The Reaction Paper Assignment

You will be writing a 1,000 word Reaction Paper in this course using the instructions and links found below. You will be completing the following tasks and gathering the following information for your paper:

1. Watch the epigenetics video from PBS available as a YouTube link in this folder (second item in the folder). Begin your paper by defining epigenetics in your own words and discussing your reaction to the video.
2. Interview your family members and complete the  Family History-Dr. Oz.pdf .  Find out which disease(s) you are most at risk for. 
3. Research and locate one article on epigenetics and whatever disease you are most at risk for (select a study on research conducted on humans) from a reputable academic source:

Reputable Sources:

• journal articles
• government publications based on research

Do not use:

• magazines of any sort, whether they are on paper or online
• Websites of any type, including epigenetics websites
• Wikipedia

How to Perform Your Research

• Use the College Library in person or online (log in with your new MDC ID number (the one that is all numbers). Your password is the last four digits of that same MDC ID unless you have changed it.

Read the epigenetics article you find. Continue your paper with a discussion of the epigenetics article. Be sure to paraphrase (put things in your own words) and be sure to cite the author(s) of the article you find using APA style (see the section below on using APA style). Aim for about a page for this part of your paper.

1. Discuss the concept of epigenesis in light of your family history and the article you read. Aim for one page for this section of your paper.
2. Complete the Living to 100 Questionnaires. Integrate your findings on the questionnaire into your discussion. Aim for another page.
3. Discuss how you can improve your health and longevity in light of your findings in this questionnaire, your understanding of epigenetics, and your knowledge of your family history. This should be your final page.

You can go over or under a page for any of the sections of the paper as long as your total paper is 1,000 words not counting the references.

General Rules for an “A” Paper (check your paper against this list)

◻    1,000 words

◻    Original work; plagiarism score of less than 10% (90% original work)

◻    Double-spaced, 12-point font, 1-inch margins

◻    Covers all 6 tasks

◻    Spellchecked

◻    College-level grammar

◻    Cite your article APA style (author & year within body of paper; full reference at end)

◻    No abstract, no cover

◻    Place your name and reference number on the first page. Use page numbers.

Submit the paper by the deadline in the Schedule and also in the Calendar. The box will open at the beginning of the semester so that you have time to submit your paper, review the originality report, and resubmit your paper if necessary until you have a plagiarism score of under 10%. Be sure to use the Turnitin Grammar Checker to ensure that your paper is well written and ensure that you have spellchecked everything. If you resubmit your paper, note that it takes 24 hours for your new score to show up in the Turnitin Drop Box.

Submission to Turnitin Drop Box

The Turnitin Drop Box is in Blackboard. You do NOT have to go to Turnitin to submit your paper. Turnitin is a plagiarism checking software. It checks to see if your work is original. I have set the Turnitin Drop Box so you can submit your paper as many times as you want until the due date. That will allow you to check your plagiarism score and see where your work is not original. You can then rephrase that section and put it into your own words. The expectation in this course is that your paper scores no more than 10% in plagiarism (90% original work). You will be able to resubmit your paper as many times as you need to in order to get it right until the Due Date. You will NOT be able to resubmit after the Due Date. Note that it takes 24 hours to see your new plagiarism score after resubmission. No more than 2 or 3 quotes in the entire paper, please.

Avoiding Plagiarism

You must be careful not to copy someone else’s ideas and not to copy and paste ideas from the sources you find. Copying and pasting from someone else’s work is considered plagiarism. You may use other people’s ideas, but you have to put them in your own words and reference the source. Putting things in your own words is called “paraphrasing.” And you must put the reference right after the idea. Needless to say, submitting plagiarized papers, including those copied from one of the Web sites that have “free” papers or even papers you can buy, will result in a penalty. That penalty in this course is that your grade will be reduced by the percentage of plagiarism over 10%. In other words, the less plagiarism, the higher your score; the more plagiarism, the lower your score. The paper is worth 10% of your grade in this course. Don’t risk it!

APA Style and References

One thing you will need to do in college is learn how to find and use references. References support your ideas. College-level work must be supported by research. You are expected to do that for this paper. You will research, locate, and use one reputable source from the literature on the topic of epigenetics/epigenesis. The “literature” is composed of studies that have been conducted in a scholarly way to support ideas. Scholarly sources can be found in journals or in some Web sites, especially those that come from .edu domains (.edu is short for “educational” Web sites) or .gov domains (.gov are government sites). The College Libraries have dozens of good journals you can use. You will be using the College Library for this paper. You may do the research in person or use the Web to access our library. See your librarian for more information on finding credible sources.

In APA style, you cite a source in two places: within the body of the paper where you use the idea or words of the author of the paper; and again in the Reference List at the end of the paper. For example, you might say, “According to Researcher A (2011)…epigenetics is…” What you must do is supply the researcher’s name within a sentence or at the end of a sentence in parenthesis (Smith, 2011). Then you give the full information for locating the study in the Reference List. That’s what Reference Lists are for: they allow the person reading your paper to look up your source if they want to. So remember, citing references APA style, requires two things: 1) that you cite the reference within the body of the paper, and 2) that you list the full reference at the end in the Reference List.

