WHERE IN THE WORLD IS EVIDENCE-BASED PRACTICE?

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WHERE IN THE WORLD IS EVIDENCE-BASED PRACTICE?

March 21, 2010, was not EBP’s date of birth, but it may be the date the approach “grew up” and left home to take on the world.

When the Affordable Care Act was passed, it came with a requirement of empirical evidence. Research on EBP increased significantly. Application of EBP spread to allied health professions, education, healthcare technology, and more. Health organizations began to adopt and promote EBP.

In this Discussion, you will consider this adoption. You will examine healthcare organization websites and analyze to what extent these organizations use EBP.

To Prepare:

· Review the Resources and reflect on the definition and goal of EBP.

· Choose a professional healthcare organization’s website (e.g., a reimbursing body, an accredited body, or a national initiative).

· Explore the website to determine where and to what extent EBP is evident.

Post a description of the healthcare organization website you reviewed. Describe where, if at all, EBP appears (e.g., the mission, vision, philosophy, and/or goals of the healthcare organization, or in other locations on the website). Then, explain whether this healthcare organization’s work is grounded in EBP and why or why not. Finally, explain whether the information you discovered on the healthcare organization’s website has changed your perception of the healthcare organization. Be specific and provide examples.

Power points slides

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Power points slides

Nursing It is a four part assignment

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I have uploaded a copy of the question

W2 Theo YI

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 Presentation 1 page (blank I will put my data), task 1 page (with the topics), reference 1 page, (3 pages). for the Sunday

Topic

1. Making judgement as to whether a theory could be adapted for use in research is very important.  

2. Describe the internal and external criticism that is used to evaluate middle range theories.
 

Note: APA 7. Reference less than 3 years

Plagiarism is analyzed and it is critical, the activity is invalidated.

NETWORKING OPPORTUNITIES

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See attachment for instructions 

A little about myself

I am behavioral health nurse for 6 years, I am currently doing my masters in psychiatric nursing. 

Case study

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Neurologic Function Case Study 

Pain and Neurologic Syndromes

  

Instructions  

For this case study, you will create a case related to the Neurological Functions.

  

Download this document, type your answers, and include references (including in-text citations per item). Then, upload it to this assignment page.  

  

Neurological Function 

 

Part 1:

Compare and contrast the 3 conditions in

one
 of the charts below: 

PAIN SYNDROME

 

Migraine Headaches 

Tension Headaches 

Meningitis 

Risk Factors 

 

 

 

Pathophysiology 

 

 

 

Clinical Manifestations 

 

 

 

 

OR

NEUROLOGIC SYNDROME

 

Dementia 

Depression  

Anxiety

Risk Factors 

 

 

 

Pathophysiology 

 

 

 

Clinical Manifestations 

 

 

 

Part 2:

Choose a
pain or
neurologic syndrome to explore. You can also choose a diagnosis not listed (that coincides with your advanced practice specialty) as long as it relates to the neurological function.

Present a hypothetical case that includes the following:

1. Vital information about a person who might be predisposed to this condition (I.e., a person who may have risk factors for this condition). 

2. The pathophysiology of the disease, including clinical manifestations.

3. Which diagnostic tests you’d recommend and a rationale for the one(s) you choose.

4. How this condition compares to other differentials.

5. The evidence-based recommendations from the

AHRQ Guidelines
 or guidelines recommended from a professional organization. Based on these recommendations, discuss how  to manage the condition best.

6. A patient safety issue that could be associated with the condition presented in this case.

These charts may help in organizing information to answer the narrative questions: 

Name of Condition: 

Risk factors 

 

Pathophysiology 

 

Clinical manifestations 

 

Additional details (optional): 

 

Differential Diagnoses (See chart below) 

 

What makes this diagnosis unique from other differentials? 

