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Dua date 09/23/2020

1. Discussion Question: Sixty-nine–year-old John awoke from his sleep last night and complained of excruciating pain in his left “big toe.” He said that he could not even tolerate the bed clothes on top of his foot. Today in clinic, his first metatarsophalangeal joint of his left foot is reddened, is warm to touch, and has a decreased range of motion.

a. How will you describe to John what is occurring and why?

b. How will John’s lifestyle be altered as a result of this condition?

2. 3 paragraphs of 3 sentences each

3. APA style

4. 2 references

                                                                              Assignment

With the client you selected in mind, address in a client termination summary (without violating HIPAA regulations) the following:

• Identifying information of client (e.g., hypothetical name and age)
• The date the client initially contacted the therapist, date therapy began, duration of therapy and date therapy will end
• Total number of sessions, including the number of missed sessions
• Whether termination was planned or unplanned
• Presenting problem
• Major psychosocial issues
• Types of services rendered (e.g., individual, couple/family therapy, group therapy)
• Overview of the treatment process
• Goal status (goals met, partially met, unmet)
• Treatment limitations (if any)
• Remaining difficulties and/or concerns
• Recommendations
• Follow-up plan (if indicated)
• Instructions for future contact
• Signatures

 
Reply 1

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.

In order to provide examples of uses for hypothesis testing it is important to understand what a hypothesis is. “The hypothesis statements are the blueprint for completing the statistical analysis of the gathered data.” (Ambrose, 2018) Testing a hypothesis evaluates if the prediction made on two variables is valid. Gathering data to show correlations is how you test a hypothesis.

The two examples that came to mind when thinking of a hypothesis in health care are the prediction that washing hands decreases infections and following a specific diet will lead to increased health. “The Null hypothesis indicates the lack of relationship between the variables or that there is no effect on the variables.” (Ambrose, 2018) The criteria to reject a null hypothesis is data proving that the hypothesis is false. When the research is reliable, patterns should occur. When there are patterns, this will permit the researcher to reject the null hypotheses. (Ambrose, 2018) Hypotheses are tested using a one or two tailed testing. (Ambrose, 2018) A one-tailed test is used when the researcher is sure that direction of data will go in a certain way. “A two-tailed test identifies both the positive and negative differences.” (Ambrose, 2018)

As health care professionals, it is important to be able to utilize hypotheses and being able to evaluate them. Nursing interventions and care for patients are products of evidence based practice guidelines, which can be every changing with new research and data. Being able to interpret and utilize these guidelines is important to positive patient care. Nursing improvements and positive patient outcomes can be determined by quality research.

References

Ambrose, J. (2018). Applied Statistics for Health Care. Retrieved from Grand Canyon University: https://lc.gcumedia.com/hlt362v/applied-statistics-for-health-care/v1.1/#/chapter/3

Reply 2

Predictions of what will happen in a study between two variables is a hypothesis. A hypothesis is needed prior to starting the research to guide the data that is needed to be gathered for the variable. With the data that is collected, research process validates a hypothesis by showing correlation or mutual relationship. Research is always a measure in in a study or understanding differences. “Hypothesis testing is used to establish whether a research hypothesis extends beyond those individuals examined in a single study.” (Laerd, 2018)

One example is two groups of students virtual and in person. The hypothesis could be that in person students did better than virtual students in test taking, showing in person learning is important for the education of school age students. Another example could be that daily zoom meetings or virtual class has a higher classroom average of the students compared to the students who attends zoom virtual classes biweekly. For both, examples the average of test in grades for the sample represents the population.

In health care it shows findings that can be empowered and shows alternative explanations that may or may not be significant without research and hypothesis testing advancements could be detrimental for care of those that need advanced medication or treatment. Sample of 100 breast cancer sufferers depend on research to have new chemotherapy treatment to eradicate cancer more effectively than current treatment type. Consider the process first involved in what your measuring then outlines your structure. This is important for the patients and given opportunity to have treatment that has evidence to work versus medication that has not worked and no evidence to work.

