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June 5, 2024

EBP Health Care Technology

EBP Health Care Technology

A 4–5 page patient-centered needs assessment to demonstrate how to leverage health care technology to improve patient engagement and outcomes for a specific patient population. This could focus on a disease or a disorder based on the best available evidence that has been individualized to treat your patient’s health, economic, and cultural needs.

The bullet points below correspond to the grading criteria in the rubric. . If you are having a difficult time choosing a topic, review the Healthy People 2030 topics and try to find a topic that is interesting and relevant to you.

the importance of addressing patient engagement in the management of a patient’s specific health, economic, and cultural needs based on the best available evidence.

Why is patient engagement necessary to ensure that patients are better able to manage their specific health conditions?

What evidence in the current literature (published within the last five years) supports the benefit of patient engagement?

EBP Health Care Technology

the potential use and impact of information and communication technology tools needed to improve consumer health literacy for a specific patient population.

Consider what type of health care technology modalities are useful to improve consumer health literacy

Are there mobile applications, telehealth features, or other technology that can facilitate improving patient care?

the value and relevance of the technology modalities that may be used to address the needs identified in the patient population assessment.

How does each proposed technology modality encourage patient engagement in an ethical, culturally sensitive, and inclusive way?

EBP Health Care Technology

Ensure that your strategies:

Promote honest communications.

Facilitate sharing only the information you are required and permitted to share.

Enable you to make complex medical terms and concepts understandable to your patient and their family regardless of language, abilities, or educational level.

Consider how health information exchange and interoperability of technology modalities contribute to their value.

innovative strategies for leveraging technology to support quality, ethical, and efficient patient care that is culturally and linguistically appropriate for the identified patient population.

Consider how the selected technology impacts the patient in the most efficient way.

Is the selected technology culturally and linguistically appropriate?

how the proposed strategies will mitigate the risk of adverse outcomes due to inequity in access to patient personal health data and technology modalities.

What are potential risks that could lead to adverse outcomes for certain members of the population?

How will those risks be mitigated?

How have your proposed strategies been used previously to address iniquities and risks? APA.

June 5, 2024

Yam – Case Study

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Yam – Case Study

Case Summary

A 54-year-old Caucasian male is admitted to the emergency department with chest pain. The patient has a history of tobacco smoking and gastroesophageal reflux (GERD). There was no family history of cardiac

events. An asymptomatic electrocardiogram (ECG) stress test was conducted. Cardiac catheterization and coronary computed tomography angiography

(CCTA) would assist in diagnosing this patient.

Age: 54 years old

Sex: Male

Ethnicity: Caucasian

Medical History

History of tobacco smoking.

No significant family history of cardiac events. BMI 29.

Symptoms

Three weeks of intermediate chest pain, radiating to his left arm and jaw.

Examinations (Clinical Assays/Tests/Imaging)

Yam – Case Study

Physical Examination

Blood pressure of 139/85 mmHg. Heart rate of 81 beats per minute.

The intermediate pretest probability of CAD (coronary artery disease) is based on age and sex.

Electrocardiogram (EKG)

No ischemic changes, no left ventricular hypertrophy or left bundle branch block.

Laboratory Investigations

Serial troponin enzyme < 0.010 ng/mL (normal range: <0.04). Lipid panel showed:

Total cholesterol: 235 mg/dL (normal range: < 200 mg/dL).

Triglycerides: 408 (normal range: <149 mg/dL), HDL: 26 (normal range: < 40 mg/dL) and LDL could not be calculated (normal range: <100 mg/dL).

Electrocardiogram (EKG) Stress Test

Patient achieved 95% of maximum predicted heart rate.

10 METs (metabolic equivalents) of exercise with normalization of T wave (ventricular repolarization) inversions were seen in leads V2 (right ventricle), V3(septum) and V4 (septum)at rest.

Led to maximum asymptomatic stress test results. Intermediate probability of ischemia.

