All posts by : chebby

Health History

Mr. C., a 32-year-old single male, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He currently works at a catalog telephone center. He reports that he has always been heavy, even as a small child, gaining approximately 100 pounds in the last 2-3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has sleep apnea and high blood pressure, which he tries to control by restricting dietary sodium. Mr. C. reports increasing shortness of breath with activity, swollen ankles, and pruritus over the last 6 months.

Objective Data:

1. Height: 68 inches; weight 134.5 kg
2. BP: 172/98, HR 88, RR 26
3. 3+ pitting edema bilateral feet and ankles
4. Fasting blood glucose: 146 mg/dL
5. Total cholesterol: 250 mg/dL
6. Triglycerides: 312 mg/dL
7. HDL: 30 mg/dL
8. Serum creatinine 1.8 mg/dL
9. BUN 32 mg/dl

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mr. C.’s potential diagnosis and intervention(s). Include the following:

1. Describe the clinical manifestations present in Mr. C.
2. Describe the potential health risks for obesity that are of concern for Mr. C. Discuss whether bariatric surgery is an appropriate intervention.
3. Assess each of Mr. C.’s functional health patterns using the information given. Discuss at least five actual or potential problems can you identify from the functional health patterns and provide the rationale for each. (Functional health patterns include health-perception, health-management, nutritional, metabolic, elimination, activity-exercise, sleep-rest, cognitive-perceptual, self-perception/self-concept, role-relationship, sexuality/reproductive, coping-stress tolerance.)
4. Explain the staging of end-stage renal disease (ESRD) and contributing factors to consider.
5. Consider ESRD prevention and health promotion opportunities. Describe what type of patient education should be provided to Mr. C. for prevention of future events, health restoration, and avoidance of deterioration of renal status.
6. Explain the type of resources available for ESRD patients for nonacute care and the type of multidisciplinary approach that would be beneficial for these patients. Consider aspects such as devices, transportation, living conditions, return-to-employment issues.

You are required to cite to a minimum of two 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.

 Topic 3:  Claire runs cross country in college, and lately, her times have not improved.  She knows she needs adequate carbohydrates to keep her body fueled.  Typically, her food intake consists of cheese sticks and a glass of orange juice for breakfast; a peanut butter sandwich, apple, bag of pretzels, and sweetened tea for lunch; spaghetti with marinara sauce, garlic, bread, salad, and a glass of milk for dinner; and orange for her evening snack.  Lately, she is feeling tired and has to wear a sweatshirt in class to keep warm. She is also having trouble concentrating.  What do you think is causing Claire’s problem, and why?  What would you recommend? 

Reply 1

According to Schmidt (2018), validity and reliability are crucial components to a well-developed research study. Validity refers to how much a concept relates to real life, whereas reliability is how much an experiment yields the same results when repeated. Qualitative and quantitative studies, though different in approach, still draw validity and reliability. Quantitative research is structured and objective, relying on data and measurements. Qualitative research is less structured and more subjective, relying on text, in depth information, and can include focus groups or interviews (UTA, 2020). Benefits to utilizing both qualitative and quantitative research in point towards each method filling in the gaps of where the other seems to lack. “Quantitative data can give baseline information to aid researchers in selections of patients to interview, while qualitative data can provide researchers understanding of barriers and factors to patient recruitment and retention” (Doorenbos, 2014). However, if a study is utilizing both methods of research, there might be a mix of data collection leading to inconsistencies in objective collection and issues with validity (McNiff and Petrick, 2018).

Doorenbos A. Z. (2014). Mixed Methods in Nursing Research : An Overview and Practical Examples. Kango kenkyu. The Japanese journal of nursing research, 47(3), 207–217.

