Comment 1

One professional journal that I would present my project would be the American Journal of Nursing because this journal contains many peered reviewed articles on issues that many nurses face today. According to the American Journal of Nursing (2018), it is one of the largest and oldest journals that contains information from all over the world. I believe that since it’s available in all parts of the world, it would be perfect for the dissemination of my project because the problem of pressure ulcer development occurs in health care settings all over the world.

The nursing conference that I would choose would be the 47th Global Nursing and Healthcare Education because after reading about its description, I believe that my project would fit well. According to the New York Events List, this conference would take place November 8-9, 2019 in San Francisco CA. I currently live and work in the Bay Area, so the location is not very far away. In the description of the conference, it specified that it “is a platform for nursing students, faculty, deans, researchers, and leaders to collaborate on topics affecting nursing education” (New York Events List, 2018, para 4). I would also be able to present the information through oral and poster presentations. All kinds of nurses with different degrees and level of expertise would be present, which is important because my project has the potential to affect patients in all types of health care settings.

Comment 2

One professional journal that I would present my capstone project idea would be The American Journal of Maternal/Child Nursing. Also, I would like to present my capstone project idea to the Journal of Psychiatric and Mental Health Nursing. By presenting to both journals would allow the research and information to be spread to a wider range of individuals and patients. This would allow for two different specialties of nursing to expand their knowledge about postpartum depression and how to provide the best patient care possible. These group of professionals and researchers could add to the information or even bring about new options that have not be incorporated yet.

There are two main conferences that I would present my capstone project, this includes Mental Health American Conference or NAMI National Convention. The website below provides a link to a year’s worth of mental health conferences that would be appropriate to present the information with. Conferences are a great way to present information because of the wide variety of attendees. Conferences also provide the individuals with a wide arraignment of resources as well. Attending conferences will allow individuals to expand their knowledge and improve their own practices.

Comment 3 DQ 2 Cind

Evidence based practice is essential to BSN-prepared RN because it is the incorporation of research, clinical expertise, and patient preference and values according to Lippincott (2016).  Incorporation of evidence-based research into my daily work day will provide solid foundation for safe patient care. I will try to invite conversation and debate as to the effectiveness of procedure changes and whether they provide the best care for our patient population. I will become active in my attendance of meetings on the unit that pertain to the welfare and health promotion of staff and the patients we care for. Attendance of conference meetings and unit program meetings on a regular basis will keep me current and up to date on proposed changes.

Obstacles would be the time that is required to attend these meetings which are typically held during the day time hours which, for me, is when I am sleeping. I do not know if I can change this aspect of my involvement in unit politics, but I may be able to read meeting notes to keep abreast of meeting content.

Comment 4

EBP is an essential component in the practice of BSN-prepared RN because they must base their practice on EBP. This is vital because many studies have been conducted to determine if certain practices are the best to use or not. Health care is constantly changing and growing and the way patients care is given changes as well. New and improved methods to increase patient outcomes are being discovered all of the time. In order to determine their effectiveness, multiple studies must be done. According to Salinas (2017), “EBP continues to change the way nurses care for their patients…high quality care is supported by evidence…[and] takes into account…best practice evidence, patient preferences, and clinical expertise” para 1-3). Salinas (2017) also mentioned that EBP teaches nurses how to improve patient outcomes, reduce costs, provide high quality care, and eliminate practices that are no longer effective. Although the article refers to students, it refers to BSN-prepared nurses as well because in reality, nurses will always be students. Nursing require lifelong learning.

Two ways that I would integrate evidence into my practice would be by as I complete my CEs required for my license, I would choose topics that would relate to the environment that I am in. For example, if I stayed at my facility, I would continue to learn about methods to improve wound care. This would include the types of treatments to used based on the assessment of the wound. Another way would be to attend meetings and conferences about patient care and take what I have learned and implement it in my practices.

Obstacles that could challenge this plan would be time to conduct more research and attend the conferences and meetings. Motivation would also be a major barrier as well. To minimize this impact, I would need to refine my time management skills, and find factors to help motivate me. One important factor would be to remind myself that I want to give my patients the best care possible and in order to do that, I must be willing to learn new things.

You will respond individually to the following two presentations by using references and addressing the following:

Video # 1 (Robert):       https://youtu.be/wD41ROKTvz4

Video # 2 (Mathew):    https://youtu.be/KM2Kc7nxhQ8

Although you may have more than one question after viewing the groups’ presentations, you will identify one question you have for each of the two presentations and then find an article in the Google Scholar that uses each of the two group’s research method (a different research article from what that group included in their presentation) and briefly summarize how it incorporates that research method. 

Describe the question and how you went about answering it, i.e., where you found the answer.

Provide the complete APA reference for the articles in both of your replies, as well as use proper APA citations.

FREE OF PLAGIARISM! TURNITIN ASSIGNMENT!

I need this 2 page paper by Tuesday at 7:00 pm CDT. No Plagarism please! The details are below:

In a two page, double spaced document using references in APA Format: Compare and contrast 2 types of managed care models. Describe each managed care model, discuss the impact of the model on the physicians practice and the impact of the model on the providers reimbursement. 

