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January 17, 2025
January 17, 2025

Problem Statement

This is an 18-year-old male college student with a history of childhood asthma who presents with acute onset of nonproductive cough, sore throat, fatigue, myalgias, and headache × 4 days. He reports a sick contact, and has not had annual flu vaccine or COVID booster. Physical examination reveals a temperature of 101°F, tachycardia, erythematous pharynx, and anterior cervical lymphadenopathy, but is negative for adventitious breath sounds and hepatosplenomegaly.

Problem Statement

Case: Management Plan

Pharmacologic Care:

  • Acetaminophen OTC 325 mg 1-2 tabs PO q 4-6 hours; maximum dose 10 tablets per day pm fever headache myalgias. ,Problem Statement
  • Dextromethorphan HBr + guaifenesin 20mg/400 mg 20 mL PO q 4 hrs; maximum dose 6 doses daily pr cough,

Supportive Care:

  • Increase fluid intake
  • Rest – no class attendance – school note provided for 48 hours
  • Marvin Webster Jr i-Human Patients Case Study

Patient Education:

  • Offered education on the diagnosis and treatments provided,
  • Educated patient that oseltamivir is not indicated given timeline since symptom onset,

Follow-Up/Disposition:

  • Follow up in the student health center if not improving within 48 hours or headache worsens or if shortness of breath develops
  • At future visit, address vaccination status – encourage flu vaccine and COVID booster
  • Marvin Webster Jr i-Human Patients Case Study Problem Statement

Asceticism may be defined as depriving the body as a sacrifice for the sake of the mind or the spirit. In other words, it could mean abstaining from food (fasting), water, sleep, or even sex and other indulgences in order to find peace or show dedication to your faith. We find examples of asceticism across religions around the world, from fasting to prayer to sacrifice. For your essay this week, read the introductory article on asceticism and the articles on religion to find examples of asceticism (depriving oneself) in at least two regions of the ancient world—one Eastern, one Western—in order to compare their roles in the development of historical civilizations. Consider these two questions: What practical non-religious purpose do these behaviors serve in their historical communities?, Do you see distinct changes around the world or are they essentially the same practice wherever they are found?, You may conduct some additional research to find unique examples to add to your paper.

Your paper must be submitted as a two- to three-page Microsoft Word document with double spacing, 12-point Times New Roman font, one-inch margins, and at least three sources cited in Chicago/Turabian format.

 

January 16, 2025
January 16, 2025

Leaders and Interprofessional Stakeholders

The purpose of this assignment is to develop a presentation for your capstone project change proposal that you will present in Topic 10 to leaders and interprofessional stakeholders at your practicum site.

 

Leaders and Interprofessional Stakeholders

Prepare a presentation using as a guide the Topic 8 “Benchmark – Capstone Project Change Proposal” that was completed previously.

Students will disseminate this presentation to leadership at the practicum site in Topic 10. Reach out to your preceptor to collaborate on confirming a date and time to present this PowerPoint to an interprofessional audience of leaders and stakeholders at the practicum site.

Prepare a 10-15-slide PowerPoint presentation of your capstone project change proposal to include the following:,

  1. Identify the clinical problem statement and explain the purpose of the evidence-based change proposal.,
  2. Summarize the evidence/literature, including connection to the proposed plan.,
  3. Propose an implementation plan with an intervention and outcome measures.,
  4. Outline the roles and responsibilities of the various interprofessional stakeholders who will be needed in order to implement the plan. Roles and responsibilities discussed should be specific to the implementation of your proposed project.,
  5. Describe the resources needed for project implementation.,
  6. Discuss the evaluation plan for proposed nursing intervention.,

Provide a minimum of three references to accompany in-text citations used throughout the PowerPoint presentation.

In preparing your presentation, consider the stakeholders who will be part of your audience and ensure you incorporate appropriate messaging and communication strategies for that audience. Submit the presentation in the digital classroom for feedback from the instructor.

Title slide and reference slide are not included in the slide count. Include speaker notes below each content-related slide that represent what would be said if giving the presentation in person. Expand upon the information included in the slide and do not simply restate it. Please ensure the speaker notes include a minimum of 50-100 words per slide.

January 16, 2025
January 16, 2025
  • Tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program?
  • Who is your target population?
  • What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples?
  • What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design?
  • What is the role of the nurse in  implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples?
  • Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why?

