Category: Nursing

What are some of the challenges involved in combining methodologies when creating a research proposal and carrying out a research project? How can these challenges be overcome?
***Include references ****
Resources : https://online.vitalsource.com/reader/books/978128… chapters 4-7 https://d2jw81rkebrcvk.cloudfront.net/assets.navig…
Supplemental Resources
Need help determining how to link theory and research? Click here for a presentation regarding Theory, Research and PracticeLinks to an external site..
Want a quick reference on the differences between qualitative and quantitative research? Click hereLinks to an external site. for a table outlining the key differences.
Click here Download Click herefor PowerPoint slides for chapter 4 (no audio)
Click here Download Click herefor PowerPoint slides for chapter 5 (no audio)
Click here Download Click herefor PowerPoint slides for chapter 6 (no audio)

see files for all details and please let me know if there are any questions. My background is as a adolescent psych RN

The care plan is developed based on identified patient problems. For NU 308, the complexities of the patient should be considered. Prioritize the nursing diagnoses. Identify at least two short-term and one long-term outcome for each diagnosis. Select two interventions for each expected outcome. Be sure interventions are supported by evidence-based practice. Complete the evaluation of your outcomes.
Patient Summary: (include pertinent information to provide context about the patient, their history, medications, and associated labs.) Do not include any identifying information about the patient (name, MRN, etc.)
Plan of Care: Fill out the plan below with the required information:
Table 1: Plan of Care
Assessment
Nursing Diagnosis
Expected Outcomes
Interventions
Evaluation

Take a field trip in your neighborhood and answer the following questions:
Describe the number of reflexology clinics that are available.
Explain the relationship of reflexology to natural body systems and their functions.
Describe how reflexology can be used in: health restoration, health promotion and illness prevention.
Find evidenced-based research articles that report reflexology’s history and evidence for or against its effectiveness.
Cite your sources and attach the articles) to this post.
You can use this link https://templatelab.com/foot-reflexology-chart/

The discussion assignment provides a forum for discussing relevant topics for this week on the basis of the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by the due date assigned and complete your participation for this assignment by Day 7. To support your work, use your course and text readings and also use resources from the South University Online Library.
As in all assignments, cite your sources in your work and provide references for the citations in APA format. Support your work, using your course lectures and textbook readings. Helpful APA guides and resources are available in the South University Online Library. Below are guides that are located in the library and can be accessed and downloaded via the South University Online Citation Resources: APA Style page. The American Psychological Association website also provides detailed guidance on formatting, citations, and references at APA Style.
• APA Citation Helper
• APA Citations Quick Sheet
• APA-Style Formatting Guidelines for a Written Essay
• Basic Essay Template
Begin reviewing and replying to peer postings/responses early in the week to enhance peer discussion. See the rubric for participation points. Participate in the discussion by asking a question, providing a statement of clarification, providing viewpoints with a rationale, challenging aspects of the discussion, or indicating relationships between two or more lines of reasoning in the discussion. Always use constructive language, even in criticism, to work toward the goal of positive progress.
TASK
Post your initial response to one of the two topics below.
Topic 1
Blooms Application
Apply Blooms taxonomy to a new concept you have learned within the RN-BSN program.
a. Reflect on how you would teach this concept to a nursing peer.
b. Construct three learning objectives containing appropriate active verbs.
c. Identify a possible teaching strategy for each of your objectives.
d. Indicate how you plan to measure each objective.
Topic 2
Technology and Teaching
Identify technology you would include within a patient education scenario.
a. Provide information related to setting, patient, and topic
b. Discuss your rationale for choosing a technology tool
c. Explain your lesson and how you would evaluate learning.

Please read the following scenario and Develop three (3) SMART objectives to help your organization meet best practices and “close the gap”.
Organization Profile
The primary care adult health clinic consists of four physicians, three NPs, six staff nurses, one office manager, and several support staff. This clinic is one of 30 primary care and specialty clinics that make up a large macrosystem health service organization.
Background
Headache is a common neurologic disorder producing considerable disability (Rizzoli & Mullally, 2018). Half to three quarters of adults aged 18 – 65 years in the world have had headache in the last year and, of these, 10% experience migraines. The top three causes of consultation for headache, in both primary and specialist care, are migraine, tension-type headache and the combination of these (WHO, 2011). Although evidence demonstrates the effectiveness of a wide variety of therapeutic strategies for the treatment of chronic headache (Kennis et al., 2013), considerable barriers exist that frequently prevent optimal management. Lack of adequate patient education resources are among the factors that can impede effective promotion of headache self-management (Bromberg et al., 2011).
Problem Statement
Many clinicians lack the necessary expertise to accurately diagnose headache type and are unacquainted with the wide range of available therapies (Smith, 2010). Patients lack headache self-management skills and are more likely to overuse acute care resources, thus creating an enormous economic burden for patients, employers, healthcare systems, and society (Stokes, 2011).
References
Bromberg, J., Wood, M. E., Black, R. A., Surette, D. A., Zacharoff, K. L., & Chiauzzi, E. J. (2012). A randomized trial of a web‐based intervention to improve migraine self‐management and coping. Headache: The Journal of Head and Face Pain, 52(2), 244-261.
Kennis, K., Kernick, D., & O’Flynn, N. (2013). Diagnosis and management of headaches in young people and adults: NICE guideline. The British Journal of General Practice, 63(613), 443–445. https://doi.org/10.3399/bjgp13X670895
Smith, T. R., Nicholson, R. A., & Banks, J. W. (2010). Migraine education improves quality of life in a primary care setting. Headache, 50(4), 600–612. https://doi.org/10.1111/j.1526-4610.2010.01618.x
Stokes, M., Becker, W. J., Lipton, R. B., Sullivan, S. D., Wilcox, T. K., Wells, L., Manack, A., Proskorovsky, I., Gladstone, J., Buse, D. C., Varon, S. F., Goadsby, P. J., & Blumenfeld, A. M. (2011). Cost of health care among patients with chronic and episodic migraine in Canada and the USA: results from the International Burden of Migraine Study (IBMS). Headache, 51(7), 1058–1077. https://doi.org/10.1111/j.1526-4610.2011.01945.x
World Health Organization. (2011). Atlas of headache disorders and resources in the world 2011. Geneva: World Health Organization.

