QUESTION

Nursing – Evidence Based Practiced – Analysis of Qualitative and Quantitative Data

APA Format and use of Journal articles are mandatory

a. Demographic data are collected for every study. What is the purpose of describing the demographic data in resarch? (500+ words, APA style, at least 1 journal article)

b. There is a tendency for novice researchers to develop their own instrument if they cannot readily find one. How might you respond to a peer or manager who asks you to help develop a new tool to collect patient data on anxiety prior to cardiac catheterization? (500+ words, APA style, at least 1 journal article)

Healthcare Synthesis

Using the South University online library, the Internet, and the data from the Organization for Economic Cooperation and Development (OECD), research comparative international work and compare the United States and Canada with respect to which country is more effective in the areas of (1) economic growth; (2) expenditure (public and private expenditure on health); (3) information and communications technology; and (4) health.

Click here to access data from the OECD.

On the basis of your observations, create a 1- to 2-page report.

Your report should address the following questions:

• After going through the statistics:
  • What information or statistic you find either surprising or reasonable?
  • Do you anticipate the statistics will be similar in ten years? Why or why not?
• The current structure of healthcare coverage in the United States has a combination of employer-based coverage and public program (e.g., Medicare, Medicaid) coverage, with a large uninsured population. If a single-payer system is implemented where Medicare is expanded to cover all citizens for those who prefer private insurance, there will be comparable coverage under the same range of private insurance plans already available. Keeping in mind these considerations, answer the following questions:
  • What do you think about allowing some people to purchase additional insurance, thereby creating a two-tier health system based on affordability?
  • What are the advantages and disadvantages of this initiative?
• Considering the fact that healthcare is not a guaranteed right for everyone in the United States, there are different kinds of barriers and obstacles in obtaining healthcare. In contrast to this fact, the notions of equity and fairness are considered very important. You will notice that these notions aren’t considered when we discuss people’s access to other goods, such as cars and computers.
  • What are these barriers? Give examples of the different barriers to health care under the following headings:
    • Financial barriers
    • Scarcity of healthcare providers
    • Barriers to access healthcare
    • Cultural barriers
    • Barriers of healthcare resources
  • How would you define the term, “equity and fairness”, in the context of the healthcare situations prevailing in the United States and Canada?
  • Why are they considered important when discussing people’s access to care?
• It is believed that government funded healthcare for all citizens is consistent with a capitalist economy and the cultural values of self-determination and free enterprise.
  • Do you agree with this statement? If not, what other approaches do you think will resolve the current inequities in the system?

Question Description

PATIENT NAME: Catherine Williams

DATE OF BIRTH:3/26/1947DATE OF ADMISSION:1/19/2015

PROGRESS NOTE

HISTORY: Catherine Williams is a 67-year-old Caucasian female who was brought to the hospital via an ambulance and subsequently admitted to the hospital on 1/19/2015 for dysphasia, dysphagia, and right hemiparesis. Ms. Williams has history of HTN, and high cholesterol. Husband states that patient is taking medication daily. No problems have been noted prior to 1 ½ hours ago when she began to show signs of right facial drooping and complained of cephalgia. Husband states the patient was unable to drink her coffee without the liquid spilling down her face.Per the husband, the patient was reaching in the cupboard for a dish, when her right arm started to fall. After sitting at the breakfast table, the patient began to rise, when she fell to the floor, and was unable to stand up without help. She showed a steady decline within minutes developing ataxia, dysphagia, and dysarthria.

OBJECTIVE FINDINGS: Physical examination shows the patient was alert, and oriented x 2. Mild confusion noted to place. Gait was not assessed at this time due to hemiparesis. Grips were unequal. Right pupil was sluggish to respond to light. Right lower extremity was flaccid. Blood pressure was 180/92 mm Hg. Pulse, 78. Respirations, 18. Temperature 98.7.Chest radiograph, Urinalysis, CBC, PTT, Basic Chemistry Panel and ABGs were obtained. ABGs showed low 0₂saturation. CT scan showed negative for an intracerebral hemorrhage. A neurology consultation was obtained. Neurologist confirmed the diagnosis of an ischemic stroke after an MRI of the brain demonstrated an ischemic area of the left cerebral cortex caused by a cerebral embolism.

IMPRESSION: Hemiparesis, HTN, Ischemic Stroke

TREATMENT SUMMARY: The patient was given Alteplase 0.9 mg/kg IV infused over 1 hour for first bolus. Continued with 0.81 mg/kg as continuous infusion over 60 minutes. Mannitol was started IV post Alteplase infusion. Patient transferred to ICU.Neuro checks ordered q 2 hrs.On the second hospital day, the patient developed hypotension, N & V. Reglan given IV and normal saline was increased to 150 drops per minute for 2 hours, then titrated down to 75. After 5 hours, patient BP was within normal limits, N & V subsided.Aggrenox started one capsule bid. Third day inpatient stay was unremarkable. Patient was transferred to medical floor.PT/OT, speech therapy ordered. Neuro checks reduced to every 4 hours. No further decline noted. Fourth inpatient stay, patient responding to PT/OT well. Use of walker with one assist. Gait and grip improving. No further neurological deficits noted. Discharge planning started. Rehabilitation facility recommended for continued PT/OT and speech therapy. Family educated on treatment plan, patient transferred to extended care facility for rehabilitation. Continue antiplatelet therapy. Informed patient and family to follow-up with neurologist one week after discharge from rehab.

PART 1: Using the information provided in Progress Note above, please complete the following information.

In this Assignment 2, imagine you are a medical professional working at XYZ Medical Center. Your patient is Mrs. Williams. Her son, Sam Williams, has just arrived from Montana. He is concerned about his mother’s wellbeing. You will be meeting with the patient’s son to update him on what has occurred during her hospital stay, the subsequent transfer to the rehabilitation facility and a discharge plan.

