Category: Nursing

The purpose of this assignment is to develop a strong, working foundation for your final paper. You will identify a topic area and develop a problem- or issue-related topic within that area of interest. As you develop this specific topic, keep in mind that your eventual goal is to formulate and present a solution to the healthcare issue or problem you identify.
Your topic proposal should include the following items and address the following:
Describe the topic you wish to pursue.
It may be somewhat broad at this point and it may imply a problem. Use the Additional Resources in your course materials to help you search for ideas.
Identify your purpose: Why are you interested in this topic? (Narrow your topic.)
Specifically explain what it is that fascinates you or draws you to this topic.
Clearly describe the topic’s relevance in the field today.
Identify a purpose for a paper on this topic:What might you accomplish in exploring this problem?
What is your intended goal?To evoke change
To make new connections (new cause and effect)
To introduce a new theory, solution, or idea
Is this goal realistic?
Identify a problem within the topic and publish a problem statement. (It will likely evolve and be revised as you progress through your research.)
Identify a problem related to your topic and state it.
The problem statement should be specific and indicate the focus of your final paper.Not too narrow, not too broad
Intellectually challenging (a simple solution is not apparent)
Who would benefit from a solution to this problem (who is the target population)?
Your paper should be 2 pages. Adhere to APA Style throughout.

Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim.
Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of:
Patient experience
Population health
Costs
Work life of healthcare providers
Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). Improving patient care through nursing engagement in evidence-based practiceLinks to an external site.. Worldviews on Evidence-Based Nursing, 13(2), 172–175. doi:10.1111/wvn.12126
Kim, S. C., Stichler, J. F., Ecoff, L., Brown, C. E., Gallo, A.-M., & Davidson, J. E. (2016). Predictors of evidence-based practice implementation, job satisfaction, and group cohesion among regional fellowship program participantsLinks to an external site.. Worldviews on Evidence-Based Nursing, 13(5), 340–348. doi:10.1111/wvn.12171
Sikka, R., Morath, J. M., & Leape, L. (2015). The Quadruple Aim: Care, health, cost and meaning in workLinks to an external site.. BMJ Quality & Safety, 24, 608–610. doi:10.1136/bmjqs-2015-004160

Personal Essay: Please explain why you should receive a scholarship and incorporate the following answers in your response: (1) What are your career and educational goals? and (2) Why is a scholarship important to you? Your essay should be a minimum of 200 words and a maximum of 500 words. Please provide as much detail as possible — this question is heavily weighted in your final score.
This is an essay for Scholarship application. I’m a nursing student.
Thank you

