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2025 Write a 4 6 page evidence based patient centered care report on the patient scenario presented in
by adminTraumatic Brain Injury Care Report 2025
Write a 4-6 page evidence-based patient-centered care report on the patient scenario presented in the Evidence-Based Health Evaluation and Application media piece. Base your report on the information provided by the traumatic brain injury expert from the population health improvement initiative (PHII) described in the media activity and your own evidence-based research on this population health issue. In this assessment, you will apply evidence-based practice in patient-centered care and population health improvement contexts. You will be challenged to think critically, evaluate what the evidence suggests is an appropriate approach for a personalized patient care plan, and determine which aspects of the approach could be applied to similar situations and patients. Demonstration of Proficiency By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria: Competency 1: Apply evidence-based practice to plan patient-centered care. Evaluate the outcomes of a population health improvement initiative. Develop a personalized patient care plan that incorporates lessons learned from a population health improvement initiative. Competency 2: Apply evidence-based practice to design interventions to improve population health. Propose a strategy for improving the outcomes of a population health improvement initiative, or for ensuring that all outcomes are being addressed, based on the best available evidence. Competency 3: Evaluate outcomes of evidence-based interventions. Propose an evaluation strategy for the outcomes of personalized patient care plan and determine what aspects of the approach could be applied to similar situations and patients. Competency 4: Evaluate the value and relative weight of available evidence upon which to make a clinical decision. Identify the level of evidence and describe the value and relevance it brings to personalized care for your patient. Competency 5: Synthesize evidence-based practice and academic research to communicate effective solutions. Write clearly and logically, with correct grammar and mechanics. Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style. Scenario The charge nurse in your clinic has contacted you to assume primary care for a patient and develop a plan for follow-up care. The plan should be personalized for him based on evidence-based research provided by a community expert as well as your own research on the condition. You will also be challenged to determine which aspects of the traumatic brain injury (TBI) approach could be applied to similar situations and patients. Your Role You are a nurse who has been requested to provide primary patient care, including a follow-up care plan. You will revisit the interview with the community TBI expert and prepare a personalized health plan for the patient. Instructions Review the Assessment Case Study: Traumatic Brain Injury Care Report media activity. Review relevant evidence-based research from 3–5 additional scholarly or professional sources about traumatic head injuries to support your evaluation, recommendations, and plans. The following requirements correspond to the grading criteria in the scoring guide, so be sure to address each point: Evaluate the expected outcomes of the population health improvement initiative (PHII) that the community expert reported based on data. Describe the outcomes that were achieved, their positive effects on the community’s health, and any variance across demographic groups. Describe the outcomes that were not achieved, the extent to which they fell short of expectations and any variance across demographic groups. Identify the factors (for example: institutional, community, environmental, resources, communication) that may have contributed to any achievement shortfalls. Propose a strategy for improving the outcomes of the PHII for traumatic head injuries. Describe the corrective measures you would take in the PHII to address the factors that may have contributed to achievement shortfalls. Cite the evidence (from similar projects, research, or professional organization resources) that supports the corrective measures you are proposing. Explain how the evidence illustrates the likelihood of improved outcomes if your proposed strategy is enacted. Develop a personalized patient care plan for the patient from the scenario that incorporates lessons learned from the PHII outcomes. Identify a personalized care approach that addresses the patient’s: Individual health needs. Economic and environmental realities. Culture and family. Explain how the lessons learned from the PHII informed the decisions you made in your personalized care plan for the