Nursing  APA Peripheral Vascular Disease

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Peripheral Vascular Disease Case StudiesA 52-year-old man complained of pain and cramping in his right calf caused by walking two blocks. The pain was relieved with cessation of activity. The pain had been increasing in frequency and intensity. Physical examination findings were essentially normal except fordecreased hair on the right leg. The patient’s popliteal, dorsalis pedis, and posterior tibialpulses were markedly decreased compared with those of his left leg.StudiesResultsRoutine laboratory workWithin normal limits (WNL)Doppler ultrasound systolic pressuresFemoral: 130 mm Hg; popliteal: 90 mm Hg; posterior tibial: 88 mm Hg; dorsalis pedis: 88 mm Hg (normal: same as brachial systolic blood pressure)Arterial plethysmographyDecreased amplitude of distal femoral, popliteal, dorsalis pedis, and posterior tibial pulse wavesFemoral arteriography of right legObstruction of the femoral artery at the midthigh levelArterial duplex scanApparent arterial obstruction in the superficial femoral arteryDiagnostic AnalysisWith the clinical picture of classic intermittent claudication, the noninvasive Doppler and plethysmographic arterial vascular study merely documented the presence and location of the arterial occlusion in the proximal femoral artery. Most vascular surgeons prefer arteriography to document the location of the vascular occlusion. The patient underwent a bypass from the proximal femoral artery to the popliteal artery. After surgery he was asymptomatic.Critical Thinking QuestionsWhat was the cause of this patient’s pain and cramping?Why was there decreased hair on the patient’s right leg?What would be the strategic physical assessments after surgery to determine theadequacy of the patient’s circulation?What would be the treatment of intermittent Claudication for non-occlusion?

 
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Nursing  Report

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The Case Study will be at least 1600 words, 12-point font, Times New Roman, Double Spaced. In case you are wondering, that is about six pages. For Report 1, let us go back to Week 2 Theories of Accident Causation, use the article you selected as a starting point for this report. APA 7th edition in-text citations and end-of-text references are REQUIRED. I am NOT requiring a title page or abstract.The document will have an Introduction; answer the following five questions and a summary/conclusion section. End of text references will not be counted in the word count.1. Describe the situation presented; provide background information related to the topic. Including basic issue(s) and the relationship among them.2. Develop a detailed chronology of events- both major events and those that seem, on first reading, relatively minor.3. Identify the relevant stakeholders and describe each stakeholder’s problem, goals, demands, and concerns.4. Describe the immediate outcome of this case.5. Describe the long-term impact/outcome of this case.HERE IS THE LINK TO THE ARTICLEhttps://www.ishn.com/articles/103560-ill-steel-company-pleads-guilty-in-death-of-employee?fbclid=IwAR3L78sXs29fIlTI5UgtcrO7QLas-aKafk05ojdjlpgM8H5u4eFV1artRfg

 
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Nursing  discussion

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Use the article below, chapters 6-8 in your textbook, and the movie (“Miss Evers’ Boys”) to help guide your answers. Most of these questions do not have a right or wrong answer.Was this study unethical in 1932?Why or why not?If you feel the study was ethical, was there a point when it became unethical?Did the study provide valuable information?How could the study have been done differently?How do you think the subjects felt about their participation?Did they think they were being treated unfairly?Does the answer change over time (1930s, 1940s, 1950s, etc.)?Should they have thought to question the MDs or Nurse Rivers?What was the impact of recruiting at churches and schools on test subjects?What was Nurse Rivers’ role in the project?What is your opinion of her role?Was Nurse Rivers negligent or did she commit malpractice?Why or why not?Think of a research question or study pertinent to a specific race, ethnicity, or culture.How would you ensure the ethical recruitment of subjects?Imagine you are the nurse in a modern-day, ethical, TSS-like study.How would you use each of the five elements of cultural competence for the selected population?Which modern-day, government agencies could be involved in a health-related research study?How might they be involved?Part 2Lack of diversity in clinical trials and research has increasingly been highlighted as a problem.Hypothesize one reason (whether methodological, social, ethical, or other) why a lack of diversity has been a persistent issue in clinical trials and research.What is one potential solution for your hypothesized reason?Your initial post should be at least 400 words and supported with at least one additional scholarly source.Please be sure to validate your opinions and ideas with citations and references in APA format.The post and responses are valued at 75 points. Please review post and response expectations. Please review the rubric to ensure that your response meets criteria.Peer Response: Unit 3 Week 6, Due Sunday by 11:59 pm CTInstructions:Respond to at least 2 of your peers.Each response should be a minimum of 150 words.Use scholarly supporting evidence.Please be considerate of your peers.Please be sure to validate your opinions and ideas with citations and references in APA format.

