Nursing

Assignment: Synthesizing Research Discussion
Assignment: Synthesizing Research Discussion
Assignment: Synthesizing Research Discussion
Week 6 discussion On the discussion board, using a minimum of two articles that are supporting your PICOT question, submit one paragraph synthesizing the research into clear, concise statements without separately reviewing each of the studies in the paragraph—but by paraphrasing and synthesizing the work that was done. As you work on your capstone project proposal, you will want to share your progress with your peers and instructor and seek or provide guidance or share insights. By due date assigned , go to the Discussion Area and post responses to the discussion question. All responses should be posted to the appropriate topic in this Discussion Area. It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources. Include the South University online library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources. Supporting one—Challenging one. By the end of the week, comment on the responses of at least two other students by supporting a minimum of one post and challenging a minimum of one post. You will want to focus on their point of view, asking pertinent questions, adding to the responses by including information from other sources, and respectfully challenging a point of view, supported by references to other sources. Be objective, clear, and concise. Always use constructive language. All comments should be posted to the appropriate topic in this Discussion Area. Please only start a new thread with your original post. Hit reply to respond to a peer. is the preferred technique of quantitative research synthesis in many fields, such as . This technique can sometimes accurately estimate an overall effect, but it may suffer from limitations when there is variation in the included studies with regard to study design, the type of evidence, or other key characteristics. Methods of qualitative research synthesis include and . Narrative synthesis allows researchers to address a wide range of questions in their review, while meta-ethnography aims to preserve the cultural context in which the original findings of the included studies were generated. The narrative synthesis approach has attracted criticism because of its potential for bias, with critics highlighting the subjective nature of the use of the method to draw conclusions. There is also evidence that reviews using the narrative synthesis approach often suffer from a lack of transparency

Discussion: Assignment EBP Board
Discussion: Assignment EBP Board
Discussion: Assignment EBP Board
Week 9 discussion Post your Presentation of your EBP on Discussion Board for feedback before final submission in Week 10. Provide Feedback to 2 Peers– As you work on your capstone project proposal, you will want to share your progress with your peers and instructor and seek or provide guidance or share insights. By due date assigned , go to the Discussion Area and post responses to the discussion question. All responses should be posted to the appropriate topic in this Discussion Area. It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources. Include the South University online library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources. Supporting one—Challenging one. By the end of the week , comment on the responses of at least two other students by supporting a minimum of one post and challenging a minimum of one post. You will want to focus on their point of view, asking pertinent questions, adding to the responses by including information from other sources, and respectfully challenging a point of view, supported by references to other sources. Be objective, clear, and concise. Always use constructive language. All comments should be posted to the appropriate topic in this Discussion Area. Please only start a new thread with your original post. Hit reply to respond to a peer.Definition: Evidence based practice (EBP) is the conscientious use of current bestevidence in making decisions about patient care (Sackett, Straus, Richardson, Rosenberg, & Haynes, 2000). … A systematic search for and critical appraisal of the most relevant evidence to answer a burning clinical question.

Assignment 2: Assessing the Genitalia and Rectum
Assignment 2: Assessing the Genitalia and Rectum
Patients are frequently uncomfortable discussing with health care professional’s issues that involve the genitalia and rectum; however, gathering an adequate history and properly conducting a physical exam are vital. Examining case studies of genital and rectal abnormalities can help prepare advanced practice nurses to accurately assess patients with problems in these areas.
In this assignment, you will consider case studies that describe abnormal findings in patients seen in a clinical setting.
In this assignment, you will analyze a SOAP note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions.
GENITALIA ASSESSMENT
Subjective:
CC: “I have bumps on my bottom that I want to have checked out.”
HPI: AB, a 21-year-old WF college student reports to your clinic with external bumps on her genital area. She states the bumps are painless and feel rough. She states she is sexually active and has had more than one partner over the past year. Her initial sexual contact occurred at age 18. She reports no abnormal vaginal discharge. She is unsure how long the bumps have been there but noticed them about a week ago. Her last Pap smear exam was 3 years ago, and no dysplasia was found; the exam results were normal. She reports one sexually transmitted infection (chlamydia) about 2 years ago. She completed the treatment for chlamydia as prescribed.
PMH: Asthma
Medications: Symbicort 160/4.5mcg
Allergies: NKDA
FH: No hx of breast or cervical cancer, Father hx HTN, Mother hx HTN, GERD
Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)
Objective:
VS: Temp 98.6; BP 120/86; RR 16; P 92; HT 5’10”; WT 169lbs
Heart: RRR, no murmurs
Lungs: CTA, chest wall symmetrical
Genital: Normal female hair pattern distribution; no masses or swelling. Urethral meatus intact without erythema or discharge. Perineum intact with a healed episiotomy scar present. Vaginal mucosa pink and moist with rugae present, pos for firm, round, small, painless ulcer noted on external labia
Abd: soft, normoactive bowel sounds, neg rebound, neg murphy’s, neg McBurney
Diagnostics: HSV specimen obtained
Assessment:
Chancre
PLAN: This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.
To prepare:
With regard to the SOAP note case study provided:
Review this week’s Learning Resources, and consider the insights they provide about the case study.
Consider what history would be necessary to collect from the patient in the case study.
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 may be considered in a differential diagnosis for the patient.
To complete:
Refer to Chapter 5 of the Sullivan text. Analyze the SOAP note case study. Using evidence based resources, 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 should be included 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 and 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 may be considered as a differential diagnosis for this patient. Explain your reasoning using at least 3 different references from current evidence based literature.