patient. Incorporate references to the best available evidence from the population health improvement initiative and other relevant sources. Identify the level of evidence and describe the value it brings to personalize care for your patient. Identify the level of evidence for each resource you referenced. Explain why each piece of evidence is valuable and appropriate for the community health issue you are trying to address and for the unique situation of your patient and his family. Propose an evaluation strategy to assess the outcomes of your personalized care approach. Identify measurable criteria that are relevant to your desired outcomes. Explain why the criteria are appropriate and useful measures of success. Determine the specific aspects of your approach that are most likely to be transferable to other individual cases. Additional Requirements Organization: Use the following headings for your Traumatic Brain Injury Care Report: Evaluation of Population Health Improvement Initiative (PHII) Outcomes. Strategies for Improving PHII Outcomes. Personalized Evidence-Based Patient Care Plan. Analysis of Evidence. Evaluation Strategy for Personalized Care Approach Outcomes. Application for Other Cases. Length: Your recommended plan will be 4–6 double-spaced pages, not including title and reference pages. Font: Times New Roman, 12 points. APA Format: Your title and reference pages must adhere to current APA format and style guidelines. The body of your paper does not need to conform to APA guidelines. Do make sure that it is clear, persuasive, organized, and well written, without grammatical, punctuation, or spelling errors. You also must cite your sources according to APA guidelines. Materials: Patient Profiles From: Janie Poole To: Alexander Good morning! At last week’s conference I spoke with Alicia Balewa, Director of Safe Headspace. They’re a relatively new nonprofit working on improving outcomes for TBI patients, and I immediately thought of Mr. Nowak. At his last biannual cholesterol screening he mentioned having trouble with his balance. This may be related to his hypertension, but he believes it’s related to the time he was hospitalized many years ago after falling out of a tree, and expressed distress that this might be the beginning of a rapid decline. Ms. Balewa will be on premises next week, and I’d like to set aside some time for you to talk. — Janie Director of Safe Headspace-I have a patient who might benefit from some of the interventions for TBI and PTSD you recently studied. What populations did your public health improvement initiative study? My father came home from Vietnam with a kaleidoscope of mental health problems. That was the 1970s, when treatment options for things like PTSD, TBI, and even depression were very different. Since then there has been a lot of investment in treatment and recovery for combat veterans. That’s excellent news for veterans in treatment now, but they’re not looking at my dad, and how his TBI and PTSD have affected him through mid–life and now as a senior. That’s why I started Safe Headspace: to focus on older patients who are years or decades past their trauma, and find ways to help them. Which treatments showed the strongest improvement? Exercise. We were able to persuade about half of our participants — that’s around 400 people, mostly men ages 45–80 — to follow the CDC’s recommendations for moderate aerobic exercise. Almost everyone showed improvement in mood, memory, and muscle control after four weeks. After that a lot of participants dropped out, which is disappointing. But of the 75 who stuck with it for another three months, muscle control improved 15%, mood improved 22%, and short–to–medium term memory improved 61%. We didn’t specify what kind of exercise, but we did ask them to record what they did every week, so that data is available. Second was medication and therapy. Most of our participants didn’t receive any kind of psychotherapy in the years immediately following their trauma, so we had everyone assessed by a team of psychotherapists. As a result of those assessments, 40% of participants started on anti–depressant medication and 9% started taking anti–psychotics. Those who started taking medications now have regular contact with a therapist to manage that care. With some help at home to stick to the regimen, all but a few have successfully followed their treatment plans. They’ve reported a 26% improvement in mood over six months, and a 6% improvement in memory. The third treatment I want to mention is meditation. We only had a small group interested in trying it, but the results were dramatic. We prescribed daily meditation at home, just 10 to 15 minutes, with a weekly hour–long guided group meditation for all 23 participants. After three weeks we lost two to disinterest, but the other 21 showed