2023 Post a total of 3 substantive responses over 2 separate days for full participation This includes

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Nursing 2023 Discussion – Practice Based In Theory

Post a total of 3 substantive responses over 2 separate days for full participation This includes 2023 Assignment

  

Post a total of 3 substantive responses over 2 separate days for full participation. This includes your initial post and 2 replies to other students. 

 Respond to the following in a minimum of 190 words: 

Should all practice be based in theory? Explain your rationale, and cite at least one source as evidence.

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2023 Reply Amanda Question 1 An ultrasound in third trimester could show many clinical

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Nursing 2023 db womens health 2 replies

Reply Amanda Question 1 An ultrasound in third trimester could show many clinical 2023 Assignment

 Reply Amanda

Question #1

An ultrasound in third trimester could show many clinical indicators of fetal well-being.  First it shows us the fetal number-which most likely is already known.  It also shows us the baby’s presentation.   “If breech, describe the “type” of breech” Frank, Complete, Incomplete, Footling” (TOP, 2017).  This ultrasound will also tell us the fetal biometry and estimated fetal weight, Amniotic Fluid Volume, Placentation, Fetal movements, and Consider re-visualizing select fetal anatomic structures when a third trimester assessment is being performed (TOP, 2017). Its also important to check the babies heart tones and the mother’s vital signs, particularly the blood pressure.  Always ask if the mother is having any bleeding, leaking, constant contractions and is she feeling the baby move well.  It is also important to check the mother’s urine. 

Steps to take if findings are not reassuring during third trimester depend on the finding.  If the baby is breech.  External cephalic version is one way to turn a baby from breech position to head down position while it’s still in the uterus. It involves the doctor applying pressure to your stomach to turn the baby from the outside(Healthline, 2018).  For high blood pressure and signs of preeclampsia, “You may have to stay at the hospital for observation and to manage your blood pressure until the baby is old enough for delivery. If your baby is younger than 34 weeks, you will probably be given medication to speed up the baby’s lung development”(Healthline, 2018).  For most findings that are not reassuring the patient will be sent to the hospital for monitoring for mother and baby.

Healthline. (2018). What Might Go Wrong in the Third Trimester?. Retrieved on February 23, 2019 from https://www.healthline.com/health/pregnancy/third-trimester-complications#post–term

Toward Optimized Practice (TOP). (2017). THIRD TRIMESTER FETAL WELL-BEING STUDIES: CRITERIA AND MANAGING RESULTS.  Retrieved on February 23, 2019 from http://www.topalbertadoctors.org/download/2129/Third%20Trimester%20Fetal%20Well-Being%20Studies.pdf?_20180914050143

 Reply Hollie

Question 1—Third Trimester

Fetal growth is an important part of fetal assessment in the third trimester. Studies show that poor fetal growth in the second and third trimesters are associated with increased risks of preterm birth, low birthweight, and long-term adverse health outcomes (Gaillard, Steegers, de Jongste, Hofman, & Jaddoe, 2014). Fundal height is often used to assess fetal growth. If fundal height differs by 3 cm or more from gestational age, a follow-up ultrasound is advised to assess further (McCowan, Figueras, & Anderson, 2018).

Fetal heart rate and fetal activity should also be routinely assessed. The mother should be asked about fetal activity. Counting the kicks should be highly encouraged starting at week 28 (Bryant & Thistle, 2019). A kick count of less than 10 in 2 hours may be cause for concern (Bryant & Thistle, 2019). Fetal heart rate should also be assessed at every prenatal visit in the third trimester (ACOG, 2018). A typical fetal heart rate is between 120 and 160 beats per minute. Changes in fetal activity or fetal heart rate indicate a need for further testing. A non-stress test and/or a biophysical profile (BPP) may be ordered when results are nonreassuring (ACOG, 2018). A biophysical profile is an ultrasound that assesses: fetal breathing movement, fetal movement of the body or limbs, fetal tone and amniotic fluid volume (Bryant & Thistle, 2019).

Maternal blood pressure, urinalysis, and degree of edema are also important measurements that can affect the health of the fetus (Zolotor & Carlough, 2014). Blood pressure measurements can help identify chronic hypertension or hypertensive disorders that develop during pregnancy, such as preeclampsia or gestational hypertension (Zolotor & Carlough, 2014). Edema may be a normal finding but can also be a sign of preeclampsia (Zolotor & Carlough, 2014). Protein in the urine may also indicate preeclampsia risk (Zolotor & Carlough, 2014). These findings may also suggest the need for blood tests, fetal ultrasounds, nonstress tests, or a BPP (Zolotor & Carlough, 2014).

