Nursing  2 coments each one 150 words (CITATION AND REFERENCE) 1/13

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reply1Clinical significance can be defined as the magnitude of the actual treatment effect which will determine whether the results of the trial are likely to impact current medical practice. Statistical significance on the other hand quantifies the probability of a study’s results being due to chance (Ranganathan, Pramesh, & Buyse, 2015). In clinical practice, the clinical significance of a result is dependent on its implications on existing practice. The clinical significance should reflect the extent of change, whether the change makes a real difference, how long the effect lasts, cost effectiveness and ease of implementation. Unlike statistical significance that has established traditionally accepted values; clinical significance is often based on the judgment of the health care provider and the patient.Statistical significance is majorly dependent on the study’s sample size; even with large sample sizes, small treatment effects can appear statistically significant and therefore the analyzer has to interpret carefully whether the significance is clinically meaningful. Statistical significance can be used to support positive outcomes in the EBP project by medical practitioners ensuring examination of the research outcomes in order to come up with the clinical significance. Several measures can be used to determine the clinical relevance required, confidence intervals and magnitude-based inferences. Statistical significance can also be used to achieve positive outcomes by analyzing the variability of subjects and the magnitude of effect on the patients during the research (Physical Therapy, 2014).ReferencesPhysical Therapy, I. S. (2014). Beyond Statistical Significance: Clinical Interpretation of Rehabilitation Research Literature. International Journal of Sports Physical Therapy, 9(5), 726-736.Ranganathan, P., Pramesh, C., & Buyse, M. (2015). Common Pitfalls in Statistical Analysis: Clinical versus Statistical Significance. Perspectives in Clinical research, 6(3), 169-170.reply2Clinical significance is defined as the practical value of an effect of treatment regardless of whether it has a real genuine, palpable, or noticeable effect on our everyday lives. Clinical significance reflects the impact on clinical practice. Statistical significance simply measures how probable any evident differences in outcome between control groups and treatment are. Statistical significance indicates the reliability of the study results. Clinically significant result occurs when medical experts believe that the finding is considered medically crucial and applied as a provision of care to patients. Clinical significance may help to validate whether a treatment effect has practical importance and if it has a real effect on daily life.Since most statistically significant results are of clinical importance, it means that for a project to achieve positive outcomes, one must apply statistical significance. When the results are reliable, they can be applied to clinical significance. When the p-value value is positive, it means that it is not rejected; hence, the results will result in the projects achieving positive outcomes when applied to clinical significance. Although clinical significance is usually a subjective evaluation and cannot be established by a single experiential test, statistical significance must always be determined before determination of clinical significance in evidence based research practice.I will be able to support positive outcomes and prove clinical significance of my project by ensuring that the results of decrease in 30 day readmission rates is statistically significant.Heavey, E.(2015). Differentiating statistical significance and clinical significance. American Nurse Today, 10(5): 26-28. Retrieved from https://www.brockport.edu/daily_eagle/doc/2015-04/item_8038_7659.pdfSedgwick, P. (2014). Clinical significance versus Statistical Significance. BMJ, 348(mar14 11), g2130-g2130. doi: http://dx.doi.org/10.1136/bmj.g2130

 
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Nursing  Discussion

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Follow the discussion questions participation and submission guidelines.·      Follow the 3 x 3 rule: minimum three paragraphs per DQ, with a minimum of three sentences each paragraph.·      All answers or discussions comments submitted must be in APA format according to Publication Manual American Psychological Association (APA) (7th ed.)·      Minimum of two references on each question, not older than 2015.

 
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Nursing  Advance Pharm Discussion 6

