Descriptive Method

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Epidemiology

Epidemiology Paper Part One: Descriptive Method

Details:

The Epidemiology Paper is a practice immersion assignment designed to be completed in three sections, this is part one of the assignment. Learners are required discuss the role of descriptive epidemiology in nursing science and apply descriptive epidemiology in nursing science.

General Guidelines:

Use the following information to ensure successful completion of the assignment:

This assignment requires that support your position by referencing at least six to eight scholarly resources.

Directions:

Write a 1,250–1,500-word paper discussing the role of descriptive epidemiology in nursing science. Include the following:

1. Define descriptive epidemiology and describe its relationship and role in nursing science today.

2. Provide a contemporary example of how descriptive epidemiology is applied in public health nursing.

3. Identify the epidemiology components used to analyze at-risk populations.

 
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What would be the consequence of alternative actions for the patient, others, and myself?

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Original Work, NO PLAGERIESM, Cite Reference, APA Format
ReflectionThe student is to choose an incident that occurred during the clinical day. The issue can be focused on the patient’s pathophysiology, education needs, psychosocial needs, socioeconomic conditions, or cultural/religious concerns. It can be an incident like a code blue, a procedure such as a dressing change, an interaction (positive or negative) with a family or staff member.1. Paragraph 1: Describe the scenario/pathophysiology. I followed a charge nurse who had 4 patients on the pulmonary unit as well as she had to make the schedule for the afternoon shift. She was juggling not only her patients but she was the go to person for the unit. We had one patient who suffered from Marfans syndrome which is a genetic disorder that affects the body’s connective tissue. He also only had one lung on the right side. They surgically removed the left lung, however he did not want to discuss it at the time of why his left lung was surgically removed because he was complaining of pain that he stated was a 7 on the pain scale of 1 to 10. The nurse offered him Tylenol however he said that does not help his pain. So we contacted the doctor and he Okayed to give the patient morphine along with two Tylenol. One hour later I followed the nurse back into the patient’s rom to see how his pain was doing and to get another pain score and he was still at a 7. We did let him know he was unable to get anymore pain medication unless his doctor approved (which he did not).2. Paragraph 2: What is the issue?3. Paragraph 3: What does the evidence-based literature show?4. Paragraph 4: How does the evidence-based literature relate to my position?5. This assignment is not a “diary” of events. Rather, the goal is to move away from superficial examination of interactions. Students will find the following questions helpful in framing their reflection.Critical Incident Analysis Model3What was I trying to achieve? Keep pt comfterableWhat were the consequences of this for: the patient, others, selfHow was this person (or persons) feeling?How did I know that?How did I feel in this situation?What would be the consequence of alternative actions for the patient, others, and myself?How do I feel now about the experience?Can I support myself and others better as a consequence?Has this changed my way of knowingFrom Johns, C. (1995). Framing learning through reflection with Carper’s fundamental ways of knowing in nursing. Journal of Advanced Nursing, 22 (2), 226-34.Reflection Grading RubricStudent:___________________________________________ Date:______________

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

DEVELOPING (FAILING)
1 POINT		 IMPROVING
2 POINTS		 COMPETENT (PASSING)
3 POINTS		 Score
Scenario described
Previous experience
Goals of care
Persons involved		 Basic description of general care of the patient Description includes a few details relevant to nursing care Description includes relevant details regarding consequences, incongruences, previous experience, and nursing care provided by the student nurse.
Issue identified Issue not relevant to patient or student nurse Issue relevant to patient or student nurse Issue relevant to both patient and student nurse
Evidence Based Literature NO evidence supporting
article /text		 ONE evidence supporting articles/text TWO or more evidence supporting articles/text
Relation of evidence to student nurse Evidence does not support issue, or is not from source related to nursing practice. Evidence supports issue in a superficial manner, is from a source related to nursing practice. Evidence supports issue in a deep manner that is from a nursing perspective, is from a source related to nursing practice.
Student ability to recognize areas impacted:
Consequences
Responding
Feeling
Knowledge
Alternatives
Incongruencies
Beliefs		 Student able to identify one area that issue and evidence impacted in his/her nursing practice. Student able to identify two areas that issue and evidence impacted in his/her nursing practice. Student able to identify three or more areas that issue and evidence impacted in his/her nursing practice.
APA* (this category is worth more points) Fair grammar, misspelled words, APA not followed, Hard to follow, disorganized.
1-2 points		 No grammar errors or misspelled words.
APA followed.
Flow impeded, not organized.
3-4 points		 No grammar errors or misspelled words.
APA followed.
Good flow, easy to follow.
5 points

