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Case Study:

42-year-old man presents to ED with 2-day history of dysuria, low back pain, inability to fully empty his bladder, severe perineal pain along with fevers and chills. He says the pain is worse when he stands up and is somewhat relieved when he lies down. Vital signs T 104.0 F, pulse 138, respirations 24. PaO2 96% on room air. Digital rectal exam (DRE) reveals the prostate to be enlarged, extremely tender, swollen, and warm to touch.

Please respond only to the prompts or questions relating to this case. For example, the anemia prompts do not correlate with this case.

Reading Material

McCance, K. L. & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier.

·  Chapter 24: Structure and Function of the Reproductive Systems (stop at Tests of reproductive function); Summary Review

· Chapter 25: Alterations of the Female Reproductive System (stop at Organ prolapse); pp. 787–788 (start at Impaired fertility) (stop at Disorders of the female breast); Summary Review

·  Chapter 26: Alterations of the Male Reproductive System (stop at Hormone levels); Summary Review

·  Chapter 27: Sexually Transmitted Infections, including Summary Review

·   Chapter 28: Structure and Function of the Hematological System (stop at Clinical evaluation of the hematological system); Summary Review

· Chapter 29: Alterations of Erythrocytes, Platelets, and Hemostatic Function, including Summary Review

· Chapter 30: Alterations of Leukocyte and Lymphoid Function, including Summary Review

Low, N. & Broutet N. J. (2017). Sexually transmitted infections – Research priorities for new challenges. PLoS Medicine, (12), e1002481

An understanding of the factors surrounding women’s and men’s health, infections, and hematologic disorders can be critically important to disease diagnosis and treatment in these areas. This importance is magnified by the fact that some diseases and disorders manifest differently based on the sex of the patient. 

Effective disease analysis often requires an understanding that goes beyond the human systems involved. The impact of patient characteristics, as well as racial and ethnic variables, can also have an important impact..

An understanding of the symptoms of alterations in systems based on these characteristics is a critical step in diagnosis and treatment of many diseases. For APRNs, this understanding can also help educate patients and guide them through their treatment plans.

In this Assignment, you examine a case study and analyze the symptoms presented. You identify the elements that may be factors in the diagnosis, and you explain the implications to patient health. 

Assignment ( 2-pages case study analysis)

In your Case Study Analysis related to the scenario provided, explain the following:

• The factors that affect      fertility (STDs).
• Why inflammatory markers      rise in STD/PID.
• Why prostatitis and      infection happens. Also explain the causes of systemic reaction.
• Why a patient would need a      splenectomy after a diagnosis of ITP.
• Anemia and the different      kinds of anemia (i.e., micro and macrocytic).

Community Health Assessment and Health Promotion-1000 words-due 9/23/2020

In 1000 words respond to each question below. Use the textbook and source to support statements 

1. Elaborate on the effectiveness of children immunization program as a primary community health diseases prevention method within the Peoria Illinois  community. 

2. Identify at least 2 immunization health promotion program and initiatives within the Peoria Illinois community. 

3. What are current population trends and attitudes regarding immunization? 

4. Elaborate on the obesity epidemic and its public health impact. 

5. Speak on at least two programs or initiative/programs that community and  public health officials have taken to reduce the prevalence of obesity within the Peoria Illinois community. 

Cite all source with credible scholarly articles. Use at least 3 reference.  Sources must be 5 years old or less. Use APA format 7th edition. Use statistical data to support each question. 

 Assess the culture  

REPLY1

Widely used nursing theories include Lewin’s 3 stage model and Lippits phase theory. The Lewin’s change theory consist of three stages including unfreezing, moving and refreezing stages. Unfreezing stage is when you recognize a change is needed, then you move to the phase when the change occurs and refreezing stage happens after equilibrium is established leading to satisfactory results and the cycles goes on and on. A distinct feature of Lewin theory is that it contains both driving forces and resisting forces and for the theory to be successful then the driving must overcome resistant forces. Lippits, Watson and Westley seven phase theory, first phase entails diagnosing the problem, assessing motivation, and capacity for change, evaluating change agent’s motivation and resource, choosing the appropriate role of the change agent, maintaining difference and last phase is termination of the help relationship (Tappen, 2016).

Lippits theory expands on Lewin’s model of change into the seven steps mentioned above as well it is more comparable to nursing process hence there is no significance difference between the two (Alageel, Gulliford, McDermott & Wright, 2018). However, Lewin’s is built on three fundamental steps thereby facing a lot of criticism since nursing is more complicated than the three levels. Similarly, both theories are widely used in nursing and both requires nurses who are willing and want to make change. The mentor has applied Lewin’s change theory because she has successfully introduced a new paper work despite the hospital having several rounds every hour. In the unfreezing period she has describe to nurses of the importance of the sheet and how to sign, in the moving stage she let the nurses give their opinions on the system and lastly in the refreezing stage she went round and made sure nurses make this a daily habit. In my own opinion, I believe that Lewin’s theory is more appropriate for my project since most nurses’ push for change receiving less resist from people.

Reference

Tappen, R. M. (2016). Advanced nursing research: From theory to practice. Jones & Bartlett

Publishers.

Alageel, S., Gulliford, M. C., McDermott, L., & Wright, A. J. (2018). Implementing multiple health behaviour change interventions for cardiovascular risk reduction in primary care: a qualitative study. BMC family practice, 19(1), 171.

