I havethe paper. I need help in putting things together I have more that will be
I havethe paper. I need help in putting things together I have more that will be uploaded pertaining to this assignment
I need this introduction to be done by tomorrow
And the rest on the due date. Please accept if you ag
Instructions
Follow these guidelines when completing each component of this assi
Instructions
Follow these guidelines when completing each component of this assignment. Contact your course faculty if you have questions.
Download the following tools linked below (located in the Student Resource Center under Project & Practicum Resources).
Link (Word doc): Johns Hopkins Research Evidence Appraisal Tool Links to an external site.
Link (Word doc): Johns Hopkins Individual Evidence Summary Tool Links to an external site.
Use five (5) level I, II, or III peer-reviewed primary research studies and/or systematic reviews that focus on the evidence-based intervention for the selected practice problem. Four research articles that focus on the evidence-based intervention included in this synthesis may be from previous courses. One peer-reviewed research article that focuses on the evidence-based intervention must be new to this synthesis and not used in previous courses. All articles should be current, published within the past 5 years. Enter the articles for the synthesis into the Johns Hopkins Individual Evidence Summary Tool. For new articles for this synthesis, Highlight the author’s name in the Johns Hopkins individual Evidence Summary Table.
Use the most current version of Microsoft Word that is the format for all Chamberlain University College of Nursing found in student resources. The Document is labeled DNP and will end in “docx.”
All Chamberlain University policies related to plagiarism must be observed.
Review the rubric for the grading criteria.
The assignment includes the following components:
Title Page
Title of the paper
Student name
Chamberlain University College of Nursing
Course number and course name
Session month and year
Introduction
Write a one-sentence purpose statement.
Introduce the practice problem. (Cited)
Introduce the evidence-based intervention using research study evidence. (Cited)
Describe the significance of the practice problem at the national level (1 paragraph).
Significance
Prevalence
Mortality
Economic ramifications of the practice problem. (Cited)
Evidence Synthesis: Using a minimum of five research articles (published within the past 5 years) to support the evidence-based intervention, write a synthesis of evidence to include the following:
Include a minimum of 5 research articles to support the evidence-based intervention with citations (4 articles can be from previous courses).
Identify and discuss the main themes and salient points that emerge from the sources. (Cited)
Contrast the main points from evidence sources. (Cited)
Present an objective overarching synthesis of research statement supporting the evidence-based intervention. (Cited)
Conclusion
Include a summary of practice problem.
Include a summary of the evidence synthesis which supports the evidence-based intervention (cite all sources).
Appendix: Johns Hopkins Individual Evidence Summary Table
Include the completed Johns Hopkins Individual Evidence Summary Tool with this assignment.
Complete all sections of the Johns Hopkins Individual Evidence Summary Tool for each research study.
Identify the quality and the level of evidence for all research studies.
Enter the information for a minimum of 5 research articles level I, II, or III that focus on the evidence-based intervention and published within the last 5 years into the Johns Hopkins Individual Evidence Summary Table.
APA Standards and References
Use appropriate Level I headers.
Create the reference page.
Each reference has a matching citation and citations are in current APA style.
Description
Primary Discussion Response is due by Thursday (11:59:59pm Central),
Description
Primary Discussion Response is due by Thursday (11:59:59pm Central), Peer Responses are due by Saturday (11:59:59pm Central).
Primary Task Response: Within the Discussion Board area, write 250 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. You are required to use 1 scholarly resource in addition to your textbook. Be substantive and clear, and use examples to reinforce your ideas.
Part One
Search the American Association of Colleges of Nursing Web site for information about the nursing shortage.
In 75–100 words, summarize what you found about the issues related to the nursing shortage.
What has your employer or health care system done to prevent a nursing shortage?
Part Two
Search the CT Library for articles discussing the nursing shortage. Look for articles published in the last 5 years. You are required to use 1 scholarly resource in addition to your textbook.
What does the literature say about the perils of short staffing for nurses?
Discuss methods used in the workplace to prevent staff shortages.
Responses to Other Students: Respond to at least 2 of your fellow classmates with at least a 100-word reply about their Primary Task Response regarding items you found to be compelling and enlightening. To help you with your discussion, please consider the following questions:
What did you learn from your classmate’s posting?
What additional questions do you have after reading the posting?
What clarification do you need regarding the posting?
What differences or similarities do you see between your posting and other classmates’ postings?
For assistance with your assignment, please use your textbook and all course resources.
