Appraise the various methods to determine osteomyelitis. Comment on: o the level of evidence o clinimetric (clinical measurement) properties o clinical utility o how to translate this knowledge to action in your clinical practice setting.

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Appraise the various methods to determine osteomyelitis. Comment on:
o    the level of evidence
o    clinimetric (clinical measurement) properties
o    clinical utility
o    how to translate this knowledge to action in your clinical practice setting.

 

Module 7: FACULTY CHOSEN MODULE (REQUIRED)

Diabetic Foot Ulcers

7.1 (A) Price PE. Education, psychology and ‘compliance’. Diabetes Metab Res Rev.
2008; 24. Suppl 1:S101-5.

7.1 (B) Lehane, McCarthy, Geraldine. Medication non-adherence–exploring the
conceptual mire. International Journal of Nursing Practice. 2009;
15(1):25-31.

7.1 (C) Sibbald RG, Ayello E, Alavi A. Screening for the high risk diabetic foot. Advances in Skin and Wound Care 2012; 465-476.

Question: 7.1 (A)- What are the components of a high risk diabetic foot.

(B) Construct an enabler to assist diabetic patients to manage the consequences of being diagnosed with a high risk diabetic foot.

7.2 (A) Rogers LC, Driver VR, Armstrong DG. Assessment of the diabetic foot.
In Sibbald RG, Ayello EA, Elliott JA, editors, WoundPedia: Wound Care Updates 2015: A Textbook for Healthcare Professionals & the IIWCC. 5th ed. Vol 2. WoundPedia, 2015. In Press.
7.2 (B) Botros M, Goettl K, Parsons L, Menzildzic S, Morin C, Smith T, Hoar A,
Nesbeth H, McGrath S. Best practice recommendations for the
prevention, diagnosis, and treatment of diabetic foot ulcers: Update 2010.
Wound Care Canada. 2010;8(4):6-40.
Question: 7.2- In assessing a person with a diabetic foot ulcer, which elements are critical to evaluate? How would you approach this assessment?

7.3 Armstrong DG, Bevilacqua NJ, Wu SC. Offloading foot wounds in people with
diabetes. In Sibbald RG, Ayello EA, Elliott JA, editors, WoundPedia: Wound Care Updates 2015: A Textbook for Healthcare Professionals & the IIWCC. 5th ed. Vol 2. WoundPedia, 2015. In Press.

(Note: see also Botros 7.2)

Question: 7.3- Construct a chart identifying the advantages and disadvantages of various plantar pressure redistribution devices. Comment on how various devices can be integrated in your practice settings.

7.4 Tesfaye S, Boulton AJ, Dyck PJ, Freeman R, Horowitz M, Kempler P, Lauria G,
Malik RA, Spallone V, Vinik A, Bernardi L, Valensi P. Toronto Diabetic
Neuropathy Expert Group. Diabetic neuropathies: update on definitions,
diagnostic criteria, estimation of severity, and treatments. Diabetes Care. 2010;
33(10):2285-93.

Question: 7.4- Outline and discuss a practical plan for the management of a diabetic patient with neuropathy and related symptoms.

7.5 (A) Grayson ML, Gibbons GW, Balogh K, Levin E, Karchmer AW. Probing to bone
in infected pedal ulcers: A clinical sign of underlying osteomyelitis in
diabetic patients. JAMA. 1995; 273(9): 721-723.

7.5 (B) Dinh MT, Abad CL, Safdar N. Diagnostic accuracy of the physical examination
and imaging tests for osteomyelitis underlying diabetic foot ulcers: Meta-
analysis. Clin Infect Dis. 2008; 47(4):519-27.

Question: 7.5- Appraise the various methods to determine osteomyelitis. Comment on:
o the level of evidence
o clinimetric (clinical measurement) properties
o clinical utility
o how to translate this knowledge to action in your clinical practice setting.

OPTIONAL READINGS

(A) Jeffcoate WJ, Harding KG. Diabetic foot ulcers. The Lancet. 2003; 361:1545-
1551.

(B) Lavery LA, Armstrong DG, Wunderlich RP, Mohler MJ, Wendel CS, Lipsky BA.
Risk factors for foot infections in persons with diabetes. Diabetes Care.
2006; 29(6):1288-93.

(C) Lipsky BA, Berendt AR, Deery G, Embil JM, Joseph WS, Karchmer AW,
LeFrock JL, Lew DP, Mader JT, Norden C, Tan JS. Diagnosis and
treatment of diabetic foot infection. CID. 2004; 39:885-910.

