Data Collection, Measurements and Analysis; M4: Lesson 13 – Discussion

 

M4: Lesson 13 – Discussion

  1. Create an original posting with a minimum of 250-300 words.
  2. Back up your arguments with reliable evidence.

Data Collection, Measurements and Analysis

Instructions:

  1. Please find a randomized trial you would like to use for the article critique assignment. Make sure it is from a nursing journal and is not older than five years. 
  2. Read the “The Three-Minute Appraisal of a Randomized Trial” article.
  3. Evaluate the following:
    1. What is the key criteria for evaluating an RTC?
    2. Are the results of the trial valid?  Were the subjects randomized?
    3. What about the experimental and control group?  How were they allocated?  Did they look like each other?  What about the variables?  Did the group look the same?
    4. What were the results of the trial?  How were the results of the trial being measured?  What statistical measures were used?  Was the results significant?  Was the hypothesis accepted or rejected by the authors?
    5. Are the results applicable to clinical practice?  Are the results feasible? 

To begin the discussion, click on the “Create Thread” link above.

community promoting

 

  • What are the responsibilities of community and public health nurses in promoting health and decreasing illness and injury in populations, families, and individuals? Provide specific examples from your community.

1 page

Week 8 Medication Paper Final Draft

 

The Medication Paper Final Draft

This week, you will submit a paper on a specific medication that has recently been approved for use (within the last two years) and is widely prescribed within the United States. ( Ubrelvy )

The medication should have been chosen by you during week 2 and approved by your instructor by week 3.

Your paper must be a minimum of seven pages, not including your title or reference pages. You should include at least five recent references (published within the last five years), and the paper must be presented in APA format (see rough draft requirements in week 6).

The paper must include the following content information:

  • Manufacturing company
  • Brand name
  • Indication
  • First in class, or not first in class
  • Common side effects profile
  • Known contradictions

Make sure you explain the special considerations that your chosen drug has on the unique populations/client groups listed below. Special considerations should include absorption, clearance/elimination, distribution, metabolism half-life, loading dose, route of drug administration, and steady state.

Pediatric Patients

Pediatric patients are not little adults. There are special pharmacokinetic and pharmacodynamics variations in this patient group. Their reaction to medication can be very unpredictable. Accurate dosing is the key due to their limited body mass.

Geriatric Patients

Geriatric patients have altered pharmacokinetic and pharmacodynamics responses to medication. The process of aging and disease will change how the body responds to drug therapy. Memory limitations and increased sensitivity to drug therapy may cause unique problems with this population.

Patients With Renal Dysfunction

Many medications are excreted through the renal glands or metabolized and excreted renally. Dosage adjustment is the key in this population. Many agents may cause nephrotoxicity.

Patients With Liver Dysfunction

Liver disease produces alterations in the physiology of the drugs’ pharmacokinetics in the body. Special attention should be given to all drugs used in this client population

Obese Patients

Obese patients have alterations in their pharmacokinetic and pharmacodynamic response to medication. Many comorbidities and altered nutritional status can be seen as responses to taking these medications. Accurate dosing is paramount.

Pregnancy/Lactation

Pregnancy and lactation can be challenging. Concerns of effects to the unborn fetus must be considered. Will treating the mother harm the unborn fetus or nursing infant?

FEEDBACK 

 

.do not forget your purpose statement which is always the last sentence of the introduction paragraph.                 

 

RSV

Hi,

I completed my two pages research and please correct my grammar and sentence structure.  Please complete by 12:00pm tomorrow 10/28/2020.

Thanks!

Discussion

 

  • Discuss the impact of malaria on environmental health. Give an example of the economic impact this disease has on the developing world.
  • What were some of the concerns that led to the banning of DDT in the United States and other developed countries? Do you believe that the hazards associated with DDT outweigh the pesticide’s benefits? 

150 words,  Apa References, proper Intext citation 

Assigm 7

Develop a realistic case and Identify a chronic illness and its relationship to rehabilitation. Could be from a previous experience on your career.

  1. Identify chronic illness and its relationship to rehabilitation.
    Choose from one:
    COPD, CHF, Stroke, Hip fracture
  2. Create interventions that support an older adult’s adaptation to the chronic illness or disability.
  3. Describe the nurse’s role in assisting older adults in managing chronic conditions.
  4. From your readings and knowledge which opportunities do you think can be change in the health care system to improve care for older adults with chronic illness and disability.