Healthcare Program

  • Tell us about a , within your practice. What are the costs and projected outcomes of this program?
  • Who is your target population?,
  • What is the role of the nurse in providing input for the design of this ? Can you provide examples?,
  • What is your role as an advocate for your target population for this ? Do you have input into design decisions? How else do you impact design?,
  • What is the role of the nurse in  implementation? How does this role vary between design and implementation 
  • Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why?
  • Tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program?
  • Who is your target population?
  • What is the role of the nurse in providing input for the design of this  Can you provide examples?
  • What is your role as an advocate for your target population for this m? Do you have input into design decisions? How else do you impact design?
  • What is the role of the nurse in  implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples?
  • Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why?
January 15, 2025
January 15, 2025

Peer Reviewed School Nurse Article

Find and read a nursing scholarly article that relates to your clinical practice (school Nurse) and is found in a peer-reviewed journal.

· What is the research question?

 

Peer Reviewed Nursing Article

· What research method is being used?

· How are the subjects chosen (explain the parameters, sample size, & how many)

· What are the results of the study?

· What are the recommendations?

· What are your opinions?

Submission Instructions:

· lose points for improper grammar, punctuation, and misspellings.

· It must be a research article.  Write a 1-page summary using an outline of the steps of the research process, and discuss the study type, purpose, and research question(s) above.

·  current APA style and references should be current

· The purpose of these article summaries is for you to educate me on the study – NOT the topic.

Find and read a nursing scholarly article that relates to your clinical practice (school Nurse) and is found in a peer-reviewed journal.

· What is the research question?

· What research method is being used?

· How are the subjects chosen (explain the parameters, sample size, & how many)

· What are the results of the study?

· What are the recommendations?

· What are your opinions?

Submission Instructions:

· lose points for improper grammar, punctuation, and misspellings.

· It must be a research article.  Write a 1-page summary using an outline of the steps of the research process, and discuss the study type, purpose, and research question(s) above. Peer Reviewed School Nurse Article

·  current APA style and references should be current

· The purpose of these article summaries is for you to educate me on the study – NOT the topic.

Find and read a nursing scholarly article that relates to your clinical practice (school Nurse) and is found in a peer-reviewed journal.,

· What is the research question?,

· What research method is being used? Peer Reviewed School Nurse Article,

· How are the subjects chosen (explain the parameters sample size & how many),

· What are the results of the study?,

· What are the recommendations?,

· What are your opinions?,

Submission Instructions:

· lose points for improper grammar, punctuation, and misspellings.

· It must be a research article.  Write a 1-page summary using an outline of the steps of the research process, and discuss the study type, purpose, and research question(s) above.

·  current APA style and references should be current

· The purpose of these article summaries is for you to educate me on the study – NOT the topic.

January 15, 2025
January 15, 2025

While many different models for evidence-based practice (EBP) exist, a core methodology is shared within each. Central to EBP models is the review of scholarly sources to appraise the quality of evidence available regarding an identified practice issue or intervention. To guide the process, the development of a PICOT statement is often the first step.

 

Central to EBP Models

A PICOT statement includes a brief description of the problem and population impacted, intervention, comparison, outcome, and anticipated timeframe to better understand the issue. This step provides clarity and direction as the critique of evidence from scholarly literature is initiated. The PICOT statement will be used in future assignments in this course.

General instructions

  1. Download the Week 2 PICOT Worksheet TemplateLinks to an external site. to complete this assignment. Use of this template is required. If the template is not used, a 10% deduction will be applied. See the rubric. Save the template and include your name in the file name.
  2. Complete the PICOT Worksheet Template using the scenario provided in the Week 1 announcements.
  3. Follow APA grammar, spelling, word usage, and punctuation rules consistent with formal, scholarly writing.
  4. Use APA in-text citations and complete references to support your writing.
  5. Abide by Chamberlain University’s academic integrity policy.

Include the following sections (detailed criteria listed below and in the grading rubric). Central to EBP Models

