Category: Nursing

Week 4 Case study Analysis Patient case: Due Day 7, Sunday of Week 4.
Be certain to complete the assignment on this case. Papers on any other case will NOT be accepted.
Patient Case Scenario: A 50-year-old white female presents to the emergency room with complaints of increased chest congestion with purulent sputum production for the last 3 days. The patient reports she has had some increased dyspnea and is using her albuterol inhaler which isn’t helping her symptoms. The patient reports a history of tobacco use for last 10 years and a history of COPD which was diagnosed last year. The patient reports that her primary care provider ordered another medication for the COPD but she couldn’t afford it. The patient denies fever. The patient’s vital signs: BP 148/90, pulse 108, respirations 22, O2 sat 92%, and temp 98.1F. Chest x-ray reveals hyperinflation with flattened diaphragm but is without effusions or infiltrates. The patient is experiencing an exacerbation of COPD.
In your Case Study Analysis related to the scenario provided, explain the following:
The pulmonary pathophysiologic processes that result in the patient presenting these symptoms.
Any racial/ethnic variables or other variables (age, genetics, environment) that may impact physiological functioning.
How these processes interact to affect the patient.
Professional writing is an important part of the master’s program and your professional development as a nurse practitioner student. This paper should be formatted according to APA 7th ed. Include an introduction that provides an overview to your paper and a conclusion that summarizes your paper.
Lecturio Resources
Review the following Video Resources and Content Pages in the Lecturio Platform by clicking button below labeled Load Week 4: Learning Resources in a new window.
Pulmonary Clinical Anatomy: Introduction (4:45 min)
Obstructive Lung Disease: Pathogenesis (1:36 min)
Emphysema: Introduction (2:52 min)
Chronic Bronchitis: Pathogenesis (9:17 min)
Asthma: Introduction (2:20 min)
Bronchiectasis: Pathogenesis (5:45 min)
Occupational Lung Disease: Overview (5:58 min)
Acute Respiratory Distress Syndrome (ARDS): Pathogenesis (7:18 min)
Pulmonary Embolism: Pathogenesis (3:50 min)
Pulmonary Hypertension (2:43 min)
Pneumothorax, Pleural Effusion, & Obstructive Sleep Apnea (3:06 min)
If you have any technical issues, please contact the Customer Care Team at 1-800-925-3368.
Supplementary Resources
Note: These readings are intended to serve as supplementary to the Lecturio content provided in this course. Please refer/review these supplementary resources should you need help in reinforcing concepts and in preparation for completing this week’s Assessments.
McCance, K. L. & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier.Chapter 32: Structure and Function of the Cardiovascular and Lymphatic Systems; Summary Review
Chapter 33: Alterations of Cardiovascular Function (stop at Dysrhythmias); Summary Review
Chapter 35: Structure and Function of the Pulmonary System; Summary Review
Chapter 36: Alterations of Pulmonary Function (stop at Disorders of the chest wall and pleura); (obstructive pulmonary diseases) (stop at Pulmonary artery hypertension); Summary Review

I have to have 3 references for this case. 
please reference the DSM 5-TR verison for the diganosis bipolar.  for one of them
and two other psychology articles refences 
Please please please read all documents i have added below
I have add the detailed instructions for this eval, several reference papers from my friends and the grading rubic.

To complete the assignment, please complete the following:
Read the white paper, Smith, S. (2021). https://nursing.jnj.com/2020-quantitative-research-summary [White paper]. Johnson and Johnson Nursing.
Answer the following questions:
1. What is the problem? (10 points)
2. Who does the problem affect? (10 points)
3. How does this problem make you feel? (10 points)
4. When is it a problem? (10 points)
5. Why should I care? (10 points)
6. How does it affect the population/patients? (10 points)
7. Write a brief problem statement using the white paper that identifies and summarizes the nursing problem or issue. (40 points)
Use the following five step process to craft the problem statement:
a. Identify the problem.
b. Begin your statement with your ideal situation.
c. Describe current gaps.
d. State the consequences of the problem.
e. Propose a way to address the problem.
Type your answers into a Word document and submit them here.
Each question will be graded based on correctness and completeness. Total points will be tallied and used for the grade earned on the assignment.
Cite in APA 7th edition