Showed normal left ventricular function with no wall motion or significant valvular abnormalities.

Yam – Case Study

Echocardiogram

Normal left ventricular function and no significant valvular or wall motion abnormalities. Coronary Computed Tomography Angiography (CCTA).

Showed approximate 70% stenosis (narrowing) of origin of the left anterior descending artery (LAD) and noncalcified plaque with an approximate length of 4 mm.

Approximate 40-50% stenosis of proximal ramus intermedius (variant coronary artery) branch secondary to mixed calcified and noncalcified plaque and scattered noncalcified and calcified plaque along obtuse and circumflex marginal branches (branches from the main artery) with luminal diameter stenosis (diameter of permissible blood flow) of approximately 30-40%.

Coronary computed tomography angiography images

Figure 1: Imaging from the coronary computed tomography angiography showing 70% stenosis of “the origin of the left anterior descending artery to secondary to non-calcified plaque extending over a length of approximately 4 mm” (yellow lines).

Fractional Flow Reserve-Computed Tomography (FFR-CT) 1

Results showed a high likelihood of flow-limiting stenosis, less than 0.5 secondary to significant stenosis at LAD origin, with a low likelihood of flow-limiting stenosis in ramus intermedius (variant main coronary artery), right coronary arteries, and left circumflex (branch off left coronary artery).

Yam – Case Study

Cardiac Catheterization

Showed 95% stenotic lesion of LAD with partial perfusion (TIMI grade 2 flow) – penetration without perfusion (incomplete filing of distal coronary bed).

This would give rise to diagonal 1 (a branch from the left anterior descending artery), with an ostial and proximal (narrowing of the ostium) 70% stenosis.

“Ramus intermedius (variant coronary artery) with proximal 70% segmental stenosis”

“Circumflex, nondominant vessel – a mild disease in proximal-distal segments – giving rise to obtuse marginal 1 (on or close to the left obtuse margin of the heart) with proximal 70% stenosis.”

Question & Answers Leading to Diagnosis:

Question 1: Based on the patient’s complaint of recurrent chest pains, EKG and serial troponin test, what could be the possible diagnosis?

Question 2: What investigations could be suggested to confirm this patient’s diagnosis?

Question 3: To characterize further risk stratification for this patient, what other investigations could be done? How would you classify this patient on the TIMI scale? APA.

June 4, 2024

Nurse Leadership Assignment

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Nurse Leadership Assignment

Explain the concept of a knowledge worker.

Define and explain nursing informatics and highlight the role of a nurse leader as a knowledge worker.

Include one slide that visually represents the role of a nurse leader as knowledge worker.

Nurse Leadership Assignment

Explain the concept of a knowledge worker.

Define and explain nursing informatics and highlight the role of a nurse leader as a knowledge worker.

Include one slide that visually represents the role of a nurse leader as knowledge worker.

Nurse Leadership Assignment

Explain the concept of a knowledge worker.

Define and explain nursing informatics and highlight the role of a nurse leader as a knowledge worker.

Include one slide that visually represents the role of a nurse leader as knowledge worker.

Your PowerPoint should Include the hypothetical scenario you originally shared in the Discussion Forum. Include your examination of the data that you could use, how the data might be accessed/collected, and what knowledge might be derived from that data. Be sure to incorporate feedback received from your colleagues’ responses. Define and explain nursing informatics and highlight the role of a nurse leader as a knowledge worker. Include one slide that visually represents the role of a nurse leader as knowledge worker. APA.

June 4, 2024

Drug PowerPoint Presentation

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Drug PowerPoint Presentation

The presentation must include information about the: drug Gabapentin

Drug pharmacology, pharmacokinetics
Brand name
Generic name
Dosing
Indications for use
Side effects
Contraindications
Pregnancy class
You must also perform a cost analysis of the drug.

Provide a patient case study on a patient in which you would utilize the drug you have selected and include at least two peer-reviewed evidence-based studies related to the drug.