Discussion Board Rubric
The Discussion Board Grading Rubric is a scoring tool that represents the performance expectations for the discussion. This Discussion Board Grading Rubric is divided into components that provide a clear description of what should be included within each component of the discussion. It’s the roadmap that can help lead your discussion. Discussion Board Grading Rubric
Reference
American Association of Colleges of Nursing. (2022). About the nursing shortage. https://www.aacnnursing.org/News-Information/Nursing-Shortage-Resources/About
Research a selected local, national, or global nonprofit organization or governm
Research a selected local, national, or global nonprofit organization or government agency to determine how it contributes to public health and safety improvements, promotes equal opportunity, and improves the quality of life within the community. Submit your findings in a 3-5 page report.
Competency 1: Analyze health risks and health care needs among distinct populations.
Explain how an organization’s work impacts the health and/or safety needs of a local community.
Competency 2: Propose health promotion strategies to improve the health of populations.
Explain how an organization’s mission and vision enable it to contribute to public health and safety improvements.
Competency 3: valuate health policies, based on their ability to achieve desired outcomes.
Assess the impact of funding sources, policy, and legislation on an organization’s service delivery.
Competency 4: Integrate principles of social justice in community health interventions.
Evaluate an organization’s ability to promote equal opportunity and improve the quality of life in a community.
Competency 5: Apply professional, scholarly communication strategies to lead health promotion and improve population health.
Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.
Apply APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format.
The next step in the process is to identify evidence that your intervention, you
The next step in the process is to identify evidence that your intervention, your “I” in your PICO question, is supported in the literature.
Based on the PICO question you picked in the Unit 2 Assignment, find a quantitative research study about the intervention (not the problem) related to the problem identified.
I have a attach the article that needs to be use to fill in the search table along with the picco assignment from unit 2
Picco Question: In the acute care setting, does the implementation of a nurse-led rounding program compared to no rounding program decrease patient falls?
Preparing the AssignmentDownload the Week 4 Check-In: Course Project Part 2 Temp
Preparing the AssignmentDownload the Week 4 Check-In: Course Project Part 2 Template below.
Save it to your computer with the file name: Your Last Name NR394 W4 Check In.docx
Type directly in your saved template.
Complete the Week 4 Check-In:Explain your progress on Week 4: Course Project Part 2. Include revisions, if required by the Week 3: Course Project Part 1 faculty feedback.
Ask at least one question of your instructor that could help you do your best on Course Project Part 2.
Submit once to the Week 4 Check-In: Course Project Part 2.
Your instructor will provide a score and feedback by Friday of Week 4 by 11:59 p.m. MT.
Return to the Grades area to read the instructor’s response prior to submitting your Week 4: Course Project Part 2: Research. You must read that feedback and use it to produce Course Project Part 2.For instructions for how to review instructor feedback, please see “Viewing Feedback on Assignments” under Resources/Program Resources.
Template and LinkWeek 4 Check-In: Course Project Part 2 Template (Download here)Links to an external site.
HealthyPeople.gov Leading Health Indicators website
Business Proposal and Financial Plan Executive Summary
Complete an executive sum
Business Proposal and Financial Plan Executive Summary
Complete an executive summary of a business proposal and financial plan to support a needed service or change in current service.
Required elements are to be presented with complete, accurate, concise information. Writing is succinct, organized, and reflects a synthesis of information
In your journal entry, answer the following questions: Reflect on of your clinic
In your journal entry, answer the following questions: Reflect on of your clinical experience for the OBGYN women’s health, and reflect on your observations and clinical experiences with patients during this time, and answer the following question.
How might I improve on my skills and knowledge, and how do I communicate that back to my Preceptor?
How am I doing? What is missing?
What type of feedback am I receiving from my Preceptor?
What did you learn from this experience?
What resources did you have available?
What evidence-based practice did you use for this patient?
What new skills are you learning?
What would you do differently?
How are you managing patient flow and volume?
Use 5 APA references to support your journal reflection. No plagiarism.
For this assignment, students will create ONE SOAP notes reflective of the patie
For this assignment, students will create ONE SOAP notes reflective of the patient care experience in the clinical setting under the
supervision of the clinical preceptor in the role of the clinical provider. This assignment will evaluate the student’s clinical reasoning
skills, interviewing skills, physical exam skills, selection of diagnostic testing, differential diagnosis, pharmaceutical and non-
pharmaceutical treatment, patient education, and follow-up plan.
Students must develop the clinical skills and knowledge required for safe practice and deliver best patient outcomes upon graduation.
SOAP notes should be used to document each patient seen in the clinical setting. Clear, concise, and thorough documentation is
required for continuity of care, safe practice, appropriate reimbursement, and prudent risk management.
When developing the SOAP note, students should use the assignment criteria below and the ACON SOAP Note Template found in
Modules/Week X. Students should include complete subjective and objective information to support the assessment and plan. The
plan must include diagnostic and treatment measures, patient education, and follow-up.