The purpose of the assignment is to provide experience and feedback with the development of evidence tables, synthesis of evidence, and a practice recommendation based on the best available evidence and related to the clinical question of interest to you. 
This assignment is intended to allow you to show evidence of achievement of:
CLO3: Conduct a literature search for research evidence related to a practice question.
CLO4: Summarize high-quality evidence to synthesize into a practice recommendation.
CLO5: Develop a planned change process and a data-driven evaluation for a practice change.
Requirements:
This scholarly paper is due on day 7 of week 6. For this assignment, you will need to revise your practice problem and PICO sections of the previous paper using feedback from your instructor because this paper is a continuation of that paper. An APA template is provided which describes the expectations for each section of this scholarly paper but also refer to the rubric. The evidence tables, one for primary single research studies and one for evidence summaries are included as appendices, as well as a synthesis matrix to help you organize the information for your paper and must be submitted.
You are summarizing and synthesizing the evidence to make a practice recommendation, rather than reviewing each study. The following resources will help you in understanding the concept of a synthesis rather than a study-by-study review.
The introduction clearly and concisely states the paper’s purpose in a single sentence that is engaging and thought-provoking. The introduction clearly states and describes the main topic and previews the structure and content of the paper.
Signifcance of the problem
This section effectively describes the significance of the problem including human and societal impact as well as other areas of impact. The problem is significant to the student’s identified practice area and has significant impact on the student’s discipline and patient outcomes. Current data on incidence and/or prevalence is included. Exemplary discussion of cultural, political, legal, ethical, quality, safety, and financial implications is included if appropriate. There is substantiation with adequate number and quality of professional references with no uncited statements of fact. The student made all of the corrections recommended in the practice problem/PICO assignmen
Pico 
There is a clear and thorough description of the population/problem of interest, intervention, comparison, outcome, and timing. Citations are provided. The student made all corrections recommended in the practice problem/PICO paper assignment.
Search strategy and results
There is an exemplary discussion of the search strategy which includes keywords (with alternate spellings, abbreviations, etc.), MESH headings, inclusion and exclusion criteria, databases used and results of the search. Any studies which meet inclusion criteria and do not meet exclusion criteria but are excluded are explained. The search is clearly replicable by any reader.
Synthesis of the literature
Substantial review of the literature is evident in the synthesis and covers all facets of the problem with numerous (more than 5 primary research articles and/or summaries) references linking the practice problem and the selected intervention. This section is a synthesis rather than a study by study review of the literature. Only research evidence is included in the synthesis; no secondary sources are included. Studies from US only are include unless valid reason is given for inclusion of international studies.
Synthesis matrix 
There is an exemplary synthesis matrix with multiple main ideas included as a Table. The main ideas are logically extracted from the evidence and each one is cited in three or more references. All studies that were not excluded by identified exclusion criteria are included on the matrix. Used the provided template with the correct formatting.
Practice recommendations
There is an exemplary description of the practice recommendation and it is based on only high level evidence (levels I-III). The practice recommendations are consistent with the synthesis of the literature. There is logical progression from the synthesis of the literature to the practice recommendation. The recommendation is written succinctly and consistent with the scientific evidence. The Johns Hopkins Evidence-Based Practice rating for level and quality is included and appropriate.
Evidence tables
Evidence tables of primary research and systematic reviews are included as tables and include more than 7 primary research and/or summaries. Only research evidence is included on the evidence table and is appropriate to use in the setting and population. No secondary sources are included. The tables show an excellent extraction of information from the published reports. Used the provided template with the correct formatting. Paraphrased and did not copy directly from source.
I have attached the template with how the paper should look and the paper with the feedback from the professor. It can be seen via word. 

Respond to at least two of your colleagues’ posts by offering suggestions/strategies for working with this database from your own experience, or offering ideas for using alternative resources.
Hello Everyone,
Here is a properly formatted citation for a peer-reviewed article on the roles of Advanced Nurse Practitioner’s (ARNPs), an area of practice that is of particular interest to me:
Hande, K., & Jackson, H. (2024). Navigating the pathway to advanced practice: A grounded theory of nurse practitioner role transition in a fellowship. Journal of the American Association of Nurse Practitioners, 36(4), 221-232.
https://doi.org/10.1097/jxx.0000000000001000
I found this article using Cumulative Index to Nursing and Allied Health Literature (CINAHL) database.
While searching for this article, I encountered a few difficulties. Initially, the challenge in selecting appropriate keywords and search terms to narrow down the many numbers of articles related to ARNP roles. Additionally, I had to use several filters, such as publication date and peer reviewed status, to help find the most relevant and recent studies to meet assignment requirement.
Despite these challenges mentioned, CINAHL is highly useful for my colleagues. It provides access to a wide range of academic and professional literature related to nursing and allied health disciplines, making it a valuable source for finding specialized and comprehensive articles in peer reviewed journal articles, evidence-based care sheets, quick lessons, and continuing education modules, among other resources (Heikkilä & Hopia, 2019). The databases advanced search capabilities, including subject headings and specific filters, help users to effectively locate pertinent research.
I would recommend CINAHL to my colleagues because of its extensive and focused collection of nursing and health related articles. It is particularly beneficial for those needing in depth information on specific topics within nursing and allied health. The quality and relevance of the articles found in CINAHL make it a valuable tool for healthcare professionals and researchers.
Walden University Library. (n.d.). Databases A-Z: Nursing Links to an external site.Links to an external site. Retrieved October 4, 2019, from https://academicguides.waldenu.edu/az.php?s=19981
Heikkilä, J., Hopia, H. (2019). Nursing research priorities based on CINAHL database: A scoping review. Nursing Open, 7(2), 483-494

