hi dear,

 can help me to finish this assignment with good quality and be on time please?

I just need to 2 responses to the Discussions, and about 100 words for each responses.

  

1. The 2 physical activity objectives that I find to be significant are:

PA-8.2.3 – Increase the proportion of adolescents in grades 9 through 12 who view television, videos, or play video games for no more than 2 hours a day.

The baseline level for this goal was 67.2% in 2009 with a goal to increase this by 10% to at least 73.9%.

I selected this topic because as society’s use and dependence on electronic interactions for education, entertainment, and even education, has grown, there has been an increase in the number of adolescents and young children using these devices. According to a report by Michael McCarthy in the British Medical Journal, it is estimated that youth and adolescents spend approximately 11 hours a day in front of some from of screen. This, in place of going outside to play and having live interactions with their peers, leads to early health issues such as obesity, as well as setting the stage early for a more sedentary life-style for their laters years. If  we can work to decrease how long these children are in front of these devices and encourage them to get out and play instead, we can set the pace for a healthier way of living for our children as well as ourselves.

Current statistics show that the country is on the right track with improving this rate. According to the current data on Screen Time for teens, the most recent information (2015) showed nationwide, improvement to 75.3%. This is an approximately 11.4% increase over the 2011 rate of 67.6%. In reviewing the data for all the states, there was a general increase in all states that had data for the years listed, with the exception of Alaska which increased between 2011 and 2013, but decreased in 2015.

PA-11.1 – Increase the proportion of office visits made by patients with a diagnosis of cardiovascular disease, diabetes, or hyperlipidemia that include counseling or education related to exercise.

I selected this objective because I feel it’s important for this to be addressed in all physician office visits but most importantly to those that are diagnosed with illnesses that can be prevented or positively impacted by increased and improved physical activity.  It would make a significant difference if physical activity education and opportunities for guided exercise were provided and encouraged. According to the objective data, for 2007, only 13% of office visits included counseling or ecercise education.  The goal for 2020 is for a 10% increase to at least 14.3%. 

The data showing the disparities between ethnicities showed that in 2007, only 11.5% of Black or African Americans were educated on exercise with an increase to 16.3% by 2010.  This is an approximately 42% increase for this demographic.

2.   The first objective I selected to review is PA-8.2.1Increase the proportion of children aged 2 to 5 years who view television, videos, or play video games for no more than 2 hours a day. The reason I selected this objective is mainly that my youngest is 2 years old and my son is 5 years old. The baseline for PA-8.2.1 is 75.6 percent of children age 2 to 5 years viewed television, videos, or played video games for no more than 2 hours a day in 2005–08. The target percentage set for PA-8.2.1 is 83.2 percent with a target-setting method of 10 percent improvement. From 2005 to 2008 females (76.7%) had a higher percentage compared to males (74.4%) who viewed television, videos, or play video games for no more than 2 hours a day. Black or African American had a lower percentage at (57.6%) of children who viewed television, videos or play video games for no more than 2 hours a day. Compared to white only, non-Hispanic or Latino with a higher percent of 83.7 percent of children ages 2 to 5 years old who viewed television, videos, or play video games for no more than 2 hours a day.

The second objective I selected was PA-14.2 Increase the proportion of trips of 2 miles or less made to the school by bicycling by children and adolescents aged 5 to 15 years. The reason why I selected this objective due to my oldest is in this age group. The baseline for the objective is 1.4 percent of trips of 2 miles or less were made by bicycling to school by children and adolescents aged 5 to 15 years in 2009 and the target is 3.4 percent with a target-setting method of 2 percent point improvement. In 2009 1.5 percent of males between 5 to 15 years of age bicycled to school with trips of 2 miles or less. In addition, 1.7 percent of whites only, biked to school and 1.6 non-Hispanic or Latinos also biked to school.  Based on age group 1.3 percent of 5-11 years biked to school with a trip distance of 2 miles or less and 1.6 percent of 12-15 years. Database on National Household Travel Survey 2009.

Thanks,

Review the Topic Materials and the work completed in NRS-433V to formulate a PICOT statement for your capstone project.

A PICOT starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention should be an independent, specified nursing change intervention. The intervention cannot require a provider prescription. Include a comparison to a patient population not currently receiving the intervention, and specify the timeframe needed to implement the change process.

Formulate a PICOT statement using the PICOT format provided in the assigned readings. The PICOT statement will provide a framework for your capstone project.

In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome.

Make sure to address the following on the PICOT statement:

1. Evidence-Based Solution
2. Nursing Intervention
3. Patient Care
4. Health Care Agency
5. Nursing Practice

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

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

RUBRIC:

Identification of Clinical Problem/Issue

Clinical problem/issue is identified based on key concepts that define evidence-based practice or clinical experience. Articles are cited to support the need for change in nursing practice. The identified problem/issue can be resolved, or a patient outcome can show a marked improvement through a nursing intervention.

Clinical Problem/Issue, Including Description, Evidence-Based Solution, Nursing Intervention, Patient Care, Health Care Agency, and Nursing Practice

Clinical problem/issue description includes a developed and thorough explanation of the problem/issue, the setting, the patient population, and the rationale for why it is a problem/issue. The identified clinical problem/issue explains the following elements with detail and clarity: evidence-based solution, nursing intervention, and improved patient care consistent with specific health care agency resulting in nursing practice change. Sound rationale is provided in the discussion of the clinical problem/issue resolution.

PICOT Statement Focused on Resolution, Improvement, Application, and Intervention

PICOT statement clearly focuses on the resolution of a clinical problem/issue and aims at improving patient care through the application of an evidenced-based nursing intervention.

PICOT Statement Including Population, Intervention, Comparison, Outcomes, and Time

Population, Intervention, Comparison, Outcomes, and Time are comprehensive and thoroughly developed with supporting details.

Presentation

Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

Argument Logic and Construction

Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

Writer is clearly in command of standard, written, academic English.

Paper Format (use of appropriate style for the major and assignment)

All format elements are correct.

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

Please do well, this is the assignment that you did it, see the teacher comment and improve it and research what the PICOT means but Isn’t that I found. I need you doing well because I loss grade in 433 class with PICOT assignments. Thank you.

Framing the Research Question: PICO (T) Evidence-based models use a process for framing a question, locating, assessing, evaluating, and repeating as needed. PICO (T) elements include: Problem/Patient/Population, Intervention/Indicator, Comparison, Outcome, and (optional) Time element or Type of Study.