Nursing  cardiovascular alterations

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Discussion 1: Cardiovascular AlterationsAt least once a year, the media report on a seemingly healthy teenage athlete collapsing during a sports game and dying of heart complications. These incidents continue to outline the importance of physical exams and health screenings for teenagers, especially those who play sports. During these health screenings, examiners check for cardiovascular alterations such as heart murmurs because they can be a sign of an underlying heart disorder. Since many heart alterations rarely have symptoms, they are easy to miss if health professionals are not specifically looking for them. Once cardiovascular alterations are identified in patients, it is important to refer them to specialists who can further investigate the cause.Consider the following scenario:A 16-year-old male presents for a sports participation examination. He has no significant medical history and no family history suggestive of risk for premature cardiac death. The patient is examined while sitting slightly recumbent on the exam table and the advanced practice nurse appreciates a grade II/VI systolic murmur heard loudest at the apex of the heart. Other physical findings are within normal limits, the patient denies any cardiovascular symptoms, and a neuromuscular examination is within normal limits. He is cleared with no activity restriction. Later in the season he collapses on the field and dies.To Prepare·         Review the scenario provided, as well as Chapter 24 in the Huether and McCance text. Consider how you would diagnose and prescribe treatment for the patient.·         Select one of the following patient factors: genetics, ethnicity, or behavior. Reflect on how the factor you selected might impact diagnosis and prescription of treatment for the patient in the scenario.·Post a description of how you would diagnose and prescribe treatment for the patient in the scenario. Then explain how the factor you selected might impact the diagnosis and prescription of treatment for that patient.

 
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Nursing  Week 2 Problem Identification and Description Using PICOT Format

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You will write a clear and concise paper identifying and describing the chosen problem you have decided to address through your change project. Describe the significance of the evidence-based project that can be implemented in the selected setting to the nursing profession. Give a clear and explicit statement of the problem, including the target population and background information relative to the specific problem at your assigned clinic or hospital setting. Your paper should include your research question set up in PICOT format that will drive your change project throughout the course.PICOT stands for:Population/Patient Problem: Who is your patient?Intervention: What do you plan to do for the patient?Comparison: What is the alternative to your plan?Outcome: What outcome do you seek?Time: What is the time frame?The paper should be at least three pages in length, not including the cover or reference pages.RUBRIC DETAILSIncludes an appropriate topic identification related to an advanced practice nursing issue or practice problem of concern. Population is fully defined and present in the research question. Includes specific interventions, identifies comparisons, and presents appropriate outcomes in a timely manner for the question. Overall, a well-built question using the PICOT format.Presents a thorough and insightful analysis of the chosen topic/problem. Describes the problem thoroughly, including the target population and history/background information at the assigned clinic or hospital. The significance and applicability to nursing is included and well presented.

 
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Nursing  Crushing syndrome

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Write a 2-3 page paper (excluding title and reference pages, include in-text citation and reference should be in APA format.a)Write research on Crushing syndrome Introduction of disease, Includes disease description  Includes epidemiology of disease, Etiology and risk factors, Common causes of the disease or condition • Risk factors for the disease or condition • Impact of age • Prevalence based on gender, • Influence of environment • Genetic basis of disease • Lifestyle influences • All information supported by current literature,  Pathophysiological processes, Describes changes occurring at the cellular, tissue, and/or organ level that contribute to the disease process. • Describes the adaptation of the cells and body in response to the disease.  Relates disease processes to manifested signs and symptomsb) Describes the physical signs and symptoms that are important in considering the presence of the disease. • Identifies signs that contribute to the diagnosis of the condition • Identifies symptoms that contribute to the diagnosis of the condition. • Identifies complications of the disease. • Discusses the implications to the patient when complications are left untreated,  Discusses the significance of test findings in relation to the disease process, and Include a list of common laboratory and diagnostic tests used to determine the presence of the disease.