 
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Nursing  Diagnosis Cases (Due 19 hours)

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1) Minimum 4 full pages (No word count per page)- Follow the 3 x 3 rule: minimum three paragraphs per pagePart 1: minimum 2 pagesPart 2: minimum 2 pagesSubmit 1 document per part2)¨******APA normsAll paragraphs must be narrative and cited in the text- each paragraphBulleted responses are not acceptedDon’t write in the first personDon’t copy and paste the questions.Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraphSubmit 1 document per part3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks)********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)4) Minimum 5 references per part not older than 5 years  (Journals, books) (No websites)All references must be consistent with the topic-purpose-focus of the parts. Different references are not allowed.5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the nextExample:Q 1. Nursing is XXXXXQ 2. Health is XXXX__________________________________________________________________________________Part 1:PneumoniaBased on File Part Pneumonia,  answer the questions, as instructed below:Critical Thinking Questions1. What are some other tests that could help delineate the cause of shortness of breath?2. To what antibiotic is Klebsiella commonly sensitive?3. Should antibiotics be provided empirically upon the initial visit or should antibiotics be withheld until culture and sensitivity reports are available?4. What are the potential social problems associated with this man’s care and future discharge?5. What do the abnormal liver enzymes tell you about his alcohol use?Part 2:CholelithiasisBased on File Part Cholelithiasis ,  answer the questions, as instructed below:Critical Thinking Questions1. Why was the patient’s urine dark-colored?2. What is the difference between a direct and an indirect type of hyperbilirubinemia?3. Mention the differential diagnosis of Cholelithiasis. Explain4. What is the treatment option for this patient? Why?5. Mention the risk factors of cholelithiasis.

 
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Nursing  Reflection and Learning

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Reflection: write 1-2 paragraphs reflecting on your learning for the week. Guiding questions are provided or you may write about what you felt was most significant to you for the week.You will need to post your reflection here before you are able to see other students’ posts.As you contemplate your future NP practice, how do you view your role in the implementation of EBP?What thoughts do you have about how you will engage in scholarship in your NP role?What are some barriers you see to implementing evidence-based practice?

 
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Nursing  Homework 2

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Discussion 2:Medicare  or Medicaid – which has greater impact in your state?(State Florida)

 
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Nursing  ASSIGNMENT 6050 M-3

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Assignment: Regulation for Nursing Practice Staff Development MeetingNursing is a very highly regulated profession. There are over 100 boards of nursing and national nursing associations throughout the United States and its territories. Their existence helps regulate, inform, and promote the nursing profession. With such numbers, it can be difficult to distinguish between BONs and nursing associations, and overwhelming to consider various benefits and options offered by each.Both boards of nursing and national nursing associations have significant impacts on the nurse practitioner profession and scope of practice. Understanding these differences helps lend credence to your expertise as a professional. In this Assignment, you will practice the application of such expertise by communicating a comparison of boards of nursing and professional nurse associations. You will also share an analysis of your state board of nursing.To Prepare:Assume that you are leading a staff development meeting on regulation for nursing practice at your healthcare organization or agency.Review the NCSBN and ANA websites to prepare for your presentation.The Assignment: (8- to 9-slide PowerPoint presentation)Develop a 8- to 9-slide PowerPoint Presentation that addresses the following:Describe the differences between a board of nursing and a professional nurse association.Describe the board for your specific region/area.Who is on the board?How does one become a member of the board?Describe at least one state regulation related to general nurse scope of practice.How does this regulation influence the nurse’s role?How does this regulation influence delivery, cost, and access to healthcare?Describe at least one state regulation related to Advanced Practice Registered Nurses (APRNs).How does this regulation influence the nurse’s role?How does this regulation influence delivery, cost, and access to healthcare?Include Speaker Notes on Each Slide (except on the title page and reference page)