McNiff, P. and Petrick, M. (2018). Quantitative research: ethics, theory, and research. In Grand Canyon University (Ed). (2018). Nursing research: Understanding methods for best practice. Retrieved from https://lc.gcumedia.com/nrs433v/nursing-research-understanding-methods-for-best-practice/v1.1

Schmidt, M. (2018). Measurement, statistics and appraisal. In Grand Canyon University (Ed). (2018). Nursing research: Understanding methods for best practice. Retrieved from https://lc.gcumedia.com/nrs433v/nursing-research-understanding-methods-for-best-practice/v1.1

University of Texas Arlington. (2020). Qualitative vs quantitative research. https://libguides.uta.edu/nursingresearch

Reply 2

Nursing research is conducted by using different types of methods such as qualitative, quantitative, experimental, quasi-experimental, correlation, and descriptive method. Qualitative research is considered as exploratory research for the deep understanding of the research problem and provides a way for quantitative research. In some studies, both qualitative and quantitative methods used in the studies are called Mixed methods of study.

Advantages of Mixed Method:

• Using both qualitative and quantitative method minimizes the weakness of the study. It increases the exploration and statistical analysis of the study.
• Mixed method increases the availability of research tools that helps to collect more comprehensive data.
• The results are validated more accurately and show additional evidence for supporting.
• Mixed methods combine thinking as well as reasoning.
• The findings are illustrated in both words as well as number.
• Mixed method reduces personal biases.

Disadvantages of Mixed method:

• Using both qualitative and quantitative method is time-consuming.
• Researchers need to be well-versed in both the data.
• More resources to be used for collecting both types of data.
• The result findings should be illustrated clearly for the better understanding of the audience.

References:

Rahman, M. S. (2020). The advantages and disadvantages of using qualitative and quantitative approaches and methods in language “testing and assessment” research: A literature review.

Queirós, A., Faria, D., & Almeida, F. (2017). Strengths and limitations of qualitative and quantitative research methods. European Journal of Education Studies.

Driscoll, D. L., Appiah-Yeboah, A., Salib, P., & Rupert, D. J. (2007). Merging qualitative and quantitative data in mixed methods research: How to and why not

Reply 3

To start, when both qualitative and quantitative research methods are used together, they make up what is referred to as mixed methods (Helbig, 2018). “This type of research study is common in health care because emotions and feelings may play a part in the study being performed: love, anger, or pain cannot easily be quantified” (Helbig, 2018, para 54).

A major benefit of using the mixed method in combination of the qualitative and quantitative method is that when using all three, or triangulation design, is its efficiency because you kill two birds with one stone, collecting both sets of data simultaneously, which can also be a disadvantage (Doorenbos, 2014). Afterwards, when the data has been collected, a team of researchers including those with expertise in qualitative and quantitative data can have access to the data and interpret it in a more efficient manner (Doorenbos, 2014).

Disadvantages of using mixed methods for research include the great amount of effort needed as well as the expertise of the researcher to collect both qualitative and quantitative data simultaneously (Doorenbos, 2014). At the same time of the data collection, the difficulty of giving each kind of data an equal amount of importance when collecting it provides another disadvantage or difficulty for the researcher.

References

Doorenbos, A. Z. (2014). Mixed Methods in Nursing Research : An Overview and Practical Examples. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4287271/.

Helbig, J. (2018). History and process of nursing research, evidence-based nursing practice, and quantitative and qualitative research process. In Grand Canyon University (Ed.)., Nursing research: Understanding methods for best practice.. Retrieved from https://lc.gcumedia.com/nrs433v/nursing-research-understanding-methods-for-best-practice/v1.1

population

Write a 750- to 1,000-word summary of recommendations to your manager. Complete the following in your summary:

• Identify the potential challenges around collaboration this group might experience.
• Describe collaborative skills you would use to create a more positive atmosphere.
• Explain what would comprise effective communication for this group.

Cite a minimum of one reference to support your assignment.

Format your assignment according to APA guidelines.