 
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Nursing  Culture of EBP

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Review Resources and reflect on the various strategies that may be helpful in disseminating effective and widely cited EBP.This may include: unit-level or organizational-level presentations, poster presentations, and podium presentations at organizational, local, regional, state, and national levels, as well as publication in peer-reviewed journals.Reflect on which type of dissemination strategy you might use to communicate EBP.MAIN POST:  Post at least two dissemination strategies you would be most inclined to use and explain why. Explain which dissemination strategies you would be least inclined to use and explain why. Identify at least two barriers you might encounter when using the dissemination strategies you are most inclined to use. Be specific and provide examples. Explain how you might overcome the barriers you identified.Use resource:Organizational Change Strategies for Evidence-Based PracticeNewhouse, R. , Dearholt, S. , Poe, S. , Pugh, L. & White, K. (2007). Organizational Change Strategies for Evidence-Based Practice. JONA: The Journal of Nursing Administration, 37 (12), 552-557. doi: 10.1097/01.NNA.0000302384.91366.8f.Evidence-Based Practice, Step by Step: Implementing an Evidence-Based Practice ChangeGallagher-Ford, L. , Fineout-Overholt, E. , Melnyk, B. & Stillwell, S. (2011). Evidence-Based Practice, Step by Step: Implementing an Evidence-Based Practice Change. AJN, American Journal of Nursing, 111 (3), 54-60. doi: 10.1097/10.1097/01.NAJ.0000395243.14347.7e.Evidence-Based Practice, Step by Step: Sustaining Evidence-Based Practice Through Organizational Policies and an Innovative ModelMelnyk, B. , Fineout-Overholt, E. , Gallagher-Ford, L. & Stillwell, S. (2011). Evidence-Based Practice, Step by Step: Sustaining Evidence-Based Practice Through Organizational Policies and an Innovative Model. AJN, American Journal of Nursing, 111 (9), 57-60. doi: 10.1097/01.NAJ.0000405063.97774.0e.

 
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Nursing  Working on and with Interdisciplinary Teams

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Topic· Working on and with Interdisciplinary TeamsPower Point· Introduce your topic· Provide an overview of what you learned from the literature· Describe the implications for nurse leaders

 
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Nursing  Developing a Culture of Evidence-Based Practice

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As your EBP skills grow, you may be called upon to share your expertise with others. While EBP practice is often conducted with unique outcomes in mind, EBP practitioners who share their results can both add to the general body of knowledge and serve as an advocate for the application of EBP.In this Discussion, you will explore strategies for disseminating EBP within a healthcare organization, community, or industry.To Prepare:Review the Resources and reflect on the various strategies presented throughout the course that may be helpful in disseminating effective and widely cited EBP.This may include: unit-level or organizational-level presentations, poster presentations, and podium presentations at organizational, local, regional, state, and national levels, as well as publication in peer-reviewed journals.Reflect on which type of dissemination strategy you might use to communicate EBP.Post at least two dissemination strategies you would be most inclined to use and explain why.Explain which dissemination strategies you would be least inclined to use and explain why.Identify at least two barriers you might encounter when using the dissemination strategies you are most inclined to use.Be specific and provide examples.Explain how you might overcome the barriers you identified.Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.· Chapter 10, “The Role of Outcomes on Evidence-based Quality Improvement and enhancing and Evaluating Practice Changes” (pp. 293–312)· Chapter 12, “Leadership Strategies for Creating and Sustaining Evidence-based Practice Organizations” (pp. 328–343)· Chapter 14, “Models to Guide Implementation and Sustainability of Evidence-based Practice” (pp. 378–427)Gallagher-Ford, L., Fineout-Overholt, E., Melnyk, B. M., & Stillwell, S. B. (2011). Evidence-based practice, step by step: Implementing an evidence-based practice change. American Journal of Nursing, 111(3), 54–60. doi:10.1097/10.1097/01.NAJ.0000395243.14347.7e. Retrieved from https://journals.lww.com/ajnonline/Fulltext/2011/03000/Evidence_Based_Practice,_Step_by_Step_.31.aspxNewhouse, R. P., Dearholt, S., Poe, S., Pugh, L. C., & White, K. M. (2007). Organizational change strategies for evidence-based practice. Journal of Nursing Administration, 37(12), 552–557. doi:0.1097/01.NNA.0000302384.91366.8fMelnyk, B. M. (2012). Achieving a high-reliability organization through implementation of the ARCC model for systemwide sustainability of evidence-based practice. Nursing Administration Quarterly, 36(2), 127–135. doi:10.1097/NAQ.0b013e318249fb6aMelnyk, B. M., Fineout-Overholt, E., Gallagher-Ford, L., & Stillwell, S. B. (2011). Evidence-based practice, step by step: Sustaining evidence-based practice through organizational policies and an innovative model. American Journal of Nursing, 111(9), 57–60. doi:10.1097/01.NAJ.0000405063.97774.0eNote: You will access this article from the Walden Library databases.Melnyk, B. M., Fineout-Overholt, E., Giggleman, M., & Choy, K. (2017). A test of the ARCC© model improves implementation of evidence-based practice, healthcare culture, and patient outcomes. Worldviews on Evidence-Based Nursing, 14(1), 5–9. doi:10.1111/wvn.12188Melnyk, B. M., Fineout-Overholt, E., Gallagher-Ford, L., & Stillwell, S. B. (2011). Evidence-based practice, step by step: Sustaining evidence-based practice through organizational policies and an innovative model. American Journal of Nursing, 111(9), 57–60. doi:10.1097/01.NAJ.0000405063.97774.0e