1024 × 768

Discussion: Topic of Depression
Discussion: Topic of Depression
Discussion: Topic of Depression
Week 1 discussion To complete this week, after reading chapter one in Melnyk and reviewing the lectures you need to consider the topic of interest to you. List a ONE to two-word topic that you want to explore further and why you are interested in this topic. This topic encompasses the question that you have been generating throughout your program. As an example I may choose the topic of depression, as I am interested in all of the depression I am seeing in the primary care office. Next week I will explore the background of this topic and this will lead to my PICOT question. As you work on your capstone project proposal, you will want to share your progress with your peers and instructor and seek or provide guidance or share insights. By the due date assigned, go to the Discussion Area and post responses to the discussion question. All responses should be posted to the appropriate topic in this Discussion Area. It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources. Include the South University online library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources. Supporting one—Challenging one. By the end of the week, comment on the responses of at least two other students by supporting a minimum of one post and challenging a minimum of one post. You will want to focus on their point of view, asking pertinent questions, adding to the responses by including information from other sources, and respectfully challenging a point of view, supported by references to other sources. Be objective, clear, and concise. Always use constructive language. All comments should be posted to the appropriate topic in this Discussion Area. Please only start a new thread with your original post. Hit reply to respond to a peer. Week 2 discussion Post your background question and your strategy for getting a comprehensive understanding of the clinical issue. As you work on your capstone project proposal, you will want to share your progress with your peers and instructor and seek or provide guidance or share insights. By the due date assigned, go to the Discussion Area and post responses to the discussion question. All responses should be posted to the appropriate topic in this Discussion Area. It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources.
Discussion: Topic of Depression
Include the South University online library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources. Supporting one—Challenging one. By the end of the week comment on the responses of at least two other students by supporting a minimum of one post and challenging a minimum of one post. You will want to focus on their point of view, asking pertinent questions, adding to the responses by including information from other sources, and respectfully challenging a point of view, supported by references to other sources. Be objective, clear, and concise. Always use constructive language. All comments should be posted to the appropriate topic in this Discussion Area. Please only start a new thread with your original post. Hit reply to respond to a peer. Week 3 discussion State your PICOT question. Indicate in parentheses after each segment, what part of PICOT the preceding words represent. For example: In patients recently discharged from the hospital following care for heart failure (P), do hand-off calls by the nurse to the primary care provider using the SBAR format (situation, background, assessment, recommendation) (I) compared to no calls (C) decrease readmission rates (O) over a one year period (T). Provide feedback to your classmates that focuses on: The use of correct PICOT format for the question to guide the literature search. Does the question reflect a clinical issue and one appropriate for an evidence-based practice project? Provide feedback to your classmates that focuses on: The use of correct PICOT format for the question to guide the literature search. Does the question reflect a clinical issue and one appropriate for an evidence-based practice project? Support a minimum of one and challenge a minimum of one. As you work on your capstone project proposal, you will want to share your progress with your peers and instructor and seek or provide guidance or share insights. By the due date assigned, go to the Discussion Area and post responses to the discussion question. All responses should be posted to the appropriate topic in this Discussion Area. It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources. Include the South University online library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources. Supporting one—Challenging one. By the due date assigned comment on the responses of at least two other students by supporting a minimum of one post and challenging a minimum of one post. You will want to focus on their point of view, asking pertinent questions, adding to the responses by including information from other sources, and respectfully challenging a point of view, supported by references to other sources. Be objective, clear, and concise. Always use constructive language. All comments should be posted to the appropriate topic in this Discussion Area. Please only start a new thread with your original post. Hit reply to respond to a peer. Week 4 discussion Using the following table—search the 5 databases based on your PICOT Question—under findings note the number of relevant articles found—under features discuss what you liked about that database. ON the discussion board summarize your search—attach your chart for those that would like to see your search. Exploring the Literature Picot Question: Research Tool Search Tips Search Terms & Limits Findings Features CINAHL CINAHL is an SSU subscription-only resource that offers full text access to;336 scholarly journals and indexes over 3,000 journals from the fields of nursing and allied health.
Discussion: Topic of Depression
Look at the Major Subject Heading in the Full Record Use the Limits Feature: Example: Publication Type=Systematic Review Try the CINAHL Heading search: Keyword search: Limits: CINAHL Heading search: Limits: PubMed PubMed is a free health science citation & abstracts index from the National Center for Biotechnology Information at the U.S. National Library of Medicine. Look at MeSH Terms in Full Record Use the Limits Feature: Examples: Article Type=Meta-Analysis; Age=All Adult Look for the open access Free articles! Keyword search: Limits: MESH search: Limits: Cochrane Library Cochrane Library provides access to the Cochrane Library of Systematic Reviews.Full text of reviews are subscription only.Index/summaries are a public resource. Use the Simple Search and the Advance Search Features Allows you to search with MeSH Terms Check out the New Reviews Browse reviews by topic Keyword search: Limits: MESH search: Limits: National Guidelines Clearinghouse The National Guideline Clearinghouse™ (NGC) is a public resource for evidence- based clinical practice guidelines. Detailed search provides limits and advance search features Browse by Disease/Condition or Treatment/Intervention Add guidelines to “My Collection” and select Compare Guidelines to view side-by-side comparisons of principle data Keyword search: Also browse by: TRIP Database TRIP is a clinical search engine to locate publicly available clinical evidence. Limit to: Systematic Reviews Guidelines-US Keyword search: Limits: Other Databases: As you work on your capstone project proposal, you will want to share your progress with your peers and instructor and seek or provide guidance or share insights. By the due date assigned, go to the Discussion Area and post responses to the discussion question.