 

Guidelines and recommendations for condition management

Potential related safety issues

 

 

DIFFERENTIAL DIAGNOSIS CHART

Condition

Differential 1

Differential 2

Differential 3

Risk factors 

 

 

 

 

Pathophysiology 

 

 

 

 

Clinical manifestations 

 

 

 

 

Additional details (optional): 

 

 

 

 

Unique characteristics 

 

 

 

 

 

 

The Case:

Nursing Assignment week 10

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 Resources

  • Chapter 24: Structure and Function of the Reproductive Systems (stop at Tests of reproductive function); Summary Review
  • Chapter 25: Alterations of the Female Reproductive System (stop at Organ prolapse); pp. 787–788 (start at Impaired fertility) (stop at Disorders of the female breast); Summary Review
  • Chapter 26: Alterations of the Male Reproductive System (stop at Hormone levels); Summary Review
  • Chapter 27: Sexually Transmitted Infections, including Summary Review
  • Chapter 28: Structure and Function of the Hematological System (stop at Clinical evaluation of the hematological system); Summary Review
  • Chapter 29: Alterations of Erythrocytes, Platelets, and Hemostatic Function, including Summary Review
  • Chapter 30: Alterations of Leukocyte and Lymphoid Function, including Summary Review
  • Low, N. & Broutet N. J. (2017). Sexually transmitted infections – Research priorities for new challengesLinks to an external site.. PLoS Medicine, (12), e1002481
  • Kessler, C. M. (2019). Immune thrombocytopenic purpuraLinks to an external site.. Retrieved from https://emedicine.medscape.com/article/202158-overview
  • Nagalia, S. (2019). Pernicious anemiaLinks to an external site.. Retrieved from https://emedicine.medscape.com/article/204930-overview#a3
  • Stauder, R., Valent, P., & Theurl, I. (2019). Anemia at older age: Etiologies, clinical implications and managementLinks to an external site.. Blood Journal, 131(5). Retrieved from http://www.bloodjournal.org/content/131/5/505?sso-checked=true

 

In your Case Study Analysis related to the scenario provided, explain the following:

  • The factors that affect fertility (STDs).
  • Why inflammatory markers rise in STD/PID.
  • Why prostatitis and infection happens. Also explain the causes of systemic reaction.
  • Why a patient would need a splenectomy after a diagnosis of ITP.
  • Anemia and the different kinds of anemia (i.e., micro and macrocytic).

SHORT ANSWER

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Address the following Short Answer prompts for your Assignment. Be sure to include references to the Learning Resources for this week.

  1. In 3 or 4 sentences, explain the appropriate drug therapy for a patient who presents with MDD and a history of alcohol abuse. Which drugs are contraindicated, if any, and why? Be specific. What is the timeframe that the patient should see resolution of symptoms?
  2. List 4 predictors of late onset generalized anxiety disorder.
  3. List 4 potential neurobiology causes of psychotic major depression.
  4. An episode of major depression is defined as a period of time lasting at least 2 weeks. List at least 5 symptoms required for the episode to occur. Be specific.
  5. List 3 classes of drugs, with a corresponding example for each class, that precipitate insomnia. Be specific. 

Nursing

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Instructions:

1.
Topic Selection: Select a topic that interests you and that is relevant to nursing Pediatric practice. Your topic should be broad enough to allow for an in-depth exploration but narrow enough to be manageable within the scope of a 
500-650 word research paper. You may select a topic related to patient care, nursing education, health promotion, or any other area of nursing practice that interests you. 

2.
Searching for Literature: After choosing a topic and 
obtaining my approval for the topic, use the Library page at the FNU.edu website to search for scholarly sources related to your topic. You must utilize 
at least 3 scholarly sources that have been published 
within the last 5 years. You may use databases such as CINAHL, MEDLINE, Embase, ClinicalKey, The Cochrane Library. Be sure to use appropriate keywords and to apply search filters to limit your search to 
scholarly, peer-reviewed articles.

3.
Evaluating Sources: Once you have identified potential sources, be sure to identify if they are relevant to your topic, written by credible authors, and based on rigorous research methods.