Drug PowerPoint Presentation

Describe the appropriate patient education.

What is your role as a Nurse Practitioner for prescribing this medication to this patient on your case study presentation?

Describe the monitoring and follow-up.

Submission Instructions:

PPT slides must be organized using bullet points and speaker note using current APA style including citation of references.

Use the same 5 articles previous found on assignment 2 with the map out (published within last five years) scholarly journal articles within your work.

additional articles can be used if needed.

PowerPoint presentation with 10-12 slides, excluding the title slide and the reference slide.

Drug PowerPoint Presentation

The presentation must include information about the: drug Gabapentin

Drug pharmacology, pharmacokinetics
Brand name
Generic name
Dosing
Indications for use
Side effects
Contraindications
Pregnancy class
You must also perform a cost analysis of the drug.

Provide a patient case study on a patient in which you would utilize the drug you have selected and include at least two peer-reviewed evidence-based studies related to the drug.

Drug PowerPoint Presentation

Describe the appropriate patient education.

What is your role as a Nurse Practitioner for prescribing this medication to this patient on your case study presentation?

Describe the monitoring and follow-up.

Submission Instructions:

PPT slides must be organized using bullet points and speaker note using current APA style including citation of references.

Use the same 5 articles previous found on assignment 2 with the map out (published within last five years) scholarly journal articles within your work.

additional articles can be used if needed.

PowerPoint presentation with 10-12 slides, excluding the title slide and the reference slide.

June 4, 2024

Pre-Competition Readiness

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Pre-Competition Readiness

Using the worksheets from chapter 8, describe a pre-competition routine that you will use with a given age group (your choice). Include the following:

Final practice decisions

Pre-competition meal – give an example. List each item.

On-site pre-game warm-up (include relaxation and/or stimulation exercises for various player positions)

Pre-game music list – list the songs

Pre-game speech – type out your speech

Pre-competition checklist

Be very specific with the above and describe fully. Do not put the players will decide what music, food, warm up or anything else. This assignment is for you decide all the details and list each thing.

Approach 1

Design your final practice to focus on improvement and your team’s strengths, without regard for the opponent’s tendencies.

Approach 2

Design your final practice to focus on how to counter the opponent’s tendencies.

Pre-Competition Readiness

Using the worksheets from chapter 8, describe a pre-competition routine that you will use with a given age group (your choice). Include the following:

Final practice decisions

Pre-competition meal – give an example. List each item.

On-site pre-game warm-up (include relaxation and/or stimulation exercises for various player positions)

Pre-game music list – list the songs

Pre-game speech – type out your speech

Pre-competition checklist

Approach 1

Design your final practice to focus on improvement and your team’s strengths, without regard for the opponent’s tendencies.

Approach 2

Design your final practice to focus on how to counter the opponent’s tendencies.

Pre-Competition Readiness

Using the worksheets from chapter 8, describe a pre-competition routine that you will use with a given age group (your choice). Include the following:

Final practice decisions

Pre-competition meal – give an example. List each item.

On-site pre-game warm-up (include relaxation and/or stimulation exercises for various player positions)

Pre-game music list – list the songs

Pre-game speech – type out your speech

Pre-competition checklist

Approach 1

Design your final practice to focus on improvement and your team’s strengths, without regard for the opponent’s tendencies.

Approach 2

Design your final practice to focus on how to counter the opponent’s tendencies. APA.

June 4, 2024

Workshop: Designing Effective Practices

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Workshop: Designing Effective Practices

Day 2 – Part 1 (Before lunch)

This is continued from week #2. You an athletic director at a school and level of your choice (youth-sports organization, high school, or college) and are preparing to hold a pre-school retreat for your coaches. Using the chapter 7 worksheets, plan this section of the workshop that will help your coaches design effective practice environments. This part is 3-hours long and begins day 2 after breakfast.