Use the information from the Progress Note to update Sam Williams on his mother’s condition. You will be translating the medical information from the report into layman’s terms in order for the patient and patient’s daughter to understand.

Please be sure use complete sentences, proper grammar, and spelling. You can use medical terms, however, you must also use layman’s terminology. Remember, it is your job to explain to the patient’s son what has occurred. You must use outside sources, including your textbook.

Your explanation to Sam Williams should be 500 words or more. Cite your reference/referencesin APA format at the end of your explanation.

Written Assignment requirements: Written work should be free of spelling, grammar, and APA errors. Points deducted from the grade for each writing, spelling, or grammar error are at your instructor’s discretion. Please be sure to view “Writing Center Resources” to assist you with meeting APA expectations. You may also access the link from Course Resources/AcademicSupport Center.

Worksheet: Supplements and Medications

Assignment Overview

Based on the case study you reviewed this week, you will create a nutritional plan for a client with health issues who wants to add supplements to his diet but is taking prescription medication.

This assignment is intended to explore differences between macronutrient and micronutrient concepts and describe their physiological functioning. Additionally, you will formulate nutritional assessments and describe nutritional requirements corresponding to stages in the life span.

Assignment Details:

Perform the following tasks:

· Complete the reading assignment and the interactive lesson before attempting this assignment.

· Complete the following:

· Please review the Case Study for this week.

· Create your nutritional plan for Mr. Jones. In approximately 250 words, respond to the following in the Assignment Worksheet section on page 2:

· Is B12 deficiency a concern for Mr. Jones? Why or why not?

· List three nutritional recommendations for Mr. Jones.

· What guidance should be given to Mr. Jones?

· Discuss the effect of anticoagulant medications on overall blood clotting and any vitamins involved in this process.

· What nutritional advice should be given to Mr. Jones while on anticoagulant medication?

· Submit the Week 4 Assignment via Blackboard by clicking on the “Week 4 Assignment” link.

· Include the proper file naming convention: SCI115_wk4_assn_jsmith_mmddyyyy.

Refer to the Writing Conventions in the Written Assignment Rubric for detailed grading information.

Grading:

Gradable items in assignment	Points
Indicate if B12 is a concern and why or why not.	5
Indicate three nutritional recommendations.	5
Indicate guidance advice.	10
Discuss the effect of anticoagulant medications on blood clotting and vitamins involved in the process.	10
Indicate advice regarding anticoagulant medication.	5
Adhere to Writing Conventions.	5
Total Points	40

Assignment Worksheet:

Create your nutritional plan for Mr. Jones. In approximately 250 words, respond to the following in the spaces provided:

· Is B12 deficiency a concern for Mr. Jones? Why or why not?

[Write your response here…]

· List three nutritional recommendations for Mr. Jones.

1. [List nutritional recommendation #1 here…]

2. [List nutritional recommendation #1 here…]

3. [List nutritional recommendation #1 here…]

· What guidance should be given to Mr. Jones?

[Write your response here…]

· Discuss the effect of anticoagulant medications on overall blood clotting and any vitamins involved in this process.

[Write your response here…]

· What nutritional advice should be given to Mr. Jones while on anticoagulant medication?

[Write your response here…]

assessment2 nursing

Prepare two educational handouts (two pages each), one for community members and patients and one for health care providers, that provide information about common bacteria or viruses and how to reduce the risk of infection.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

Preparation

Search the Capella library and the Internet for scholarly and professional peer-reviewed articles on food-borne illness or virus prevention. You will need at least three articles to use as support for your work on this assessment. In addition, look for statistics on cases of food-borne illness or influenza in your community. Sites such as the CDC, WHO, and state or public health departments provide the most current and reliable data.

Directions

Your employer is hosting a Healthy Mind and Body Fair in your community. Your manager has asked for your help in creating educational materials about food-borne illnesses like E.coli or viruses such as influenza. The goal is to provide information about how to reduce the risk of infection. You have been asked to create two informational handouts on the same topic:1.One handout is for participants (community members, patients) that raises awareness about the transmission of common bacteria or viruses and how to prevent the spread of these common infections. Consider health literacy levels when preparing the handout for non-medical populations.2.The second handout is directed at allied health care providers. This material should provide a higher level of information and detail about the subject.

Each handout should cover the following:•Provide information about the illness and transmission.•Provide recent statistics of cases in the community, with sources noted.•Describe the scope of illness (symptoms, severity, adverse outcomes).•Describe both treatment and prevention options, with an emphasis on prevention. •Relay any new research or treatment modalities.•Include information your readers will want to refer to in the future. This includes Web sites or tips for finding additional information or additional resources.

Consider the reader when creating your handouts, and be creative!

Format the handouts as follows:•Break up content into short paragraphs.•Use bullet points and lists whenever possible.•Use sub-headings to isolate different topics within the documents.•Remember, say no more than what is necessary; the urge to say too much can ruin a good handout.

Additional Requirements

Each handout should meet the following criteria:•Contain 500 words (2 pages).•Must be readable, concise, with a logical ordering of ideas.•Include a minimum of three references. (These must be recent, from within the past five years.) The same resources can be used for both handouts.•Provide adequate documentation of ideas and appropriate APA citation of relevant literature.•Assignment submission should include one complete document, prepared as follows: ◦Title page for the participant handout.◦Participant handout.◦Reference page for the participant handout.◦Title page for the allied health care provider handout.◦Allied health care provider handout.◦Reference page for the provider handout.

•Be double spaced in Times New Roman font, 12 point.