Criteria for rejecting the null hypothesis: “the null hypothesis indicates the lack of relationship between the variables or that there is no effect on the variables.”(Ambrose, 2018) “Data should show patterns, allowing the researcher to reject or fail to reject the null hypothesis.” (Ambrose, 2018) Keep in mind a rejection could be in error. The rejection based on probability results are accurate. If shown effect, null rejected. “A failure to reject the null hypothesis indicates no effect is shown by the evidence.” (Ambrose, 2018) For a null to be rejected, 95% of values need to set close to the mean.

Resources

Ambrose, J. (2018). Applied statistics for health care.Retrieved from https://lc.gcumedia.com/hlt362v/applied-statistics-for-health-care/v1.1

How does the community health nurse recognize bias, stereotypes, and implicit bias within the community? How should the nurse address these concepts to ensure health promotion activities are culturally competent? Propose strategies that you can employ to reduce cultural dissonance and bias to deliver culturally competent care. Include an evidence-based article that address the cultural issue. Cite and reference the article in APA format.

No single word responses (at least 100+ words in each response)

Give examples

Cite resources

Give the questions some thought and answer honestly

Number your answers to correspond with the question

Worth 12 points / 5%

Questions:

1 . Describe a time spirituality was important in your life or that of someone you love or cared for (e.g., family member, friend, patient). Why was it meaningful in that situation?

2.  What would you do if a patient asked you to pray with them or read the Bible or another holy book he/she might have at the bedside? How would this request make you feel? Would you experience any conflict if you were a different faith than the patient? Explain your answer.

3.  There is something called scripting which is having something written and memorized for difficult situations. Write a prayer or spiritual message you could use in the above situation. Explain why you chose those words.

Nursing work

In an essay of 1500 to 2000 words, using at least 2 APA style cited references, write an essay in APA style on:

1. A 10th grader is brought to you by a teacher. She whispers in your ear to please look at the forearms of the girl because she suspects cutting. What is cutting? Examine the different reasons for cutting. Who in the school could you collaborate with to help the adolescent? Would you call her parents? Her pediatrician? After you have taken care of the situation, the teacher comes back “wanting the scoop”. What do you tell the teacher? Support your answers with legal reasons for or against your answer.
2. You are a middle school nurse. One of the popular jocks on the basketball team committed suicide over the weekend. It is now Monday morning.  Review the mental health considerations of this issue. Synthesize the information and explain what you would do about the mental health issue, what may follow, and the crisis at school.
3. You are part of a committee to prepare a disaster plan for your elementary school. Review your textbook, synthesize the information, and report what your role would be. Of chief concern are your children with chronic illnesses.

Please review the substantive posting requirements posted in the forum and announcements: When you post responses to your peers the response needs to be “substantive” to receive credit. Substantive posting criteria includes: Acknowledge what your peer stated (agree or disagree). Include additional information. End the post with an open-ended follow up question. This is important to encourage further discussion.

1.  Identify and discuss disaster types.

2.  Explain the disaster planning process and nursing participation.

3.  Work on the following case studies;

A.  Case Study # 1

As a county health department nurse, your supervisor has informed you that the local Emergency Management Team is issuing a warning of impending disaster as an F3 tornado is expected to hit your large, metropolitan city within the hour. 

a.  Which emergency measures would you expect to have already been in place?

b.  What are your potential activities during each phase of the emergency management response?

B.  Case Study # 2

A plane crashed while landing on the runway during a snowstorm. The plane was not able to stop in time and slipped off the end of the runway onto a busy interstate highway. Public health nurses were expected to respond to this disaster as well as many first responders. (Learning Objectives: 1, 2, 5)

a.  What are the responsibilities of public health nurses in disaster management?

b.  Public health nurses have been requested to use the START model to assess the cars involved in the plane crash on the highway. What is the START MODEL, and how are numbers assigned to the individuals?

c.  The houses in a two-mile radius around the airport have been requested to evacuate the area because airplane fuel is leaking into the river located directly next to the airport. What guidelines should be considered for individuals requested to evacuate?

d.  When the public health nurses were color coding for prehospital triage, what do red and black color codes mean?

 APA format word document (in-text citations needed).

A minimum of 3 evidence-based references no older than 5 years must be used. 

  A minimum of 800 words not to exceed 1,000 are required without counting the first and last page.