Research Data Collection, Processing, and Analysis
This activity aims to understand the basic concepts of research data collection, processing, and analysis.
Instructions: in 500 words explain the following
Task 1: Research Question and Data Collection
Identify a research question related to fall prevention in a home setting.
Develop a data collection plan to answer the research question.
How can you collect data using appropriate data collection methods
How can you record the data in an organized and structured manner.
Task 2: Data Analysis
Identify appropriate data analysis techniques to answer the research question.
How can you perform data analysis using statistical software or other appropriate tools?
How to interpret the results of the data analysis and draw conclusions based on the research question
Externalizing Disorders
Reflect on your first experience treating a toddler, school-aged child, or adolescent with a mood or anxiety disorder.
Describe a clinical situation, in detail. (Who was it, when did it happen, what happened, what caused it to happen, where did it happen, how did it happen). Describing the clinical experience should take less than 3 minutes. Discussing your reflection should take 3-5 minutes.
How did you manage these anxieties, feelings, prejudices, and biases?
What assumptions did you make about children or families with mental illness?
What awareness did you develop during your clinical experience?
Describe how you changed as a result of your clinical experience?
Describe how will this clinical situation impact your advanced nursing practice?
NUR 370 - Week 9 Discussion: Social Justice
Post a response to the discussion board. In your post, respond to the following prompts:
Describe the difference between market justice and social justice.
While maintaining confidentiality, discuss a situation you experienced in practice, or another situation, where there was tension between market justice and social justice.
Summarize the nursing role in achieving social justice.
Use your personal experience, if it's relevant, to support or debate other students' posts. If differences of opinion occur, debate the issues professionally and provide examples to support opinions.
Cite any sources in APA format.
Discussion Post- Peds Clinical Experience week 3
Describe your clinical experience at a pediatric office as a student APRN for this week.
Did you face any challenges, any success? If so, what were they?
Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales.
Mention the health promotion intervention for this patient.
What did you learn from this week's clinical experience that can beneficial for you as an advanced practice nurse?
Support your plan of care with the current peer-reviewed research guideline.
Submission Instructions:
Post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.
Module 09 Discussion - Disaster Planning for Your Unit
Directions:
Disaster Planning for Your Unit
You are a nurse manager in charge of developing a disaster plan for your unit. As the manager, you will need to include the influential agencies, stakeholders and the roles of the nurses in disasters.
First Post
Identify the influential agencies and stakeholders you would include in your plan. Describe the roles of the nurses in disaster planning and actual disasters. How would you ensure the nurses on the unit understand their roles in the disaster plan?
Reply Post
Respond to at least one of your peers. Expand on your peer’s ideas.
Note:
“Expand on your peer’s ideas” needs more than 1 - 2 sentences for an acceptable reply.
If you refer to a website or article, be sure to cite it in APA format. This prevents plagiarism and allows your fellow students to review the cites and increase the class knowledge base.
Please make your initial post by midweek, and respond to at least one other student's post by the end of the week. Please check the Course Calendar for specific due dates.
FACTORS THAT INFLUENCE THE DEVELOPMENT OF PSYCHOPATHOLOGY
Explain the biological (genetic and neuroscientific); psychological (behavioral and cognitive processes, emotional, developmental); and social, cultural, and interpersonal factors that influence the development of psychopathology
Impact of Information Technologies
In recent years, the use of information technologies in healthcare has significantly increased, and its impact on patient outcomes has become a subject of interest. This activity aims to analyze how the implementation of information technologies in healthcare has affected patient outcomes such as improved quality of care, increased patient engagement, and reduced medical errors.
in 450 words, Analyze the impact of information technologies on patient outcomes, such as improved quality of care, increased patient engagement, and reduced medical errors
IVF & NFP
1. Description and bioethical analysis of:
o Pre-implantation Genetic Diagnosis PGD
o Surrogate motherhood
o “Snowflake babies”
o Artificial insemination
2. What is Natural Family Planning (NFP)?
3. Describe the 3 Primary ovulation symptoms.
4. Describe the 7 Secondary ovulation symptoms.
5. Describe various protocols and methods available today.
6. Describe some ways in which NFP is healthier than contraception.
7. Bioethical evaluation of NFP as a means and as an end
Reply
A 35-year-old white male with a history of morbid obesity with disabilities in rural setting”
In order to determine a patient's medical state, personal information must be gathered from them during a patient assessment, with an emphasis on their medical history, physical examination, and current illnesses.
An effective treatment depends on accurate patient data collected during an evaluation. In order to create a medical status that can accurately diagnose and treat health problems while utilizing medical jargon, clinicians must collect crucial pieces of patient history. Health information about a patient is fictitious data about their symptoms and interactions with doctors that is kept private and secret. The role of the physician in creating a health history for a 35-year-old Caucasian male with morbid obesity and impairments in a rural setting will be discussed in this study.