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Calcium and Vitamin D supplementation are essential to bone health and the management of osteopenia and osteoporosis.  In the past few years, information regarding the potential risks of too much calcium (such as cardiovascular disease and/or events) have been emerging.Using an article from a medical journal, evaluate and discuss the risks and benefits of calcium supplementation for a patient with a bone disease.What would you recommend for is a 59-year-old postmenopausal woman with a T-score of − 2.3. Her past medical history is unremarkable and she only takes a multivitamin with additional calcium and vitamin D. Her family history is remarkable for a mother who had osteoporosis and died of breast cancer and a father who has diabetesGout is a common form of inflammatory arthritis that is very painful. It usually affects one joint at a time (often the big toe joint). Although there is no cure for gout, it can be effectively treated and managed with medication and self-management strategiesA 45-year-old white man presents to your office complaining of left knee pain that started last night. He says that the pain started suddenly after dinner and was severe within a span of 3 hours. He denies any trauma, fever, systemic symptoms, or prior similar episodes. He has a history of hypertension for which he takes hydrochlorothiazide (HCTZ). He admits to consuming a great amount of wine last night with dinnerProvide an evaluation of the patient including possible risk factors and treatment options, including non-pharmacologic interventionsWould this patient be a candidate for prophylactic therapy?Post must a minimum of 150 words, APA formate, minimum of 2 reference.

 
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Nursing  Benchmark – Patient’s Spiritual Needs: Case Analysis

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In addition to the topic study materials, use the chart you completed and questions you answered in the Topic 3 about “Case Study: Healing and Autonomy” as the basis for your responses in this assignment.Answer the following questions about a patient’s spiritual needs in light of the Christian worldview.In 200-250 words, respond to the following: Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James, or would that mean a disrespect of a patient’s autonomy? Explain your rationale.In 400-500 words, respond to the following: How ought the Christian think about sickness and health? How should a Christian think about medical intervention? What should Mike as a Christian do? How should he reason about trusting God and treating James in relation to what is truly honoring the principles of beneficence and nonmaleficence in James’s care?In 200-250 words, respond to the following: How would a spiritual needs assessment help the physician assist Mike determine appropriate interventions for James and for his family or others involved in his care?Remember to support your responses with the topic study materials.While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.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 LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.Benchmark InformationThis benchmark assignment assesses the following programmatic competencies:BS in Health Sciences 1.2; BS Nursing (RN to BSN ) 5.2Assess for the spiritual needs and provide appropriate interventions for individuals, families, and groups.

 
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Nursing  Research Project: Mulitple Sclerosis

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Briefly describe the disability or medical conditionShare an overview of the Organization you have chosen to research.This could be done by reviewing the website, an interview with an employee or a report on a visit to the organization or a bit of all three.  This should be a thorough review of the organization focusing on the mission and how they illustrate the mission through activities and programs.Research and summarize a position within the organization that interests you. The job must be directly related to the disability or medical condition researched.Finally you will create your own Case Study by creating a Fictional Character that will use the organization you researched.  Below is the explanation of what I would expect would be included.Create a character. Create a fictional character who would take advantage of the services the organization provides Create a character based on the disability studied in the chapter you chose. Describe your character: Name, gender/gender identity, racial/ethnic identity, disability/ability status, social class position, age and anything else that will add to the story of why and how they are using the organization.Give your character some concerns that may bring them to use the organization you researched. Come up with somewhere between two and five problems or transition difficulties that your character might experience.Build a Toolkit. Explain in detail how your character used the resources provided by the organization and how it might have enhanced their ability to remove or even circumvent a problem faced by their illness or disability.Format: The Toolkit can be word document, PowerPoint presentation, or a video. It must be able to be uploaded to canvas.  Tap into your strengths and/or interests for this project: How do you like to work? How do you prefer to show your intelligence?

 
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Nursing  Need Response to below post