Discussion: Topic of Depression
All responses should be posted to the appropriate topic in this Discussion Area. It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources. Include the South University online library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources. Supporting one—Challenging one. By the end of the week, comment on the responses of at least two other students by supporting a minimum of one post and challenging a minimum of one post. You will want to focus on their point of view, asking pertinent questions, adding to the responses by including information from other sources, and respectfully challenging a point of view, supported by references to other sources. Be objective, clear, and concise. Always use constructive language. All comments should be posted to the appropriate topic in this Discussion Area. Please only start a new thread with your original post. Hit reply to respond to a peer. Week 5 discussion We will be reviewing a “keeper study” this week—evaluate an article by working through the following 7 question Again, keeper studies can be identified using handy Rapid Critical Appraisal checklists consisting of a set of simple but important questions. Below are sample questions developed for use with quantitative studies that are applicable to most appraisal situations (it’s important to note that qualitative evidence, if it’s relevant to the clinical question, should not be dismissed): Why was the study done? Make sure the study is directly relevant to the clinical question. What is the sample size? Size can and should vary according to the nature of the study. Since determining a valid minimum sample size in a single study can be difficult, taking into account multiple studies is beneficial. The answer to this question alone should not remove a study from the appraisal process. Are instruments of the variables in the study clearly defined and reliable? Make sure the variables were consistently applied throughout the study and that they measured what the researchers said they were going to measure. How was the data analyzed? Make sure that any statistics are relevant to the clinical question. Were there any unusual events during the study? If the sample size changed, for example, determine whether that has ramifications if you wish to replicate the study. How do the results fit in with previous research in this area? Make sure the study builds on other studies of a similar nature. What are the implications of the research for clinical practice?
Discussion: Topic of Depression
Ask whether the study addresses a relevant and important clinical issue. As you work on your capstone project proposal, you will want to share your progress with your peers and instructor and seek or provide guidance or share insights. By the due date assigned, go to the Discussion Area and post responses to the discussion question. All responses should be posted to the appropriate topic in this Discussion Area. It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources. Include the South University online library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources. Supporting one—Challenging one. By the end of the week, comment on the responses of at least two other students by supporting a minimum of one post and challenging a minimum of one post. You will want to focus on their point of view, asking pertinent questions, adding to the responses by including information from other sources, and respectfully challenging a point of view, supported by references to other sources. Be objective, clear, and concise. Always use constructive language. All comments should be posted to the appropriate topic in this Discussion Area. Please only start a new thread with your original post. Hit reply to respond to a peer. Week 6 discussion On the discussion board, using a minimum of two articles that are supporting your PICOT question, submit one paragraph synthesizing the research into clear, concise statements without separately reviewing each of the studies in the paragraph—but by paraphrasing and synthesizing the work that was done. As you work on your capstone project proposal, you will want to share your progress with your peers and instructor and seek or provide guidance or share insights. By due date assigned , go to the Discussion Area and post responses to the discussion question. All responses should be posted to the appropriate topic in this Discussion Area.
Discussion: Topic of Depression
It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources. Include the South University online library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources. Supporting one—Challenging one. By the end of the week, comment on the responses of at least two other students by supporting a minimum of one post and challenging a minimum of one post. You will want to focus on their point of view, asking pertinent questions, adding to the responses by including information from other sources, and respectfully challenging a point of view, supported by references to other sources. Be objective, clear, and concise. Always use constructive language. All comments should be posted to the appropriate topic in this Discussion Area. Please only start a new thread with your original post. Hit reply to respond to a peer. Week 7 discussion This week you will be creating an Implementation Plan that will be attached to your final EBP. For the discussion board this week—outline your implementation steps 1-2-3. As you work on your capstone project proposal, you will want to share your progress with your peers and instructor and seek or provide guidance or share insights. By the due date assigned, go to the Discussion Area and post responses to the discussion question. All responses should be posted to the appropriate topic in this Discussion Area. It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources. Include the South University online library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources. Supporting one—Challenging one. By the end of the week , comment on the responses of at least two other students by supporting a minimum of one post and challenging a minimum of one post. You will want to focus on their point of view, asking pertinent questions, adding to the responses by including information from other sources, and respectfully challenging a point of view, supported by references to other sources.
Discussion: Topic of Depression
Be objective, clear, and concise. Always use constructive language. All comments should be posted to the appropriate topic in this Discussion Area. Please only start a new thread with your original post. Hit reply to respond to a peer. Week 8 discussion This week you will be working on an evaluation plan that will be attached to your EBP in Week 9. Submit your Evaluation Plan to the DB –listed as 1-2-3… As you work on your capstone project proposal, you will want to share your progress with your peers and instructor and seek or provide guidance or share insights. By due date assigned, go to the Discussion Area and post responses to the discussion question. All responses should be posted to the appropriate topic in this Discussion Area. It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources. Include the South University online library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources. Supporting one—Challenging one. By the end of the week , comment on the responses of at least two other students by supporting a minimum of one post and challenging a minimum of one post. You will want to focus on their point of view, asking pertinent questions, adding to the responses by including information from other sources, and respectfully challenging a point of view, supported by references to other sources. Be objective, clear, and concise. Always use constructive language. All comments should be posted to the appropriate topic in this Discussion Area. Please only start a new thread with your original post. Hit reply to respond to a peer. Week 9 discussion Post your Presentation of your EBP on Discussion Board for feedback before final submission in Week 10. Provide Feedback to 2 Peers– As you work on your capstone project proposal, you will want to share your progress with your peers and instructor and seek or provide guidance or share insights. By due date assigned , go to the Discussion Area and post responses to the discussion question. All responses should be posted to the appropriate topic in this Discussion Area. It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources. Include the South University online library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources. Supporting one—Challenging one. By the end of the week , comment on the responses of at least two other students by supporting a minimum of one post and challenging a minimum of one post. You will want to focus on their point of view, asking pertinent questions, adding to the responses by including information from other sources, and respectfully challenging a point of view, supported by references to other sources.