Communication and interview techniques for building a health history.
It's crucial to develop efficient communication in order to obtain an adequate health record. The patient in the conversation is a 35-year-old Caucasian male who lives in a rural region and has a history of morbid weight and handicap. Astute learning, the capacity to adapt to the patient's level of knowledge, empathy, the capacity to assess the patient's answers, the avoidance of medical jargon, and a leaning toward a particular religion or gender orientation are all qualities that the clinician must possess. To determine whether an interpretation is necessary, it is critical to understand the patient's kind and degree of disability as well as the type of communication modality that will be employed (Merker et al., 2021). Because each patient is different, everyone deserves a different evaluation. Social factors including age, gender, ethnicity, and environment all have an impact on how patients are interviewed in order to compile a thorough health history. To get accurate patient medical condition and information, building trust is crucial. It is crucial to establish effective contact with this patient in order to win his trust and accurately measure the effects of his health on both his health and his impairment as a result of the aforementioned causes.
Target your questions for building a health history.
The patient in the scenario is a person with morbid obesity and a disability, which helps to construct a medical status. The evaluation will be influenced by the type of disability, which will also determine the communication strategy to be utilized and whether a family member or interpreter has to be present throughout the interview. Instead of focusing just on lifestyle counseling and medical therapy, clinicians should focus on understanding the causes of a patient's health record, including social difficulties, and providing patient-centered care to effectively address a patient's condition (Shen et al., 2018). Depending on the patient's level of handicap, the targeted questions will be determined. The first step in compiling an accurate and thorough patient history and physical is efficient communication. For the best possible care, it is crucial to take a patient's socioeconomic determinants of health into account when conducting an interview. A patient who has a history of morbid obesity and impairment and lives in a remote area can ask: ""What obstacles do you have in getting the health care and treatment you need?"" The patient's orientation state must be ascertained by asking questions to obtain personal data such as date of birth, gender, and social position such as, ""Are you married?"" Who are your roommates? health insurance, physical environment, transportation, employment, and societal values are all factors. The establishing of a good connection between the therapist and the patient will be helped by these inquiries.
What kind of support would you receive from friends and family?
-How have you found your neighborhood?
What resources does your society have available?
What do you believe would make your life easier in terms of leading a healthier one?
What risk assessment instruments would be appropriate to use with each patient, or what questions would you ask each patient to assess his or her health risks?
Establishing the patient's trust and confidence is crucial when dealing with morbid obesity and handicap since it will help with communication, promote self-esteem, and give the patient the privacy he needs due to the psychological effects of obesity. paying great attention to the environmental and genetic factors that affect obesity. Obtaining information and facilitating assessments of his diet, interests, and behavioral changes, as well as inquiring about and comprehending his issues, are some helpful techniques. It is challenging to evaluate an obese patient due to the restrictions and changes in body composition from what is thought of as a normal weight. To determine his risk of heart disease, it is helpful to calculate his Body Mass Index (BMI) depending on his weight. When patients have enough data access and efficient diagnostic communications, they are best equipped to participate in their healthcare.
The instruments and questions listed below are general risk assessment tools that could be used with a variety of patients (Lloyd-Jones et al., 2019).
The Centers for Disease Control and Prevention (CDC)'s Behavioral Risk Factor Surveillance System (BRFSS) questionnaire asks about several health risks, including eating habits, physical activity level, and smoking behaviors.
The Heart Attack Risk Calculator from the American Heart Association (AHA) estimates a person's chance of suffering a heart attack during the following ten years.
Potential health-related risks based on the patient’s age, gender, ethnicity, or environmental setting.
Based on the patient's age, gender, ethnicity, and rural location, several health-related issues should be assessed. For instance, the patient's advanced age increases their vulnerability to illnesses including arthritis, heart disease, and cerebrovascular disease. The absence of medical care and/or the accessibility of emergency responders may also put the patient at a higher risk of suffering in a rural place (Ball et al., 2019).
In addition, the patient's gender and ethnicity may put them at a higher risk for developing illnesses. For instance, women are more likely than men to get arthritic, cardiovascular, and stroke conditions, while minorities are more likely to develop diabetes and high blood pressure.
Select one of the risk assessments instruments.
The patient in question is susceptible to a number of health issues, including diabetes, cardiovascular disease, and obesity. The patient would undoubtedly benefit from a health risk assessment by being informed of particular risk areas and how to reduce those risks. One such system of assessment is the Framingham Risk Score (Ball et al., 2019). Based on a person's age, gender, blood pressure, cholesterol, and smoking history, this tool estimates their 10-year chance of developing heart disease. A specific preventative strategy might be created based on the patient's risk. The Reynolds Risk Score, which forecasts the likelihood of having a stroke, and the Adult Treatment Panel III (ATP III), which assesses the likelihood of developing heart disease, are other risk assessment tools that could be helpful for this patient.
