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Nursing Evidence-Based Practice (EBP) Projects

August 16, 2024

Choices That Affect Physical Health

Every day, people make choices that affect 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:

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.,
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.,
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.,

Submission Instructions:

Your initial post should be at least 400 words, formatted, and cited in the current APA style with support from the textbook, the webpage provided, and the source for your example 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.
Submission Instructions:
- Your initial post should be at least 400 words, formatted, and cited in the current APA style with support from the textbook, the webpage provided, and the source for your example

August 16, 2024

Cultural Perspective

By Academic Wizard Blog

Cultural Perspective Paper Assignment Instructions

Overview

The purpose of this assignment is to take a look at God’s Word as it pertains to food, eating, and our cultural view of food.

Instructions

Write a two- to three- page, double-spaced essay, APA format, and integrate biblical references within the talking points.

Talking points:

What truths from Scripture can be applied to the topic of nutrition (i.e. guidance for nourishing our physical bodies)?,
What about our culture and/or society?,
- In what way do these passages of Scripture address our culture’s view of food?,
- What about our society’s view of food (i.e. gratification lack of discipline etc.).,
Discuss the personal meaning of these passages of Scripture to your own personal view of nutrition and current eating habits.,

Scripture:

(After reading these passages, you may select other Scriptures if desired.)

Romans 12:1–2
1 Corinthians 10:31
1 John 2:16–17a
Revelation 18
Proverbs 22:1–12
Proverbs 23:19–21
Ecclesiastes 5:18–20

In your written paper, please refer to at least five (5) passages of Scripture with at least one (1) passage per primary talking point. Note: not all Scripture passages address each of the talking points individually. Also, please do not simply discuss each Scripture passage. The three primary talking points should guide the discussion of your paper. Include a “Works Cited” at the end. This must cite the Bible in APA format with at least one (1) other scholarly citation. Other than the Bible, sources cited must have been published within the last five years. Other acceptable sources include the textbook, websites, and peer-reviewed journals.

Cultural Perspective Paper Assignment Instructions

Overview

The purpose of this assignment is to take a look at God’s Word as it pertains to food, eating, and our cultural view of food.

Instructions

Write a two- to three- page, double-spaced essay, APA format, and integrate biblical references within the talking points.

Talking points:

What truths from Scripture can be applied to the topic of nutrition (i.e. guidance for nourishing our physical bodies)?
What about our culture and/or society?
- In what way do these passages of Scripture address our culture’s view of food?
- What about our society’s view of food (i.e. gratification, lack of discipline, etc.).
Discuss the personal meaning of these passages of Scripture to your own personal view of nutrition and current eating habits.

Scripture:

(After reading these passages, you may select other Scriptures if desired.)

Romans 12:1–2
1 Corinthians 10:31
1 John 2:16–17a
Revelation 18
Proverbs 22:1–12
Proverbs 23:19–21
Ecclesiastes 5:18–20

August 16, 2024

Types Of Pathogens

By Academic Wizard Blog

What types of pathogens would they be?

What habits in your food preparation practices might increase these pathogens’ growth?
What habits can you change in your life to reduce your risk of foodborne illness?
Must include in-text citations and references.Using examples from your own home,
What types of pathogens would they be?
1. What habits in your food preparation practices might increase these pathogens’ growth?
2. What habits can you change in your life to reduce your risk of foodborne illness?
3. Must include in-text citations and references.Using examples from your own home,
  What types of pathogens would they be?
  1. What habits in your food preparation practices might increase these pathogens’ growth?,
  2. What habits can you change in your life to reduce your risk of foodborne illness?,
  3. Must include in-text citations and references.Using examples from your own home,
    What types of pathogens would they be?
    1. What habits in your food preparation practices might increase these pathogens’ growth?
    2. What habits can you change in your life to reduce your risk of foodborne illness?
    3. Must include in-text citations and references.Using examples from your own home,
      What types of pathogens would they be?
    1. 1. What habits in your food preparation practices might increase these pathogens’ growth?
      2. What habits can you change in your life to reduce your risk of foodborne illness?
      3. Must include in-text citations and references.Using examples from your own home,
        What types of pathogens would they be?
        
        What habits in your food preparation practices might increase these pathogens’ growth?
        
        What habits can you change in your life to reduce your risk of foodborne illness?
        
        Must include in-text citations and references.Using examples from your own home,
        What types of pathogens would they be?,
        
        What habits in your food preparation practices might increase these pathogens’ growth?
        
        What habits can you change in your life to reduce your risk of foodborne illness?
        
        Must include in-text citations and references.Using examples from your own home,
        What types of pathogens would they be?
        
        What habits in your food preparation practices might increase these pathogens’ growth?
        
        What habits can you change in your life to reduce your risk of foodborne illness?
        
