All posts by : chebby

Integrating Evidence-Based Practice

Write  a 1000-1500 word essay addressing each of the following  points/questions. Be sure to completely answer all the questions for  each bullet point. There should be two main sections, one for each  bullet below. Separate each section in your paper with a clear heading  that allows your professor to know which bullet you are addressing in  that section of your paper. Support your ideas with (2) sources (1  outside source and the textbook) using citations in your essay. Make  sure to cite using the APA writing style for the essay. The cover page  and reference page in correct APA do not count towards the minimum word  amount. Review the rubric criteria for this assignment.

Part 1:

Describe  the eight steps to integrating evidence-based practice into the  clinical environment. What barriers might you face in implementing a new  practice to address your research topic (as identified in Module 1)?  Describe strategies that could be used to increase success including  overcoming barriers. 

Part 2: 

Describe six sources of internal evidence that could be used in providing data to demonstrate improvement in outcomes.

Assignment Expectations: 

Length: 1000 – 1500 words
Structure:  Include a title page and reference page in APA format. These do not  count towards the minimum word count for this assignment. Your essay  must include an introduction and a conclusion.
References:  Use appropriate APA style in-text citations and references for all  resources utilized to answer the questions. A minimum of one (1)  scholarly source and the textbook are required for this assignment.

Post a treatment plan for the older adult client in the Week 10: Case Study found in this week’s Learning Resources. Be sure to address the following in your post:

• Which diagnosis should be considered?
• What is the DSM-V Coding for the diagnosis you are considering?
• What is your rationale for the diagnosis? Be sure and link the  client’s signs and symptoms to the DSM-V diagnostic criteria to support  your diagnosis.
• What tests or tools should be considered to help identify the correct diagnosis?
• What differential diagnosis should be considered?
• What Treatment Strategy would you recommend?
• What treatment would you prescribe and what is the rationale?
• Safety
• Psychopharmacology
• Diagnostic Tests
• Psychotherapy
• Psychoeducation
• What standard guidelines would you use to treat or assess this patient?
• Clinical Note: Is depression a normal part of aging?

Support your approach with evidence-based literature.

** No plagiarism 

** Four references required

** Case study of client attached (Diagnosis -Depressive Disorder)

Discussion Prompt #1

Please watch the film, And the Band Played On.  This film may be available on the Internet through free sites such as Youtube and Vimeo (please note: accessing these sites is at your own risk).  You may also view the film for purchase online through sites such as Amazon or HBO.

Movie: And the Band Played On (1993), Roger Spottiswoode (Director). Depicts how the CDC discovered how HIV was being transmitted. The film is both entertaining and educational, and it depicts the principles of epidemiology, human behavior, and society’s view of controversial topics.

• What factors inhibited the early war against acquired immunodeficiency syndrome (AIDS)? Do you believe the AIDS outbreak could have been stopped? Why or why not?  What role does advocacy play in the film? How much publicity does HIV/AIDS receive today?  What’s the story of HIV/AIDS in the 21st century? Explain.

Discussion Prompt #2

• How do occupation and culture influence psychosocial stressors that affect middle-aged adults? How does your occupation influence psychosocial stressors?

1 page each

A  17 year old male client in an inpatient psychiatric unit is being  uncooperative. The client is standing in front of the nursing station,  where the nurse answers incoming phone calls and discusses patient care  with the treatment team. The nurse kindly asks the client to return to  the dayroom and join the rest of patients for group. However the client  says, “No, I am perfectly fine where I am.” A staff member observes the  situation and steps in and states, “you need to go to group now, or we  will have to escort you to the quietroom.” The client looks at the staff  member and says in a calm tone, “you can’t make me move, I am not doing  anything wrong.” The nurse realizes this situation is escalating and is  stuck between a rock and a hard place. Please consider all the details  provided above and answer the following questions:

1. What does the principle of the least restrictive environment have to do with this situation?
2. What role does HIPAA play in this scenario and why does it make the situation more complicated?
3.  Which nurse would be more likely to initiate a restrictive intervention  for this client, a nurse with a utilitarianism view of ethics or a  deontological view of ethics? And why?
4. Finally, how would you resolve this situation?

510 x1

561x 2

521×2

Quite often, nurse leaders are faced with ethical dilemmas, such as those associated with choices between competing needs and limited resources. Resources are finite, and competition for those resources occurs daily in all organizations.

For example, the use of 12-hour shifts has been a strategy to retain nurses. However, evidence suggests that as nurses work more hours in a shift, they commit more errors. How do effective leaders find a balance between the needs of the organization and the needs of ensuring quality, effective, and safe patient care?

In this Discussion, you will reflect on a national healthcare issue and examine how competing needs may impact the development of polices to address that issue.

To Prepare:

• Review the Resources and think about the national healthcare issue/stressor you previously selected for study in Module 1.
• Reflect on the competing needs in healthcare delivery as they pertain to the national healthcare issue/stressor you previously examined.

By Day 3 of Week 3

Post an explanation of how competing needs, such as the needs of the workforce, resources, and patients, may impact the development of policy. Then, describe any specific competing needs that may impact the national healthcare issue/stressor you selected. What are the impacts, and how might policy address these competing needs? Be specific and provide examples.

By Day 6 of Week 3

Respond to at least two of your colleagues on two different days by providing additional thoughts about competing needs that may impact your colleagues’ selected issues, or additional ideas for applying policy to address the impacts described.

 Instruction

THIS IS A GROUP ASSIGNMENT SO I AM GOING TO NEED TO COLLABORATE 2 PAGES IN THE PAPER. DOES NOT NEED AN INTRO OR CONCLUSION. JUST IN TEXT CITATIONS AND REFERENCE AND THE 2 PAGES NEEDS TO BE “IDENTIFYING CURRENT PUBLICATIONS” ON A RECENT ARTICLE ABOUT “ELDERLY POLYPHARMACY”. THIS IS THE INSTRUCTIONS: Identify current publications concerning the issue being analyzed – literature review 30% In this section the team must demonstrate analysis and synthesis of the extant literature. The review should include information published in refereed journals, authoritative websites, government and other publications. References should be current and reflective of contemporary thought with regard to the selected issue. ALSO, THE POWERPOINT IS ALSO GROUP ASSIGNMENT SO PLEASE MAKE 2-3 SINGLE SLIDES REFERRING TO (ELDERLY POLYPHARMACY) AND TO “IDENTIFY CURRENT PUBLICATIONS AS WELL” NO INTRO OR CONLUCION NEEDED FOR THE SLIDES EITHER JUST 2 SLIDES IDENTIFYING CURRENT PUBLICATIONS ON ELDERLY POLYPHARMACY LIKE THE 2 PAGE PAPER AS WELL

 An 89-year-old female complains of a “stabbing chest pain” and points to the area just below her scapula at the right mid-clavicular line. She states that she had an upper respiratory infection last week that “just seems to hang on.” She has no other complaints. 

• Which lab or imaging tests would you order for this patient? Why?

Reflect upon the selected practice problem in Weeks 1 and 2 and consider the following. Practice Problem is Diabetes Mellitus

• What are the common barriers to evidence translation in addressing this problem?
• What strategies might you adopt to be aware of new evidence?
• How will you determine which evidence to implement?
• How will you ensure continuation or sustainability of the change?

I just want to copy and paste from the attached chapter, and put it into PowerPoint I mean copying the important things, in other words I mean abbreviate the chapter. Because I don’t have the time to figure out the important things in the chapter and copy and paste them