Implementing Evidence in Clinical

Please see the attachment for instructions

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Respond to the following prompts: 

· How has learning about the history of research ethics impacted your view of biomedical research?

· In looking at the studies you reviewed for your PICOT question, do you feel that today’s researchers adequately protect the rights of human subjects? If not, what additional measures do you recommend?

global health oct 8

1. Paper Topic

 Discussion Topic

Top of Form

Submit your paper topic in this discussion board. Argue the significance of the chosen issue in improving global public health. You need to select a community/state within a low/middle income (developing) country afflicted by the selected global public health problem. 

Each topic should be supported by two studies from peer-reviewed journals. 

Word limit 350, APA in-text citation and reference list required.

When student submitted the previous topic comments professor did

Good attempt! But more work is required, you need to cite 2 studies from a chosen country in Africa – please select one country only, example Nigeria and all articles should be focused on that community. For the paper you need 5 studies from the same country on the same topic. For each study you will review – Purpose, methods, results and recommendations. 

Please submit your articles and citations – this needs to be re-done, I will re-grade. 

This is too broad and what are your variable. This is not a study and also looks like a copy paste – you need to write in your own words. 

Here is a suggested topic and paper:

https://www.tandfonline.com/doi/abs/10.1080/19443994.2013.734677

Effect of ritualistic bathing on water quality of Ganga river in India. 

See if you can find similar studies that explore the impact of independent variable (bathing) on dependent variable (water quality)

You need total 5 such studies. 

All the Best, 

Dr. Puri 

2. Literature Review Assignment

Choose one articles on your chosen topic for this assignment. The review should include following components: study purpose, study methods – characteristics of the participants, study design, data-collection procedures, instruments used, and study results. 

Page length: 1 page. DO not attach the document, the review should be visible in the discussion board to the reader. 

References required: APA7 – in-text and reference list. 

Provide a link for the selected study! 

Bottom of Form

Response

Respond to this discussion using APA format with two scholarly references

 

An 83-year-old resident of a skilled nursing facility presents to the emergency department with generalized edema of extremities and abdomen. History obtained from staff reveals the patient has history of malabsorption syndrome and difficulty eating due to lack of dentures. The patient has been diagnosed with protein malnutrition.

          This patient has a history of malabsorption syndrome, which is the body’s inability to absorb necessary nutrients from an ingested food and will lead to protein, vitamin and electrolyte deficiencies. This may also be the cause of his generalized edema. many factors can lead to the diagnosis of this patient, such as the underlying condition of the patient, age and physicals factors.

            Base of this patient age, the malabsorption syndrome can result from a genetical mutation that led to a disease such as atypic cystic fibrosis which is a genetic disease. Here, the patient inherits two defective genes from the DNA of each parent. Usually, the primary result of a genetic disease is the inability to produce a certain enzyme normally, which is a type of protein used to speed up or catalyze chemical reactions necessary for cell function (Pelliccia, J., 2022).  This patient excessive water accumulation is due to his protein malnutrition. Individuals with low protein levels are unable to maintain a normal oncotic pressure; therefore, water is not reabsorbed into the circulation and, instead, causes body edema (McCance & Huether., 2019). Also, Low level of albumen will not help in term of holding salt or water.

    This response occurred due to the patient’s lack of protein, starvation, and lack of a denture. Remember that food ingested without having been properly cut or chew will not be digested well. Edema is present due to the lack of protein in the blood. This patient’s albumen levels are expected to be low according to Suryawanshi, Vig, Masih, and Joseph (2018). Endothelial cell is responsible for the physiological response.

Response

PLEASE RESPOND TO THE FOLLOWING IN 50 WORDS OR MORE:

2. Nursing‐sensitive indicators are the criteria for changes in health status that nursing care can directly affect. Nursing‐sensitive indicators have been increasingly adopted as valid and reliable tools due to their features such as objective assessment, improvement of clinical practice, evaluation of nursing care quality and performance, and informed decision‐making capability for patients in selecting a hospital to receive care. The use of nursing‐sensitive indicators affects the outcomes of nursing care by defining the structure and processes of nursing care. Indicators can be used for quality improvement purposes in applied settings to monitor performance and progress and to support evidence-based decision making, to support informed policy analysis related to regulatory or accreditation requirements, workforce development, and reimbursement, and to research the role of nursing care in determining patient safety outcomes by examining structure-outcome, process-outcome, and structure-process-outcome relationships. I believe that no one nursing sensitive indicator is sufficient on its own for measuring the profession’s impact on patient care and outcomes. Rather, several elements must be considered together to provide a comprehensive view of nursing practices and results, such as patient falls with and without injuries, RN satisfaction survey, nosocomial infections, nursing hours per patient day. Indicators not included in the database statistics, but which professional nurses should consider, nonetheless are patient satisfaction with pain management, patient satisfaction with nursing care. For example, assessment and treatment of pain is complex, and optimal pain care remains elusive. Only 63-74% of patients report that their pain was well-controlled. Personal biases may interfere with healthcare’s ability to accurately assess pain management needs, but nurses who keep in mind the ethical principles of autonomy, beneficence, non-maleficence, and justice will be better equipped to make sound judgments. 