(D) Sherman RA. Maggot therapy for foot and leg wounds. Lower Extremity
Wounds. 2002;1(2): 135-142.

(E) Sibbald RG, Armstrong DG, Orsted HL. Pain in diabetic foot ulcers. Ostomy
Wound Management Suppl. 2003; 49(4Asuppl):24-29.

 

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Discuss why it is important for Jo and her family to have a current Asthma Action Plan prior to her discharge from hospital

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CHILD AND ADOLESCENT NURSING

Please ensure you have completed the asthma simulation which is currently up on DSO in week 5, as this
assessment continues with your nursing care of the simulation characters: Jo and her family.
This assignment is in two parts.
Part A
Discuss why it is important for Jo and her family to have a current Asthma Action Plan prior to her discharge
from hospital. In your discussion include the factors which, you as a nurse, should be considering when
developing this Asthma Action Plan. (750 words)
Part B
During her admission to the ward Jo comments that she doesn’t like to use her salbutamol inhaler at school as
one of the boys in her class teases her when she does and makes her ‘ feel like she is different’. Critically
reflect upon how this bullying behaviour may impact on Jo’s health status and what education may be needed
for Jo and her family to reduce the impact of Jo’s asthma on her day-to-day life.

Document Preview:

Please ensure you have completed the asthma simulation which is currently up on DSO in week 5, as this
assessment continues with your nursing care of the simulation characters: Jo and her family.
This assignment is in two parts.
Part A
Discuss why it is important for Jo and her family to have a current Asthma Action Plan prior to her discharge
from hospital. In your discussion include the factors which, you as a nurse, should be considering when
developing this Asthma Action Plan. (750 words)
Part B
During her admission to the ward Jo comments that she doesn’t like to use her salbutamol inhaler at school as
one of the boys in her class teases her when she does and makes her ‘ feel like she is different’. Critically
reflect upon how this bullying behaviour may impact on Jo’s health status and what education may be needed
for Jo and her family to reduce the impact of Jo’s asthma on her day-to-day life.

 
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Explain methods to establish ground rules and set expectations. How might differences in personality, expectations, and experience affect team efficiency?

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Overview
In 3–5 pages, develop recommendations for a team charter and provide communication and collaboration strategies for a new interprofessional team that will work together on challenging cases.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
· Competency 1: Explain strategies for effective interprofessional teamwork and collaboration in health care delivery.
. Explain methods to establish ground rules and set expectations for interprofessional team collaboration.
. Describe best practices for interprofessional team collaboration.
. Explain the benefits and limitations of different forms of communication for an interprofessional team.
· Competency 3: Develop evidence-based nursing interventions to address specific problems and enable systemic change.
. Describe evidence-based conflict resolution strategies for interprofessional teams.
· Competency 4: Communicate in a manner that is scholarly, professional, and consistent with expectations of a nursing professional.
. Write content clearly and logically, with correct use of grammar, punctuation, and mechanics. Use correct APA format.
Assessment Instructions
Preparation
Use the Capella library and the Internet to research examples of interprofessional team charters, communication strategies and conflict resolution strategies for teams, and methods and technologies used in team communication.
Requirements
You have been charged with facilitating the launch of an interprofessional team that will work together on a number of challenging cases. The team members will come from several different areas within the organization. The team is expected to have its orientation meeting in two weeks and then work together collaboratively for the next six months. Your first task is to develop recommendations for a team charter that will help the group establish ground rules and decide who will lead the team. You also need to help the team with communication and collaboration strategies.
This assessment has two distinct sections: Team Charter Recommendations and Communication and Collaboration Strategies. Provide thorough and detailed recommendations and support your recommendations using examples, references, and citations from your research.
For the Team Charter Recommendations:
· Explain methods to establish ground rules and set expectations. How might differences in personality, expectations, and experience affect team efficiency?
· Describe conflict resolution strategies for interprofessional teams.
· Identify effective ways to address issues of team leadership. How will the team decide who will lead them? What happens if the team leader is ineffective?
For the Communication and Collaboration Strategies:
· Describe best practices for effective interprofessional collaboration. What types of technology can be used to support collaboration?
· Explain the benefits and limitations of different communication strategies such as e-mail, text, voice mail, and face-to-face. When is it appropriate to use each type of communication?
This assessment should be 3–5 pages in length, not including the title page and reference page. Use at least three resources to support your recommendations, and follow APA guidelines for style and format.
Additional Requirements
· Include a title page and reference page.
· Reference at least three current scholarly or professional resources.
· Use APA format.
· Use Times New Roman font, 12 point.
· Double space.