Please respond to discussion below using Current APA 7th Edition and 2-3 references within the last 4 years. Minimum 500 words.
Hematopoietic:
J.D. is a 37 years old white woman who presents to her gynecologist complaining of a 2-month history of intermenstrual bleeding, menorrhagia, increased urinary frequency, mild incontinence, extreme fatigue, and weakness. Her menstrual period occurs every 28 days and lately there have been 6 days of heavy flow and cramping. She denies abdominal distension, back-ache, and constipation. She has not had her usual energy levels since before her last pregnancy.
Past Medical History (PMH):
Upon reviewing her past medical history, the gynecologist notes that her patient is a G5P5with four pregnancies within four years, the last infant having been delivered vaginally four months ago. All five pregnancies were unremarkable and without delivery complications. All infants were born healthy. Patient history also reveals a 3-year history of osteoarthritis in the left knee, probably the result of sustaining significant trauma to her knee in an MVA when she was 9 years old. When asked what OTC medications she is currently taking for her pain and for how long she has been taking them, she reveals that she started taking ibuprofen, three tablets each day, about 2.5 years ago for her left knee. Due to a slowly progressive increase in pain and a loss of adequate relief with three tablets, she doubled the daily dose of ibuprofen. Upon the recommendation from her nurse practitioner and because long-term ibuprofen use can cause peptic ulcers, she began taking OTC omeprazole on a regular basis to prevent gastrointestinal bleeding. Patient history also reveals a 3-year history of HTN for which she is now being treated with a diuretic and a centrally acting antihypertensive drug. She has had no previous surgeries.
Case Study Questions
Name the contributing factors on J.D that might put her at risk to develop iron deficiency anemia.
Within the case study, describe the reasons why J.D. might be presenting constipation and or dehydration.
Why Vitamin B12 and folic acid are important on the erythropoiesis? What abnormalities their deficiency might cause on the red blood cells?
The gynecologist is suspecting that J.D. might be experiencing iron deficiency anemia.
In order to support the diagnosis, list and describe the clinical symptoms that J.D. might have positive for Iron deficiency anemia.
If the patient is diagnosed with iron deficiency anemia, what do you expect to find as signs of this type of anemia? List and describe.
Labs results came back for the patient. Hb 10.2 g/dL; Hct 30.8%; Ferritin 9 ng/dL; red blood cells are smaller and paler in color than normal. Research list and describe for appropriate recommendations and treatments for J.D.
Cardiovascular
Mr. W.G. is a 53-year-old white man who began to experience chest discomfort while playing tennis with a friend. At first, he attributed his discomfort to the heat and having had a large breakfast. Gradually, however, discomfort intensified to a crushing sensation in the sternal area and the pain seemed to spread upward into his neck and lower jaw. The nature of the pain did not seem to change with deep breathing. When Mr. G. complained of feeling nauseated and began rubbing his chest, his tennis partner was concerned that his friend was having a heart attack and called 911 on his cell phone. The patient was transported to the ED of the nearest hospital and arrived within 30 minutes of the onset of chest pain. In route to the hospital, the patient was placed on nasal cannula and an IV D5W was started. Mr. G. received aspirin (325 mg po) and 2 mg/IV morphine. He is allergic to meperidine (rash). His pain has eased slightly in the last 15 minutes but is still significant; was 9/10 in severity; now7/10. In the ED, chest pain was not relieved by 3 SL NTG tablets. He denies chills.
Case Study Questions
For patients at risk of developing coronary artery disease and patients diagnosed with acute myocardial infarct, describe the modifiable and non-modifiable risk factors.
What would you expect to see on Mr. W.G. EKG and which findings described on the case are compatible with the acute coronary event?
Having only the opportunity to choose one laboratory test to confirm the acute myocardial infarct, which would be the most specific laboratory test you would choose and why?
How do you explain that Mr. W.G temperature has increased after his Myocardial Infarct, when that can be observed and for how long? Base your answer on the pathophysiology of the event.
Explain to Mr. W.G. why he was experiencing pain during his Myocardial Infarct. Elaborate and support your answer.
Submission Instructions:
Include both case studies in your post.
Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

Expectations
Length: A minimum of 180 words, not including references
Relate original post to another study/journal
Citations: At least one high-level scholarly reference in APA from within the last 5 years
A 65-year-old male presents with a painful left finger, he is unable to bend it and it is significantly swollen. He has a history of osteoarthritis.
1. OA is a disease of articular cartilage and subchondral bone in diarthrodial joints. Explain this.
The joints consist of two bones that are covered by articular cartilage to enable these bones to glide against each other without friction. The synovium forms the inner lining of the joint space that produces synovial fluid that lubricates two articular surfaces. With osteoarthritis, there is a progressive loss of the articular cartilage that result to increasing friction, thus generating inflammation and pain. 2. What is the role of osteophytes in OA?
The presence of osteocytes has been associated with joint symptoms. Also known as bone spurs, it is a bony growth near the joints that develop overtime in people with joint damage. It causes pain and stiffness when they rub against bone and muscles. When a person suffers from some degree of cartilage loss, the body adapts to maintain the stability of the knee joint as a result of cascade of cellular reactions that begin with formation of new bone tissue in the areas where the bone has been damaged.
3. How do NSAIDS affect OA?
Management of OA aims on alleviation of inflammatory pain and improvement of physical function through pharmacological interventions preferably with NSAIDS (Magni et al, 2021). It is the first-line therapy as it has a rapid effect on pain reduction by blocking the production of prostaglandins.
4. How does weight loss affect OA?
Aside from pharmacologial approach to OA, weight loss is essentially important in decreasing the pressure from the knees that contribute to the progression of OA. The reduction of weight improves mobility thus decreasing joint loads. While this will not reverse OA, it can significantly improve symptoms as well as prevent more damage to the joints. References:
Magni, A., Agostoni, P., Bonezzi, C., Massazza, G., Menè, P., Savarino, V., Fornasari, D. (2021). Management of osteoarthritis: expert opinion on NSAIDs. Pain and Therapy. doi: 10.1007/s40122-021-00260-1.