improvements of over 70% in mood and memory, and 32% in muscle control. Have you tried anything that hasn’t worked? Sure. There are memory exercises for patients in elderly care, and things like Sudoku and crossword puzzles. We didn’t see any gains with those. Some of our participants preferred strength training to aerobic exercise, and the only improvement we saw in that group was in muscle control, but only 4%, which is significantly less than the aerobic group. I should also say that we were working with a willing group of participants. They knew they needed help, and were motivated to get it. One of the hurdles we see with veterans, especially in older generations, is an unwillingness to acknowledge that they have a problem. We haven’t had to wrestle with that because everyone who volunteers to participate wants to be there. Your organization is intervening with people who have TBI and PTSD simultaneously. We have a patient with moderate TBI suffered almost 40 years ago, but no history of PTSD. Have you separated your population and studied each separately? We haven’t, no. In some cases we could, for those who come in with previous diagnoses and medical records. But we have participants who either weren’t diagnosed, were under–diagnosed at the time, or don’t have records to show us. Assessment Case Study: Traumatic Brain Injury Care Report My Questions Question: What were the outcomes of the PHII? Answer: I was able to gather information enough to know how to care for my patient. Question: How could they have been improved? Answer: I would have asked some more questions. Question: How do the results of the PHII relate to Mr. Nowak’s case? Answer: They give me enough information to be able to help the Dr’s better develop a plan of care. Grading Rubric: 1. Evaluate the outcomes of a population health improvement initiative based on demographic, environmental, and epidemiological data. Passing Grade: Evaluates the outcomes of a population health improvement initiative based on demographic, environmental, and epidemiological data. Identifies knowledge gaps, unknowns, missing information, unanswered questions, or areas of uncertainty (where further information could improve the evaluation). 2. Propose a strategy for improving the outcomes of a population health improvement initiative, or for ensuring that all outcomes are being addressed, based on the best available evidence. Passing Grade: Proposes a strategy for improving the outcomes of a population health improvement initiative, or for ensuring that all outcomes are being addressed, based on the best available evidence. Acknowledges challenges in the proposed strategy. 3. Develop a personalized patient care plan that incorporates lessons learned from a population health improvement initiative. Passing Grade: Develops a personalized care plan that incorporates lessons learned from a population health improvement initiative, and identifies assumptions on which the approach is based. 4. Identify the value and relevance of evidence used to support a personalized patient care plan. Passing Grade: Identifies the value and relevance of evidence used to support a personalized patient care plan. Identifies knowledge gaps, unknowns, missing information, unanswered questions, or areas of uncertainty (where further information could improve a personalized patient care plan). 5. Propose an evaluation strategy to assess the outcomes of a personalized care approach. Passing Grade: Proposes an evaluation strategy to assess the outcomes of a personalized care approach. Identifies aspects of the approach that could be challenging, with solutions. 6. Determine aspects of the personalized approach that could be applied to similar situations and patients. Passing Grade: Determines aspects of the personalized approach that could be applied to similar situations and patients. Exhibits insight into the broader application of the approach for the community. 7. Write clearly and logically, with correct grammar and mechanics. Passing Grade: Writes clearly, logically, and persuasively; grammar and mechanics are error-free. 8. Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style. Passing Grade: Integrates relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style. Citations are error-free.
Nursing Assignment Help 2025
2025 Start reviewing and responding to the postings of your classmates as early in the week as possible
by adminReply to my peers 2025
Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to all of the initial postings from your peers in your discussion group on different days of the week. Peer 1 Punnett square is a graphical representation of genotype odd resulting from the genetic crossing of a particular type. The chart representation of possible offspring is essential in predicting traits, and this is achieved by analyzing the composition of the gene. According to R et al. (2018), Although the Punnett square is a convenient tool for genetic prediction, it has limitations in complex genetic inheritance. Significantly, the Punnett square is limited when predicting genotype in the scenario where two traits are inherited together or in the situation where two genes are linked (Lockhart, 2018). On the other hand, multiple genes can be used to determine a single trait, and therefore, the punnet square is limited in predicting offspring’s phenotype. According to R et al. (2018), Hemophilia either occurs due to spontaneous mutation or inherited. In the case given, the mother has a recessive allele(hemophilia) and a dominant allele. Odd of female offspring developing hemophilia While mothers without hemophilia can transmit X chromosome with mutation, the female can receive a normal X chromosome from the father who is not affected by hemophilia. That being the case, all the daughters will not have hemophilia although they inherit the X chromosome from the father. Odd of female offspring being hemophilia carrier Just like the mother, who is, in this case, a hemophilia carrier, there is a 50% chance that offspring will be a carrier. Odd of male offspring developing hemophilia In this case, the male offspring inherit the Y chromosomes from his father and the mother’s X chromosomes. That being the case, the son can inherit either mutate or normal chromosomes, and the probability of developing hemophilia is 50%. Odds of a male son being hemophilia carrier In males, the mutated chromosome is enough for the development of hemophilia, meaning that the male cannot be a carrier of hemophilia in this case. Odd of offspring developing hemophilia. There is a 25% odd that the son will have hemophilia, a 25% chance that the daughter will be a hemophilia carrier, and a 50% probability that the two people will have mutated genes. The reason why some offspring developed the disease Significantly, for hemophilia development, only the offspring that have mutated X chromosome will develop the disease. In the case of a daughter, it will be impossible for them to develop hemophilia, for they receive the gene from the father who is unaffected by hemophilia (R et al., 2018). In the male case, the sons will be having a 50% chance of receiving their mother’s healthy gene; in this case, she is a carrier. Reference Lockhart, J. (2018). Suspended animation: A transcriptional module triggers embryo formation in suspensor cells. The Plant Cell , 31 (1), 5-6. https://doi.org/10.1105/tpc.18.00975 R, V., P, N., & N, S. (2018). Survey on the genetic variation among the students. Insights in Biomedicine , 03 (01). https://doi.org/10.21767/2572-5610.10041 Peer 2 Describe the Punnett Square and what it used to predict. What are the limitations of the Punnett Square? The Punnett Square is a diagram that shows the matting pattern of two individuals with an autosomal dominant gene. (McCance, 2019) The Punnett square was created by Reginald C. Punnett and was used to predict the traits of offspring based on the traits of their parents, this diagram is now the basis of most school teaching of genetics. (Adelman, 2017) The Punnett squares can be used in complicated situations but there are easier genetic squares that can be used when it come to a more complexed situation. (Taylor, 2019). Scenario: Mom is a carrier for hemophilia but does not have the disease. Dad does not have hemophilia.. What is the probability a female offspring developing hemophilia? There is zero probability of the female offspring developing hemophilia. What is the probability of a female offspring being a carrier for hemophilia? There is a 25% percent probability that the female offspring will be a carrier of hemophilia What is the probability of a male offspring developing hemophilia? There is a 25% chance that the male offspring will develop hemophilia and a zero percent chance that the male will be a carrier of hemophilia. What is the probability of a male offspring being a carrier developing hemophilia? There is zero chance that the male will be a carrier of hemophilia. What is the probability of any offspring developing hemophilia? If there are two children, the probability of any offspring developing hemophilia it would be a 25% chance Explain why only some offspring would develop the disease? The reason why only some offspring would develop hemophilia is due Approximately 30% of cases of hemophilia are caused by a spontaneous mutation of the gene. In some cases, the mother is not a carrier of hemophilia, and the child is affected. This child may be the first in the family to have hemophilia and to carry the defective factor gene. In some cases, the genetic mutation occurs in the mother, and she finds out she is a carrier (through DNA testing) after