 
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. Read each of your sources and identify related psychological concepts and theories

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. Read each of your sources and identify related psychological concepts and theories. If you have trouble identifying them, consult with your instructor. (Just be sure that you come back and complete the template, since it will be incorporated into your milestone.)

2. Think about how your Milestone Two sources align with the ethical guidelines of psychology, and then complete the prompts below. The sources referenced are the ones you bookmarked or downloaded and have been reviewing throughout this chapter. This is the fourth of five templates for Milestone Two.

Apa Ethics code can be found @ http://www.apa.org/ethics/code/index.aspx

2a. How does your source, “

Mental Health Beliefs and Their Relationship With Treatment Seeking Among U.S. OEF/OIF Veterans

,” conform to the ethical guidelines of psychology?

2b. Some sources will specifically detail what was done to conform to ethical guidelines. In one or two sentences, explain what was (or wasn’t) specifically done to accomplish the above. Note: Remember to cite your sources.

2c. Many sources imply compliance with ethical guidelines rather than spelling it out verbatim. In one or two sentences, describe what was (or wasn’t) implied or assumed in this source regarding compliance with ethical guidelines. Include in-text and parenthetical citations as appropriate.

2c How does your source, “

Help-Seeking Stigma and Mental Health Treatment Seeking Among Young Adult Veterans

,” conform to the ethical guidelines of psychology?

2d. In one or two sentences, explain what was (or wasn’t) specifically done to accomplish the above. Note: Remember to cite your sources.

2e. In one or two more sentences, describe what was (or wasn’t) implied or assumed in this source regarding compliance with ethical guidelines. Note: Remember to cite your sources.

 
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Propose at least 2 ways the administrator must demonstrate quality management skills in the aftermath of this crisis to improve and maintain staff and resident morale.

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Propose at least 2 ways the administrator must demonstrate quality management skills in the aftermath of this crisis to improve and maintain staff and resident morale.

Blumberg’s Nursing Home (BNH) is a 100-bed Medicare and Medicaid certified facility in suburban Philadelphia, PA. The administrator recently terminated the facility’s Director of Nursing (DON), receptionist, and dietary aid for inappropriate conduct. They had all been involved in purchasing and using illegal substances on facility grounds. Facility staff, as well as many of the more lucid residents, have found out about the incident.

The charge nurse has been appointed interim DON. The human resource manager has sent a memo to all staff informing them of a mandatory staff meeting to discuss BNH’s code of ethics and to provide additional training on workplace culture. Because federal law requires that there be at least one (1) registered nurse on duty for a minimum of eight (8) hours a day, seven (7) days a week, and that the DON must be a registered nurse (RN) – which the interim DON is not – BNH is out of compliance.

An effective long-term care facility administrator must have both leadership and management skills. Propose at least 2 ways the administrator in this case must demonstrate quality leadership skills

Propose at least 2 ways the administrator must demonstrate quality management skills in the aftermath of this crisis to improve and maintain staff and resident morale.

 

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Associate Degree Nursing (ADN) vs Baccalaureate Degree Nursing (BSN) on patient Care Outcomes

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Associate Degree Nursing (ADN) vs Baccalaureate Degree Nursing (BSN) on patient Care Outcomes

Current statistics show that at present, there are 1,048 Associate Degree Nursing (ADN) colleges and 696 Baccalaureate Degree Nursing (BSN) institutions in the United States (Cherry & Jacob, 2017). Recent studies show that a correlation exists between patient safety outcomes and whether a nurse has an ADN or BSN. Linda Aiken, PhD, RN, who is associated with the Robert Wood Johnson Foundation (RWFJ), believes that hospitals who employ more BSN-prepared nurses have better patient outcomes and lower mortality rates (RWJF, 2014).

In 2003, Aikens reported on studies done in Pennsylvania hospitals showing a 5% decrease in patient deaths at hospitals that staffed a 10% increase in BSN-prepared nurses (RWJF, 2014). Challengers of Aikens note that these studies raise further questions (Sentinel Watch, 2014). For example, what were the actual causes of death of these patients, and were they related to the action of an ADN nurse? Could there be other factors or causal relationships that affected patient care in these circumstances?

In defense of Aikens, the Sentinel (2014) states that no one is calling ADN nurses “bad nurses”. In fact, errors, infections, and adverse events are often due to process and system problems. Aikens maintains that by promoting evidence-based practice and leadership, the BSN curriculum will better prepare nurses to correct problems and implement solutions.