REPLY2

There are several change theories that would be good to use for the implementation of my capstone change project. After discussing these theories with my preceptor and listening to her stories of success as well as failures, we decided Lewin’s change theory will work best in implementing my change project at the acute care hospital, because there will need to be a strong push for this to be accepted into practice. She had successfully used this theory in the hospital when implementing changes in the past, but she supports the idea that depending on the theory or approach, the outcome can be very different. Combining theories can also be very successful for reaching intended outcomes.

Lewin’s change theory involves three steps: freezing, moving and refreezing. Freezing involves using evidence to show why the change is necessary, moving is the active process of the change as it begins to occur in the organization and usually where most friction is met, and refreezing happens after the change is put in place and establishes momentum (Manyibe, et al,.2015). Success is dependent on the driving force dominating the resistant force.

Lippet’s theory builds on Lewin’s theory, but includes seven phases instead of just three. In this theory, leadership or management acts as the agent for change. The phases include identifying the problem, assessing willingness and driving force for change, evaluating management’s motivation and resources to apply changes, maintaining the change, leadership stepping into the change agent role with designated responsibilities and lastly when the change agent is accepted as part of the organizational culture (Udod, & Wagner, n.d.).

 Manyibe, E. O., Aref, F., Hunter, T., Moore, C. L., & Washington, A. L. (2015). An emerging conceptual framework for conducting disability, health, independent living, and rehabilitation research mentorship and training at minority serving institutions. The journal of rehabilitation, 4, 25. Retrieved from https://eds-a-ebscohost-com.lopes.idm.oclc.org/eds/pdfviewer/pdfviewer?vid=10&sid=023f49db-8dd6-4cc0-9e7d-ef58670ad40d%40sessionmgr4008

 Udod, S., & Wagner, J. (n.d.) Common change theories and application to different nursing situations. Retrieved from https://leadershipandinfluencingchangeinnursing.pressbooks.com/chapter/chapter-9-common-change-theories-and-application-to-different-nursing-situations/

Compare and contrast the differences in purpose and data analysis methods between quantitative and qualitative nursing research.  Provide two examples of a research question, one question for each type of research, that you might wish to investigate in your future advanced nursing role. 

Expectations

Initial Post

• Length: A minimum of 250 words, not including references
• Citations: At least one high-level scholarly reference in APA format from within the last 5 years
• Readings Polit, D.R., & Beck, C.T. (2018).  Essentials of nursing research: Appraising evidence for

  nursing practice (9 th ed.). Philadelphia, PA: Wolters Kluwer Health.)

Activity 5: Lesson Plan and Teaching Methods

Choose a comprehensive educational topic (examples: care of patients with asthma, stroke, diabetes, etc.) for pre-licensure nursing students, orientation for new nurses in a health care organization, or staff development of seasoned nurses. 

Develop a lesson plan (Use the Teaching Plan Template )

Create and include each of the following teaching methods for the chosen comprehensive education topic. 

Develop each activity in a Microsoft Word or PowerPoint format and submit with the Teaching Plan.

Teaching Methods:

a) Concept map

b) Mnemonic 

c) Case study

d) Game

The influence of leadership can be far-reaching in practice and improving patient outcomes even when not in a formal role. Describe advocacy strategies that you can use as a leader to create positive change in your current workplace (long term/rehab center). In response to peers, describe a time when you provided leadership and the outcome. Was there anything that you would do differently?

Topic: UTIs Urinary Tract infections. 

Case presentation. 

PowerPoint: 12 slides INCLUDING TITLE AND REFERENCES.

APA STYLE.  

Clinical Standard of Practice Presentation 

Students are expected to expand their use of resources for evidence-based practice beyond the required text and explore nursing and related literature to improve their understanding and application of advanced interventions. 

The focus of the presentation must reflect current treatment recommendations from accepted professional organizations. 

Presentations will be evaluated related to the criteria listed. Presentations must be no less than 8 or more than twelve slides in a PowerPoint format with a Reference List in APA format

Criteria Points

 1 Presents the case including CC, HPI, Hx, ROS, and PE findings concisely 

 2 List possible differential diagnosis with supporting/excluding criteria. 10 

 3 -What labs or tests are typically ordered concerning this condition? 

4- What results should the Does NP expect to see with this diagnosis? 

5 What medications are typically prescribed for this condition? List specific drugs, starting doses, dose ranges, precautions to keep in mind when prescribing these drugs.  

6-What are the outcomes expected or unexpected for this specific condition?  Moreover, What patient outcomes will trigger a referral? 

7- Provide patient teaching materials specific to their condition. 

1. Families may encounter different types of crisis. Choose one of the family crisis discussed in your textbook and discuss it.

WEEK 7

Reflect on the role that the electoral process and government plays in one’s daily work and family life. As nurses, health policy can influence both arenas of our lives. What policy issues might drive nurses to lobby Congress and/or get involved in campaign politics? What strategies might nurses use to have their voices heard? 

The American Nurse: http://www.theamericannurse.org/2014/10/22/time-for-nurses-to-get-out-the-vote/ 

**As a reminder, all questions must be answered to receive full credit for this discussion. please include your name in the title of the discussion. Also, make sure to use scholarly sources to support your discussion. APA FORMAT, TURNITING REPORT , 250 WORDS.