Include the following:

An outline schedule of activities

1.1.With estimated times

1.2.Descriptions

1.3.Purpose of the activity

1.4.Rationale for using the activity

Powerpoint presentation

List of videos with links, include a short description and the purpose for using the video

Assessment survey to determine the effectiveness of this part of your workshop

All of this should be in one document – do not upload more than one.

Workshop: Designing Effective Practices

Day 2 – Part 1 (Before lunch)

Include the following:

An outline schedule of activities

1.1.With estimated times

1.2.Descriptions

1.3.Purpose of the activity

1.4.Rationale for using the activity

Powerpoint presentation

List of videos with links, include a short description and the purpose for using the video

Assessment survey to determine the effectiveness of this part of your workshop

All of this should be in one document – do not upload more than one.

Workshop: Designing Effective Practices

Day 2 – Part 1 (Before lunch)

Include the following:

An outline schedule of activities

1.1.With estimated times

1.2.Descriptions

1.3.Purpose of the activity

1.4.Rationale for using the activity

Powerpoint presentation

List of videos with links, include a short description and the purpose for using the video

Assessment survey to determine the effectiveness of this part of your workshop

All of this should be in one document – do not upload more than one. APA.

June 4, 2024

Abortion & Creative Ethical Problem

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Abortion & Creative Ethical Problem

Chapter 11 – Fictional counterexamples and Abortion

Philosopher Judith Jarvis Thompson (1929- ) has created three fictitious counterexamples in order to provide moral justification for and help us think about abortion in cases of rape, danger to the mother’s health, and failed birth control. For the sake of argument, Thompson is willing to concede that the fetus is, in fact, an innocent human being with a right to life. Research her counterexamples of the concert violinist, the big baby, and people seeds. Discuss the structure of the arguments and whether Thompson has made her case.

Abortion & Creative Ethical Problem

Chapter 12 – Bullying – Cheating, Kinda Cheating, Collaboration, or Creative Ethical Problem Solving?

Maggie stares at the clock. She has been working on the same math problem for over one-half hour and cannot solve it. She must pass this test. Although mathematics is not her strongest subject, she has studied hard for this exam and knows all the formulas. Right now she is suffering from math and test-taking anxiety because she can’t seem to solve this high value problem.

She is sitting next to her friend Rod. She likes Rod, he laughs at all her jokes and makes her feel good, and Rod is good at math. Seated behind Maggie is Stewart, a soccer player who is also good at math and likes Maggie.

Scenario #1: When the teacher turns his back, Maggie leans left tan takes a quick glance at Rod’s test. He is using a different formula on the troublesome problem. Maggie uses the other formula on the problem and is able to solve it correctly showing all her work.

Abortion & Creative Ethical Problem

Scenario #2: Maggie is about to lean left and look at Rod’s paper when Stewart, who sensed Maggie’s frustration and looked at her test, Taps her on the shoulder. “Maggie,” he whispers almost loud enough for the professor to hear, “Use the other formula!” Maggie heeds Stewart’s advice and uses a different formula. She is able to solve the problem correctly and show all of her work.

Did Maggie cheat? Or, was this acceptable collaboration or even creative problem solving? In both scenarios, Maggie knew how to use the formula correctly and did all the work herself. Was this just “kinda” cheating? Or, were Maggie’s actions acceptable? Do you see any relevant differences between scenario #1 and scenario #2? What should Maggie have done? What would you have done? Discuss and give reasons to support your answers. Judith Jarvis Thompson, “A Defense of Abortion” Philosophy and Public Affairs 1, no. 1 (Fall, 1971; 47-66. APA Referencing Style.

May 31, 2024

Medical Tragedy – Hurricane Katrina

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Medical Tragedy – Hurricane Katrina

Chapter 10 – Did Medical Personnel Kill Patients in the Aftermath of Hurricane Katrina?