1. Please read the assignment thoroughly.
2. Enclosed is the information to base the paper on.
3. This was a nurse leadership clinical rotation.
4. It was in a Nursing home with a geriatric population.
5. Please use the headings in the assignment outline to organize the paper.

Answer two questions of the following questions in 2-5 sentences. Please use your ATI Pharmacology textbook as your only reference:
1. What are the indications and complications of cimetidine?
2. What are the short-term and long-term complications of omeprazole?
3. What is the indication and mechanism of action of sucralfate?
4. Which medication from the PowerPoint is not safe for pregnancy? What medication classifications are not safe for pregnancy?
5. If a client was prescribed an antacid with cimetidine, how long should the client wait? Why should the client wait?
6. With antiemetics:
Which medication is used for motion sickness?
Which antiemetic is a serotonin antagonist? What is the mechanism of action for this medication? What can a prolonged QT lead to?
Which antiemetic is a dopamine antagonist? What is the mechanism of action for this medication? Does this medication have a complication of extrapyramidal symptoms? If so, what are the signs, and what is the antidote for this?
Which antiemetics can be used for diabetic gastroparesis? What are the complications of this medication?
7. Which insulin has the shortest onset? Which insulin has a duration of 16 to 24 hours?
8. What is lipohypertrophy, and how can we prevent this as RNs?
9. Name two medications that are oral anti-diabetics.
Which medication has a complication of hypoglycemia and weight gain?
What are the complications of metformin? What are the interactions of metformin?
10. Name a medication that is used for hypoglycemia. Can you administer this medication PO? If no, what are the other routes you can administer this medication?
11. Which medication is used for hypothyroidism? What are the signs of overmedication?
12. What medication is used for hyperthyroidism? What are the signs of overmedication?

What is your vision for the future of nursing? How does your vision fit with the recommendations in the IOM report? What two action steps do you plan to take to promote this vision?
Submission Instructions:
Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

For this assignment, you will develop two separate infographics (informative posters) to discuss two separate health issues relevant to the LGBTQ+ communities. In each infographic, you will discuss:
What is the health problem?
Which group(s) are most likely to be at risk?
What social/behavioral/health system determinants affect this?
Identify at least two potential interventions/activities the community, community health agency, or community health nurse could offer to prevent and or support this health issue
What resistance might be met in implementing the intervention/activity?
View the links in additional resources on how to create infographics.
You should submit two infographics and one reference list containing at least three scholarly sources. These can be submitted as three separate files.
The following specifications are required for this assignment:
Length: 2 infographics; answers must thoroughly address the questions in a clear, concise manner 
Structure: Infographic page or poster style.
References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources to support your claims.
Format: Save your assignment as a Microsoft Word document (.doc or .docx) or PowerPoint (.ppt). These can be submitted as three separate files.

Overview
In this course, you will be creating a literature review. This will be a formal paper in APA style. Parts of the paper will be submitted, in draft form, throughout the semester so that you may receive formative feedback. 
For this assignment, you will draft the introduction of your literature review. Your introduction will include your problem statement/purpose statement & PICOT question.
Tasks
Start by reviewing the rubric.
Draft your introduction. Be sure to:
Include a title page (see APA book, student sample paper, for correct APA format).
Include an opening sentence providing general information about what paragraph will be about.
State the problem and provide evidence for the problem from professional literature or healthcare professional organizations (statistical data needs to be included here to prove the significance of the problem).  
Identify why this problem is important to nursing practice.
State the research question to be answered.
State the purpose of the literature review.
Use professional grammar, correct spelling, and APA-style formatting, citations, and references.
Reference page will be graded with this submission.