APA Tutorial

There are multiple tutorials and other training sources on APA style at the APA Web site. You do NOT have to buy the APA Manual to do this paper.

References

American Psychological Association (2011). APA style. Retrieved from http://www.apastyle.org/index.aspx

 

1) Minimum 6 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

              Part 1: Complete the file 1

              Part 2: minimum 1 page

              Part 3: minimum 4 pages

              Part 4: minimum 3 pages

Submit 1 document per part

2)¨******APA norms, please use headers

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

         Submit 1 document per part

3) It will be verified by Turnitin and SafeAssign

4) Minimum 3 references per part not older than 5 years

5) Identify your answer with the numbers, according to the question.

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc 

__________________________________________________________________________________

Part 1:

See example (File 2)

Issue: Infection Control and Prevention 

Topics: Cleaning and disinfection; Standards precaution and Cross-contamination

1. Search for articles related to the problem and topics mentioned above, from the articles found, select only 2 to complete the 8 articles that this question requires  (within the last 5 years).

The articles may include quantitative research, descriptive analyses, longitudinal studies, or meta-analysis articles. A systematic review may be used to provide background information for the purpose or problem identified in the proposed capstone project.

2. Provide a synopsis of the review of the research literature. Using the “Literature Evaluation Table.

a. Determine the level and strength of the evidence for each of the eight research articles you have selected. 

Articles:

Cohen, C. C., Choi, Y. J. & Stone, P. W. (2016). Costs of infection prevention practices in long-term care settings: A systematic review. Nursing Economics, 34(1), 16-24,45. Retrieved from https://search.proquest.com/docview/1765381619?accountid=10378

Gammon, J., Hunt, J., Williams, S., Daniel, S., Rees, S., & Matthewson, S. (2019). Infection prevention control and organizational patient safety culture within the context of isolation: Study protocol. BMC Health Services Research, 19 doi:http://dx.doi.org/10.1186/s12913-019-4126-x

Gertrude, S. A., & Nabyonga-Orem, J. (2019). The Global call for action on infection prevention and control. International Journal of Health Care Quality Assurance, 32(6), 927-940. http://dx.doi.org/10.1108/IJHCQA-03-2018-0063

Peng, M.-T. (2020). [Nurses: A Voice to Lead, Nursing the World to Health-Viewing COVID-19 Epidemic Prevention Efforts in Light of Nightingale’s Perspective on Infection Control]. Hu Li Za Zhi The Journal of Nursing, 67(3), 102–110. https://doi.org/10.6224/JN.202006_67(3).14

Qi, Z.-Y., Zhao, P.-Y., Geng, S.-H., Yi, H.-M., & Yang, L.-P. (2020). COVID-19 Epidemic: Possibility of Artificial Intelligence in Infection Control and Prevention. Journal of Epidemiology, 30(8), 371. https://doi.org/10.2188/jea.JE20200203

Trusov, A., Ismoilova, J., Tonkel, T., & Aleksandrin, A. (2016). Infection prevention and control in TB programs. Health Affairs, 35(3), 556. doi:http://dx.doi.org/10.1377/hlthaff.2016.0050

Part 2:

Issue: Infection Control and Prevention 

Topics: Cleaning and disinfection; Standards precaution and Cross-contamination

1. Write a list of five outcomes for your proposed intervention. 

 a. Below each outcome, provide a one or two sentence rationale.

Part 3:

 

Your patient is a 23-year-old female. She presents with coughing and wheezing which she stated started about three weeks ago. She is currently 25 weeks pregnant. Her last prenatal visit was one month ago in another state. She has an appointment with the prenatal care provider next week, however her respiratory symptoms brought her to your office today.

History – Chickenpox as a child. Asthma as a child, diagnosed at age 8 for which she used a SABA when needed. She has not had the need to use an inhaler since she was 19. She takes only her prenatal vitamin. No other acute or chronic problems. She advises you that she is up to date on all immunizations except she has not had a flu shot (it is October).

Social – Non-smoker, no drug use. She relocated to your state two weeks ago to get away from an abusive domestic situation. She has no support network in this area and has not yet found employment. She has no medical insurance.

HPA – Non-productive cough x 3 weeks. Wheezing audible from across the room. She states it is like this all day and wakes her from sleep every night. She reports that she is fatigued even in the morning. No other complaints.

PE/ROS – Pt appears disheveled but clean. Wheezing in all lung fields. T 98, P 82 regular, R 28 no stridor. FH 130 regular. The remainder of the exam is WNL.