Keep the following points in mind:
Use the ACON SOAP Note template as a guide
Identify and collect relevant subjective and objective data.
Use proper medical terminology and documentation.
Use proper ICD-10 coding and Current Procedural Terminology (CPT) E/M coding.
Identify any cultural/religious/racial/gender influences on care.
Assignment Criteria:
Students will complete a Soap note and include the following:
1. Subjective findings
a. Chief complaint (CC)
b. History of present illness (HPI)
i. Use mnemonic: onset, location/radiation, duration, character, aggravating factors, relieving factors, timing, and
severity (OLDCARTS)
c. Past medical/surgical/social/family history
d. Medications
i. Allergies, prescription/over the counter (OTC)/herbal medications
e. Comprehensive review of systems (ROS)
2. Objective findings
a. Appropriate physical examination based on subjective findings.
b. Relevant positive and negative diagnostic testing including previous pertinent diagnostic tests related to visit.
c. Screening tools and positive and negative results
3.Assessment
a. Correct primary diagnosis.
b. Correct differential diagnoses.
c. Correct ICD-10/Current Procedural Terminology (CPT) codes
4. Plan
a. Identify and orders correct diagnostics, prescriptions, referrals, and follow-up plan.
b. Patient education relative to treatment plan.
c. Correctly written out a prescription for one medication prescribed for the patient.
i. If a medication is not prescribed, write out a prescription for a medication that might be prescribed for a similar
patient.
I’m attaching thetemplate that needs to be used AND an example for a patient that you can use
Please do not leave anything blank, if you do not have the information to fill in the template make it up
Subjective (S): Chief Complaint (CC): Patient was sent by Dr. C’s office due to an open wound on his right leg that may be infected. The patient reports his legs have been swollen for a few days with erythema and heat, and he noticed the wound this morning. History of Present Illness (HPI): This is an 82-year-old male with a significant past medical history of gastritis, duodenitis, hypertension, hyperlipidemia, obesity, and coronary artery disease status post-CABG in 2014. He presents with concerns about an infected wound on his right leg and swelling in both legs. The patient reports noticing swelling and erythema in his legs over the past few days, with the wound becoming apparent this morning. He has a history of cellulitis in the legs in the past, which improved with antibiotics. He denies recent trauma, fever, or chills. On examination, bilateral lower extremity edema and a wound draining clear serous discharge were noted. He has been started on IV antibiotics and will require further management by infectious disease. PMH: Gastritis, duodenitis, hypertension, hyperlipidemia, obesity, coronary artery disease status post-CABG in 2014. Problem List/ Past Medical History: Anasarca CAD (coronary artery disease) Gastritis Inflammatory disorder of lower extremity Pedal edema Rosacea Procedure/ Surgical History: Colonoscopy flex w biopsies (10/16/2018) CABG – Coronary artery bypass graft (2014) ORIF – Open reduction of fracture of elbow with internal fixation (2000) Allergies: Cats (rhinitis), Dog Hair (rhinitis) Social History: Alcohol: Occasional use Tobacco Use: Former smoker, quit more than 30 days ago Nutrition/Health: Caffeine Intake: Not specified Travel History: You/Household traveled in last 30 days? No. Lab Results (Most Recent 36 hrs): Hemoglobin: 14.9 g/dL Hematocrit: 45.1 % WBC: 4.99 K/uL Platelet Count: 198 K/uL Sodium on Blood: 141 mmol/L Potassium on Blood: 4.6 mmol/L Chloride on Blood: 111 mmol/L (High) CO2 on Blood: 30 mmol/L Anion Gap: <1 (Low) Glucose on Blood: 91 mg/dL Creatinine on Blood: 1.3 mg/dL BUN on Blood: 20 mg/dL Calcium (Total): 9.3 mg/dL Diagnostic Results (Last 48 hrs): Chest Single View XR: No evidence of acute intrathoracic pathology. Objective (O): Review Of Systems (ROS): Constitutional: No unexplained weight gain or loss, fevers, chills, fatigue Eye: No recent visual problems ENMT: No ear pain, nasal congestion, sore throat Respiratory: No shortness of breath, cough Cardiovascular: No chest pain, palpitations, leg edema Gastrointestinal: No nausea, vomiting, diarrhea Genitourinary: No dysuria, hematuria Hema/Lymph: Negative for bruising tendency, swollen lymph glands Endocrine: Negative for excessive thirst or urination, heat or cold intolerance Musculoskeletal: No back pain, joint pain, muscle pain Integumentary: Bilateral lower extremity erythema and swelling Neurologic: No history of fainting, memory loss, numbness Psychiatric: No anxiety, depression Allergic/Immun: No nasal allergies, itchy/red eyes, enlarged lymph nodes Physical Exam: Vitals & Measurements: T: 36.4 degC, HR: 67 bpm, RR: 18, BP: 107/90 