-Please see attached instruction and example.
-I included the pages from the book. I’m unable to upload the actual book (too large).
– Please reference the book.
MediaType: PG Library
Title: Diagnostic and statistical manual of mental disorders
Edition: 5th (2013)
Author: American Psychiatric Association
Publisher: American Psychiatric Publishing, Inc.
Book ISBN: 978-0-89042-555-8

MP is a 55-year-old woman who presents with complaint of inability to hold urine. She describes incidents where laughing or coughing results in a small to moderate release of urine. She has started wearing Peri Pads to avoid embarrassment. Past Medical History Six vaginal deliveries, all to full term Osteoarthritis Postmenopausal Medications Boniva, 150 mg once a month Calcium, 500 mg daily Vitamin D3, one daily Family History Mother, alive and well; hypertension, type 2 diabetes Father, deceased; cardiovascular disease, myocardial infarction at age 77 Social History No alcohol intake Previous smoker Walks 2 miles/day Physical Examination Vital signs normal Palpation of uterus suggests enlargement Labs Liver function: Normal Discussion Questions 1. What factors in MP’s history would help support a diagnosis of overactive bladder?
2. The clinician prescribes oxybutynin 10 mg (extended-release). What does MP need to know about this drug? 3. If oxybutynin is ineffective, the clinician could use mirabegron, a beta-3 agonist. What does MP need to know about this new drug?

Discuss the significance of composition and size to sampling. What effect does each have on the outcome of the study?

This week’s discussion board encompasses cardiac glycosides/anti-dysrhythmics and antihyperlipidemics, your thoughts, in addition to how you would educate this specific client. Your initial post and response is due by March 24th at 1159.
Scenario: M.S. arrives for an annual physical exam. Upon assessment the patient is in new onset atrial fibrillation with a heart rate of 112 bpm and BP of 94/55. Your patient has a PMH of CHF, diabetes mellitus and migraines.
Current medications:
*Patient is not on insulin at this time
Furosemide | 20 mg | PO | 1 x daily
Metoprolol | 12.5 mg | PO | 1x daily
Labs have resulted showing the following:
Lipid PanelTotal cholesterol: 232 mg/dL
Triglycerides: 160 mg/dL
HDL Cholesterol: 46 mg/dL
LDL Cholesterol: 126 md/dL
Comprehensive Metabolic Panel (CMP)Glucose: 88 mg/dL
Sodium: 136 mmol/L
Chloride: 100 mmol/L
Calcium: 10 mg/dL
Potassium: 3.1 mmol/L
AST: 30 U/L
ALT: 32 U/L
The HCP has ordered the following medications:
Digoxin | 125 mcg | PO | 1 x daily
Eliquis 2.5 mg | PO | B.I.D.
Rosuvastatin | 10 mg | PO | 1x daily at night
Directions
You will need to include the following elements into your case study. Please don’t upload your case study as an attachment, rather directly into the discussion board.List the interactions found by going to the following link https://reference.medscape.com/drug-interactionchecker (Links to an external site.) and checking the medications the patient is prescribed to assess for any interactions
List concerns with the interactions, medications, and treatment plan
List a minimum of (5) recommendations to prevent any adverse events
Respond to (1) colleague speaking to their recommendations, something you weren’t aware of, or any recommendations for your colleague.
Cite all your sources in APA (this includes in-text citations and a reference list). Anytime you are using content that is not your own, a citation is needed
You should utilize your textbook, but can also utilize any additional resources you find
Follow the rubric to guide you, which can be found by clicking on the 3 dots in the right upper quadrant of the screen
Review the case study example as to how to format and speak to each category

Develop a 4-page professional response to the supervisor, which has two main components. In your response:
1) Identify the qualities of a successful leader and compare them to your own leadership characteristics.
2) Make recommendations on how to lead and foster teamwork.
Additional Requirements
Your assessment should also meet the following requirements:
Written communication:
Express your main points, arguments, and conclusions coherently.
Use correct grammar and mechanics.
Proofread your writing.
Length: 4 double-spaced pages.
Font and font size: Times New Roman, 12 point.
References: Support your claims, arguments, and conclusions with credible evidence from 2–3 current, scholarly or professional sources.
APA format: Apply current APA formatting to all in-text citations and references.