 
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Nursing  CLC health promotion

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An important role of nursing is to provide health promotion and disease prevention. Review the 2020 Topics and Objectives on the Healthy People website. topic of interest: Covid-19 and it’s Most Vulnerable Population- GeriatricsCreate a 3 slide PowerPoint presentation for your topic and focus group. Include speaker notes and citations for each slide, and create a slide at the end for References.Address the following:Identify interdisciplinary health professionals important to include in the health promotion. What is their role? Why is their involvement significant?Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria and public health content.

 
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Nursing  paper on communication

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Describe the non-verbal communication. Identify ways in which this communication is helpful for patients. Also identify why this communication is helpful for the healthcare provider. Discuss ways in which this form of communication may be nontherapeutic or may lead to miscommunication. Elaborate on ways or key points that can be used to educate other healthcare providers of the advantage of using this type of communication.I have five references and you need to use at least 3 of the references givenWord count requirements for this paper is 1,250-1,500.

 
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Nursing  reply to this comment

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Topic 1 DQ 1In order to redirect this patient’s appointment and her experience thus far, it would be imperative that this health care professional who initially addressed her to apologize for the mispronunciation and instead, ask her how she would prefer to be addressed and/or how she pronounces her last name. Health care providers should “Establish respect right away by using formal language…Use Mr., Mrs., Ms., and so on. Or, you might ask your patient about preferred forms of address and how she or he would like to address you. Avoid using familiar terms, like “dear” and “hon,” which tend to sound patronizing” (National Institute on Aging, 2017).Specific to this scenario, The National Institute on Aging has a multitude of suggestions for educating elderly patients which can result in the increased likelihood of adherence to treatments, better outcomes, and greater satisfaction. Some of these tips include using the proper form of address, making the patients feel comfortable, establishing rapport, avoiding interruptions, utilizing active listening skills, demonstrating empathy, and avoiding medical jargon (National Institute on Aging, 2017). By using the advice given by Rothenberg, formulating a plan to improve the likelihood of Mrs. Faulkenberger’s adherence to an appropriate care plan may look something like this: Explain the logic behind the advice, understand her perceptions of the treatment, assess any problems with the continuation of care, determine whether the treatments will interfere with her lifestyle, include any involved family members, simplify any instructions for her to follow, but be specific, provide her with easy-to-read handouts, and allow for Mrs. Faulkenberger to ask a question and provide input (Rothenberg, 2003). Additionally, the issue of non-compliance, or better termed, non-adherence, is a continuing issue in health care. According to Barber, “if we can re-configure it to non-compliance and adapt it to remove terminology that may be a barrier to its adoption, then this promises to be a significant advance in our understanding and solution of non-compliance” (Barber, 2002).Resources:Barber, N. (2002). Should we consider non-compliance a medical error? Quality and Safety in Health Care, 11(1), 81-84.Falvo, D. R. (2011). Effective patient education: A guide to increased adherence (4th ed.). Boston, MA: Jones & Bartlett. ISBN: 9780763766252

 
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Nursing  Write an literature review of 2000 words for diabetes.

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DescribeScale and size of health issuePopulation group most at risk or affectedwhat is known about your diabetes health issue(Determinants)Cost to societyIdentifyAn existing health promotion program addressing this health issueCritically appraise the evidence-base for this program.

 
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