 
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Nursing  Appraising Systematic Reviews

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Obesity is a serious threat throughout the United States with two-thirds of its population at risk.  Worldwide, individuals are continuously challenged with being overweight or obese (Wang et al., 2017).  As healthcare evolves, technology has a significant effect and role in preventive care.  Preventive care can be complicated when addressing the national practice problem of obesity.  The advancement of technology in utilizing mobile and wireless platforms can improve the outcome in preventing obesity (Wang et al., 2017).  Although technology seems to be promising, ongoing research is imperative in discovering the effectiveness (Vaz et al., 2018).  Individuals are likely to become more successful with the help of others coupled with the use of technology in losing weight (Hammersly, Jones, & Okely, 2016).Does the research design answer the research question? Explain your rationale.Systematic reviews with meta-analysis combines data with an analysis based on a variety of studies.  This research design is based on evaluating data from several studies with similar topics that involve randomized-controlled trials (RCTs) (Ahn & Kang, 2018).  The selected library search was on a systematic review with meta-analysis addressing the intervention of eHealth models to reduce childhood obesity (Hammersly, Jones, & Okely, 2016).Were the study sample participants representative? Why or why not?The study sample included eight studies, involving 1,487 parent and child or adolescent dyads.  Three studies consisted of obesity prevention trials and five studies resulted in obesity treatment trials.  Study sample participants were represented but would have benefited greater from a larger study (Hammersly, Jones, & Okely, 2016).Compare and contrast the study limitations in this study.Limitations within this study included the sample size that could have involved a larger sample size.  Quality of the interventions were not deemed high and a longer timeframe is warranted (Hammersly, Jones, & Okely, 2016).Based on this evidence summary, would you consider this systematic review as support for your selected practice problem? Explain your rationale.After reviewing the evidence summary, this systematic review can be considered as support.  Parts from in-person interventions into eHealth platforms can be successful given a longer time and larger population to study.ReferencesAhn, E., & Kang, H. (2018). Introduction to systematic review and meta-analysis. Korean journal of anesthesiology, 71(2), 103–112. https://doi.org/10.4097/kjae.2018.71.2.103Hammersley, M., Jones, R., & Okely, A. (2016). Parent-focused childhood and adolescent overweight and obesity ehealth interventions: a systematic review and meta-analysis. Journal of Medical Internet Research, 18(7), e203.https://doi.org/10.2196/jmir.5893 (Links to an external site.)Vaz, C., Suthar, A., Pousti, B., Aye, S., Williams, K., & Zhao, H. (2018). A smartphone app-based lifestyle intervention promotes weight loss-results of a prospective, randomized, controlled clinical trial (RCT). Diabetes, 67(1).https://doi:10.2337/db18-2070-PLinks to an external site.Wang, Y., Xue, H., Huang, Y., & Zhang, D. (2017). A systematic review of application and effectiveness of mhealth interventions for obesity and diabetes treatment and self-management. Advances in Nutrition, (8), 449-462.https://doi:10.3945/an.116.014100Links to an external site.I need a comment for this Discussion Board with at least 2 paragraphs and 3 sourses no later than 5 years.

 
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Nursing  Discussion question 1 DQ 1

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Describe a situation in which a new clinical practice was put into   place. Was there a DNP-prepared nurse leading the translation of the   practice from research to practice? If so, describe the process that   individual took for translation and why it made a difference in the   translation. If there was not a DNP-prepared nurse, describe the   process and what would have been different about the process had there   been a DNP-prepared nurse leading the practice translation?

 
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Nursing  Healthcare Technology, Local, National, and Global Considerations

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Imagine that you are a public health nurse, and you and your colleagues have determined that the threat of a deadly new strain of influenza indicates a need for a mass inoculation program in your community. What public health data would have been used to determine the need for such a program? Where would you locate public health data? What data will be collected to determine the success of such a program? How might you communicate this to other communities or internationally?If you found a new strain that could potentially be a community health issue, what would you do? Think in terms of mode of transmission, vulnerable populations, etc. What data needs to be collected?APA in-text citations includedand references1-2 paragraphs long

 
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