Social media plays a significant role in the lives of nurses in both their professional and personal lives. Additionally, social media is now considered a mainstream part of the process for recruiting and hiring candidates. Inappropriate or unethical conduct on social media can create legal problems for nurses as well as the field of nursing.

Login to all social media sites in which you engage. Review your profile, pictures and posts. Based on the professional standards of nursing, identify items that would be considered unprofessional and potentially detrimental to your career and that negatively impact the reputation of the nursing field.

In 500-750 words, summarize the findings of your review. Include the following:

1. Describe the posts or conversations in which you have engaged that might be considered inappropriate based on the professional standards of nursing.
2. Discuss why nurses have a responsibility to uphold a standard of conduct consistent with the standards governing the profession of nursing at work and in their personal lives. Include discussion of how personal conduct can violate HIPAA or be considered unethical or unprofessional. Provide an example of each to support your answer.
3. Based on the analysis of your social media, discuss what areas of your social media activity reflect Christian values as they relate to respecting human value and dignity for all individuals. Describe areas of your social media activity that could be improved.

Prepare this assignment according to the guidelines found in the APA Style Guide

• An 86-year-old male parishioner is on hospice care at home, and his daughter, who is a nurse, has been trying to meet all his physical needs around the clock. The pastor, who made a home visit, calls the faith community nurse to express his concern that the daughter is becoming “burned out.” How can the faith community nurse engage the faith community as a whole to provide volunteer support to this family?
• 1page include at least 1 reference 

1. Write a 2 page assignment.
2. Choose a primary nursing research article of interest from a refereed nursing journal. Attach a copy of the article.
3. Begin your critique by identifying the:
   • article’s title
   • author(s)
   • date of publication
   • name of the journal or other publication in which it appeared
   • Where and when was the article published?
   • In your introduction, you should also briefly describe the purpose and nature of the study and, if applicable, its theoretical framework.
   • If the paper was not published in a peer-reviewed journal, consider the credibility of the publication in which it appeared.
4. If you are reviewing a research study, organize the body of your critique according to the paper’s structure. Start with a brief description and analysis of the strengths and weaknesses of the research design and methodology. For example:
   1. How does the method reflect other studies of the same topic? (sample, data collection, setting).
   2. What makes this method feasible?
   3. How realistic is it? How does the method address questions of validity?
   4. How does the researcher overcome the limitations of the method?
   5. Are there large limitations or minor ones?
   6. How will these limitations affect your ability to use this data to answer your research question?
5. Describe the results by answering:
   1. How were the results interpreted?
   2. How were they related to the original problem (author’s view of evidence rather than objective findings)?
   3. Look at DISCUSSION. Were the author(s) able to answer the question (test the hypothesis) raised?
   4. Did the research provide new factual information, a new understanding of a phenomenon in the field, a new research technique?
   5. How was the significance of the work described?
   6. Did the reported observations/interpretations support or refute observations or interpretations made by other researchers?
6. Describe the significance of the research by answering:
   1. Did the research make a significant contribution to human knowledge?
   2. Did the research produce any practical applications?
   3. What are the nursing implications of this research?
   4. How do you evaluate the significance of the research?
7. Utilize at least 5 cited sources to substantiate your findings or critique.
   • Follow APA style rules.

Example patient: 27-year-old female that is actively suicidal on a 5150 within the last 5hours sent to the hospital after being taken in by the LAPD and placed on a hold. She was standing in front of the traffic in the 405N trying to kill herself. 5150 DTS. She is currently in the hospital with a 1:1 sitter.  

Topic will be SAFETY related to depression/suicide USING THE the Adaptation model by Sister Callista Roy and the Jean Watson theory of human caring Please compare two nursing theories. 

you will discuss Safety using these two theories. 

must have turn it.com plagairsm report.

APA format at least 2 references. 

Hello, please I need help answering these questions on palliative care. There are two topics and each has two questions to be answered and each questions should be about 100 words. The guideline is included in the attached file below, thanks.