 

 
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Assignment PICOT Statement Paper, health and medicine homework help

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Assignment PICOT Statement Paper, health and medicine homework help

Question descriptionAssignment PICOT Statement Paper

EBP and Nosocomial infection in Long Term care

View Rubric

Details:

Review the Topic Materials and the work completed in NRS-433V to formulate a PICOT statement for your capstone project.

A PICOT starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention should be an independent, specified nursing change intervention. The intervention cannot require a provider prescription. Include a comparison to a patient population not currently receiving the intervention, and specify the timeframe needed to implement the change process.

Formulate a PICOT statement using the PICOT format provided in the assigned readings. The PICOT statement will provide a framework for your capstone project.

In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome.

Make sure to address the following on the PICOT statement:

  1. Evidence-Based Solution
  2. Nursing Intervention
  3. Patient Care
  4. Health Care Agency
  5. Nursing Practice

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

Top of Form

Please Note: Assignment will not be submitted to the faculty member until the “Submit” button under “Final Submission” is clicked.

New Attempt

Bottom of Form

 
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Assignment: Cancer and Women's and Men's Health

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For Academic Essays-2 pages is okay

Assignment: Cancer and Women’s and Men’s Health

The American Cancer Society estimates that by the end of 2012, more than 226,000 women will be diagnosed with breast cancer and more than 241,000 men will be diagnosed with prostate cancer (American Cancer Society, 2012a; American Cancer Society 2012b). With such prevalence of women’s and men’s cancers, patient education and preventive services are essential. In clinical settings, advanced practice nurses must assist physicians in educating patients on risk factors, preventive services, and for patients diagnosed with cancer, on potential drug treatments. The clinical implications of women’s and men’s cancer greatly depend on early detection, which is primarily achieved through preventive services. In this Assignment, you consider the short-term and long-term implications of cancer and drug treatments associated with women’s and men’s health, as well as appropriate preventive services.

To prepare:

  • Select a type of cancer associated with women’s or men’s health such as breast, cervical, or ovarian cancer in women and prostate cancer in men.
  • Locate and review articles examining the type of cancer you selected.
  • Review the U.S. Preventive Services Task Force article in the Learning Resources. Think about available preventive services that providers might recommend for patients at risk of this type of cancer.
  • Select two of the following factors: genetics, gender, ethnicity, age, or behavior. Reflect on how these factors might impact decisions related to preventive services.
  • Consider drug treatment options for patients diagnosed with the type of cancer you selected including short-term and long-term implications of the treatments.

By Day 7

Write a 2- to 3- page paper that addresses the following:

  • Describe available preventive services that providers might recommend for patients at risk of the type of cancer you selected.
  • Explain how the factors you selected might impact decisions related to preventive services.
  • Describe drug treatment options for patients diagnosed with the type of cancer you selected. Explain the short-term and long-term implications of these treatments
 
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Write a 3-4 page evidence-based health care delivery plan for one component of a heart failure clinic.