  1. Practice Problem
    1. Using the practice problem identified in the Week 1 discussion, summarize your practice problem in 2-3 sentences.
    2. Explain why the issue/concern is important to nurse practitioner practice.
    3. Provide an in-text citation from one scholarly source to support your writing.
  2. PICOT Elements: Discuss each of the following PICOT elements in one or two sentences.
    1. P-Population:
      1. What is the nursing practice concern or problem and whom does it affect? Be specific and narrow down your population. The population should be client-focused.
    2. I–Intervention:
      1. What evidence-based solution for the problem would you like to apply?
      2. Provide an in-text citation from one scholarly source to support your writing.
    3. C–Comparison:
      1. What is another solution to the problem? This is typically the current practice, an alternative solution, or no intervention.
    4. O–Outcome:
      1. How will you know the intervention worked?
      2. How will you measure the outcome?
      3. The outcome must be measurable from a baseline.
    5. T–Timeframe:
      1. What is the timeframe or the target completion date?
  3. PICOT Question: Write a PICOT question using standard formatting: In _____ (P), how does _____ (I) compared to _____ (C) affect _____ (O) within _____ (T)?
    1. Use the standard PICOT format and label each element.
      1. P-Population
      2. I-Intervention
      3. C-Comparison
      4. O-Outcome
      5. T-Timeframe
  4. Keywords: Identify keywords for each element of the PICOT question that could be used to support a literature search. Use Appendix B from Melnyk & Fineout-Overholt (2023) for guidance.
    1. P =
    2. I =
    3. C =
    4. O =
    5. T =

Rubric

NR585NP_W2_ PICOT Question Worksheet RubricNR585NP_W2_ PICOT Question Worksheet RubricCriteriaRatingsPtsThis criterion is linked to a Learning OutcomePractice Problem3 Required Criteria

1. Using the practice problem identified in the Week 1 discussion, summarize your practice problem in 2-3 sentences.

2. Explain why the issue/concern is important to nurse practitioner practice.

3. Provide an in-text citation from one scholarly source to support your writing.10 ptsExcellentAll requirements met.8 ptsSatisfactory2 requirements met.5 ptsNeeds Improvement1 requirement met.0 ptsUnsatisfactoryNo requirements met.10 pts Central to EBP Models
This criterion is linked to a Learning OutcomePICOT Elements5 Required Criteria

Discuss each of the following PICOT elements in one or two sentences:,

1. P-Population and Problem: What is the nursing practice concern or problem and whom does it affect? Be specific and narrow down your population. The population should be client-focused. Provide an in-text citation from one scholarly source to support your writing.,

2. I–Intervention: What evidence-based solution for the problem would you like to apply? ,Provide an in-text citation from one scholarly source to support your writing.,

3. C–Comparison: What is another solution to the problem? This is typically the current practice, an alternative solution, or no intervention.,

4. O–Outcome: How will you know the intervention worked? How will you measure the outcome? The outcome must be measurable from a baseline.,

5. T–Timeframe: What is the timeframe or the target completion date?35 ptsExcellentAll requirements met.32 ptsVery Good4 requirements met.29 ptsSatisfactory3 requirements met.18 ptsNeeds Improvement1-2 requirements met.0 ptsUnsatisfactoryNo requirements met.35 pts
This criterion is linked to a Learning OutcomePICOT Question6 Required Criteria

Use the standard PICOT format and label each element.

1. P-Population

2. I-Intervention

3. C-Comparison

4. O-Outcome

5. T-Timeframe

6. Standard PICOT format used25 ptsExcellentAll requirements met.23 ptsVery Good5 requirements met.21 ptsSatisfactory4 requirements met.13 ptsNeeds Improvement1-3 requirements met.0 ptsUnsatisfactoryNo requirements met.25 pts
This criterion is linked to a Learning OutcomeKeywords5 Required Criteria

Identify keywords for each element of your PICOT question that could be used to support a literature search.

1. P =

2. I =

3. C =

4. O =

5. T =10 ptsExcellentAll requirements met.9 ptsVery Good4 requirements met.8 ptsSatisfactory3 requirements met.5 ptsNeeds Improvement1-2 requirements met.0 ptsUnsatisfactoryNo requirements met,10 pts
This criterion is linked to a Learning OutcomeAPA FormatCitation and Reference Formation

Use the current APA format to format citations and references and is free of errors.
Total Points: 90Previous

January 15, 2025
January 15, 2025

This is an FNP assignment on Family Medicine Role Development : Clinical Integration. It is a case study, please answer the 4 questions and respond separately.

Students review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references. Answer the case studies on the same document and upload 1 document to Moodle.

 

Family Medicine Role Development

The answers must be in your own words with reference to the journal or book where you found the evidence to your answer. Do not copy-paste or use a past students work as all files submitted in this course are registered and saved in turn it in program.

Turn it in Score must be less than 20 % or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 20. Copy pastes from websites or textbooks will not be accepted or tolerated. Please see the College Handbook with reference to the Academic Misconduct Statement.

