Category: Nursing

This assignment must follow the template provided.
This assessment requires you to explore the literature. Using the PICOT you developed (Mine was written about elderly falls) at the beginning of the course, search the literature (library database) to find 2 research articles that are examples of 2 different levels on the levels of evidence hierarchy (example of levels uploaded down below). The pyramid that illustrates the levels of hierarchy is provided in instructional materials. Please read about the levels of evidence to ensure you understand them before selecting your articles.
Develop your title page
Page 1: Provide your APA 7th edition reference for your 1st article at the top of the page.
In paragraph 1, identify the level of evidence on the hierarchy, summarize the design, sample, hypothesis/research question and any other components of the study itself
In paragraph 2, discuss the findings and the relevance/importance of the study to nursing practice (ie. why is this information important to know?)
NO CONCLUSION is needed.
On a new page, Provide your APA 7th edition reference for your 2nd article at the top of the page.
Repeat steps 3 and 4 for the second article. Again, no conclusion is needed.
Your studies MUST be less than 5 years old (no exceptions).
Example of preferred template they desired added below.
Mine PICOT question:
PICOT question: “In elderly patients (P), does the implementation of
fall prevention interventions (I) compared to standard care or no intervention
(C) reduce the risk of falls and related injuries (O) within six months’
timeframe (T)?” 
Objectives
Understand the research levels of evidence hierarchy (pyramid)
Demonstrate effective data base search strategies
Identify studies by level of evidence

Hello wonderful writer, this is a senior capstone project for my nursing class, that’s broken 
into 3 parts. This is assignment #1 of the capstone. It’s a paper written in APA 7th edition
format with 2-3 references. I will attach the rubric and that’s all you’ll need to go by. I’ll give a big tip and a wonderful 5 star review for the writer who can do the job. Thanks!!

No references needed for the discussion post. 3 paragraphs. Single spaced. it doesn’t have to be long. thank you.

Bertha is a 71-year-old woman who takes daily medication for Hashimoto thyroiditis. Last winter, she developed pneumonia. Although she did her best to run errands for her husband, she got tired easily and needed to rest frequently. One day, after shoveling the snow outside, her husband came inside to find Bertha lying on the sofa covered in blankets. Her face appeared puffy and her eyelids hung. When he spoke to her, Bertha’s voice was hoarse and her words did not make sense to him. Her respirations were also shallow and slow. Suspecting low thyroid hormone levels were causing the signs, her husband called for an ambulance.
Questions:
1. Describe the disease
2. Explain the pathphysiology of the diease
3.Etiology/risk/incidence
4. Clinical Manifestations
5. Clinical mangement (diagnostics/treatment)
6. When testing for hypothyroidism, why is the free T4 level an important measurement? What would the TSH and T4 test results indicate in someone with primary hypothyroidism?
7. Using your knowledge of the function of thyroid hormone in the body, explain why Bertha’s respiratory rate was decreased? Why might pleural effusion be present in someone with hypothyroidism?
8. What factors in Bertha’s history leave her susceptible to myxedematous coma? What are the physiologic aspects involved in myxedematous coma?

Ethical Dilemma
Describe a situation of ethical dilemma that you have experienced in practice and how it was resolved. (Saunders, 2014)
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. 

The assignment should be submitted to the Week 3 Medication Table dropbox by Sunday at 11:59 p.m. MT.
Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with a penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment.
In the event of a situation that prevents the timely submission of an assignment, students may petition their instructor for a waiver of the late submission grade reduction. The instructor will review the student’s rationale for the request and make a determination based on the merits of the student’s appeal. Consideration of the student’s total course performance to date will be a contributing factor in the determination. Students should continue to attend class, actively participate, and complete other assignments while the appeal is pending.
Total Points Possible
This assignment is worth a total of 15 points. 
Requirements
Follow these guidelines when completing each component of the assignment. Contact your course faculty if you have questions.
General Instructions
Download the Week 3 Medication TableLinks to an external site. and complete the required information using the template.
Include the following sections (detailed criteria listed below and in the grading rubric)
For each medication listed, complete the following:
Provide indication, target symptoms, potency, and affected neurotransmitters.
Include half-life and CYP 450 enzyme information.
List notable side effects.
Link notable side effects to the associated pathway or neurotransmitter.