I agree that it is advantageous for nurses to expand their knowledge by obtaining a BSN degree, but I do not feel that deaths and adverse outcomes are the result if ADNs care, or lack of. Many other factors need to be considered. For example, poor staffing, long shifts, poor communication, fatigue, documentation errors, etc. affect everyone no matter what type of degree they hold. I have been at the hospital where I am currently employed for almost 20 years and have seen no evidence that the care given by ADNs is substandard to the care given by BSN-prepared nurses.

References

Cherry, B. & Jacob, S. (2017).Contemporary nursing, issues, trends, & management. St. Louis: Elsevier

Robert Wood Johnson Foundation. (2014).  Building the case for more highly

educated nurses. Retrieved from http://www.rwjf.org/en/library/articles

The Sentinel Watch. (2014). How does your nursing degree affect patient

mortality rates? Retrieved from http://www.american sentinel.edu

 
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Differentiate between specialty nursing practice and advanced practice nursing by comparing and contrasting these levels of practice in the following dimensions: knowledge base, scope of practice, credentialing, and regulation.

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1: Specialty Nursing versus Advanced Nursing
Differentiate between specialty nursing practice and advanced practice nursing by comparing and contrasting these levels of practice in the following dimensions: knowledge base, scope of practice, credentialing, and regulation.
2:PolyPharmacy and Policy
Look at case study number two, PolyPharmacy Problems, p. 166 of Health Policy and Politics, A Nurses Guide, by Milstead. Formulate a policy to reduce the practice of multiple drug prescriptions. What tools might be included in the design phase of the policy process to increase the probability of success? What research from other countries could be helpful in addressing this issue? Support your reasoning.
Discussion Topic 3: VHA Innovative Model Analysis
Analyze the Veteran’s Health Administration’s patient centered medical homes (PCMHs) and patient-aligned care teams (PACTs). See case study number two, p.184 of Health Policy and Politics, A Nurses Guide, by Milstead. What design, implementation, evaluation, and program techniques would you use to ensure the success of this model? What flaws do you see in the implementation of this program?
For each Discussion Topic:
Initial posts for each discussion topic must also include 2 peer-reviewed citation.Citations must include outside sources. Additionally, comments should also include a citation to support assertions. A minimum of 200 words. While the discussion board tool limits the ability to use APA formatting (e.g., hanging indents), posts must include the required elements of an APA in-text citation and list of references. Each post requires it’s Own answer. They do not require a front face sheet.

 
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Using Natural Medicine To Treat Cirrhosis

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Using Natural Medicine To Treat Cirrhosis

For this project, you will take the role of a nurse practitioner treating a patient with a chronic condition( CIRRHOSIS). Your patient is not completely satisfied with the treatments you’ve tried and asks about a specific alternative therapy (**natural medicine to treat cirrhosis). Unfamiliar with these sorts of therapies, you decide to do some research before making recommendation. Your objective is to determine whether or not you would recommend regular treatment( which one as per CDC’S guideline recommendations)  either alone or in combination with alternative treatment. The paper should be 4 pages excluding the title page and references. Is required a professional APA format , with scholarly journals  citations no older than 5 years.  Paper will be checked in turnitin for similarity ,more than 15 percent will be consider plagiarism.

EBI Paper Grading Criteria Rubric .Criteria Points  Grade

– Description   of the Chronic condition (*including pathophysiology and etiology). 10

–  Definition   of the specific treatment options including EBP guidelines and first-line   pharmacotherapy. 20

– Summary   of the current research in the specific alternative therapy. This area should include specific research   studies, the population description, size (n =) and the results NEED EVIDENCE BASED PRACTICE. 20

 

– After   reading the evidence. What are some   non-pharmacological treatment options that you would recommend? 20

– What did   I learn doing this paper? 20

– On time, APA format, correct   grammar and spelling. 10

Total :100

 
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Discuss your proposed response to problem of having to keep medical costs down, enable more people to have medical coverage, and also retain the innovative quality of the American system.

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Final Paper Proposal

his is Final Paper Proposal 750-1,000 words (this is roughly 3-4 pages, double spaced). Make sure you cite all sources and proofread your work. This is a much more formal assignment than the other writing assignments have been, so please treat it accordingly.

Final Paper Proposal/Outline

Please complete (online) by Friday, June 16, an outline/proposal for your final paper that addresses the following items:

  • Main Question/Main Claim/Thesis Statement
    • You are not required to give your “thesis statement” before actually writing the paper, however, I do need to see that you have a main question, or a main set of questions, and/or a main claim that you plan to argue for.
    • What is the central issue? What is the paper about? What do you expect to find, or hope to find?
  • Resources
    • What sources will you use? How will you find material to strengthen your argument?
    • Provide the full bibliographic information for at least 3 readings, articles, books, etc. in addition to those assigned for the class.
  • Road Map
    • How will you proceed? What kind of approach will you use?