It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.
Evaluate the Health History and Medical Information for Mrs. J., presented below.
Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.
Health History and Medical Information
Health History
Mrs. J. is a 63-year-old married woman who has a history of hypertension, chronic heart failure, and chronic obstructive pulmonary disease (COPD). Despite requiring 2L of oxygen/nasal cannula at home during activity, she continues to smoke two packs of cigarettes a day and has done so for 40 years. Three days ago, she had sudden onset of flu-like symptoms including fever, productive cough, nausea, and malaise. Over the past 3 days, she has been unable to perform ADLs and has required assistance in walking short distances. She has not taken her antihypertensive medications or medications to control her heart failure for 3 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure and acute exacerbation of COPD.
Subjective Data
Is very anxious and asks whether she is going to die.
Denies pain but says she feels like she cannot get enough air.
Says her heart feels like it is “running away.”
Reports that she is exhausted and cannot eat or drink by herself.
Objective Data
Height 175 cm; Weight 95.5kg.
Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58.
Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint: all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation.
Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%.
Gastrointestinal: BS present: hepatomegaly 4cm below costal margin.
Intervention
The following medications administered through drug therapy control her symptoms:
IV furosemide (Lasix)
Enalapril (Vasotec)
Metoprolol (Lopressor)
IV morphine sulphate (Morphine)
Inhaled short-acting bronchodilator (ProAir HFA)
Inhaled corticosteroid (Flovent HFA)
Oxygen delivered at 2L/ NC
Critical Thinking Essay
In 750-1,000 words, critically evaluate Mrs. J.’s situation. Include the following:
Describe the subjective and objective clinical manifestations present in Mrs. J.
Describe four cardiovascular conditions in which Mrs. J is at risk, and that may lead to heart failure. What can be done in the form of medical/nursing interventions to prevent the development of heart failure in each of the presented conditions?
By following the nursing process, were the interventions at the time of admissions beneficial for Mrs. J? Would you change any of the interventions to ensure patient independence and prevent readmission?
Explain each of the seven medications listed in the scenario above. Include the classification, the action, and the rationale for each of these. Discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide a rationale for each of the interventions you recommend.
Provide a health promotion and restoration teaching plan for Mrs. J., including multidisciplinary resources for rehabilitation and any modifications that may be needed, including maintenance of medications. Explain how the rehabilitation resources and modifications will assist the patients’ transition to independence and prevent readmission.
Considering Mrs. J.’s current and long-term tobacco use, discuss what options for smoking cessation should be offered. Outline COPD triggers that can increase exacerbation frequency, resulting in return visits.
You are required to cite a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

Requires Lopeswrite
Assessment Description
Review “The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity,” and explore the “Campaign for Action: State Action Coalition” website, both located in the topic Resources. In a 1,000-1,250-word paper, discuss the influence “The Future of Nursing: Leading Change, Advancing Health” and state-based action coalitions have had on nursing practice, nursing education, and nursing workforce development, and how they continue to advance the goals for the nursing profession.
Include the following:
Describe the work of the National Academies of Sciences, Engineering, and Medicine that led to the report, “The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity.”
Explain the trend occurring in the nursing workforce and how nursing education is adapting to meet the evolving needs of the profession. What is the role of the nurse in leading change? Discuss the role of state-based action coalitions. Explain how these coalitions help advance the goals specified in the National Academy of Sciences report, “The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity.”
Research the initiatives on which your state’s action coalition is working. Summarize two initiatives spearheaded by your state’s action coalition. Discuss the ways these initiatives advance the nursing profession.
Describe barriers to advancement that currently exist in your state and explain how nursing advocates in your state overcome these barriers.
You are required to cite a minimum of three sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to 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 LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Use the information below to help you know which section of the article to use to answer the questions in the template:
Introduction and its subsections have the purpose or WHY the study was done.
Methods section and its subsections contains HOW the study was done.
Results, Discussion and Conclusions section have WHAT was found.
Each section of the template is required to be completed as this assignment builds on your Evidence Based Practice Project. Each template has a citation that must be submitted in APA format. Answers to questions in Synopsis sections are required. Credibility section Yes/No answers are also required. The Comments area is also required and should be at least 1-3 sentences noting how this article relates to your nursing issue topic (Medication Errors: Distractions and Interruptions) and what you thought was significant.

Case study
A 42-year-old man comes to clinic with chief complaint of pain, redness, and swelling of his right calf. He states that he had been working in his yard using a string trimmer when the trimmer slipped and cut his leg. He cleaned the wound with water from the garden hose and covered the wound with a large Band-Aid. Several days later, he developed fever to 100.6˚ F and chills and noticed that his leg was swollen and red. He comes to the emergency department for definitive care.
The Assignment
Develop a 1- to 2-page case study analysis in which you:
Explain why you think the patient presented the symptoms described.
Identify the genes that may be associated with the development of the disease.
Explain the process of immunosuppression and the effect it has on body systems.
Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The sample paper provided at the Walden Writing Center provides an example of those required elements. All papers submitted must use this formatting.