Lastly, fetal presentation is encouraged to be assessed beginning at 36 weeks gestation (Zolotor & Carlough, 2014). This is most often done using the Leopold maneuvers (Zolotor & Carlough, 2014). External cephalic version may be used to turn a fetus from a breech or transverse position into a vertex position before birth (Zolotor & Carlough, 2014).

References

ACOG. (2018). Special tests for monitoring fetal health. Retrieved from https://www.acog.org/Patients/FAQs/Special-Tests-for-Monitoring-Fetal-Health?IsMobileSet=false#exam

Bryant, J. & Thistle, J. (2019). Fetal movement. Treasure Island, FL: StatPearls Publishing. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK470566/

Gaillard, R., Steegers, E. A., de Jongste, J. C., Hofman, A., & Jaddoe, V. W. (2014). Tracking of fetal growth characteristics during different trimesters and the risks of adverse birth outcomes. International Journal of Epidemiology, 43(4), 1140-1153. https://dx.doi.org/10.1093%2Fije%2Fdyu036

McCown, L., Figueras, F., & Anderson, N. (2018). Evidence-based national guidelines for the management of suspected fetal growth restriction: Comparison, consensus, and controversy. American Journal of Obstetrics & Gynecology, 218(2),855–868. doi: 10.1016/j.ajog.2017.12.004.

Zolotor, A., & Carlough, M. (2014). Update on prenatal care. American Family Physician, 89(3), 199-208. Retrieved from https://www.aafp.org/afp/2014/0201/p199.html

Edited by Hollie Finders on Feb 24 at 2:57pm Reply 

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2023 In the context of research design two types of validity which speak to the quality of different features of the

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Nursing 2023 Discussion: Designing Quantitative Research

In the context of research design two types of validity which speak to the quality of different features of the 2023 Assignment

In the context of research design, two types of validity, which speak to the quality of different features of the research process, are considered: internal validity and external validity. Assuming that the findings of a research study are internally valid—i.e., the researcher has used controls to determine that the outcome is indeed due to manipulation of the independent variable or the treatment—external validity refers to the extent to which the findings can be generalized from the sample to the population or to other settings and groups. Reliability refers to the replicability of the findings.

For this Discussion, you will consider threats to internal and external validity in quantitative research and the strategies used to mitigate these threats. You will also consider the ethical implications of designing quantitative research.

Post

1- an explanation of a threat to internal validity and a threat to external validity in quantitative research. Next, explain a strategy to mitigate each of these threats. 

2-Then, identify a potential ethical issue in quantitative research and explain how it might influence design decisions.

3- Finally, explain what it means for a research topic to be amenable to scientific study using a quantitative approach.

SOURCES

Babbie, E. (2017) Basics of social research (7th ed.). Boston, MA: Cengage Learning.

  • Chapter 3, “The Ethics and Politics of Social Research”Be sure to support your Main Issue Post and Response Post with reference to the week’s Learning Resources and other scholarly evidence in APA Style.

Burkholder, G. J., Cox, K. A., Crawford, L. M., & Hitchcock, J. H.  (Eds.). (2020). Research designs and methods: An applied guide for the scholar-practitioner. Thousand Oaks, CA: Sage.

  • Chapter 12, “Quality Considerations”
  • Chapter 13, “Ethical Considerations”

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2023 Create a chart explaining the importance of the APGAR score for a diabetic newborn 1 Make sure to

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Nursing 2023 Health assessment day 7 assignment

Create a chart explaining the importance of the APGAR score for a diabetic newborn 1 Make sure to 2023 Assignment

 

Create a chart explaining the importance of the APGAR score for a diabetic newborn.

1. Make sure to recognize a normal and abnormal APGAR scores with the diabetic newborn.

2. What type of complications the nurse or medical team can foresee to assess.

3. Are the assessment findings different from an average normal newborn? Briefly explain.

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2023 Module 11 Discussion Reflection Initial Post Describe how you achieved each course

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Nursing 2023 Nursing Multidimensional Care2

Module 11 Discussion Reflection Initial Post Describe how you achieved each course 2023 Assignment

 

Module 11 Discussion – Reflection

Initial Post

Describe how you achieved each course competency including at least one example of new knowledge gained related to that competency.