This assignment is graded (total of 5 raw points), and please keep in mind that I will not accept a term paper from you before I receive one of these outlines/proposals.

It does not need to be long—just a paragraph or two would be fine. But make sure you address the three main items above.

If it’s a satisfactory proposal, then I will provide feedback and give you the go-ahead to simply write the paper (along with a grade). In this case, I won’t require you to make changes and resubmit the actual proposal. If, however, the proposal needs significant enough changes, then I will ask you to resubmit it before proceeding to write the paper. If this is the case, it will be clear in my feedback.

…………………………………

if you  would rather choose one of my topics, here is a list of suggestions:

  1. Discuss your proposed response to problem of having to keep medical costs down, enable more people to have medical coverage, and also retain the innovative quality of the American system. Discuss details, give specifics, and don’t be afraid to be ambitious in your suggestion or proposal. In other words, I’m asking you what your proposed health care system would look like.
  2. What is justice in the context of medical ethics? In other words, is health coverage an inalienable right? Is equal treatment what’s fair, or should my standing in the community of health care be reflective of my place in society at large? What does an individual have a right to have? Support your claim with evidence, argumentation, and good reasoning.
  3. Choose either (a) stem cell research or (b) human/animal research or drug trials and talk about the social and ethical implications. Talk about the benefits and drawbacks of the relevant practices as they currently stand, and propose your solution to the complexities. Use detailed arguments and evidence in support of your claims—give evidence, arguments, and exercise good reasoning!

Just to be clear, I would love to see each and every one of you propose your own unique paper topic. You should feel free to write about whatever has grabbed your interest, but I want to make sure no one feels paralyzed in the face of too many options, or too few guidelines.

As always, cite all sources!   NO PLIGRASIM

so for proposal, he just need paragraph or two if you want to write more that would be fine, but after he gives me the comment you have to complete it

so the due date for proposal  is 16 june

and the final is 21 june

please let me know if you can do it ,to submit it and attache an example for you

 
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Explain the circumstances under which the attentional blink can be eliminated.

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ATTENTIONAL BLINK

Assignment 2: Attentional Blink
There are many stimuli in your environment of which you are not aware. You use attention to filter out unimportant stimuli and focus on relevant stimuli. However, there are circumstances under which you cannot perceive stimuli, regardless of how hard you “pay attention.” One situation is when visual stimuli are presented in quick succession. If the interval between the two stimuli is short enough, you do not perceive the second stimulus. This lapse in attention is known as attentional blink. In this assignment, you will experience the attentional blink for yourself and will also read about practical implications of the phenomenon.
Access the CogLab demonstration Attentional Blink. Follow the instructions to complete the demonstration.
Read the following article:

Livesey, E. J., Harris, I. M., & Harris, J. A. (2009). Attentional changes during implicit learning: Signal validity protects a target stimulus from the attentional blink. Journal of Experimental Psychology: Learning, Memory, and Cognition, 35(2), 408-408-422. doi:10.1037/a0014525 (ProQuest Document ID: 614494049)

Using the experience from the CogLab demonstration and information from the article, write a paper that addresses the following:

Explain how the attentional blink relates to attention. Analyze how the variation in time influences the probability of seeing the second target letter. Explain the circumstances under which the attentional blink can be eliminated.
In the CogLab demonstration, letters were used as targets. The target used can influence the duration of one’s attentional blink and whether the attentional blink even occurs. Complete the following tasks:

Propose at least two other targets that could be used to induce the attentional blink.
Predict the effect each of your suggested targets would have on the duration of one’s attentional blink as compared to the CogLab activity you completed.
Explain the reasoning behind your predictions.

Present and discuss at least three occupations in which workers’ performance could be adversely affected by attentional blink. Identify and explain the types of problems or mistakes that might occur in such occupations due to the attentional blink.
Several years ago, some vehicle models came with a heads-up display (HUD). Instead of looking down at a panel on the dashboard, speed, distance traveled, fuel level, and time appeared to be displayed over the hood of the car. Discuss this design in terms of divided attention and attentional blink. Do you think the design was a good idea?

Write a 4-page paper in Word format. Apply APA standards to citation of sources. Use the following file naming convention: LastnameFirstInitial_M2_A2.doc.

 
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