Submission Instructions:

  • The paper is to be clear and concise and students will lose points for improper grammar, punctuation and misspelling.
  • The paper is to be 5 pages in length, excluding the title, abstract and references page.
  • Incorporate a minimum of 3 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.
  • Journal articles and books should be referenced according to APA style

TURNITIN LESS THAN 20%

Dorothea Orem theory case study

This case study documents an ongoing interaction between a wife and her husband who live in a spacious home in a gated community. Answer the questions posted below. 1 page. When Dan (now 80) and Jane (now 65) began dating more than 15 years ago, both were emotionally charged to begin their lives anew. Well-educated and financially secure, they had a lot in common. Dan was a protestant minister, and Jane’s deceased husband had been a protestant minister. Both had lost their spouses. Jane’s first husband had suffered a catastrophic cerebral aneurysm 2 years earlier. Dan had conducted the funeral service for Jane’s husband. Dan’s wife had died of terminal cancer a little over a year earlier. Dan’s first wife had been a school counselor; Jane was a school teacher. Both had children in college. They shared a love for travel. Dan was retired but continued part-time employment, and Jane planned to continue teaching to qualify for retirement. Both were in great health and had more than adequate health benefits. Within the year they were married. Summer vacations were spent snorkeling in Hawaii, mountain climbing in national parks, and boating with family. After 7 years, Dan experienced major health problems: a quadruple cardiac bypass surgery, followed by surgery for pancreatic cancer. Jane’s plans to continue working were dropped so she could assist Dan to recover and then continue to travel with him and enjoy their remaining time together. Dan did recover—only to begin to exhibit the early signs and symptoms of Alzheimer’s disease. One of the early signs appeared the previous Christmas as they were hanging outdoor lights. To Jane’s dismay, she noted that Dan could not follow the sequential directions she gave him. As time passed, other signs appeared, such as some memory loss and confusion, frequent repeating of favorite phrases, sudden outbursts of anger, and decreased social involvement. Assessments resulted in the diagnosis of early Alzheimer’s disease. Dan was prescribed Aricept, and Jane began to prepare herself to face this new stage of their married life. She read literature about Alzheimer’s disease avidly and organized their home for physical and psychological safety. A kitchen blackboard displayed phone numbers and the daily schedule. Car keys were appropriately stowed. It was noted that she began to savor her time with Dan. Just sitting together with him on the sofa brought gentle expressions to her face. They continued to attend church services and functions but stopped their regular swims at their exercise facility when Dan left the dressing room naked one day. Within the year, Jane’s retired sister and brother-in-law relocated to a home a short walk from Jane’s. Their intent was to be on call to assist Jane in caring for Dan. Dan and Jane’s children did not live nearby so could only assist occasionally. As Dan’s symptoms intensified, a neighbor friend, Helen, began to relieve Jane for a few hours each week. At this time, Jane is still the primary dependent-care agent. She prides herself in mastering a dual shower; she showers Dan in his shower chair first, and then, while she showers, he sits on the nearby toilet seat drying himself. Her girlfriends suggested that this was material for an entertaining home video! Although Jane is cautious in her care for Dan, she often drives a short distance to her neighborhood tennis court for brief games with friends or spends time tending the lovely gardens she and Dan planted. During these times, she locks the house doors and leaves Dan seated in front of the television with a glass of juice. She watches the time and returns home midway through the hour to check on Dan. On one occasion when she forgot to lock the door while she was gardening, Dan made his way to the street, lost his balance, reclined face-first in the flower bed, and was discovered by a neighbor. Jane has given up evenings out and increased her favorite pastime of reading. Her days are filled with assisting Dan in all of his activities of daily living. And, often, her sleep is interrupted by Dan’s wandering throughout their home. At times, when the phone rings, Dan answers and tells callers Jane is not there. Jane, only in the next room, informs him “Dan, I am Jane.” Friends are saddened by Dan’s decline and concerned with the burdens and limitations Jane has assumed as a result of Dan’s dependency.

Critical thinking activities

1. Examine this case study through the dependency cycle model. The outer arrows show a progression through varying stages of dependency. The inner circle represents who can be involved in the dependency cycle. Where are Jane and Dan in this cycle?

2. Using the basic dependent-care system model, assess Dan and Jane. Identify the basic conditioning factors (BCFs) for each. What is the effect of Dan’s BCFs on his self-care agency? Is he able to meet his therapeutic self-care demands? Continue on to diagnose Dan’s self-care deficit and resulting dependent-care deficit. Now assess Jane’s self-care system.

3. Design a nursing system that addresses Jane’s self-care system as she increases her role as dependent-care agent for Dan.

statistics math questions

  

500 words statistics math questions. Due in 3hrs 

Please provide statistical and mathematical answers for each question from 1-5.

After each answer provide 100 words explanation for each response as to how you derived that answer. MUST HAVE EXPLANATION FOR EACH ANSWER.