Discussion: Topic of Depression
Be objective, clear, and concise. Always use constructive language. All comments should be posted to the appropriate topic in this Discussion Area. Please only start a new thread with your original post. Hit reply to respond to a peer. Week 10 discussion Post Final EBP presentation to DB. As you work on your capstone project proposal, you will want to share your progress with your peers and instructor and seek or provide guidance or share insights. By the due date assigned, go to the Discussion Area and post responses to the discussion question. All responses should be posted to the appropriate topic in this Discussion Area. It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources. Include the South University online library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources. Supporting one—Challenging one. By the end of the week, comment on the responses of at least two other students by supporting a minimum of one post and challenging a minimum of one post. You will want to focus on their point of view, asking pertinent questions, adding to the responses by including information from other sources, and respectfully challenging a point of view, supported by references to other sources. Be objective, clear, and concise. Always use constructive language. All comments should be posted to the appropriate topic in this Discussion Area. Please only start a new thread with your original post. Hit reply to respond to a peer.

Discussion: Epidemiologic Principles
Discussion: Epidemiologic Principles
Discussion: Epidemiologic Principles
Epidemiologic Principles Worksheet Guidelines and Grading Rubric Purpose The purpose of this assignment is to help you to begin to understand and apply the important counts, ratios, and statistics presented in healthcare and epidemiological research. Remember to use the list of formulas presented prior to the problems and to carefully consider the purpose of each calculation and how it is interpreted. Also, do not forget the importance of the proper denominator such as per 100, per 1,000, per 10,000 etc. Course Outcomes This assignment provides documentation of students’ ability to meet the following course outcomes: (CO #1) Distinguish the roles and relationships between epidemiology and biostatistics in the prevention of disease and the improvement of health. (PO#1) (CO #2) Assimilate principles of epidemiology with scientific data necessary for epidemiologic intervention and draw appropriate inferences from epidemiologic data. (PO#1) (CO #4) Utilize appropriate public health terminology and definitions of epidemiology necessary for intra-/interprofessional collaboration in advanced nursing practice. (PO#8) Points This assignment is worth 50 points. Due Date Submit your completed worksheet to the Dropbox by Sunday 11:59 p.m. MT of Week 3 as directed. Requirements 1. Complete the Risk Calculation Worksheet located in Doc Sharing. 2. For each question, identify the correct answer. 3. Submit the worksheet to the Dropbox by 11:59 p.m. MT Sunday of Week 3. Preparing the Worksheet The following are best practices for preparing this assignment: 1. Prior to completing this worksheet, review the lessons, reading and course text up to this point. Also review the tables of calculations. 2. Each question is worth 5 points. 3. There is only one right answer for each of the 10 problems. 4. You will upload the completed worksheet to the Dropbox. Epidemiological Formulas and Statistics Parameter Definition Formula Incidence (exposed) Incidence of new cases of disease in persons who were exposed number (exposed with disease)/total number of exposed Incidence (unexposed) Incidence of new cases of disease in persons who were not exposed number (unexposed with disease)/total number of unexposed Incidence of Disease Measure of risk: Total number in a population with a disease divided by the total number of the population Number with the disease/ total population number Relative Risk Risk of disease in one group versus another: Risk of developing a disease after exposure. If this number is 1, it means there is no risk. R(exposed)/Risk (unexposed) (# exposed with disease[divided by]/total of all exposed) (# of unexposed with disease/[divided by]total of all unexposed) Odds Ratio A measure of exposure and disease outcome commonly used in case control studies R(exposed) / R (unexposed) 1- R(exposed) 1-R(unexposed) Prevalence The number of cases of a disease in a given time regardless of when it began (new and old cases) (Persons with the disease/ Total population) X 1000 Attributable Risk The difference in disease in those exposed and unexposed and is calculated from prospective data; directly attributed to exposure (if exposure is gone, disease would be gone) R(exposed) – R(unexposed) Crude Birth Rate The number of live births per 1,000 people in the population (# of births/estimated midyear population) X 1000 Crude Death Rate The number of deaths per 1,000 people in the population (# of deaths/estimated midyear population) X 1000 Fetal Death Rate The number of fetal deaths (20 weeks or more gestation) per 1,000 live births (# of fetal deaths/ # of live births + fetal deaths) X 1000 Annual Mortality Rate Usually an expression of a specific disease or can be all causes per 1,000 people for a year (# of deaths of all causes (or a specific disease)/midyear population) X 1000 Cause Specific Mortality Rate Usually an expression of a specific disease per 1,000 people for a year (# of deaths per a specific disease)/midyear population) X 1000 Case Fatality Rate The parentage of individuals who have a specific disease and die within a specific time after diagnosis (# of persons dying from a disease after diagnosis or set period/ # of persons with the disease) X 100 Answer the following questions. Remember that there is only one right answer for each item. 1. The population in the city of Springfield, Missouri, in March, 2014, was 200,000. The number of new cases of HIV was 28 between January 1 and June 30, 2014. The number of current HIV cases was 130 between January 1 and June 30, 2014. The incidence rate of HIV cases for this 6-month period was A. 7 per 100,000 of the population. B. 14 per 100,000 of the population. C. 28 per 100,000 of the population. D. 85 per 100,000 of the population. 2. The prevalence rate of HIV cases in Springfield, Missouri, as of June 30, 2014, was A. 14 per 100,000 of the population. B. 28 per 100,000 of the population. C. 79 per 100,000 of the population. D. 130 per 100,000 of the population. 3. In a North African country with a population of 5 million people, 50,000 deaths occurred during 2014. These deaths included 5,000 people from malaria out of 10,000 persons who had malaria. What was the total annual mortality rate for 2014 for this country? (Please show your work.) 4. What was the cause-specific mortality rate from malaria? (Please show your work.) 5. What was the case-fatality percentage from malaria? 6. Fill in and total the 4 X 4 table for the following disease parameters: · Total number of people with lung cancer in a given population = 120 · Total number of people with lung cancer who smoked = 90 · Total number of people with lung cancer who did not smoke = 30 · Total number of people who smoked = 150 · Total number of people in the population = 350 Fill in the missing parameters based on the above information. YES LUNG CANCER NO LUNG CANCER TOTALS YES SMOKING NO SMOKING TOTALS 7. From Question 6, what is the total number of people with no lung cancer? 8. From question 6, what is the total number of people who smoked but did not have lung cancer? 9. Set up the problem for relative risk based on the table in #6. 10. Calculate the relative risk.