4.
Writing the Paper: Your research paper should follow 
APA 7 guidelines and include an 
introduction and 
conclusion. Be sure 
references are cited throughout the paper and included in a 
reference list at the end of your paper.

5. Please keep in mind that the paper will be checked for plagiarism, and 
similarity above 25% that is not cited will not be accepted for submission. 

6. Please refer to the evaluation rubric for evaluation criteria 

Library Assignment Topics:

1. Breastfeeding vs. Formula Feeding2.

2. Formula vs. Breastfeeding

3. 3. Childhood Developmental Stages

4. 4. Autism in Children

5. 5. Down’s Syndrome in Children

6. 6. Childhood Obesity in the U.S.

7. 7. Childhood Asthma

8. 8. Psychosocial Development of Adolescents

9. 9. Effects of Second-Hand Smoking in Children

10. 10. Childhood Mortality in the US

11. 11. Diabetes Type 1

12. 12. Sudden Infant Death Syndrome (SIDS)

13. 13. Congenital Heart Disorders in Children

14. 14. Eating Disorders in Adolescents

15. 15. Substance Abuse in Adolescents

16. 16. ADHD in Children

17. 17. Importance of Childhood Immunization

18. 18. Preventing Medication Errors in Children

19. 19. Iron Deficiency Anemia in Children

20. 20. Leukemia in Children

21. 21. How Preterm Birth Affects Child Development

22. Effects of Parenting Style on the Child’s Self-Esteem

23. Effects of Child’s Abuse or Neglect

24. Bullying in Children

25. Effects of Social Media on the Child’s Behavior

week 4 reply classmate-

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Nicole Fox

The main goal of having an EHR is to improve the quality and safety of patient care (Hebda et al. 2018). More hospitals are turning to EHRs because it's a smoother flow of care and recording without compromising patient privacy. Other benefits include: “improving the accuracy and completeness of patient health information; increasing the speed at which care is provided; enhancing the coordination of care; and increasing transparency of health information for patients and their families, flag potentially dangerous drug interactions, verify medications, and reduce the needs for risky tests and procedures (Hebda et al. 2018).” In this scenario, the patient's PHR is limited because tests were outsourced versus being conducted all at the same facility. This can make patients question their diagnosis especially if they don't have all the information available to them. PHRs allow patients to be involved in the healthcare, however for some it may not be entirely user friendly which can hinder their understanding of the medical care. Additionally, not all patients have the level of technology available to them, whether it be a smartphone, laptop, or tablet, and therefore have limited access to their records. It has definitely been a major step forward in the medical field, and there is always room for improvements. Patients also need to understand the risks of safeguarding their personal information and how to protect their records from being accessed by non approved personnel. Both systems do provide results in real time and therefore both patient and provider can access and discuss already performed tests as well as prepare for future testing, thus ensuring they are both in line with the same goals. To ensure PHR protection, the user creates their own login and password. They are then responsible for keeping both of those safe. 

I am glad that patients have access to a PHR. I think it's helps provide understanding to their care and allows them to research and identify questions concerning their medical treatments. We oftentimes find that patients can be a little too research happy and find the 1% side affect that they are afraid might happen to them, and can cause a pause in their treatment. I do enjoy being able to discuss with my patients their results and answer questions on a nursing level, but most of the questions are referenced towards the provider. In this case, I feel like the patient could be frustrated because they don't have access to all the information, but that doesn't mean it's not attainable, just a little more difficult and a little more time consuming to put it all together. 

References:

Hebda, T., Hunter, K., & Czar, P. (2018). 
Handbook of Informatics for Nurses & Healthcare Professionals. (6th ed.). Pearson Learning Solutions

Kruse, C. S., Smith, B., Vanderlinden, H., & Nealand, A. (2017). Security Techniques for the Electronic Health Records. 
Journal of medical systems, 
41(8), 127. https://doi.org/10.1007/s10916-017-0778-4

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5522514/
Links to an external site.