Directions:

1. Construct a narrative document 

2. Diagnose the patient based on the above findings and provide your rationale for how you arrived at the diagnosis.

3. Develop a treatment plan specifically for this patient, pharmacologic and non-pharmacologic.

4. Describe community resources (using your own community) currently available in your state/city to support this patient.

5. Provide a communication plan that you will use to ensure the patient is an active participant in the treatment plan. Refer to therapeutic communication concepts.

6. Utilize national standards, your pharm and/or patho book, and medical or advanced practice professional sources. Do not use patient-facing sources or general nursing texts.

Part 4:

  

Research topic: Nursing professional care in the prevention of infections associated with health care in intensive care units.

  

Problem question: What is the nursing professional’s care in preventing infections associated with health care in an adult Intensive Care Unit, according to the scientific literature review? 

1. Include a minimum of six scholarly sources- Organize in logical sections

2. Include an overview of the literature. Be unbiased in your presentation of information. Include sources and content relevant to your research questions and hypothesis

3. state the relevance in your literature review. Include a critical assessment of the sources. Do not simply include a summary of what you have read

4. A strong introduction and conclusion, including further questions for research

  

1. Compare and contrast Emotional Intelligence (EI) and Social intelligence (EI). Discuss how understanding EI and SI may benefit you and those you work with. How can it help or hinder your current and potential leadership ability?

Reflect on individual EI assessment results.

2. Using Johns’ Model for Structured Reflection (Description, Reflection, Anticipatory, Insight), reflect upon at least one work situation where your own EI broke down. What were the leadership implications? How can this be improved upon?

In this Discussion, you will consider this adoption. You will examine healthcare organization websites and analyze to what extent these organizations use EBP.

To Prepare:

• Review the Resources and reflect on the definition and goal of EBP.
• Choose a professional healthcare organization’s website (e.g., a reimbursing body, an accredited body, or a national initiative).
• Explore the website to determine where and to what extent EBP is evident.

By Day 3 of Week 1

Post a description of the healthcare organization website you reviewed. Describe where, if at all, EBP appears (e.g., the mission, vision, philosophy, and/or goals of the healthcare organization, or in other locations on the website). Then, explain whether this healthcare organization’s work is grounded in EBP and why or why not. Finally, explain whether the information you discovered on the healthcare organization’s website has changed your perception of the healthcare organization. Be specific and provide examples.Learning Resources

Note: To access this module’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.
Chapter 1, “Making the Case for Evidence-Based Practice and Cultivating a Spirit of Inquiry” (pp. 7–32)

Boller, J. (2017). Nurse educators: Leading health care to the quadruple aim sweet spot. Journal of Nursing Education, 56(12), 707–708. doi:10.3928/01484834-20171120-01
Note: You will access this article from the Walden Library databases.

Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). Improving patient care through nursing engagement in evidence-based practice. Worldviews on Evidence-Based Nursing, 13(2), 172–175. doi:10.1111/wvn.12126
Note: You will access this article from the Walden Library databases.

Kim, S. C., Stichler, J. F., Ecoff, L., Brown, C. E., Gallo, A.-M., & Davidson, J. E. (2016). Predictors of evidence-based practice implementation, job satisfaction, and group cohesion among regional fellowship program participants. Worldviews on Evidence-Based Nursing, 13(5), 340–348. doi:10.1111/wvn.12171
Note: You will access this article from the Walden Library databases.

Melnyk, B. M., Fineout-Overholt, E., Stillwell, S. B., & Williamson, K. M. (2010). Evidence-based practice: Step by step. The seven steps of evidence-based practice. American Journal of Nursing, 110(1), 51–53. doi:10.1097/01.NAJ.0000366056.06605.d2
Note: You will access this article from the Walden Library databases.

Melnyk, B. M., Gallagher-Ford, L., Long, L. E., & Fineout-Overholt, E. (2014). The establishment of evidence-based practice competencies for practicing registered nurses and advanced practice nurses in real-world clinical settings: Proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews on Evidence-Based Nursing, 11(1), 5–15. doi:10.1111/wvn.12021
Note: You will access this article from the Walden Library databases.

Sikka, R., Morath, J. M., & Leape, L. (2015). The Quadruple Aim: Care, health, cost and meaning in work. BMJ Quality & Safety, 24, 608–610. doi:10.1136/bmjqs-2015-004160
Note: You will access this article from the Walden Library databases.

Walden University Library. (n.d.-a). Databases A-Z: Nursing. Retrieved September 6, 2019, from https://academicguides.waldenu.edu/az.php?s=19981

USE 3 REFERENCES,APA FORMAT

  Nursing Discussion Post

Your patient has just been diagnosed with Diabetes Type 2 and the doctor prescribed metformin.

1. Describe the mechanism of action of metformin and potential contraindications.

2. What education that the registered nurse would have provided would you reinforce?

3. Explain lifestyle changes a person should if diagnosed with diabetes type 2?

Include in-text citations and two references from the last 5 yrs.