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Overview
Write a 3-4 page evidence-based health care delivery plan for one component of a heart failure clinic.
Nursing within an organization is a critical component of health care delivery and is an essential ingredient in patient outcomes (Kelly & Tazbir, 2014). The concern for quality care that flows from evidence-based practice generates a desired outcome. Without these factors, a nurse cannot be an effective leader. It is important to lead not only from this position but from knowledge and expertise.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
· Competency 2: Explain the accountability of the nurse leader for decisions that affect health care delivery and patient outcomes.
. Describe accountability tools and procedures used to measure effectiveness.
· Competency 3: Apply management strategies and best practices for health care finance, human resources, and materials allocation decisions to improve health care delivery and patient outcomes.
. Develop an evidence-based plan for health care delivery.
· Competency 4: Apply professional standards of moral, ethical, and legal conduct in professional practice.
. Apply professional and legal standards in support of a care plan.
· Competency 5: Communicate in manner that is consistent with the expectations of a nursing professional.
. Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.
. Correctly format citations and references using current APA style.
Assessment Instructions
Preparation
Refer to the Capella library and the Internet for supplemental resources to help you complete this assessment.
Instructions
Deliverable: Develop an evidence-based plan for health care delivery.
Scenario:
The hospital where you work has an issue with increased readmissions within 30 days of discharge. After examining the core measures, it was found that heart failure was the most common core measure disease process experiencing the highest rate of readmissions. The leadership team has given your team the charge of developing a nurse-run outpatient heart failure clinic. The purpose of this clinic is to ensure that discharge education is presented to the patient in an orderly, consistent manner and complies with evidence-based practice protocols. Since these patients may be discharged from a variety of areas in the facility, having the heart failure clinic staff take ownership of the process will improve both consistency and compliance. There are cardiologists that interact with the staff and patients, but the day-to-day operations of the clinic are designed and supported by the nurses as they interact with appropriate members of the other health care team disciplines promoting the best care for the heart failure patients.
As a member of the nurse team, you have been asked to develop one component of the clinic.
The hospital leadership established these objectives for the clinic services:
· Evaluate and maximize proper medication therapy.
· Conduct regular diet, exercise, and stress management classes for the patients.
· Monitor physiological indicators for the patients (lab work, weights, vital signs, ECGs).
· Provide a case management system for patients in the program post-discharge.
The overall goals for the heart failure clinic are to:
· Enroll greater than 90 percent of the patients with a primary or secondary diagnosis of HF prior to discharge.
· Facilitate discharge planning to achieve 100 percent compliance with patient education prior to discharge (discharge planning).
· Decrease readmission rates in this population by 5 percent over the next year.
The leadership team has asked you to provide them with an evidence-based plan for one of the components of the clinic. You may use any combination of documents (for example, a spreadsheet or a table) in addition to explanatory information to convey information clearly and succinctly.
Develop one: an Orientation Course Plan, a Discharge Education Plan, or a Care Coordination Plan.
An Orientation Course Plan:
· Develop an evidence-based plan for health care delivery.
· Include a comprehensive schedule of topics, objectives, key points, and patient resources for the orientation course.
. What are the components of an evidence-based education plan?
. How will you know that patients will understand what to do?
. What modalities will you use to deliver information?
. How will you adapt the plan to meet the needs of patients from diverse cultural and language backgrounds?
. Identify specialized and supplementary material needs.
· Apply professional and legal standards in support of a care plan.
. Explain the alignment to the most recent Heart Failure Guidelines and specific professional standards.
. Describe the accountability tools and procedures used to measure effectiveness.
. How will you know if the patient education plan is successful?
. What are the indicators of success or effectiveness?
A Discharge Education Plan:
· Develop an evidence-based plan for health care delivery.
. Develop a discharge plan with objectives and resources, and tools for patients to monitor their progress.
. How will you know that patients understand what to do?
. What modalities will you use to deliver information?
. How will you adapt the plan to meet the needs of patients from diverse cultural and language backgrounds?
· Apply professional and legal standards in support of a care plan.
. Explain the alignment to the most recent Heart Failure Guidelines and specific professional standards.
. Describe accountability tools and procedures used to measure effectiveness.
. How will you know if the discharge plan is successful?
. What are the indicators of success or effectiveness?