Were dozens of patent’s deaths the result of mercy killings at New Orleans Memorial Medical Center? The ferocious hurricane, plus poor responses from city, state, and FEMA officials led to a disastrous evacuation of the medical facility. According to one news source, “By the third day without water, sanitation and power to run medical equipment; dwindling food supplies; and temperatures reaching 110 degrees, caregivers began debating among themselves about euthanasia.”[1] The hospital was surrounded by flood waters, and many of the patients and staff were evacuated by helicopter or boat. The sickest patients were left behind with staff who planned to stay until help arrived. But help as not forthcoming, and those in the hospital were on their own. It has been alleged that doctors and nurses administered lethal doses of medication to up to 34 people in the aftermath of Katrina. Legally, this is second degree murder.

Medical Tragedy – Hurricane Katrina

What should be done in cases of forced abandonment? What obligations do doctors have to patients? If indeed these were mercy killings, given the circumstances, did the doctors and nurse act compassionately or did they kill their patients? Review the sections on mercy death and mercy killing, and do an internet search on the Katrina situation. Take a position on this issues, have reasons to support your views, and discuss.

Medical Tragedy – Hurricane Katrina

[1] “Euthanasia in Katrina aftermath?” World Net Daily, October 13, 2005. www.wnd.com/?pageid-32833

May 31, 2024

Suicide of Admiral Nimitz

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Suicide of Admiral Nimitz

Choose ONE of the following Ethics Problems and answer it to the very best of your ability. These questions are fairly complex, and will require a minimum of 4 full pages (double spaced, not including the title/header) pages to answer completely.

Chapter 9 – Is suicide always wrong? The suicide of Admiral Nimitz

Admiral Chester W. Nimitz Jr. was the son and namesake of the famous WWII naval hero Chester Nimitz. Admiral Nimitz Sr. was victorious in the historic battle of Midway. In this battle, his naval pilots sunk four of the aircraft carriers that led the attack on Pearl Harbor and effectively eliminated Japanese naval power as a major factor in the war.

Admiral Nimitz Jr. was also a hero, as a submarine commander. Tragically, his name made headlines years later when he and his wife ended their lives in a double suicide. Reportedly, the admiral’s final statement read:

Suicide of Admiral Nimitz

Our decision was made over a considerable period of time and was not carried out in acute depression. Nor is it the expression of mental illness. We have consciously, rationally, deliberately and of our own free will taken measures to end our lives today because of the physical limitations on our quality of life placed upon us by age, failing vision, osteoporosis, back and painful orthopedic problems.

He was 86 and his wife was 89 when they ended their lives with an overdose of sleeping pills.

The Nimitz’s had made it known at least a decade earlier that when the time came they would control their final days. The Admiral was in constant pain, had lost 30 pounds due to gastrointestinal complications, and was suffering from congestive heart disease. He could no longer drive, and his vision was failing. Nimitz’s wife was blind, and had no desire to live alone.

Suicide of Admiral Nimitz

It is reported that neither believed in God or an afterlife, and they had no religious affiliation. Does old age make suicide ethical? Was Admiral Nimitz justified in his decision to end his own life? Is suicide always wrong? Provide reasons for your point of view. APA.

May 31, 2024

Models of Leadership Styles

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Models of Leadership Styles

A number of models have been developed to explain the variety of leadership styles that school administrators need be able to utilize in order to be effective leaders and decision-makers in the ever-changing situations present in schools. These include Hersey and Blanchard’s (1984) situational leadership, Fiedler’s (1973) Contingency Model, House’s (1973, 1996) Path-Goal Theory, MacGregor’s (1960) Theory X and Theory Y Model, and Burn’s (1978) Transactional/Transformational Model. Through the use of different types of authority (Weber, 1947), administrators set the climate for the school.

Decide which model you think most accurately illustrates leadership in your school district. Interview two administrators/leaders, asking them how they view leadership in your district. describes that model you chose, tells me why you think it accurately depicts leadership in your district, and discusses whether or not your view of leadership in your district was consistent with the views of the administrators you discussed.

Models of Leadership Styles

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