Describe how this new knowledge will impact your nursing practice.

Course Competencies

  1. Explain principles of care for clients with oncological disorders.
  2. Identify components of safe and effective nursing care for clients experiencing fluid and electrolyte imbalances.
  3. Describe strategies for safe, effective multidimensional nursing care for clients with acid-base imbalances.
  4. Select appropriate nursing interventions for clients with upper gastrointestinal disorders.
  5. Select appropriate nursing interventions for clients with lower gastrointestinal disorders.
  6. Evaluate responses to nursing interventions for clients with endocrine disorders.

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2023 1 Identify a practice issue in nursing that would benefit from utilizing

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Nursing 2023 About research method

1 Identify a practice issue in nursing that would benefit from utilizing 2023 Assignment

 1- Identify a practice issue in nursing that would benefit from utilizing a mixed methods approach. 

2- Discuss how the quantitative and qualitative data would complement one another and add strength to the study. 

3- Discuss the challenges that you might encounter in using a mixed methods approach. Support your discussion using current mixed methods research articles.

Following  is the article that uses a mixed method, and I would like to use for my homework :

Eaton, L. H., Meins, A. R., Mitchell, P. H., Voss, J., & Doorenbos, A. Z. (2015). Evidence-based practice beliefs and behaviors of nurses providing cancer pain management: a mixed-methods approach. Oncology nursing forum, 42(2), 165-73.

We have to use the text book :

Tappen, R. (2015). Advanced Nursing Research: From Theory to Practice. (2. Ed., Ed.) Jones & Bartlett Learning 

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2023 1 Initial posting Health history and physical assessment varies per system and per age of the patient There are

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Nursing 2023 Short Discussion Post

1 Initial posting Health history and physical assessment varies per system and per age of the patient There are 2023 Assignment

 

1. Initial posting – Health history and physical assessment varies per system and per age of the patient. There are three scenarios listed below. Choose ONE of the scenarios and discuss all of the pertinent history you would ask as a  nurse taking care of this patient. Then discussion physical exam and assessment techniques you would complete for the patient. Finally, what are some nursing interventions and educational topics you would want to address with the family.

a)  A 3 mos old infant presenting to the hospital with mom saying “He just isn’t acting like himself after he fell off the bed during his nap.” The skeletal survey revealed  multiple rib fractures in various stages of healing  and Head CT is positive for a contusion.

b) A 12 year old child presenting to the ED with his third visit for asthma exacerbation in the last three months.

c) An 85 year old gentleman with severe confusion, disorientation, and loss of memory is admitted with chest pain.

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2023 Respond to this post with a positive response Ask questions to help clarify the scenario and application of

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Nursing 2023 post-brandy

Respond to this post with a positive response Ask questions to help clarify the scenario and application of 2023 Assignment

Respond to this post with a positive response :

Ask questions to help clarify the scenario and application of data, or offering additional/alternative ideas for the application of nursing informatics principles.

                                                           Main Post

The development of the electronic medical record (EMR) has been a pivotal advancement within nursing and to the delivery of healthcare. I have been a nurse for 19 years. While the electronic medical record was difficult to embrace in the beginning, it has proven to be a reliable and necessary tool. EMR has evolved over time impacting delivery of care and improving outcomes including time sensitive acute care patient scenarios resulting in positive outcomes (Sweeney BSN, 2017).   The availability of viewing labs and health records simultaneously allows nurses and critical care team members, i.e. pharmacist and intensivist, the ability to make safe time sensitive decisions for patients.  

     As a critical care nurse, things can go bad quickly at the bedside. For example, a patient arrives to the ED in an acute CHF exacerbation.  Lab work, radiologic studies and a baseline of vital signs are crucial to fast and effective care. If this patient is established in the system, baseline lab values, previous radiologic test for comparison and possibly even notes from a specialist i.e. cardiology/nephrology are available while waiting on new test to arrive and stabilizing the patient.  This information is available to the entire team instantaneously through his/her EMR. EMR has allowed physicians, nurses and other medical team members to make safe and effective decisions producing favorable and effective outcomes. For example, knowledge of the patient’s renal function or availability to notes from his/her renal physician will direct the ED physician to the appropriate treatment. This could potentially avoid possible long-term effects to this patients’ kidneys and provides insight to treatment options that have worked well for this patient in the past.  The Agency for Healthcare Research and Quality (AHRQ) supports this with study results noting fewer medication errors, improved quality of care with and cost savings as a result of fewer medical errors from utilizing the EMR (“Electronic Health Reporter,” 2018).