 
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disease affecting women

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disease affecting women

Discuss a primary care-focused visit devoted to wellness and or disease affecting women and health-enhancing strategies that you would include in the visit.
Peer 1 Response
 
One primary care-focused visit devoted to wellness is the annual wellness visit (AWV). Components of this visit should include updating immunizations and suggesting needed immunizations, blood pressure checks to screen for hypertension, obesity counseling if needed, and any counseling for tobacco and alcohol use. Also important is doing a functional status review, screening for fall risk and cognitive abilities for seniors (Adler, 2017). If the patient were a senior with a chronic problem it would be good to do problem-focused physical exam and explore any patient concerns, if any. The Medicare Annual Wellness Visit is still an underutilized benefit for seniors, even though it can offer many benefits to increase a person’s preventive care. According to (Harvard Men’s Health Watch, 2017), this visit does not focus on a physical exam, but is instead a conversation with your health care provider about important health issues. This visit provides time for the patient to plan with their health care provider a healthy future. Other health-enhancing strategies focused on in this visit are a vision test, to detect if the patient needs glasses, a stronger prescription, or have signs of an eye disease. A balance test will be done to help gauge the risk for falls, as well as a hearing evaluation to see if the patient would benefit from a formal hearing test.
Another part of the AWV is developing a personalized plan to address ways the patient can stay active and maintain their current health. One primary care assessment that should be done at every visit is a depression screening. This doesn’t have to be a long questionnaire, the Patient Health Questionnaire (PHQ-2) is a good screening tool. It consists of just 2 questions from the PHQ-9. If the patient screens positive with the PHQ-2, the full PHQ-9 can be completed. According (Fuchs, Haradhvala, & Uebelacker, 2015), the PHQ-2 has demonstrated strong validity and high sensitivity for detecting major depression in primary care.
Peer 2 Response
Women’s health care is a detailed visit that is focused on many different aspects of care. For example, women need education on special topics at all ages of life. One of the major concerns for aging women is osteoporosis. Osteoporosis is a disease of the bones that occurs when there is bone loss, or the body makes too little bone, or both loss and decreased production (NOF, 2018). This conditon causes bones to become extremely fragile, which increases the risk of fracture. Fractures can occur following a fall or injury, or in severe cases even from a minor bump to the area (NOF, 2018). Osteoporotic bones have a honeycomb appears due to the loss in bone density. For women over 50, the risk of osteoporosis increases and the provider should order a bone density scan to monitor the structure of the bone. Bone density scans are the only diagnostic testing for osteoporosis prior to a broken bone (NOF, 2018). The diagnostic test for bone density is done through x-ray called a Dexa Scan. Dexa stands for dual energy x-ray absorptiometry. (NOF, 2018). Dexa scans should be conducted every 1-2 years depending on patient history and risk factors. The Dexa scan results are determined by a T-score. Normal T-score results are -1.0 and anything above -1.0 are mild to severe osteoporosis (NOF, 2018). One of the medications used to treat osteoporosis is Actonel. Actonel is an oral medication that is taken daily. The mediation is designed to slow bone loss and even help to prevent fractures. (Actonel, 2017). One of the side effects that needs to be discussed with patients is that is can cause GI upset, so it the patient has a history of GI issues, another medication is most likely the better option.

  • Posted: 12 Days Ago
  • Due: 01/09/2018
  • Budget: $15
 
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Why does nursing exist?

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Discussion:

Developing A Personal Philosophy In Nursing.

APA format

1. Introduction

  1. Who are you?
  2. Where do you practice nursing?

2. Define nursing.

  1. What is nursing?
  2. Why does nursing exist?
  3. Why do you practice nursing?

3. What are your assumptions or underlying beliefs about:

  1. Nurses?
  2. Patients?
  3. Other healthcare providers?
  4. Communities?

4. Define the major domains of nursing and provide examples”

  1. Person
  2. Health
  3. Environment

5. Summary

  1. How are the domains connected?
  2. What is your vision of nursing for the future?
  3. What are the challenges that you will face as a nurse?
  4. What are your goals for professional development?

