Please use apa format. 

CASE STUDY 3 – Reflecting on week 4’s lessons in the syllabus, select a patient population (pediatric, young adult, adult or geriatric), and briefly analyze a chronic cardiovascular disease (HTN, Heart failure, Dyslipidemia, Heart murmur etc.…), that may affect this population. Briefly tell how it impacts the patient’s quality of life and analyze the current research evidence on this topic and gold standard of care if any for your chosen population. (You may use an example from your clinical rotation (past or present) that you have encountered). Describe how you, the FNP, can/or have made a difference in the care of patients with this specific disease and tell of one specific patient care teaching that he/she may do to help minimize disease symptoms. 

 

Gladys is an LPN working second shift at a hospital about 1 mile from her home. She is a recent widow and mother of two teenage boys. She is 20 pounds overweight and has high blood pressure. She works long hours to support her family, but still has trouble making ends meet. She has a poor diet and doesn’t exercise. Gladys says she doesn’t exercise because she is too busy. She likes to cook for her sons and makes large meals of pancakes, bacon, and fried eggs for breakfast most days. Dinners usually consist of quick prepackaged meals because they are inexpensive and fast. Gladys has been experiencing significant stress that has started to impact her life and work. Gladys came in today at the request of both her supervisor and her physician.

Your supervisor asks that you submit your evaluation of the case within a professional report. In this report, describe the challenges you see for Gladys. In addition, develop an innovative solution plan for Gladys addressing each of the identified challenges including a timeline for implementation.

Assignment Directions

The report should be on topic, original, and have clear foundations in evidence-based approaches. Assignments should be at least 3 pages double spaced, not including title page and references.

 

This assignment describe the teaching experience and discuss your observations. The written portion of this assignment should include:

 

1) **********5 full pages**************************** (cover or reference page not included)
2)¨**********APA norms
3)********** It will be verified by Turnitin and SafeAssign
4) **********References from the last 5 years  

 _________________________________________________

1. Summary of teaching plan
2. Epidemiological rationale for topic
3. Evaluation of teaching experience
4. Community response to teaching
5. Areas of strengths and areas of improvement

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. 

  

Application 1: Identification of a Practice Issue for the Evidence-Based Practice (EBP) Project

In many of the courses in the DNP program, you have been asked to analyze research literature when exploring issues in health care. Reflect now on an issue in your practice area that has different outcomes from what is supported by the literature. For example, the literature evidence notes that nosocomial infections are reduced when procedures such as hand washing, glove use, and isolation strategies are implemented. In your clinical area, you have implemented these strategies and you are not seeing a reduction in nosocomial infections.

For Application 1, you select an issue that will serve as the launching point for your Evidence-Based Practice (EBP) Project.

Before you proceed with this assignment, you may wish to review the overview of the full EBP Project assignment. (see attached file)

To prepare for Application 1:

• Consider      the specifics of your practicum setting, as well as practice-related      challenges in your specialty area that interest you. Brainstorm practice      issues in which an outcome is different from what would be expected      according to the research literature (based      on the PIICOT Question previously formulated).
• Select      one issue to focus on for this assignment (based on the PIICOT Question previously formulated).
• .      This will be your issue for the entire EBP Project, so be sure it is one      that will enable you to fulfill the project requirements (e.g., you can      develop new approaches to practice). You may wish to speak with your      Practicum Mentor about your selection.
• Explore      the research literature on this issue.

To complete: In a 2-page paper, in APA format and at least 3 references, address the following as numbered below:

1) Introduction ending with a purpose statement (e.g. the purpose of this paper is…)

2) Provide a summary of the selected practice issue in which the outcome is different from what would be expected according to the research literature. (Note: The issue you select must be suitable for completing the entire EBP Project.)

3) Conclusion

PIICOT Statement

In patients in extended intensive care within an urban acute care facility in Eastern United States, how does early mobilization as recommended by National Institute of Health and Care Excellence clinical guidelines on rehabilitation of patients after critical illness impact early transfers from intensive care as measured 6 months post-implementation when compared to the current standard of care including minimal mobilization of patients?

P: Adult patients 

I: in extended intensive care within an urban acute care facility

I: increased mobilization of the patients 

C: minimal mobilization of the patients

To students: In addition to the Learning Resources and facilitated discussions provided each week, you are expected to integrate articles from peer-reviewed journals to inform and support your positions and conclusions in the Application Assignments. Graduate-level scholarship provides the foundation for your work and requires a higher level of evidence than lay references, such as the dictionary, Wikipedia, general Internet sites, nursing newspapers, expert opinion, and the like. 

Must include at least 1 reference from the list of provided Required Readings and at least 2 references from scholarly articles from peer-reviewed journals

This assignment is due on Wednesday 09/05/18

  

Discussion: By tomorrow Wednesday 10/23/19, post a minimum of 550 words essay with at least three scholarly references which include the level one and two headers as numbered and lettered below:

1. Discuss your experience so far with healthcare policy and advocacy? 

a) How have you been involved? 

b) What have you learned from that involvement?

2. What would you say to other nursing professionals about the importance of healthcare policy and advocacy?

3. What are you plans for the future in regard to healthcare policy and advocacy? 

a) Are there areas that you need further training or development? 

b) Has the DNP program adequately prepared you for your role?

4. If this is not your first field experience, please compare and contrast what you are seeing this term versus last terms.