mmHg, SpO2: 100%, HT: 170 cm, WT: 83.1 kg, BMI: 28.75 General: Alert, well nourished, no acute distress Eye: Pupils equal, normal conjunctiva, no scleral icterus ENMT: Normocephalic, normal hearing, moist oral mucosa, no sinus tenderness Neck: Supple, non-tender, trachea midline Respiratory: Normal respiratory effort, clear to auscultation Cardiovascular: Regular rate and rhythm, no murmur, + pedal edema, and erythema Gastrointestinal: Soft, non-tender, normal bowel sounds Musculoskeletal: No digital clubbing or cyanosis Skin: Skin is warm, no rashes or lesions, bilateral lower extremity erythema and swelling Neurologic: Follows commands, speech clear, face symmetrical Psychiatric: Oriented X3, appropriate mood and affect Medical Decision Making/Reevaluation: Home Medications: Carvedilol 6.25 mg BID Entresto 97 mg-103 mg BID Ezetimibe 10 mg Daily Primidone 250 mg QID Rosuvastatin 20 mg Daily Spironolactone 25 mg Daily Assessment/Plan: Cellulitis of leg: Admit to CDU, consult infectious disease, continue vancomycin, wound cultures. Hypertension: Continue antihypertensives, monitor vital signs. CAD: Continue medical management, follow-up with Dr. Castanes. Gastritis: Continue PPI as needed, follow-up with gastroenterologist. Additional Information: Non-opioid alternatives for pain discussed. Primary care provider notified of admission. Follow Up: Admit to CDU for further management by infectious disease. CODE STATUS FULL CODE
Case Study Instruction
Read the scenario in the case study and answer the writin
Case Study Instruction
Read the scenario in the case study and answer the writing prompts. Provide rationale for each answer. All posts must contain at least (2) professional references, one may be the course textbook, properly cited in the current APA format. The case study is due before Sunday, 11:59 pm(pst). Late submissions will be graded as per college/course policy. Refer to the syllabus for the late submission policy. Do not rewrite the questions as it adds to the Turnitin score. The Turnitin score should be 20% or less.
Purpose
The purpose of this case study is to successfully apply the components of nutritional and skin assessments in the provision of appropriate nursing care and health promotion.
Case Study
You are admitting a new patient to the antepartum unit. Melanie, who is 7 months pregnant, has arrived after a call from her physician’s office regarding concerns of skin irritation and possible urinary tract infection. Melanie is sitting in a wheelchair and is in obvious discomfort with facial grimacing. You ask if she can stand on a scale to be weighed and she says, “I don’t think your scale will hold me.” Melanie, who is very obese, struggles to rise from the wheelchair and move toward the scale, holding the foot of the bed as she walks. You find she weighs 475 pounds and that her height is 66 inches.
Writing Prompts
How do you calculate Melanie’s body mass index? What table could assist you in your calculation?
You proceed to measure Melanie’s blood pressure, using the largest cuff available. Why is it important to choose an appropriate size cuff in Melanie’s case?
You continue the admission assessment. Melanie’s clothing appears neat but she has pungent, foul-smelling body odor. Perspiration is visible on her forehead and upper lip although the environmental temperature is comfortable. She has long, artificial fingernails and multiple rings on her fingers. You assist Melanie as she removes her clothing and dons a hospital gown. You observe that she has rashes in the skinfolds of her arms, in her axillae, and under both breasts. Her abdomen is very pendulous, and you suspect that the rash extends under her abdomen, into her groin, and between her thighs. The skin appears reddened and moist, and the rash has sharply demarcated borders. What questions should you ask that relate to the rashes you observed?
What do you suspect is the cause of and possible reasons for Melanie’s rashes?
As you continue your skin inspection, you identify a stage II pressure ulcer over the coccyx. What are the stages of pressure ulcers and their characteristics?
What are risk factors that predispose Melanie to pressure ulcers?
Melanie says she needs to urinate. “I just can’t wait to get to the bathroom when I have to go, but I hate to urinate as it burns so much.” You assist her to the toilet.
What health history questions will you ask to focus on Melanie’s urinary symptoms?
Update: The wound care nurse was called to see Melanie and has ordered a bariatric bed with pressure mattress overlay, prescribed antifungal medications for the rashes, and initiated a wound care protocol for the pressure ulcer. She is to be taken to a walk-in shower daily for bathing and dressings to be placed between all skin folds after medications applied. How does Melanie’s pregnancy affect her GU system?