Discussion 3
11 unread reply.11 reply.
Ms. Horowitz is brought to the emergency department (ED) after being found on the highway shortly after her car broke down. When the police came to her aid, she told them that she is “driving to fame and fortune.” She appears overly cheerful, constantly talking, laughing, and making jokes. At the same time, she walks back and forth beside the car, sometimes tweaking the cheek of one of the policemen. She is coy and flirtatious with the police officers, saying at one point, “Boys in blue are fun to do.”
She is dressed in a long red dress, a blue and orange scarf, many long chains, and a yellow and green turban. When she reaches into the car and starts drinking from an open bottle of bourbon, the police decide that her behavior and general condition might result in harm to herself or others. When they explain to Ms. Horowitz that they want to take her to the hospital for a general checkup, her jovial mood turns to anger and rage, yet 2 minutes after getting into the police car, she is singing “Carry Me Back to Old Virginny.”
On admission to the ED, Ms. Horowitz is seen by a psychiatrist, and her sister is called. The sister states that Ms. Horowitz stopped taking her lithium about 5 weeks ago and is becoming more agitated and out of control. She reports that Ms. Horowitz has not eaten in 2 days, has stayed up all night calling friends and strangers all over the country, and finally fled the house when the sister called an ambulance to take her to the hospital. The psychiatrist contacts Ms. Horowitz’s physician, and her previous history and medical management are discussed. It is decided that she should be hospitalized during the acute manic phase and restarted on lithium therapy. It is hoped that medications and a controlled environment will prevent further escalation of the manic state and prevent possible exhaustion and cardiac collapse.
Assessment
Objective Data
Little if anything to eat for days
Little if any sleep for days
History of mania
History of lithium maintenance
Constant physical activity: unable to sit
Loud and distracting to others
Anger when wishes are curtailed
Flight of ideas
Inappropriate dress
Remarks suggestive of sexual themes: calls nurse “lover”
Behavior that some patients find amusing
Remarks that suggest grandiose thinking
Poor judgment
Subjective Data
“Driving myself to fame and fortune.”
“I’m untouchable. I’ll get the FBI to set me free.”
“Let me be . . . set me free, lover.”
Self-Assessment
Mr. Atkins has worked as a nurse on the psychiatric unit for 2 years. He has learned to deal with many of the challenging behaviors associated with the manic defense. For example, he no longer takes most of the verbal insults personally even when the remarks are cutting and hit close to home. He is also better able to recognize and set limits on some of the tactics used by the patient experiencing mania to split the staff. The staff on this unit work closely with one another, making the atmosphere positive and supportive; therefore, communication is good among staff. Frequent and effective communication is needed to prevent staff splitting, maximize external controls, and maintain consistency in nursing care.
The only aspects of Ms. Horowitz’s behavior that Mr. Atkins thinks he may have difficulty with are the sexual advances and loud sexual comments she makes toward him. He knows that this could make him anxious, and his concern is that his anxiety might be picked up by the patient. He discusses this with the unit coordinator.
Diagnosis
Risk for injury related to dehydration and faulty judgment, as evidenced by inability to meet own physiological needs and set limits on own behavior
Defensive coping related to biochemical changes
Questions:
In assessing this patient, without referring back to the scenario above, recall at least three examples both objective and subjective data for this patient.
In this case study, we learn that the nurse is concerned that he may have difficulty with the sexual advances and loud sexual comments the patient makes toward him, saying that he knows that this could make him anxious, and his concern is that his anxiety might be picked up by the patient. Predict an appropriate response to his situation, then compare it with the answer provided.
This case study identifies two nursing diagnoses in particular: risk for injury related to dehydration and faulty judgment, as evidenced by inability to meet own physiological needs and set limits on own behavior; as well defensive coping related to biochemical changes. List at least three symptoms or behaviors that suggest defensive coping specifically.
Students must include 2 APA-style references within the last 5 years for their initial post and respond to at least 2 participating classmates, with a substantial descriptive answer, in order to receive full credit for this discussion.

Explain what factors lead to conflict in professional practice. Describe how organizational values and culture can influence the way conflict is addressed. Discuss effective strategies for resolving workplace conflict and preventing violence.

Hello, I have attached the report. Every detail needed for this assignment is in the pdf attached.  Please reach out to me if you have questions. It’s just basically  questions and answers that can be gotten from the 3 different birth center’s website you choose from the pdf attachment.  The pictures attached is just an example even though all questions were not answered. The pictures attached is the main rubric to use. 
Thank you. 

One page outline for a research proposal 
Topic can be anything releated to operating room nursing 
Identification of the research problem. What is the research problem or topic that you are going to be studying? Try to sum this up within a few sentences.
Identify concepts being studied
Identify the main categories you will need to write about (e,g, if your topic is about breastfeeding, social media and social support, you will need to identify these topics areas: look at social support and breast feeding, breastfeeding and social media etc).
Identify any theory or conceptual model that might be being used.
Identify your search strategy, what key words you have used, plans to narrow or expand your search strategy, and how many articles you have found to date.
A draft statement of the research gap.
APA 7th edition reference list