The two models I would like compared and contrasted are HMO and PPO. If yo have any questions, feel free to chat me.

Using the guidelines presented on pages 194-205 of your text go to the website Procon.org and using the guidelines below discuss the topic of Health Care as a right or a privilege.  This should be a 3-4 page paper and I will be looking for primary source citations.

Please use standard margins and set line spacing at 1.5.

Suggested Subheadings:

Background: Express your opinion/position about the issues addressed by this topic. (1-2 paragraphs)

Disclosure: Describe your knowledge about the topic and identify your attitudes, beliefs, values and any bias you may have about the issues associated with the topic (1-2 paragraphs)

My Knowledge: Is your understanding of the issues balanced; can you articulate both sides of the issues? (1-2 paragraphs)

Factual Findings:  What are the facts for and against the issues related to the topic? What factual information did you find to support your position?  Describe at least 2 pieces of factual information that refutes your position or bias. (2-3 paragraphs)

Pro-Con Summary: What were two arguments presented for and against that are new, or added to your list of things to consider? If after reading the Pro-Con arguments you have discovered new information express what you’ve learned and describe how that has influenced your position (1-2 paragraphs)

Facts vs. Opinion:  If there is factual evidence to your position state it here.  If not, are there strong opinions that work in your favor?  If no factual information was presented, identify at least 2 opinions that are used to state a position. (1-2 paragraphs)

Support for My Position:  Identify the two arguments that best support your position. (1-2 paragraphs)

Opposition to My Position Identify the two strongest arguments that oppose your view about the topic. (1-2 paragraphs)

Summary: Summarize whether your position has been enhanced or weakened by the arguments presented in favor or against your original position. (2-3 paragraphs)

Use the

Assignment 7 template as a guide for formatting your paper.

Students must post one interesting case that he/she has seen in the clinical setting via Discussion Board in the online part of this course. The case should be an unusual diagnosis, or a complex case that required in-depth evaluation on the student’s part. The case should be posted in the SOAP format, with references for the patient diagnosis, differential diagnoses (there should be at least 3), and the treatment plan. Notes will be graded as “pass/fail”. In order to receive grade points for SOAP notes, the notes must be approved by the deadlines specified on the course assignments page. The student will lose the opportunity for points on any SOAP notes not approved by the specified deadlines. The posting does not have to be written in APA format, but should be written with correct spelling and grammar. References should be in APA format. The selected references should reflect current evidence – dated within the past 5 years. 

__________________________________________________________________________________________

Sample of a SOAP note below: 

HPI:
Patient is a 78-year-old man who live insist that use sunblock he walks a lot outdoors and has a very significant and on his arms with a dryness and arms also.
He presented with cough. chest. The symptom started few days ago. It is described as intermittent. Frequency is daily. The complaint is ongoing. Smoking status: Never smoker
Alcohol consumption: Never consumed
Substance abuse: Never consumed
Active Medications:
Atenolol (25.00000 – mg), take 1.00 tablet by mouth once a day
Lovastatin (40.00000 – mg), take 1.00 tablet by mouth once a day
Pantoprazole sodium (40.00000 – mg), for 90 days,
Tramadol hcl (50.00000 – mg), take 1.00 tablet by mouth twice a day
Allergies: He has no active known allergies.
Review of History:
Past surgical:
Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance, Last performed on 10/02/2013.
Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoroscopy or ct) including arthrography when performed. Colonoscopy, flexible; with biopsy, single or multiple Last performed on 10/20/2010.
Complex uroflowmetry (eg, calibrated electronic equipment), Last recorded on 08/26/2010.
Voiding pressure studies (vp); bladder voiding pressure, any technique. Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging, Last recorded on 08/26/2010.
Cystourethroscopy (separate procedure), Last performed on 08/03/2017.
Biopsy, prostate; needle or punch, single or multiple, Last recorded on 07/02/2014.
Injection, anesthetic agent and/or steroid, paravertebral facet joint or facet joint nerve; lumbar or sacral, single level.
Injection, anesthetic agent and/or steroid, paravertebral facet joint or facet joint nerve; lumbar or sacral, each additional level (list separately in addition to code for primary procedure).
Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification).
Reviewed the following past medical:
Essential (primary) hypertension.
Constipation, unspecified.
Gastro-esophageal reflux disease without esophagitis.
Benign prostatic hyperplasia without lower urinary tract symptoms. Barrett’s esophagus without dysplasia.
Hematuria, unspecified.
Elevated prostate specific antigen [psa].
Benign prostatic hyperplasia with lower urinary tract symptoms.
Ventral hernia without obstruction or gangrene.
Social History:
He is married, never smoker, has never consumed alcohol, is a current every day consumer of coffee or tea, is not a substance abuser, has a Dairy Free diet, follows a balanced diet, has sufficient rest or recreation, does not have a risky sexual behavior, does not have disabilities, does not have family stress, does not have job stress, does not do physical exercise,has living arrangements: Private Residence with Family.
Family History: His family presents the following diseases: his Mother has Heart disease (high blood pressure), his Father has Heart disease (heart).
ROS:
Eyes: The patient denied change in vision, eye pain, redness, discharge.
Ears, Nose, Mouth, Throat (ENT): The patient denied loss hearing, congestion, sinus pain, change in hearing, ringing in ears (tinnitus), frequent nose bleeds (epistaxi), sore throat, hoarseness, ear pain, pain in throat.
Respiratory: The patient complained of cough, but denied wheezing, hemoptysis, phlegm.
Cardiovascular: The patient denied chest pain, palpitations, dyspnea, orthopnea, shortness of breath, hypertension.
Gastrointestinal: The patient denied acidity, gastritis, flatulence, hiccups, abdominal pain, difficulty swallowing(solids vs liquids), bloating, nausea, diarrhea, constipation, bright red blood per rectum (BRBPR,hematochezia), vomiting_, change in bowel habits, hemorrhoids. GU/Gyne/0B: The patient denied dysuria, hematuria, incontinence, pain with urination, cloudy urine, rectal discomfort.
Musculoskeletal: The patient complained of pain. Left Hip Pain, but denied wound, swelling (edema), tenderness, weakness, areas of numbness. Neurological: The patient denied dizziness, faints, headache, numbness, limb weakness, tremor, memory loss.
Psychiatric: The patient denied depression, anxiety, insomnia, suicidal thoughts.
Endocrine: The patient denied – diabetes mellitus, hair loss, heat or cold intolerance, change in facial or body hair, cfange in weight. lnteg.urnentary (skin and/or breast): The patient denied itching, change in moles, dry skin, ecchymosis, onychomycosis, lesion, abscess, rash. Hematologic/Lymphatic: The patient denied anemia, easy bruising, tender or palpable lymph nodes.
Allergic/Immunologic: The patient denied other reactions, sneezing, runny nose, post nasal drip.
Constitutional: The patient denied fever, weight loss, weight gain, night sweats, fatigue/malaise/lethargy.