All answers to case studies must-have reference cited in the text for each answer and a minimum of 2 Scholarly References (Journals, books) (No websites) per case Study

Late Assignment is not acceptable 

Case Study # 1

Follow up Visit: Family Medicine Role Development

Patient Data: BG is a 44 yo male weighing 438 pounds at 5’ 8 was schedule as a regular follow up for the following rash:

  • Identify the picture
  • Mention at least three differential diagnoses as part of your assessment and diagnostic strategies
  • Discuss and describe the diagnosis
  • Discuss lines of treatment for conclude diagnosis

This is an FNP assignment on Family Medicine Role Development: Clinical Integration. It is a case study, please answer the 4 questions and respond separately.

Students review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references. Answer the case studies on the same document and upload 1 document to Moodle. Family Medicine Role Development

The answers must be in your own words with reference to the journal or book where you found the evidence to your answer. Do not copy-paste or use a past students work as all files submitted in this course are registered and saved in turn it in program.

Turn it in Score must be less than 20 % or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 20. Copy pastes from websites or textbooks will not be accepted or tolerated. Please see the College Handbook with reference to the Academic Misconduct Statement.

All answers to case studies must-have reference cited in the text for each answer and a minimum of 2 Scholarly References (Journals, books) (No websites) per case Study

Late Assignment is not acceptable 

Case Study # 1

Follow up Visit:

Patient Data: BG is a 44 yo male weighing 438 pounds at 5’ 8 was schedule as a regular follow up for the following rash:,

  • Identify the picture,
  • Mention at least three differential diagnoses as part of your assessment and diagnostic strategies,
  • Discuss and describe the diagnosis,
  • Discuss lines of treatment for conclude diagnosis

 

January 15, 2025
January 15, 2025

For this RCT Critical Appraisal assignment, you will complete an appraisal of the following article=:

Here is a link to the article:    A randomized controlled trial of mindfulness in patients with schizophrenia Download A randomized controlled trial of mindfulness in patients with schizophrenia

 

RCT Critical Appraisal

Respond to this prompt following rubric guidelines as posted:

  1. 1- State your overall appraisal of this article (include/exclude/seek further info) and provide a rationale of approximately 2-3 paragraphs, citing evidence from the article, as to why you think the article is appropriate to include or not in the making of a clinically-based decision.  This will be your response to the final question on the CASP RCT Checklist.
  2. 2-  Complete the CASP RCT Checklist  Download CASP RCT Checklist critical appraisal tool and use this information to guide your final thoughts on the usefulness of this article.  Be sure to provide examples and support for your responses.  Please do not simply answer “yes” or “no”.
  3. 3-  Describe at least 1 important point that you learned about the appraisal process as a tool that is used before the findings from a study could be applied to clinical practice.

For this RCT critical appraisal assignment, you will complete an appraisal of the following article=:

Here is a link to the article:    A randomized controlled trial of mindfulness in patients with schizophrenia Download A randomized controlled trial of mindfulness in patients with schizophrenia

Respond to this prompt following rubric guidelines as posted: RCT Critical Appraisal

  1. 1- State your overall appraisal of this article (include/exclude/seek further info) and provide a rationale of approximately 2-3 paragraphs citing evidence from the article as to why you think the article is appropriate to include or not in the making of a clinically-based decision., This will be your response to the final question on the CASP RCT Checklist. ,
  2. 2-  Complete the CASP RCT Checklist  Download CASP RCT Checklist critical appraisal tool and use this information to guide your final thoughts on the usefulness of this article.,  Be sure to provide examples and support for your responses.  Please do not simply answer “yes” or “no”.,
  3. 3-  Describe at least 1 important point that you learned about the appraisal process as a tool that is used before the findings from a study could be applied to clinical practice.,
January 15, 2025
January 15, 2025

Musculoskeletal Pathophysiologic

A 58-year-old female presents to the clinic with a complaint of worsening knee pain over the
past two years. She describes the pain as a deep, aching sensation that worsens with activity,
particularly after long periods of standing or walking. She reports morning stiffness that lasts
about 15 minutes and notices some swelling in her knees at the end of the day. The patient has
difficulty climbing stairs and feels her range of motion is becoming limited. She has a history of
obesity (BMI 32) and has worked as a retail cashier for over 30 years, which involves prolonged
standing. Physical examination reveals crepitus (a grating sensation) upon knee movement, mild
swelling, and decreased range of motion. X-rays show joint space narrowing and osteophyte
formation.