        Must include in-text citations and references.Using examples from your own home,
        What types of pathogens would they be?
        
        What habits in your food preparation practices might increase these pathogens’ growth?
        
        What habits can you change in your life to reduce your risk of foodborne illness?
        
        Must include in-text citations and references

August 16, 2024

How Does The Body Manage Excess Energy

By Academic Wizard Blog

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:

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

In 1 paragraph, describe type 1 diabetes type 2 diabetes and gestational diabetes by providing:
1. characteristics
2. definition,
3. causes & symptoms (see Chapter 20, Table 20.2, page 564 of your textbook).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:
    1. describe the diet plan
    2. evaluate whether the plan offers a nutritionally reliable way to lose weight or is it a Fad Diet
  3. In 1 paragraph, describe type 1 diabetes, type 2 diabetes, and gestational diabetes by providing:
    1. characteristics
    2. definition
    3. causes & symptoms (see Chapter 20, Table 20.2, page 564 of your textbook).

August 16, 2024

Informed Consent In Psychiatric Mental Health Treatment

By Academic Wizard Blog

Discuss the importance of informed consent in psychiatric-mental health treatment.
Would Mr. Knox meet the criteria for involuntary commitment, explain why or why not, and then discuss the involuntary commitment process for your state and if PMHNP is able to involuntarily commit a patient the state where you practice?
Should the PMHNP notify Mrs. Knox about her husband’s threat to kill her, or should the PMHNP protect the confidentiality of Mr. Knox treatment?
What additional resources should you consider in this case for help for the patient and his family?
What is the prevalence of suicide-related to someone who has a plan and the means? Are there any other criteria that this patient meets that places him in a higher risk category for carrying out suicide?

Ms. Smith is a Psychiatric-Mental Health Nurse Practitioner working in an outpatient psychiatric clinic.  She is seeing Dale Knox, a 32-years old man for a psychiatric evaluation for the first time. Dale is currently separated from his wife, Sofie.  Dale and Sodie have been married for 9 years.  Dale has fully completed all of his pre-evaluation paperwork and he has signed the consent for treatment.  During the psychiatric evaluation, Ms. Smith observes that Dale is distraught, tearful and verbalizing feelings of worthlessness and no motivation for life in general.  He states directly that he is going to kill his wife and then kill himself tonight when she returns home from work because he can’t stand the thought of being divorced and he knows she is preparing to leave him. Mr. Knox states he has a handgun in his car and has bought additional ammunition.

Answer the following questions based on the case presentation:

Discuss the importance of informed consent in psychiatric-mental health treatment. ,
Would Mr. Knox meet the criteria for involuntary commitment explain why or why not, and then discuss the involuntary commitment process for your state and if PMHNP is able to involuntarily commit a patient the state where you practice?,
Should the PMHNP notify Mrs. Knox about her husband’s threat to kill her or should the PMHNP protect the confidentiality of Mr. Knox treatment? ,
What additional resources should you consider in this case for help for the patient and his family? ,
What is the prevalence of suicide-related to someone who has a plan and the means?, Are there any other criteria that this patient meets that places him in a higher risk category for carrying out suicide? ,

Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with citations and references in APA format.

Estimated time to complete: 2 hours

Peer Response

Instructions:

Please read and respond to at least two of your peers’ initial postings. You may want to consider the following questions in your responses to your peers:

Compare and contrast your initial posting with those of your peers.
How are they similar or how are they different?
What information can you add that would help support the responses of your peers?
Ask your peers a question for clarification about their post.
What most interests you about their responses?

Please be sure to validate your opinions and ideas with citations and references in APA format.

August 16, 2024

Self Reflection

By Academic Wizard Blog

Choose one or more of the following to guide your self-reflection of your experience this week. Do not report on an extended SOAP note patient. The reflection should be a minimum of 100 to 150 words.

Discuss an encounter that was particularly interesting and what you learned from it?,
Discuss a difficult or challenging encounter and how you handled it?,
Discuss an example of how you were able to independently contribute to this week’s encounters?,
Were there any patient management plans developed by your preceptor that surprised you?,
Were you able to “teach” your preceptor anything this week?,
Identify a personal learning need you discovered while assessing or managing a specific diagnosis. What steps will you take to improve your understanding or skills?,
What insights did you gain during your experience this week that will prove most helpful for future encounters?,
What personal success do you want to celebrate?
If I could have a do over, I would have done this instead……

Discussion

The most interesting encounter this week was a thirty-five years old male patient who has been diagnosed with post-traumatic stress disorder. The patient reported to have served in the military for more than twenty-five years. He presented with severe symptoms which have been persistent since his retirement from the military. His symptoms of post-traumatic stress disorder include hyper vigilance, nightmares and flashbacks (Dutheil et al.,2021). Additionally, his next of kin reported that he has difficulties in maintaining relationships and also, he has a sense of detachment from his family. According to the patient, these symptoms have affected his life since it is hard for him to be understood by people who ha e not gone through similar experiences. After comprehensive examination, the patient was initiated to treatment which include medication, therapy, ex-military support groups and community support. Support groups works better for patients who have undergone similar experiences (Harnett et at.,2020).