Reference:

Oner, B., Zengul, F. D., Oner, N., Ivankova, N. V., Karadag, A., & Patrician, P. A. (2021). Nursing-sensitive indicators for nursing care: A systematic review (1997-2017). Nursing open8(3), 1005–1022. https://doi.org/10.1002/nop2.654

m8 program critique

please follow all directions 

discussion post

Evaluate the potential complications and long-term effects associated with thermal injuries and burns, such as wound infections, contractures, hypertrophic scarring, and psychological distress. How can nurse practitioners recognize and manage these complications to optimize patient outcomes and facilitate physical and emotional recovery?

MSN 5550 CASE STUDY

 Read the following case study and answer the reflective questions.  Please provide evidence-based rationales for your answers.  APA, 7th ed. must be followed.  

Please check for  plagiarism and AI(artificial intelligence).The work must be in your own words.The last case study my score was too low due to high percent in AI.

Attached you can find the case study.

Nutrition in Healthcare

Discussion 1

Every day, people make choices that affect their physical health and wellness. Some choices are influenced by the environment and social factors, which in turn contribute to people’s health outcomes. Healthcare professionals (i.e., physicians, nurses, dietitians, sports medicine, etc.) are responsible for their own health by making decisions and practicing behaviors that enhance their wellbeing. Healthcare professionals also have a responsibility to their clients. While responsibilities may vary among healthcare professionals, it is important the healthcare team is alert to clients’ nutrition problems and needs.

After studying 

Module 1: Lecture Materials & Resources
, answer the following:

1. In one paragraph, give at least 2 examples of how culture, society, politics, or religion influences your nutrition. Discuss the role that food plays in your family or personal life.

2. Navigate to 
Your Digestive System and How it Works

https://www.niddk.nih.gov/health-information/digestive-diseases/digestive-system-how-it-worksLinks to an external site.
 View the webpage and share in 1 paragraph at least 1 example of something your learned about the digestive system.

3. Search the internet for 1 example of an over-the-counter medication designed to treat common digestive problems such as heartburn, constipation, diarrhea, and hemorrhoids. Write 1 paragraph describing a) appropriate and inappropriate uses for this medication, and b) adverse health implications associated with misuse and/or overuse of this product.

Discussion 2

Carbohydrates have received a bad reputation, especially when it comes to their role in weight gain. All carbohydrates are not bad and the primary role of carbohydrates in the body is to supply the cells with glucose for energy. One type of carbohydrate is sugar. Some people are unaware that instead of avoiding all sugars, they can choose to include natural sugars found in vegetables, whole grains, legumes, and fruit. On the other hand, most people know that too much fat poses health risks, but may be surprised to learn that too little does, too.

After studying 

Module 2: Lecture Materials & Resources
, answer the following:

1. Navigate to My Plate: 

https://www.myplate.gov/Links to an external site.
 and to the Diabetes Plate: 

What is the Diabetes Plate Method?Links to an external site.
 (diabetesfoodhub.org) then, submit at least 1 paragraph comparing both for

A. similarities

B. differences

C. share who should follow MyPlate and who should follow the Diabetes Plate method?

2. Navigate to the American Heart Association: 

http://www.heart.org/HEARTORG/Links to an external site.
 and to the National Cancer Institute: 

http://www.cancer.govLinks to an external site.
, submit a 1 paragraph analysis on the relationships between dietary fats and the risk of heart disease, cancer, or type 2 diabetes (choose one).

3. Choose a food label from your favorite snack, and take a picture of the Nutrition Facts on the food label. Navigate to the U.S. Food & Drug Administration, “Interactive Nutrition Facts Label: 

https://www.accessdata.fda.gov/scripts/InteractiveNutritionFactsLabel/#introLinks to an external site.
 Choose one ingredient from your label. Share with the class one (1) health fact and (1) action step you learned about that ingredient in the interactive site.

4. Explain the differences between high-quality and low-quality proteins, and well-balanced vegetarian diets.

Discussion 3

The body manages its energy supply with amazing precision. Consider that many people maintain their weight within about a 10- to 20-pound range throughout their lives. How do they do this? How does the body manage excess energy? How do bones, muscle, fat, fluid, and other tissue influence our body composition? However, overweight, and underweight both result in energy imbalance. Almost 42% of adults aged 20 and above are overweight placing them at risk of developing chronic diseases that affect quality of life.

After studying 

Module 3: Lecture Materials & Resources
, answer the following:

1. Conduct a nutrition/survey interview with 2 athletes and ask them a) what protein or amino acid supplements they use in their diet? and b) why do they use those supplements? Then, navigate to: 

www.quackwatch.orgLinks to an external site.
 and enter the name of the supplement. Provide 1 paragraph with your analysis of the products and what you found out about the products’ nutritional characteristics (see Chapter 5, page 132 of your textbook).

2. Search the internet for a popular weight-loss program (i.e., Jenny Craig, Weight Watchers, etc.), and submit 1 paragraph with the following:

A. describe the diet plan

B. evaluate whether the plan offers a nutritionally reliable way to lose weight or is it a Fad Diet (see Chapter 7, Table NP7-1, page 193 of your textbook)

3. In 1 paragraph, describe type 1 diabetes, type 2 diabetes, and gestational diabetes by providing:

A. characteristics

B. definition

C. causes & symptoms (see Chapter 20, Table 20.2, page 564 of your textbook).

 

new landscape 587 w1 d1

Discuss the essential skill sets that you, as a contemporary nurse leader, will need to use in order to successfully lead other professionals in today’s healthcare settings.

Expectations

Initial Post:

  • Due: Thursday, 11:59 pm PT
  • Length: 150 – 250 Words