she has a child with hemophilia. (www.hemophiliafed.org) Reference: Adelman, J. (2017, June 08). The Punnett Square: Predicting the traits of offspring based on the traits of their parents. Retrieved December 19, 2020, from https://www.irishtimes.com/news/science/the-punnett-square-predicting-the-traits-of-offspring-based-on-the-traits-of-their-parents-1.3102939 McCance, K.L., Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children. St. Louis, MO: Elsevier Taylor, Courtney. (2020, August 26). Probability and Punnett Squares in Genetics. Retrieved from https://www.thoughtco.com/probability-and-punnett-squares-genetics-4053752 https://www.hemophiliafed.org/understanding-bleeding-disorders/what-is-hemophilia/hemophilia-a/inheritance-pattern/
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2025 Instructions The purpose of the Theory Evaluation Paper is to help you critically evaluate a middle range nursing
by adminNU500-8B-Unit 4 Assignment Theory Evaluation Paper 2025
Instructions The purpose of the Theory Evaluation Paper is to help you critically evaluate a middle-range nursing theory. This assignment will be completed using the three stages of the theory evaluation process : Theory Description, Theory Analysis, and Theory Evaluation . Select a Middle-Range Nursing Theory- Select one specific middle-range nursing theory from your textbook that best suits your area of practice. (Ex. Pender’s Health Promotion Model, Kolcaba’s Comfort Theory, Beck’s Postpartum Depression Theory, etc.) APA Student Title Page – (No Abstract Needed) Include the following information on the Student title page in 7th APA format: Assignment name in Bold Font: (Ex. Theory Evaluation Paper: Swanson’s Theory of Caring) Skip a Line Your Name Name of University Course Number and Name Instructor’s Name Date of Submission (Month, Day, Year) Introductory paragraph Capture the reader’s attention (ex. Grabbing statistics) and discuss the rationale for selecting the specific nursing theory for your area of nursing over other nursing theories (Do not write in first person; Include a purpose/thesis statement of what you will describe in the paper as the last sentence of the introductory paragraph.) Next, begin the Body of Paper. Theory Description (Level 1 Header) Purpose (Level 2 Header); (Designate as Descriptive, Explanatory, Predictive, or Prescriptive; Include Scope-middle-range) Concepts (Level 2 Header); (Introduce and list main concepts) Definitions (Level 2 Header); (Define concepts and other important aspects) Relationship (Level 2 Header); (Describe relationship among concepts) Structure (Level 2 Header); (Describe; Is there a diagram of structure?) Assumptions (Level 2 Header); (beliefs, propositions of the theory) 5. Theory Analysis (Level 1 Header) Theory’s Origin (Level 2 Header); (historical creation and evolution of theory) Unique Focus (Level 2 Header); (distinctive views) Content (Level 2 Header); (include definitions of metaparadigm concepts of person, environment, health, and nursing) 6. Theory Evaluation (Level 1 Header) Significance (Level 2 Header); (usefulness, social significance, cultural significance) Comprehensiveness (Level 2 Header); (of the content, thoroughness, utility) Logical Congruence (Level 2 Header); (consistency and clarity of theory; consistent use of concepts throughout the literature) Credibility (Level 2 Header); (legitimacy, empirical support through research) Contribution to Nursing (Level 2 Header); (usefulness to nursing practice, education, and research) 7. Conclusion (Level 1 Header) Conclusion paragraph with concluding statements to summarize the content and re-state or re-phrase the purpose/thesis statement. 8. APA Reference Page- Please be sure to support your paper with in-text citations. Please use 5 peer-reviewed resources . Additional Instructions: Your assignment should be typed into a Word or other word processing document, formatted in APA style. Paper should be a minimum of 4-5 pages in length, excluding the title and references pages. You may increase the number of pages of the body of the paper up to 7-8 pages if needed. This is a scholarly paper and should not be written in first person . Paragraphs should have a minimum of 3 sentences. Paraphrasing should be done using in-text citations. Direct quotes should be rare and used only when the content can be said in no other way. If using direct quotes, you must include page or paragraph number. Unit 4 Required Resources McEwen, M. & Wills, E. (2019). Theoretical basis for nursing (5th ed.). Philadelphia, PA: Lippincott Williams & Wilkins. ISBN 9781496351203. Chapters 17 and 21 Chinn, P. & Kramer, M. (2018) Knowledge development in nursing: Theory and process (10th ed.). St. Louis, MO: Elsevier. ISBN 9780323530613 Chapter 8 Toolshero. (2019). Authentic leadership (Links to an external