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APA format MSN degree 2 pages 3 references 2 from walden university librarydue 4/11/18 at 7pm ESTThyroid DisorderThyroid disorder can occur as a primary gland disfunction or in result to an associated hormone. It is important to understand the cause of the thyroid disorder for proper treatment and follow up. The content of this post will discuss hypothyroidism, which is the most common thyroid disorder diagnosed. Most commonly seen in women, but men also suffer from the disease process. Hypothyroidism may occur as primary disfunction of the gland or in relation to a secondary cause (Roberts & Ladenson, 2004).Hypothyroidism occurs when there is a low level of thyroid hormone (TH). Most commonly this is occurs as a autoimmune response of the body, autoimmune thyroiditis. The thyroid tissue becomes inflamed when T lymphocytes and thyroid autoantibodies are infiltrated. The inflammation destroys viable thyroid tissue. This can be a genetic response. Hypothyroidism can also occur due a secondary response (Huether & McCance, 2017, p. 469).TreatmentHypothyroidism is diagnosed after looking at the clinical presentation of the patient and after measuring TH levels in the blood. Hormone replacement is achieved when the patient takes levothyroxine. Dosages are determined by looking at the patient’s age, the severity, and other active disease processes (Huether & McCance, 2017, p. 469).BehaviorMedication compliance is essential as hypothyroidism is managed. Individuals with hypothyroidism can live normal lives as long as their treatment plan is followed and medications are taken as prescribed. Other exciting patient factors can affect compliance. Depression for example can prevent patients from taking medications as prescribed. When this happens, providers may believe that a higher dosage of medication is needed to alleviate the patient’s other symptoms. When diagnosing and working with patients with a mental health disorder it is imperative to have a close, understanding relationship when adjusting and prescribing medications (Sevinc & Savli, 2004).Preventing Negative Side EffectsHypothyroidism is usually develops over a period of time. Patients usually experience a low level of energy as their metabolism decreases. Lethargy and cold intolerance also follows the disease process. Because TH production is less, thyroid stimulating hormone (TSH) tries to compensate and increases. An increase amount of TSH can cause goiter, myxedema, and even myxedema coma. Myxedema coma is a medical emergency because the patient will be experiencing lethargy, low blood pressure, hypoventilation, low blood sugar, acidosis, and hypothermia without compensation. Often times, elderly patients get their symptoms confused with aging. It is important to remember no signs of hypothyroidism are a normal part of aging (Huether & McCance, 2017, p. 469).ReferencesHuether, S. E., & McCance, K. L. (2017). Understanding  pathophysiology (6th ed.). St. Louis, MO: Mosby.Roberts, C. P., & Ladenson, P. W. (2004). Hypothyroidism. Lancet (London, England), 363(9411), 793-803.Sevinc, A., & Savli, H. (2004). Hypothyroidism masquerading as depression: The role of noncompliance. Journal Of The National Medical Association, 96(3), 379-382.

 
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Nursing  Med Term

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you will write 2 reports (referring to the departments of Dermatology and Cardiology) and use them as your script for your Week 3 Oral Report. Your writing section for this assignment will include 2 paragraphs for each department.In order to earn the maximum credit for the written report you need to incorporate at least 10 medical terms for each department (a total of 20 terms for this assignment), using them in a manner that demonstrates your knowledge of their meaning.Include the major or most common diseases or conditions seen in each department.Include at least three of the principal procedures that are relevant to each department.Highlight pertinent laboratory and radiological diagnostic services relevant to each department.Limit your analysis of each department to two paragraphs.

 
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Nursing  Relaxation video technique and evaluation

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This week your assignment will include two parts. First you will do a self-assessment of your current stress level (1 being extremely stressed and 10 being stress free). Next, find a relaxation video on YouTube and watch it (key search words: body scan meditation, guided meditation). After completing the relaxation session, reevaluate your level of stress using the same scale you used prior to completing the meditation exercise.Secondly, in a 2-page paper, discuss your initial feelings around completing this exercise. Share if you noted any change in your awareness of your body after completing the relaxation exercise. Critique the video/audio addressing what the strengths and weaknesses of the video/audio were. Share your ideas about where in your practice you could see the use of relaxation to be of benefit. Please include the link to the video/audio that you used.APA format

 
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Nursing  Masters Essential 3 and 4 on Maternal Mental Health

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As you plan, develop, implement and evaluate your nursing practicum project, reflect on how this project and your graduate education have prepared you to meet the growing needs of healthcare and the diverse populations we serve.This week you will address Essential III: Quality Improvement and Safety and Essential IV: Translating and Integrating Scholarship into Practice.Essential III: Quality Improvement and Safetyo Recognizes that a master’s-prepared nurse must be articulate in themethods, tools, performance measures, and standards related to quality, aswell, as prepared to apply quality principles within an organization.• Essential IV: Translating and Integrating Scholarship into Practiceo Recognizes that the master’s-prepared nurse applies research outcomeswithin the practice setting, resolves practice problems, works as a changeagent and disseminates results.See attachment for details on Essential III and IV; 400 words at least one resource

 
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Nursing  HCS/451 Homework Help

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Based on the documents that are uploaded answer the following two questions in at least 250 words:What are the errors and violations committed by “sharp end” individuals?How does the breaching of defenses or safeguards affect these accidents?

 
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