No late work will be accepted. It must be in APA format

 
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World War I Essay Assignment Paper

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World War I Essay Assignment Paper

The assassination of Archduke Franz Ferdinand was the immediate cause of World War I. But the events that led to the Great War go further back into the nineteenth century. As with the Boxer Rebellion of 1900, nationalism, imperialism, and militarism all played a part. World War I Essay Assignment Paper.

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Analyze how the forces of nationalism, imperialism, and militarism irrevocably led to World War I. Pay particular attention to the rise of Pan-Slavism in Eastern Europe and the corresponding rise of nationalism in German-speaking states. Analyze how the alliance system contributed to the ultimate outbreak of war. World War I Essay Assignment Paper

Then analyze the events that drew the United States into World War I. Clearly discuss why America first remained neutral between1914-1917. What role did ethnicity play in America’s neutrality? Then identify and analyze the specific events that led to America’s entrance into the war. Evaluate America’s contribution to the war effort and to what extent America’s entry contributed to the end of the war. Finally, analyze the events that led to the defeat of the Treaty of Versailles. What effect did this have on America’s role in the world during the 1920s and 1930s? Pay particular attention to the role of President Woodrow Wilson both during and after the war, in particular, his efforts to establish the League of Nations. World War I Essay Assignment Paper

This World War I essay assignment paper must be four to five double-spaced pages in length (not including the References page) and utilize no less than four academic quality sources. Margins should be no more than one inch (right and left) and the essay should be composed in an appropriate font and size. Sources must be documented and cited using APA format. World War I Essay Assignment Paper

 
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Of the three steps in the strategy implementation phase, which do you think is the most important?

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PLEASE EXPLAIN WHETHER YOU AGREE WITH MY CLASSMATE RESPONSE TO THE ABOVE QUESTION AND WHY? (A MININUM OF 125 WORDS)

Of the three steps in the strategy implementation phase, which do you think is the most important? Why?

      CLASSMATE’ MATE POST

I would place a little more emphasis on the budget.  I feel like although you have aligned all your strategies and put them in a position to start reaching the company goals, this isn’t going to be possible if you don’t have or haven’t looked at the budget.  With anything you want to do in life, you need to have the budget to make it happen.  If you put all these strategies in place regarding programs and tactics, and you haven’t properly reviewed your budget, you may have to go back and revise because you don’t have the proper budget to carry out the implementation strategies you have included in your plan.  Again, I think they all play an equal role overall; however, I think the budget is something that needs to be established before you even begin.  With any organization, you need to know what your left and right lateral limits in terms of spending before you are able to properly plan.  I know for me, being in the military, everything we do centers around the budget.  We can plan this big elaborate training exercise, and it all looks and sounds good, and it goes all the way up the chain to find out we don’t have the funding for it in our budget.  Had we known that from the beginning, we may have come up with an alternate plan to make it work within our means.

 
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What do you see as the greatest challenges that lie ahead for you?

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  • What are the three most important concepts or skills you learned?  Were any comments by other learners particularly helpful or insightful?  How, if at all, have your perspectives changed concerning your academic  or professional aspirations as a result of this course?
  • What do you see as the greatest challenges that lie ahead for you?  How will you deal with those challenges? What are you most excited about  academically or professionally?
  • What is your vision for the impact you would like to make on the  field of psychology? What is your vision for the impact you would like  to make on your community as a professional psychologist?
  • What are the three most important concepts or skills you learned?  Were any comments by other learners particularly helpful or insightful?  How, if at all, have your perspectives changed concerning your academic  or professional aspirations as a result of this course?
  • What do you see as the greatest challenges that lie ahead for you?  How will you deal with those challenges? What are you most excited about  academically or professionally?
  • What is your vision for the impact you would like to make on the  field of psychology? What is your vision for the impact you would like  to make on your community as a professional psychologist?
 
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