site.) . [Website]. Retrieved from https://www.toolshero.com/leadership/authentic-leadership/ Toolshero. (2019). Leadership (Links to an external site.) . [Website]. Retrieved from https://www.toolshero.com/leadership/ Clavelle, J.T., DNP, RN, NEA-BC, FACHE, & Prado-Inzerillo, M., DNP, RN, NEA-BC. (2018, November). Inspire others through transformational leadership (Links to an external site.) . American Nurse Today, 13 (11). [Website]. Retrieved from https://www.americannursetoday.com/inspire-transformational-leadership/ Greenleaf Center for Servant Leadership. (2016). What is servant leadership (Links to an external site.) ? [Website]. Retrieved from https://www.greenleaf.org/what-is-servant-leadership/ American Psychological Association. (2020). Publication manual of the American Psychological Association (7th ed.). https://doi.org/10.1037/0000165-000 Presentations Please view the following two videos or powerpoint presentations. They are offered in two formats for your viewing preference. Leadership Theories download [Powerpoint presentation] Module 4.1 Notes Leadership Theory download [Narrative Script Word Doc] Leadership Theories in Practice download [Powerpoint presentation] Module 4.2 Notes In Practice download [Narrative Script Word Doc] Websites AONL (Formerly AONE). (2019). Certified in Executive Nursing Practice Certification (Links to an external site.) . [Website]. Retrieved from https://www.aonl.org/initiatives/cenp ANCC (NL). (n.d.). Nurse Executive Certification (NE-BC) (Links to an external site.) . [Website]. Retrieved from https://www.nursingworld.org/our-certifications/nurse-executive/
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2025 4 DQ 2 Benefits of regular physical activity go beyond weight management Risk of developing heart
by adminDescribe measures that you would take as a nurse to assist clients with health promotion measures to incorporate exercise and physical activity into their lives. Include the kind of activities you would recommend, 2025
4 DQ 2 Benefits of regular physical activity go beyond weight management. Risk of developing heart disease is lowered by regular activity, which helps improve the condition and endurance of the heart. Activity plays a role in lowering blood pressure, maintaining healthy weight and lowering cholesterol levels. The heart muscle is also strengthened leading to improved blood flow and working capacity of the heart, which enhances ability to do activities (Bouchard et al., 2018). Obesity is considered one of the leading causes of type 2 diabetes. Studies indicate that weight loss from 5% to 7% lowers incidence of the disease by 58% (Wolfenden et al., 2016). Physical activity combined with good nutrition is important in maintaining blood glucose levels and reducing incidences of cardiovascular complications. When one exercises, the body muscles utilize glucose and in turn, the blood sugar levels go down (Colberg et al., 2016). Insulin resistance also decreases making it more effective. Nurses play an important role in inspiring patients to adopt physical activity. Simply talking to patients about activity and helping them set goals triggers awareness about personal health behavior. Enrolling the clients in community based exercise programs will help incorporate physical activity in their lives. The popularity of fitness is growing at many social levels and helping your clients be part of these programs will highly motivate them to indulge in activity. Adults should be active daily accumulating at least 150 minutes of moderate intensity activity or 75 minutes of vigorous activity over a week. Moderate intensity activities recommended include walking briskly, gardening, dancing and biking. Vigorous intensity activities such as running, swimming laps and hiking uphill can also be done.Using motivation interventions and fully involving the client is an important approach in gaining cooperation from the client and sustaining behavior change. The client is encouraged to focus on the improvements they can make and set their own realistic goals (Tuso, 2015). Using 200-300 words APA format with references in supporting discussion. For the middle-aged adult, exercise can reduce the risk of various health problems. Choose two at-risk health issues that regular physical exercise and activity can help prevent and manage. Discuss the prevalence of each of these health problems in society today. Describe measures that you would take as a nurse to assist clients with health promotion measures to incorporate exercise and physical activity into their lives. Include the kind of activities you would recommend, the amount of exercise, and the approach you would use to gain cooperation from the client. Support your response with evidence-based literature.
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