Discussion: Assessing The Throat
Discussion: Assessing The Throat
Most ear, nose, and throat conditions that arise in non-critical care settings are minor in nature. However, subtle symptoms can sometimes escalate into life-threatening conditions that require prompt assessment and treatment. Nurses conducting assessments of the ears, nose, and throat must be able to identify the small differences between life-threatening conditions and benign ones. For instance, if a patient with a sore throat and a runny nose also has inflamed lymph nodes, the inflammation is probably due to the pathogen causing the sore throat rather than a case of throat cancer. With this knowledge and a sufficient patient health history, a nurse would not need to escalate the assessment to a biopsy or an MRI of the lymph nodes, but would probably perform a simple strep test.
In this Discussion, you consider case studies of abnormal findings from patients in a clinical setting. You determine what history should be collected from the patients, what physical exams and diagnostic tests should be conducted, and formulate a differential diagnosis with several possible conditions.
Note: By Day 1 of this week, your Instructor will have assigned you to one of the following specific case studies for this Discussion. Also, your Discussion post should be in the Episodic/Focused SOAP Note format, rather than the traditional narrative style Discussion posting format. Refer to Chapter 2 of the Sullivan text and the Episodic/Focused SOAP Template in the Week 5 Learning Resources for guidance. Remember that all Episodic/Focused SOAP notes have specific data included in every patient case.
Case 1: Nose Focused Exam
Richard is a 50-year-old male with nasal congestion, sneezing, rhinorrhea, and postnasal drainage. Richard has struggled with an itchy nose, eyes, palate, and ears for 5 days. As you check his ears and throat for redness and inflammation, you notice him touch his fingers to the bridge of his nose to press and rub there. He says he’s taken Mucinex OTC the past two nights to help him breathe while he sleeps. When you ask if the Mucinex has helped at all, he sneers slightly and gestures that the improvement is only minimal. Richard is alert and oriented. He has pale, boggy nasal mucosa with clear thin secretions and enlarged nasal turbinates, which obstruct airway flow but his lungs are clear. His tonsils are not enlarged but his throat is mildly erythematous.
Case 2: Focused Throat Exam
Lily is a 20-year-old student at the local community college. When some of her friends and classmates told her about an outbreak of flu-like symptoms sweeping her campus over the past two weeks, Lily figured she shouldn’t take her three-day sore throat lightly. Your clinic has treated a few cases similar to Lily’s. All the patients reported decreased appetite, headaches, and pain with swallowing. As Lily recounts these symptoms to you, you notice that she has a runny nose and a slight hoarseness in her voice but doesn’t sound congested.
Case 3: Focused Ear Exam
Martha brings her 11-year old grandson, James, to your clinic to have his right ear checked. He has complained to her about a mild earache for the past two days. His grandmother believes that he feels warm but did not verify this with a thermometer. James states that the pain was worse while he was falling asleep and that it was harder for him to hear. When you begin basic assessments, you notice that James has a prominent tan. When you ask him how he’s been spending his summer, James responds that he’s been spending a lot of time in the pool.
To prepare:
With regard to the case study you were assigned:
Review this week’s Learning Resources and consider the insights they provide.
Consider what history would be necessary to collect from the patient.
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 10 possible conditions that may be considered in a differential diagnosis for the patient.
Note: Before you submit your initial post, replace the subject line (“Week 5 Discussion”) with “Review of Case Study ___,” identifying the number of the case study you were assigned.
By Day 3
Post an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in week 5 resources. Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient’s differential diagnosis and justify why you selected each.
Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!
Read a selection of your colleagues’ responses.
By Day 6
Respond to at least two of your colleagues on two different days who were assigned different case studies than you. Analyze the possible conditions from your colleagues’ differential diagnoses. Determine which of the conditions you would reject and why. Identify the most likely condition and justify your reasoning.
Week 7 discussion
Discussion: Assessing the Heart, Lungs, and Peripheral Vascular System
Take a moment to observe your breathing. Notice the sensation of your chest expanding as air flows into your lungs. Feel your chest contract as you exhale. How might this experience be different for someone with chronic lung disease or someone experiencing an asthma attack?