Vital Signs: Weight: 176 lb O oz. Height: 5 ft 8 in.
Pulse: 64 bpm. Pulse: Normal, interpretation: Normal
Blood Pressure: 140/70 mmHg. Location: Left Arm. Position: Sitting. Temperature: 97.6 degrees F. BMI: 26.8 kg/m2. Respiratory rate: 16 bpm.
PE: Constitutional: Overall: Alert, cooperative.in no distress.appears stated age. Development: well developed. Nourishment: well nourished. Eyes: Eye: Conjunctivae and sclerae are clear without icterus.Pupils are reactive and equal..
Ears, Nose, Mouth, Throat (ENT}: Head: Normocephalic, without obvious abnormality,atraumatic .. Ears: Normal external ear canals, both ears .. Nose: mucosa normal no drainage.bleeding .. Throat: Lips mucosa , and tongue normal; teeth and gums normal. Neck: Supple,Symmetrical,trachea midline,no adenopathy,no carotid bruit or JVD. Thyroid gland: normal. Mouth: Lips mucosa , and tongue normal; teeth and gums normal. Cardiovascular: Pulse: regular. Blood pressure: normal. Auscultation: murmur. I/VI SEM.
Respiratory: Chest and Lungs: Clear to ascultation bilaterally, respiration unlabored,no wheezing, rales or crackles ..
Gastrointestinal: Abdomen: hernia. Huge midline hernia Stable. Rectal: deferred. GU/Gyne/OB: Genitalia: deferred.
Musculoskeletal: Hip: pain. Left Hip pain in scale 1 -10 reports 7. Upper extremities: normal atraumatic, no cyanosis or edema. Lower extremities: normal atraumatic, no cyanosis or edema.
lntegumentary (skin and/or breast): Skin: Skin color,texture,turgor normal.no rashes,or lesions .. Nails: normal.
Neurological: Cranial nerves: Cranial Nerves II-XII appears intact. Motor: normal. Coordination and Gait: Alert,Oriented. Reflexes: Strength normal. Sensory: Alert.Oriented,
Psychiatric: Orientation to time, place and person: normal. Recent and remote memory: normal. Mood and affect: No distress,mood looks normal,no agitation,no hallucinations.
Hematologic/Lymphatic: Groin: normal. Other: Cervical, supraclavicular and axillary nodes normal.
Chest / Breast: Breasts: normal.
Assessments:
Essential (primary) hypertension.
Cough.
Body mass index (bmi) 26.0-26.9, adult.
Plan:
Follow up on 1 month
Kenalog 40 mg IM,
Zithromax Z Pack
Cholesterol diet – deeply colored fruits and vegetables, fiber rich grain products, fat-free products, 1 percent and low fat milk products, lean meats and poultry without skin, fatty fish, nuts, seeds, an legumes(dried beans or peas), and unsaturated vegetable oils ..
Patient Education: She received verbal educational instructions for All the questions was answered and understood, breast self exam, Call or Return if Symptoms worsen or persist, Depression Screening Performed today, Discussed Bowel and Bladder Control, Fall precautions and Accident prevention, I Discussed all treatment options with the patient, Reviewed all Current Medications, seat belt, Skin protection, stress