Evaluate and provide

Evaluate and provide examples of how hypothesis testing and confidence intervals are used together in health care research. Provide a workplace example that illustrates your ideas.

Hypothesis testing

Provide two different examples of how research uses hypothesis testing, and describe the criteria for rejecting the null hypothesis. Discuss why this is important in your practice and with patient interactions.

Discussion

Discuss the elements of informed consent and provide a clinical example about what can happen when some elements are not adhered to

Community Practice Experience Journal Reflection

What are your upcoming week’s specific learning goals and objectives as a Case Manager?

 What is your upcoming week’s detailed schedule at your community practice experience placement?

 Were there any placement items/issues that occurred this week that you feel your instructor should be aware of that are private in nature and are more appropriately shared here than in the discussion board with your classmates?

 Give a brief description of an objective you worked on this week. Make sure to cite at least one reference showing how your objective relates to the public health knowledge you’ve studied during this course or the public health course. You may choose to reference your e-text, journal articles, or videos you've studied during these courses or you may find an outside reference on your own to further enhance your public health knowledge and practices.


Remember, your journal entries are an important aspect of clinical learning as they serve to help you reflect upon and get the most out of your community practice experience. Therefore, your journal entry should include the who, what, where, and when of your community practice experience. Remember, this should simulate a dialogue that would normally take place face-to-face with your community practice experience instructor

Discussion: Building a Health History

Effective communication is vital to constructing an accurate and detailed patient history. A patient’s health or illness is influenced by many factors, including age, gender, ethnicity, and environmental setting. As an advanced practice nurse, you must be aware of these factors and tailor your communication techniques accordingly. Doing so will not only help you establish rapport with your patients, but it will also enable you to more effectively gather the information needed to assess your patients’ health risks.

For this Discussion, you will take on the role of a clinician who is building a health history for a particular new patient assigned by your Instructor.

                                                                                                                                 

Photo Credit: Getty Images/Caiaimage

To prepare:

With the information presented in Chapter 1 of Ball et al. in mind, consider the following:


 By Day 1 of this week, you will be assigned a new patient profile by your Instructor for this Discussion. Note: Please see the “Course Announcements” section of the classroom for your new patient profile assignment.

 How would your communication and interview techniques for building a health history differ with each patient?

 How might you target your questions for building a health history based on the patient’s social determinants of health?

 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?

 Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration.

 Select one of the risk assessment instruments presented in Chapter 1 or Chapter 5 of the Seidel's Guide to Physical Examination text, or another tool with which you are familiar, related to your selected 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.



Post a summary of the interview and a description of the communication techniques you would use with your assigned patient. Explain why you would use these techniques. Identify the risk assessment instrument you selected, and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient.

PICOT QUESTION PAPER

Review your problem or issue and the study materials to formulate a PICOT question for your capstone project change proposal. A PICOT question starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention used to address the problem must be a nursing practice intervention. Include a comparison of the nursing intervention to a patient population not currently receiving the nursing intervention, and specify the timeframe needed to implement the change process. Formulate a PICOT question using the PICOT format (provided in the assigned readings) that addresses the clinical nursing problem.

The PICOT question will provide a framework for your capstone project change proposal.

In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome.

Describe the problem in the PICOT question as it relates to the following:

                                                                                         

 Evidence-based solution

 Nursing intervention

 Patient care

 Health care agency

 Nursing practice


Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. 

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 Turnitin.

The Nervous System


1. The brain is divided into many parts. Mention three of these parts, describe their function and give a medical term that is used in relation to each one of these parts.

2. - -plegia is a suffix that means paralysis. Give three medical terms that have this suffix , divide them using the four steps and find their meaning.


3. The case study for this week discusses two patients with different pathological conditions pertaining to the nervous system. Who are these patients? Explain in details the signs and symptoms that each patient exhibited. What was the diagnosis for each one? What types of medical tests and clinical procedures were done to reach each diagnosis? What was the treatment (if any) prescribed for each patient?

Health Assessment

A 68-year-old client lives alone and is independent with all ADLs, has no restrictions for mobility, and is competent, and oriented x4. The client is on a fixed income, but has enough to manage a modest lifestyle. The client has family and social supports but is very independent and is proud of her self-reliance. The client’s height is 5’ 6”, weight is 210 lb. / 95.25 kg.

Please answer the following:

                                                 

 What is the client’s BMI?

 Identify what screening tools you would use to assess nutritional and exercise knowledge, and why?

 Identify two client outcomes that are reasonable, measurable and realistic

 Identify 3 nursing interventions for each client outcome and give rationales

 Identify what weakness in the client’s life and supports may be impacting the client’s activity and diet?

 What referrals would you make and why?

 Identify your references in APA format. Use references not just opinion.


Assignment Expectations:

Length: 1500 to 1750 words in length

Structure: Include a title page and reference page in APA format. These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of two (2) scholarly sources are required for this assignment.

Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.

Format: Save your assignment as a Microsoft Word document (.doc or .docx) or a PDF document (.pdf)

File name: Name your saved file according to your first initial, last name, and the assignment number (for example RHall Assignment 1.docx)

Submission: Submit to the D2L dropbox for grading prior to Monday at 11:59pm PST

Nursing Research

Describe why you were to choose a specific method to select a sample over other methods. Defend the method you preferred. 


3 - 4 Paragraphs

minimum 3 in-text citations with references

No minimum word count

Discussion

Minimum of 300 words with at least 2 peer review reference in 6th edition apa style.

 

Select two of the following discussion questions for your discussion response. Indicate which questions you have chosen using the format displayed in the ""Discussion Forum Sample.""


 A 78-year-old female presents with fevers, altered mental status, and an elevated white blood count. She has nuchal rigidity. From what possible conditions might she be suffering? Explain your reasoning.

 A 10-year-old boy comes to the ER severely dehydrated and listless. His mother states that he has been drinking 3 gallons of water a day along with urinating hourly and wetting the bed for the past week. What is your working diagnosis followed with treatment plans and laboratory considerations?

 A 55-year-old male has had uncontrolled diabetes for 15 years. He is a truck driver and requires insulin. His greatest concern is his neuropathy. What is the pathophysiology associated with neuropathy and uncontrolled diabetes? What are the evidence-based practice guidelines?