In order to adequately assess the chest region of a patient, nurses need to be aware of a patient’s history, potential abnormal findings, and what physical exams and diagnostic tests should be conducted to determine the causes and severity of abnormalities.
In this Discussion, you will consider how a patient’s initial symptoms can result in very different diagnoses when further assessment is conducted.
Note: By Day 1 of this week, your Instructor will have assigned you to one of the following specific case studies for this Discussion. Also, your Discussion post should be in the Episodic/Focused SOAP Note format, rather than the traditional narrative style Discussion posting format. Refer to Chapter 2 of the Sullivan text and the Episodic/Focused SOAP Template in the Week 5 Learning Resources for guidance. Remember that all Episodic/Focused SOAP notes have specific data included in every patient case.
To prepare:
With regard to the case study you were assigned:
Review this week’s Learning Resources and consider the insights they provide.
Consider what history would be necessary to collect from the patient.
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 may be considered in a differential diagnosis for the patient.
Note: Before you submit your initial post, replace the subject line (“Discussion – Week 6”) with “Review of Case Study” identifying the number of the case study you were assigned.
By Day 3
Post an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in week 5 resources. Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient’s differential diagnosis and justify why you selected each.
Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!
Read a selection of your colleagues’ responses.
By Day 6
Respond to at least two of your colleagues on two different days who were assigned different case studies than you. Analyze the possible conditions from your colleagues’ differential diagnoses. Determine which of the conditions you would reject and why. Identify the most likely condition, and justify your reasoning.
Week 8 discussion
Discussion: Assessing Muscoskeletal Pain
The body is constantly sending signals about its health. One of the most easily recognized signals is pain. Musculoskeletal conditions comprise one of the leading causes of severe long-term pain in patients. The musculoskeletal system is an elaborate system of interconnected levers that provide the body with support and mobility. Because of the interconnectedness of the musculoskeletal system, identifying the causes of pain can be challenging. Accurately interpreting the cause of musculoskeletal pain requires an assessment process informed by patient history and physical exams.
In this Discussion, you will consider case studies that describe abnormal findings in patients seen in a clinical setting.
Note: By Day 1 of this week, your Instructor will have assigned you to one of the following specific case studies for this Discussion. Also, your Discussion post should be in the Episodic/Focused SOAP Note format, rather than the traditional narrative style Discussion posting format. Refer to Chapter 2 of the Sullivan text and the Episodic/Focused SOAP Template in the Week 5 Learning Resources for guidance. Remember that all Episodic/Focused SOAP notes have specific data included in every patient case.
Discussion: Assessing The Throat
Discussion: Assessing The Throat
Discussion: Assessing The Throat

Assignment: Future Professional Behaviors
Assignment: Future Professional Behaviors
Week 3 discussion
Knowing Self
Reflect the concepts addressed in this week’s lesson plan and required reading. Recall a challenging experience in either your personal or professional life. In the initial response, start with an introduction that includes a brief description of two core values that influence your nursing practice and interaction with others. Provide a concise description of the challenging experience. What core values were challenged in this experience? What lessons were learned from this experience? How did the experience inform future professional behaviors, decisions, and actions? Provide a specific example on how lessons learned from the challenging experience were applied in your professional practice. Use at least one outside scholarly reference to support your position.
Question 2
Grand Rounds
Guidelines with Scoring Rubric
Purpose
The purpose of this assignment is to enhance the student’s clinical reasoning, confidence and learning of various pediatric and women health topics through facilitated discussion.
Description
In Weeks 2 and 6, you will create a Grand Rounds presentation on the topic assigned to you by the faculty member.
Course Outcomes
Through this assignment, the student will demonstrate the ability to:
1. Describe the most commonly prescribed drugs use in primary care for the chose condition.
2. Utilize clinical guidelines, research articles or other materials to support your findings.
3. Identify any practice barriers, issues, or problems (including cultural diversity and healthcare literacy).
4. Discuss best practices for optimal outcomes.
Due Dates:
Women’s Health Grand Rounds due Week 6 (please see specific days/times below)
Total Points Possible:
Week 6 – 150 points
Requirements:
Keep in mind the following guidelines and grading criteria while taking part in this assignment:
The Grand Rounds presentation will consist of a patient scenario that is assigned to you by your faculty in week one. The presentation is a video recording in Kaltura. Recording of the presentation should be interesting, professional, and focused to the topic. Wear your lab coat and name tag/badge during the recording.
Record and upload presentation by Tuesday, 11:59 p.m. MT. Begin facilitating discussion and continue to lead it throughout the week.
Participate in ongoing interactive dialogue by responding to a minimal of two (2) of your peer’s discussion questions by Friday, 11:59 p.m. MT.
Participate in all faculty directed questions to your presentation by Sunday, 11:59 p.m. MT.
Utilize a minimal of three peer reviewed scholarly articles from Chamberlain Online Library and a minimal of 2 current (within last 5 years) evidence based clinical guidelines to support your findings.
Discuss Pathophysiology, epidemiology, risk factors, clinical physical assessment findings of the assigned topic.
List and discuss a minimal of three (3) differential diagnoses.
Discuss any diagnostic studies to confirm diagnosis of assigned topic
Discuss prevention (if not applicable, discuss why).
Discuss Treatment including nonpharmacologic management and pharmacologic management
Discuss patient and/or family education.
Discuss best practices for optimal outcomes.
By Wednesday, 11:59 p.m. MT – In addition to submitting your presentation, you will also need to lead a discussion on your topic in the discussion thread. The initial post and Kaltura presentation are both due by Wednesday 11:59 p.m. MT. NOTE: By Wednesday, you will also initiate a discussion to lead.