Looking Ahead

What clinical goal would you like to tackle next week?

Discussion

In the coming week, my main goal is to improve my competency in the use of cognitive behavioral therapy techniques to post traumatic stress disorder patients. Cognitive behavioral therapy is the most common therapy used in treatment of PTSD (McLean et al.,2022).

What is your proposed clinical schedule (date/time/total hours) for next week?
I have completed all clinical hrs required for this course.

I am going to email/message you to further discuss … (Optional)

Reviewing a challenging patient encounter.
Challenges/concerns with my preceptor and/or my clinical site.
The absence of the application of EBP/CPGs in the clinical setting.
Challenges with gaining access to enough patients in the required age range.
Challenges with gaining access to a wide variety of diagnoses for the course population.
Incorrect action(s) taken by me at the clinical site.
Locating resources to assist with my clinical experience.
Anything else . . .

Topic to Discuss

If any, type your response here –

August 16, 2024

Principles Of Good Prescribing

By Academic Wizard Blog

Discuss how the principles of good prescribing should be applied to this case.,
Describe a cultural consideration that may affect medication adherence for this patient.,

Submission Instructions:

Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 3 academic sources within the last 5 years.,
Due august 19 at 11:59pm.

A 23-year-old biracial (Black Asian) female arrives at the clinic for an evaluation. She has lost 30 pounds in 6 weeks without trying. She complains of feelings of guilt about her symptoms and everyday sadness that does not go away. She also states she is not able to stay asleep and has difficulty concentrating. Her family is Jamaican and has used herbal teas, not a psychiatrist in the past to treat these symptoms.

Discuss how the principles of good prescribing should be applied to this case.
Describe a cultural consideration that may affect medication adherence for this patient.

Submission Instructions:

Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 3 academic sources within the last 5 years.
Due august 19 at 11:59pm.

Discuss how the principles of good prescribing should be applied to this case.
Describe a cultural consideration that may affect medication adherence for this patient.

Submission Instructions:

Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 3 academic sources within the last 5 years.
Due august 19 at 11:59pm.

August 16, 2024

Shadow Health Reflection

By AssignmentHelp Blog

Shadow Health Reflection

Professional Development

Write a 500-word APA reflection essay of your experience with the Shadow Health virtual assignment(s). At least two scholarly sources in addition to your textbook should be utilized. Answers to the following questions may be included in your reflective essay:
- What went well in your assessment?
- What did not go so well? What will you change for your next assessment?
- What findings did you uncover?
- What questions yielded the most information? Why do you think these were effective?
- What diagnostic tests would you order based on your findings?
- What differential diagnoses are you currently considering?
- What patient teaching were you able to complete? What additional patient teaching is needed?
- Would you prescribe any medications at this point? Why or why not? If so, what?
- How did your assessment demonstrate sound critical thinking and clinical decision making?

Shadow Health Reflection

Professional Development

Write a 500-word APA reflection essay of your experience with the Shadow Health virtual assignment(s). At least two scholarly sources in addition to your textbook should be utilized. Answers to the following questions may be included in your reflective essay:
- What went well in your assessment?
- What did not go so well? What will you change for your next assessment?
- What findings did you uncover?
- What questions yielded the most information? Why do you think these were effective?
- What diagnostic tests would you order based on your findings?
- What differential diagnoses are you currently considering?
- What patient teaching were you able to complete? What additional patient teaching is needed?
- Would you prescribe any medications at this point? Why or why not? If so, what?
- How did your assessment demonstrate sound critical thinking and clinical decision making?

August 16, 2024

culture and caring theories

By Academic Wizard Samples

Which of the culture and caring theories most resonates with you for your practice as an NP?

In my future role as a Psychiatric Mental Health Nurse Practitioner, the nursing theory resonates with the Quality-Caring Model because it reveals and illustrates the importance of nursing in the context of evidence-based practice in contemporary healthcare. It encourages a method or manner of being, that subverts modernist norms and emphasizes the importance of connections. The blended model characterizes the two main connections that make up professional encounters by restating the relationship-centered aspect of nursing work. It is predicted that caring relationships benefit patients and their families as well as healthcare providers and systems (Thomas et al., 2019).

How does the theory integrate the nursing paradigm? ,

The Quality care Model unifies the nursing paradigm by centering the nursing process around relationships. This paradigm places a strong emphasis on the value of connections with patients, families, coworkers, oneself, and the community. To foster efficient caregiving and cohesive teams, it also recommends that nurses collaborate with other members of the healthcare team. The approach helps nurses deliver high-quality care by fusing these compassionate interactions with evidence-based practice (Compton et al., 2018).