 

Musculoskeletal Pathophysiologic

In 1 -2 pages, answer the questions below in detail. You must use current evidence-based
resources to support your answers. Follow APA guidelines. Follow the grading rubric.
Questions:,
1. What are the risk factors that likely contributed to the development of osteoarthritis in
this patient?,
2. What is the pathophysiology of osteoarthritis, and how does it relate to the patient’s
symptoms such as pain and stiffness?,
3. Why does the patient experience more pain after long periods of standing or walking?
Prolonged standing or walking increases mechanical stress on the knee joint particularly,
4. What is the significance of the crepitus and joint space narrowing observed during the
physical exam and on the X-ray? Musculoskeletal Pathophysiologic,
5. How does obesity play a role in the progression of osteoarthritis in the knee joints?,

Develop a  2-page case study analysis examining the patient symptoms presented in the case study. Be sure to address the following:,

Explain the musculoskeletal pathophysiologic processes of why the patient presents these symptoms.,

  • The response accurately and thoroughly describes the patient symptoms. … The response includes accurate, clear, and detailed explanations of the musculoskeletal pathophysiologic processes of patients who present these symptoms and is supported by evidence and/or research, as appropriate, to support the explanation.

Explain how obesity plays a role in the progression of osteoarthritis in the knee joints.

  • The response includes an accurate, complete, detailed, and specific explanation of how obesity plays a role in the progression of osteoarthritis in the knee joints and is supported by evidence and/or research, as appropriate, to support the explanation.

Explain risk factors that may contribute to the development of the disease. Musculoskeletal Pathophysiologic

  • The response includes an accurate, complete, detailed, and specific explanation of risk factors that may contribute to the development of the disease, and is supported by evidence and/or research, as appropriate, to support the explanation.

Written Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. Content is supported by current evidence-based sources.

  • Paragraphs and sentences follow writing standards for flow, continuity, and clarity. … Content is supported by current evidence-based sources.
January 15, 2025
January 15, 2025

Nursing Problems

Identify and describe the problem in clear and concise language. To help you think about what problem you might choose, keep in mind the health or nursing problems of the patient population(s) you currently serve, those you encountered in your clinical courses, or those you plan to work with in the future.

 

Nursing Problems

  • Describe the clinical setting.
  • Describe the service area for the clinic and population groups who attend the clinic services.
  • What kinds of problems do you see in the clinic?
  1. Give a clear, explicit statement of the problem and target population, as well as the background of the specific problem relative to the clinical setting.
  • Is it broad enough that you can analyze it from many theoretical and conceptual points of view and make suitable plans to address the problem from a number of perspectives?
  • Is it of enough interest to you that you are willing to spend most of the semester thinking about it, assessing all its dimensions, planning in detail how to address it, and designing a detailed intervention and evaluation plan?
  1. Describe the significance of the evidence-based project that could be implemented in the selected setting to the nursing profession. Ask yourself why it is important to you. Consider your own clinical interest.
  • Describe clinical observations that point out the knowledge gap, clinical gap, etc.
  • Describe the significant research in the area that has been done that delineates the gap in our knowledge.
  • should be 3–4 pages in length, not including the cover or reference pages. Must reference a minimum of 3 scholarly sources.
  • THIS IS PART TWO OF TWO PART ASSIGNMENT. DUE DATES ARE DIFFERENT BUT ASSIGNMENT TOPICS NEED TO BE THE SAME. Nursing Problems
    1. Identify and describe the problem in clear and concise language. To help you think about what problem you might choose keep in mind the health or nursing problems of the patient population(s) you currently serve those you encountered in your clinical courses or those you plan to work with in the future.,
    • Describe the clinical setting.,
    • Describe the service area for the clinic and population groups who attend the clinic services.,
    • What kinds of problems do you see in the clinic?,
    1. Give a clear explicit statement of the problem and target population as well as the background of the specific problem relative to the clinical setting.,
    • Is it broad enough that you can analyze it from many theoretical and conceptual points of view and make suitable plans to address the problem from a number of perspectives?,
    • Is it of enough interest to you that you are willing to spend most of the semester thinking about it assessing all its dimensions planning in detail how to address it and designing a detailed intervention and evaluation plan?,
    1. Describe the significance of the evidence-based project that could be implemented in the selected setting to the nursing profession. Ask yourself why it is important to you. Consider your own clinical interest.,
    • Describe clinical observations that point out the knowledge gap, clinical gap, etc.
    • Describe the significant research in the area that has been done that delineates the gap in our knowledge.
    • should be 3–4 pages in length, not including the cover or reference pages. Must reference a minimum of 3 scholarly sources.
    • THIS IS PART TWO OF TWO PART ASSIGNMENT. DUE DATES ARE DIFFERENT BUT ASSIGNMENT TOPICS NEED TO BE THE SAME.