Discussion Lead Requirement: Develop three (3) questions on your topic you can ask to initiate the discussion and keep it going.
By Friday, 11:59 p.m. MT, respond substantively to a minimal of two (2) peers’ presentation questions **If all students have a response, then choose the student with the least responses to their posting.
By Sunday, 11:59 p.m. MT, summarize your grand rounds presentation by posting a summary reply to your initial post in the discussion thread. Summarize the discussion as well as conclusions from the collective group discussion. Include evidence based references at the bottom of the summary AND respond to ALL faculty questions regarding your presentation.
Grand Rounds Presentation Criteria
Category
Points
Description
Introduction
20
Introduction of topic that include pathophysiology, epidemiology, and risk factors.
Clinical Assessment
5
Discussed typical clinical assessment findings for chosen topic.
Differential Diagnoses
20
List AND discuss of a minimal of three (3) differential diagnoses with scholarly support.
Diagnostic Studies/Labs
10
Discuss diagnostic studies and labs that can be used to confirm diagnosis.
Prevention and Treatment Options
10
Discuss prevention and treatment options for chosen topic.
Education
10
Discuss patient and family education.
Identify Outcomes
10
Discuss best practices for optimal outcomes.
Lead Discussion
10
Facilitate discussion relevant to the presentation topic by incorporating three (3) discussion question for peers.
Interactive Dialogue with Student Peers
10
By Friday, 11:59 p.m. MT, Interactive dialogue with at least two peer’s initial presentation by responding substantively to all questions posed and citing related research to support.
Summary Requirement
10
By Sunday 11:59 p.m. MT, add summary post to own grand rounds presentation that summarizes the discussion. Include conclusions from the collective group discussion on the topic.
Evidence Based Research/Articles
10
Include minimal of three (3) evidence based research and/or Peer Reviewed articles from Chamberlain Online Library.
Evidence Based Practice Clinical Guidelines
10
Include a minimal of two (2) current (within last 5 years) EBP clinical guidelines.
Interactive Dialogue with Faculty
10
Responds to ALL faculty directed questions on initial presentation. Includes scholarly support from EBP clinical guidelines and/or peer reviewed journal articles obtained from Chamberlain Online Library.
Presentation Development
5
Overall Presentation is clear, concise, and organized; demonstrated ethical scholarship in accurate representation and attribution of sources; recorded in Kaltura. Labcoat and name badge are present.
Total
150
A quality assignment will meet or exceed all of the above requirements.

Assignment: Practicum – Week 1 Journal Entry
Assignment: Practicum – Week 1 Journal Entry
Week 4 assignment 2
As a future advanced practice nurse, it is important that you are able to connect your classroom experience to your practicum experience. By applying the concepts you study in the classroom to clinical settings, you enhance your professional competency. Each week, you complete an Assignment such as a Journal Entry or SOAP Note that prompts you to reflect on your practicum experiences and relate them to the material presented in the classroom. This week, you begin documenting your practicum experiences in your Practicum Journal. Please use the Practicum Journal Template, located in this week’s Learning Resources.
640 × 829
To prepare for this course’s Practicum Experience, address the following in your practicum journal:
Select an aging theory to guide your practice.
Develop goals and objectives for the Practicum Experience in this course. Be sure to consider geriatric competencies.
Create a timeline of practicum activities based on your practicum requirements.
By Day 7 of Week 4
This Assignment is due. You will submit this Week 1 Journal Entry along with the Week 2 and Week 3 Journal Entries and Week 3 SOAP Note by day 7 of Week 4.
Assignment: Practicum – Week 2 Journal Entry
To prepare for this course’s Practicum Experience, reflect on implications of age-related changes in geriatric patients. Explain how you might differentiate between normal behaviors/disorders due to aging and abnormal behavior/disorders that are not age related. Include how functional assessments might help distinguish “normal” from “abnormal.”
By Day 7 of Week 4
This Assignment is due. You will submit this Week 2 Journal Entry, the Week 1 and Week 4 Journal Entries, and the Week 3 SOAP Note by Day 7 of Week 4.
Assignment: Practicum – Week 4 Journal Entry
Reflect on medication adherence issues you have encountered with geriatric patients in your practicum setting. Explain implications of these issues on patient health, as well as strategies to improve medication adherence for geriatric patients. If you did not have an opportunity to evaluate a patient with this background during the last 4 weeks, you can select a related case study or reflect on previous clinical experiences.
By Day 7 of Week 4
This Assignment is due. Please submit the Journal Entries (Weeks 1, 2, and 4), and the Week 3 SOAP Note by Day 7 of Week 4 (this week).
Note: Be sure to submit your Assignment to the appropriate submission link below.
Submissions should match the following:
Week 3 SOAP Note: Submit to the Week 4 Assignment – Part 1 submission link.
Weeks 1, 2, & 4 Journal Entry: Submit to the Week 4 Assignment – Part 2 submission link.
For the Journal Entries—which are assessed with a Satisfactory (S) or Unsatisfactory (U) score—the numerical grade will show as 0 points and the “S” or “U” will be posted in the Feedback area by your Instructor. These scores of 0 points do not affect your grade; they simply allow for a placeholder to place the “S” or “U” scoring. This concept also applies to Weeks 7 and 10.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
Please save your Assignment using the following naming convention: WK4AssgnPX+lastname+first initial.
Click the Assignment Week 4 – Part X link.
Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK4AssgnPX+last name+first initial.(extension)” and click Open. If you are submitting multiple files, repeat until all files are attached.