Develop at least five targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history.
Do you live by yourself?
The answer to this question helps the clinician understand the patient's living situation and the dangers he or she may face if unable to care for themselves.
How do you commute or transfer?
Justification: The physician will learn about the dangers of transferring patients as well as the constraints that come with being obese and disabled.
How do you meet your daily needs, first?
The purpose of this question is to determine whether the patient needs assistance and who in the patient's family or social network is a source of support.
Are you in possession of an advance directive?
Knowing who the patient has designated to make decisions for him when he is unable to do so due to his health issue or disability is the justification.
Do you find it difficult to seek medical care?
Because of his size and disabilities, getting to a doctor's appointment may be challenging. The clinician will do an assessment to see if the patient needs help scheduling appointments and arranging transportation to get medical care.
References
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel's Guide to Physical Examination: An Interprofessional Approach (9th ed.). St. Louis, MO: Elsevier Mosby.
Bickley, L. S., Szilagyi, P. G., Hoffman, R. M., & Soriano, R. P. (2020). Bates' Pocket Guide To Physical Examination And History Taking. Lippincott Williams & Wilkins.
Lloyd-Jones, D. M., Braun, L. T., Ndumele, C. E., Smith Jr, S. C., Sperling, L. S., Virani, S. S., & Blumenthal, R. S. (2019). Use of risk assessment tools to guide decision-making in the primary prevention of atherosclerotic cardiovascular disease: a special report from the American Heart Association and American College of Cardiology. Circulation, 139(25), e1162-e1177.
Merker, V. L., Plotkin, S. R., Charns, M. P., Meterko, M., Jordan, J. T., & Elwy, A. R. (2021). Effective provider-patient communication of a rare disease diagnosis: A qualitative study of people diagnosed with schwannomatosis. Patient Education and Counseling, 104(4), 808-
Shen, M. J., Peterson, E. B., Costas-Muñiz, R., Hernandez, M. H., Jewell, S. T., Matsoukas, K., & Bylund, C. L. (2018). The effects of race and racial concordance on patient-physician communication: a systematic review of the literature. Journal of Racial and Ethnic Health Disparities, 5(1), 117-140.
Clinical Experience
Several years ago a flu shot clinic was being held for employees of the facility. It had been going on for several hours without any issues. If any issues did arise, the team would call for the non-patient rapid response team. In that case, the ER would respond. A RRT was called over head to the flu shot clinic. I responded and found a female patient lying on the floor in mild respiratory distress. She was anxious, diaphoretic, and stating like she felt like her throat was swelling, We quickly assessed her and did a set of vitals and felt it was safe to transport her to the ER down the hall.
In the ER, the patient was placed on the cardiac monitor and vital signs were obtained. The provider ordered for an IV to be placed and medication given. Some of the meds first included Benadryl, Pepcid, and a steroid. IV fluids were started as well and the patient was placed on oxygen. After a short period, the patient symptoms had not improved. The provider ordered for epinephrine to be given. The patient was observed for some time after to make sure they did not rebound.
Pharmacokinetics and Pharmacodynamics
Pharmacokinetics is the movement of drugs in the body. Pharmacodynamics is the affects of the drug on the body and mechanism of action ""Dose, indications, adverse effects, interactions... from PDR.net,"" n.d.).
The influenza vaccine works by causing the body to produce its own antibodies against the virus. Several medications can interfere with the flu vaccine. In total, 268 medications can cause a severe reaction (""Influenza virus vaccine, inactivated interactions,"" n.d.).
A questionnaire should have been done prior to giving the vaccine. This is to make sure there has not been a previous reaction to the vaccine, eggs, or any ingredient to the vaccine. An anaphylaxis reaction would have to be caused by the virus or a component of the vaccine.
Personalized Plan of Care
I'm not sure of the patient's prior health history before the event but I do know there was not a previous anaphylaxis event to a flu shot prior. The patient was being seen to rule out Lupus but no official diagnosis was given yet. As far as a plan, no further flu shots will be received. The patient should follow up with an allergist to see where the sensitivity lies. If any vaccine is approved, the patient should be pre-treated with Benadryl, Pepcid, and a Zyrtec prior to administration.
References
Dose, indications, adverse effects, interactions... from PDR.net. (n.d.). PDR.Net. https://www.pdr.net/drug-summary/Fluvirin-influenza-virus-vaccineLinks to an external site.
Influenza virus vaccine, inactivated interactions. (n.d.). Drugs.com. https://www.drugs.com/drug-interactions/influenza-virus-vaccine-inactivated.htmlLinks to an external site.
Kinman, T. (n.d.). What are the side effects of a flu shot? Healthline. https://www.healthline.com/health/flu-shot-side-effectsLinks to an external site.