    Nurses have contributed to the evolution of the EMR and applications centered toward favorable outcomes. The role of the informatic nurse has changed with the evolution of healthcare redefining roles and forms, it is not consistent and will change as healthcare evolves (Nagle, Sermeus, Junger, & Bloomberg, 2017). Nurses will continue to play a profound role in the development of EMR and other tools available to provide safe and effective patient care.

                                                                                                                 References

How Nurses Are Using Health Informatics to Improve Patient Care. (2018). Retrieved from https://electronichealthreporter.com/nurses-using-health-            informatics-improve-patient-care/

Nagle, L. M., Sermeus, W., Junger, A., & Bloomberg, L. S. (2017). Evolving Role of the Nursing Informatics Specialist []. Forecasting Informatics                             Competencies for Nurses in the Future of Connected Health, 212-221. https://doi.org/doi:10.3233/978-1-61499-738-2-212

Sweeney BSN, N, J. (2017). Healthcare Informatics [Entire issue]. Online Journal of Nursing Informatics (OJNI), 21(1). Retrieved from                             https://www.himss.org/library/healthcare-informatics

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2023 You are going to present data that has been collected to your administrative group The focus

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Nursing 2023 Nursing

You are going to present data that has been collected to your administrative group The focus 2023 Assignment

  1. You are going to present data that has been collected to your administrative group. The focus is on outcome measures and the data collected is unplanned readmission rates at two different hospitals. What format would you choose to display your data and why? What information would you include with the data?
  2. Identify at least two stakeholder agency reporting sources. How do these external reporting groups contribute to or hinder CQI?
  3. Select an effective current health policy that focuses on or affects population health. What components of this policy make it effective? Conduct research on its history and the factors that influenced its development

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2023 Question 1 Georgia Reporting Laws New CDC data for three nationally reported STDs chlamydia gonorrhea and syphilis reveal more than

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Nursing 2023 reply to amanda

Question 1 Georgia Reporting Laws New CDC data for three nationally reported STDs chlamydia gonorrhea and syphilis reveal more than 2023 Assignment

Question #1 Georgia Reporting Laws

“New CDC data for three nationally reported STDs – chlamydia, gonorrhea, and syphilis—reveal more than 2 million cases were diagnosed in 2016. CDC estimates that closer to 20 million infections occur annually”(CDC, 2017).  These are the highest numbers ever.  As healthcare providers it is important for us to be aware of reporting laws and just trends in our areas.   Georgia has different reporting laws for different STD’s.  Syphilis in adults and syphilis in pregnancy must be reported immediately.  The healthcare provider is to call the District Health Office.  Other cases are to be reported within seven days.  This are to be reported electronically through the State Electronic Notifiable Disease Surveillance. Chlamydia trachomatis, hepatitis B -acute hepatitis B -newly identified HBsAg+ carriers** -HBsAg+ pregnant women hepatitis C virus infection (past or present) (genital infection), gonorrhea HIVinfection and Perinatal HIV exposure*, or AIDS all have to be reported within seven days.  “According to Georgia’s law notifiable disease reporting, healthcare facilitites providing HIV/AIDS care and testing should report any new patients to their facility (including referrals), any current/previous patient updates (change of address, name, pregnancy status, and or gender), and any new clinical status’ (new AIDS status or AIDS defining illnesses) within seven (7) days”(DPH, 2019). Adult (>13 years of age) cases can be reported electronically through the secure disease reporting system called SENDSS (State Electronic Notifiable Disease Surveillance System) using an electronic Adult Case Report Form (eACRF)”(DPH, 2019).  When looking into reportable diseases, I also found some very disturbing news about Georgia.  “According to the 2016 report, Georgia had some of the highest rates of reported chlamydia, gonorrhea and primary and secondary syphilis cases in the country”(CDC, 2017).  I was unaware that Clamydia and gonorrhea had to be reported so this was a very informational discussion for me.

CDC. (2017). 2016 STD Surveillance Report. Retrieved on February 16, 2019 from https://www.cdc.gov/nchhstp/newsroom/2017/2016-STD-Surveillance-Report.html#Graphics

Georgia Department of Public Health. (2019).  Disease Reporting.  Retrieved on February 16, 2019 from https://dph.georgia.gov/disease-reporting

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