Click on the Submit button to complete your submission.
Week 6 assignment 1
Assignment 1: Application – PICO Analysis of Dementia, Delirium, and Depression
A PICO analysis is used to pose a focused clinical question to which you find appropriate evidence-based answers. The PICO question should include the patient or population (P), anticipated intervention (I), comparison group or current standard (C), and outcome desired (O). In this Assignment, you develop a question related to dementia, delirium, or depression. Through your PICO analysis, you explore various resources and examine current evidence to answer the question you develop.
To prepare:
Select one of the following disorders as your topic: dementia, delirium, or depression.
Review the guidelines in the “Literature Review Matrix” document in this week’s Learning Resources.
Think about a research question around your issue as indicated in Part I: PICO Analysis of Research Topic.
Consider the resources you will use, search terms and criteria, and Boolean search strings as indicated in Part II: Search Strategy.
Using the Walden Library and other appropriate databases, locate five articles related to your PICO question. At least one article must be a systematic review. All of the articles should be primary sources.
Reflect on the five articles you selected as indicated in Part III: Analysis of Literature. Consider the conceptual framework/theory, main finding, research method, strengths of study, weaknesses, and level of evidence for each article.
Consider how to use the summaries in Part III to create an evidence table. Use this evidence table to determine appropriate treatment options for patients who present with the disorder you selected as your topic.
To complete:
Formulate a question around the disorder you selected as indicated in Part I: PICO Analysis of Research Topic.
Identify the resources you will use, search terms and criteria, and Boolean search strings as indicated in Part II: Search Strategy.
Summarize the five articles you selected as indicated in Part III: Analysis of Literature. Describe the conceptual framework/theory, main finding, research method, strengths of study, weaknesses, and level of evidence for each article.
Create an evidence table based on the article summaries in Part III. Describe appropriate treatment options for patients based on this evidence table.
By Day 7 of Week 6
This Assignment is due.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
Please save your Assignment using the following naming convention: “WK6Assgn1+lastname+first initial”.
Click the Week 6 Assignment 1 link.
Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK6Assgn1+last name+first initial.(extension)” and click Open. If you are submitting multiple files, repeat until all files are attached.
Click on the Submit button to complete your submission.

Assignment: Nurse Practitioner
Assignment: Nurse Practitioner
Assignment: Nurse Practitioner
Discussion week 1 Week 1: Discussion- Foundation of the Role of the Nurse Practitioner as Prescriber Legal and Professional Issues in Prescribing 5 5 unread replies. 5 5 replies. Describe NP practice in your state. Tell the class what your state laws are related to nurse practitioner prescribing. Include how many continuing education hours are required for your state. Describe the importance of knowing the specific laws in your state pertaining to Nurse Practitioners prescribing medications.
A nurse practitioner (NP) is an and a type of . NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe treatment plans. NP training covers basic disease prevention, coordination of care, and health promotion, but does not provide the depth of expertise needed to recognize more complex conditions. According to the American Association of Nurse Practitioners, NPs are educated at the to provide “primary, acute, chronic, and specialty care to patients of all ages”, depending on their field of practice.
The for a nurse practitioner is defined by legal jurisdiction. In some places, NPs are required to work under the supervision of a , and in other places they can practice independently.
To become an NP requires experience as a registered nurse in addition to a graduate degree.
The amount and quality of education required to be an NP has been the subject of controversy in the United States. Opponents of independent practice have argued that NP education can consist of online coursework with few hours of actual patient contact. To become an NP requires between 1.5 to 3 years of training, in addition to prior training and experience as an RN, though there are alternate routes to training. This is in comparison to physicians who are required to complete a minimum of 7 years of post-baccalaureate training. A new nurse practitioner may have between 500 and 1,000 hours of clinical training, compared with a , who would have more than 15,000 hours of clinical training by the time of certification. The quality of education and of applicants for NP schools has been cited as a reason to not allow NPs to practice medicine autonomously. Some graduate nursing schools have 100% acceptance rates.

Discussion: The SBAR Format
Discussion: The SBAR Format
Discussion: The SBAR Format
Week 3 discussion State your PICOT question. Indicate in parentheses after each segment, what part of PICOT the preceding words represent. For example: In patients recently discharged from the hospital following care for heart failure (P), do hand-off calls by the nurse to the primary care provider using the SBAR format (situation, background, assessment, recommendation) (I) compared to no calls (C) decrease readmission rates (O) over a one year period (T). Provide feedback to your classmates that focuses on: The use of correct PICOT format for the question to guide the literature search. Does the question reflect a clinical issue and one appropriate for an evidence-based practice project? Provide feedback to your classmates that focuses on: The use of correct PICOT format for the question to guide the literature search. Does the question reflect a clinical issue and one appropriate for an evidence-based practice project? Support a minimum of one and challenge a minimum of one. As you work on your capstone project proposal, you will want to share your progress with your peers and instructor and seek or provide guidance or share insights. By the due date assigned, go to the Discussion Area and post responses to the discussion question. All responses should be posted to the appropriate topic in this Discussion Area. It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources. Include the South University online library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources. Supporting one—Challenging one. By the due date assigned comment on the responses of at least two other students by supporting a minimum of one post and challenging a minimum of one post. You will want to focus on their point of view, asking pertinent questions, adding to the responses by including information from other sources, and respectfully challenging a point of view, supported by references to other sources. Be objective, clear, and concise. Always use constructive language. All comments should be posted to the appropriate topic in this Discussion Area. Please only start a new thread with your original post. Hit reply to respond to a peer.