the collaborative component of the project

3. Target audience for the project

4. Objectives for the project

5. Development and implementation strategies

6. Materials used in project activity

7. Evaluation methods and outcomes of project

Evidenced Based Practice Change – Nursing

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Process improvement in nursing practice- evidenced based practice
Include the body of the paper with the following titled sections:
Abstract
Title (introduction)
Background
Methods
Literature Review
Discussion
Proposed Change
Proposed methods to measure outcomes

Conclusion
Describe the problem, including purpose and goal of the EBP review (EBP proposal paper part
1). Start with a global description of the importance of nursing and narrow your topic to the
organizational level.
Explain the Background of your problem, definition of the variables. Include any pertinent
background and history pertaining to your problem or topic of interest and what has led you to
believe this problem is of great significance to the nursing profession. The aim of this section is
to help the reader understand the concepts and definitions of your topic of study.
Identify your source and method for searching the evidence.
Find the highest level of evidence first and then proceed methodically through the hierarchy of
evidence to answer the focused question. Refer to the levels of evidence and explain on this
section how do you searched and classify the evidence.
Why are you trusting the results?
Include a review of the literature on your proposed change, practice guidelines or other synthesis
reports. Your paper should serve as a synthesis of what is currently known about your change,
and what is being investigated. Do not simply summarize each of your sources; rather, integrate
the information presented, and come up with your own interpretation of the data (you may use
tables in this section to summarize the evidence).
Discuss, appraise and synthesize evidence. Critical review of all evidence that you will use to
support your improvement efforts. Once the evidence is gathered, you must critically appraise
each study to ensure its credibility and clinical significance. An easy method for conducting critical appraisal is to answer these three key questions:
What were the results of the study? (In other words, what is the evidence?)
How valid are the results? (Can they be trusted?)
Will the results be helpful in caring for other patients? (Are they transferable?)
Include suggestions for improvement/change (Aim) to whatever it is you are researching. For
example, If you are proposing policy changes to current urinalysis protocols, how will this policy
impact the organization and stakeholders? Patient and/or population expected to benefit directly
from improved flow or process. Risk of participation is same as receiving usual care. If risk or
burden is higher than with usual care, consider research & IRB
State what EBP model will you use to plan for your project. What plans do you have to measure
key indicators, what about tools use to measure the outcomes, what is the validity or reliability if
any. Measures may include knowledge, attitude, behavior/practices, and outcomes
What about the sample? You may propose small but large enough samples to observe changes.
What is the feasible for data collection, minimal time needed, resources, costs.
How will you conduct the data analysis?
Who will be involve in the Organization?
Write the conclusion of your paper, summarizing the main points and explaining its main
purpose. Restate the topic, purpose, main points and the significant of your findings. End this
section with the implications for practice make emphasis on the future of your topic.

Adaptive Reuse

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M3 Practitioner Application-Adaptive Reuse
Your M3 Practitioner Application will require devoted inquiry, assimilation, reflection, and
refinement in order to achieve the highest possible score. Specifically, you are to take the
scenario listed below, address it in full, and submit your work in accordance with the instructions
contained herein. Importantly, this is an independent assignment to be completed by you and
you alone.

Your M3 reading assignments include an article on adaptive reuse (see “Adaptive Reuse in the
Healthcare Industry: Repurposing Abandoned Buildings to Serve Medical Missions”), a practice
which has vast implications for healthcare strategy. It also represents a very good opportunity for
you to leave your “desks” and get out into the field to explore possibilities. Here’s the scenario:
A dentist desires to establish a clinic in or around your given marketplace and he has reached
out to you for assistance. He will serve as the sole dentist within the given clinic and he will offer
the customary array of services available at most any general dentistry practice. The dentist
desires operational efficiency and also takes opportunities where possible to make
environmentally responsible decisions. Having learned of adaptive reuse, he enlists you to
search the local marketplace seeking abandoned and available commercial buildings which
might be able to be converted into a dental practice through adaptive reuse. Your mission is to
identify three potential adaptive reuse candidates in your area, identifying their physical address,
describing them in detail, and ranking their potential to be converted successfully. The
candidates must be actual commercial properties which currently are for sale, so best to consult
commercial real estate websites and conduct good old-fashioned, boots-on-the-ground
investigations to identify prospects. Feel free to supply links in your text to real estate listings, if
available, or other resources to identify your selected candidates. If no such properties exist in
the immediate market, expand its boundaries until you find accommodations meeting desired
specifications.
Note that in the real world, a project such as this would represent quite the undertaking, requiring
possession of an extensive array of information (e.g., spatial needs, financial resources
available, location preferences, etc.). Such rich detail (and the time needed to make use of it)

isn’t available due to obvious course parameters, but you certainly have sufficient time to perform
a cursory examination within your local marketplace for purposes of identifying a few potential
candidates. That’s exactly what you must do, and through this, you’ll have a better understanding
of adaptive reuse.
The Submission Requirement
Attachments of any kind are prohibited and will carry no points value. Your submission must be
supported by 4 (minimum) to 10 (maximum) references, with at least 3 being from scholarly
academic journals. References may be prepared using the style guide of your choice (APA,); just
be sure to consistently use the selected style.
In presenting your work, identify the title, your name and student ID number, and submission
date at the top of your submission and supply the following sections, exactly as they appear
below, placing each heading in bold text:
• Introduction
• Adaptive Reuse Candidates
o Candidate 1
o Candidate 2
o Candidate 3
• Conclusions (one paragraph; summarize your candidate rankings here)
• References

Side effects of mood stabilising drugs

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Side effects of mood stabilising drugs

Patients may not tolerate the side effects of mood stabilising drugs, as they can lead to
numerous life impacting alterations. Acute behavioural disturbances can stem from such
episodes of sudden withdrawal of a drug that is known to cause effects if stopped too suddenly.
Provide an in-depth discussion on a common medication for bi-polar and/or schizophrenia that if
a patient stopped too suddenly can lead to worsening of symptoms.
https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0208391