What parts of the theory do you identify with? How does the theory help to meet CLAS standards to advance health equity?

One aspect of Duffy’s quality care model that resonates with me is how understanding patients’ perspectives on caring behaviors can assist the nursing team in identifying areas where rapport-building and improving the quality of life for patients and their families. Because it identifies eight caring factors acknowledging each other’s distinct meaning, fostering a healing atmosphere, offering attentive reassurance, human respect, encouraging behavior, meeting basic human needs, and working together to solve problems the Duffy quality care model contributes to meeting the CLAS standard by tailoring care to a patient’s linguistic and cultural preferences, medical professionals can assist improve health outcomes for a range of groups and reduce health disparities (U.S. Department of Health & Human Services, 2019).

References

Compton, E., Gildemeyer, K., Mason, T., Hartranft, S., & Sutton, S. (2018). Nurses’ Caring Behaviors: The Perception of Patients with Cancer at the Time of Discharge After Surgery. Clinical Journal of Oncology Nursing, 22(2), 169–174. https://doi.org/10.1188/18.cjon.169-174Links to an external site.

Thomas, D., Newcomb, P., & Fusco, P. (2019). Perception of Caring Among Patients and Nurses. Journal of Patient Experience, 6(3), 194–200. https://doi.org/10.1177/2374373518795713Links to an external site.

U.S. Department of Health & Human Services. (2019). What is CLAS? Think Cultural Health. https://thinkculturalhealth.hhs.gov/clas/what-is-clasLinks to an external site.

August 16, 2024

program that would improve outcomes.

By Academic Wizard Blog

Propose a change to one aspect of your local or regional health care system or program that would improve outcomes. Then, conduct a comparative analysis of other, non-U.S. health care systems, focusing on the proposed change. Summarize the proposed change and your comparative analysis in a 4–5 page report.

Health care systems around the world provide useful models for analysis. Familiarity with different models and approaches to health care enables leaders to identify what works and what does not, as the basis for proposing a change. As we continue to evaluate the complex and fragmented system in the United States, it is important for nurse leaders to become familiar with the programs and systems that provide evidence-based quality care that is affordable and focused on continual improvement.

This assessment provides an opportunity to examine a local or regional health care issue from a global perspective.

Your organization, in collaboration with the key stakeholders from the community, is funding an initiative to investigate potential improvements in the local or regional health care system. As a nurse leader attuned to the effects of health care policy and finance on the provision of affordable, high-quality care, you have been asked to join the task force conducting the study.

You know that an examination of other countries’ health care systems can provide a solid, evidence-based foundation for evaluating outcomes and identifying benchmarks. Consequently, you have decided to undertake an analysis of selected, non-U.S. health care systems and compare them to each other and to the existing local or regional U.S. system to help inform decision making as the task force considers proposed changes.

In this assessment, you will propose a change to one aspect of your local or regional health care system or program. Conduct a comparative analysis of different health care systems and summarize your proposed change and findings from your analysis in a report to executive leaders. To prepare for your assessment, you are encouraged to begin thinking about the non-U.S. health care systems you might like to examine. In addition, you may wish to:

REQUIREMENT

Complete this assessment in three steps:

Propose a change to one aspect of your local or regional health care system or program that would improve outcomes.,
Conduct a comparative analysis of different health care systems focusing on one aspect of the system you are proposing to change.,
Summarize your proposed change and the results of your comparative analysis in a report to executive leaders.,

The summary report requirements outlined below, correspond to the grading criteria in the scoring guide for Proposing Evidence-Based Change, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed. The Guiding Questions: Proposing Evidence-Based Change document provides additional considerations that may be helpful in completing your assessment. In addition, be sure to note the requirements below for document format and length and for citing supporting evidence.

Identify an aspect of a local or regional health care system or program that should be a focus for change.
Define desirable outcomes, including who will pay for care and factors limiting achievement of those outcomes.
Analyze two non-U.S. health care systems or programs that offer insight into a proposed change for a health care system or program in the United States.
- Choose one of the following options for selecting the two systems or programs:
  - Option 1: Select two systems at opposite ends of the scale in terms of desirable outcomes for the issue reflected in your proposed change.
  - Option 2: Select two systems that both produce positive outcomes but take unique or innovative approaches to the problem.
- Compare the outcomes in each non-U.S. system with each other and with present outcomes in your local or regional health care system.
Explain why specific changes will lead to improved outcomes.
Determine the financial and health implications associated with the proposed changes.
- Address the implications of making the changes.
- Address the implications of not making the changes.
Write clearly and concisely in a logically coherent and appropriate form and style.
Support assertions, arguments, propositions, and conclusions with relevant and credible evidence.

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