Patient present to the clinic complaining of lower back pain after moving some heavy table. Explain why it is important that the nurse practitioner DO NOT missed to ask the patient these two questions.

1- Is the pain affecting your daily living activities?

2- Are you currently taking any medication to control de pain?

Provide references.

Comment1

Statistical interaction can happen in a two-way ANOVA. It is possible for variables to work independent from one another within a study. When this happens, there is a need to consider the interaction between the variables. A statistical interaction occurs when the effect of two variables working together causes a greater change or a lesser change, than is anticipated. The variables are somehow dependent on one another. You will have to know the levels of each variable to understand the effect on the data. The independent variables are creating a greater effect on the dependent variable. The independent variables are not affecting each other. The study for exercise 18, researchers collected data from family members regarding level of care in Hospice with LPC, hospital with LPC, and hospital without LPC. The family members did not report a change in the level of care within the hospital with LCP vs. hospital without LCP comparison. When the hospice vs. hospital with LCP or the hospice vs. hospital without LCP groups were compared, there was a significant difference. Differences in the level of care was indicated by the p < alpha. LCP and hospice, and LCP and hospital seem to interact with the level of care (Grove & Cipher, 2017).

Comment2

Interaction is a kind of action that occurs as two or more objects influence one another. The idea of a two-way effect is essential in the concept of interaction, as opposed to a one-way causal effect combination of many simple interactions can lead to surprising emergent phenomena. Interaction has different tailored meanings in various sciences. All systems are related and interdependent. Every action has a consequence.

In statistics, an interaction is a special property of three or more variables, where two or more variables interact to affect a third variable in a non-additive manner. In other words, the two variables interact to have an effect that is more than the sum of their parts.

For example, two of my friends are on weight loss program. We’re evaluating 2 different diets and 2 different exercise programs. One focused on cardio and one focused on weight training. We want to determine which result in greater weight loss. We randomly assign participants to either diet A or B and either the cardio or weight training regimen, and then record the amount of weight they’ve lost after 1 month.

Compare the physical assessment of a child to that of an adult. In   addition to describing the similar/different aspects of the physical   assessment, explain how the nurse would offer instruction during the   assessment, how communication would be adapted to offer explanations,   and what strategies the nurse would use to encourage engagement.

Jamie is a 3-month-old female who presents with her mother for evaluation of “throwing up.” Mom reports that Jamie has been throwing up pretty much all the time since she was born. Jamie does not seem to be sick. In fact, she drinks her formula vigorously and often acts hungry. Jamie has normal soft brown bowel movements every day and, overall, seems like a happy and contented baby. She smiles readily and does not cry often. Other than the fact that she often throws up after drinking a bottle, she seems to be a very healthy, happy infant. A more precise history suggests that Jamie does not exactly throw up—she does not heave or act unwell—but rather it just seems that almost every time she drinks a bottle she regurgitates a milky substance. Mom thought that she might be allergic to her formula and switched her to a hypoallergenic formula. It didn’t appear to help at all, and now Mom is very concerned.

Cases like these are not uncommon. The mother was concerned and thinking her daughter may have an allergy; she changed to a different formula. However, sometimes babies have immature GI tracts that can lead to physiology reflux as they adapt to normal life outside the uterus. Parents often do not consider this possibility, prompting them to change formulas rather than seeking medical care. As in the case study above, GI alterations can often be difficult to identify because many cause similar symptoms. This same issue also arises with adults—adults may present with symptoms that have various potential causes. When evaluating patients, it is important for the advanced practice nurse to know the types of questions he or she needs to ask to obtain the appropriate information for diagnosis. For this reason, you must have an understanding of common GI disorders such as gastroesophageal reflux disease (GERD), peptic ulcer disease (PUD), and gastritis. 

To Prepare Part 1

• Review Chapter 35 in the Huether and McCance text. Identify the normal pathophysiology of gastric acid stimulation and production.
• Review Chapter 37 in the Huether and McCance text. Consider the pathophysiology of gastroesophageal reflux disease (GERD), peptic ulcer disease (PUD), and gastritis. Think about how these disorders are similar and different.
• Select a patient factor different from the one you selected in this week’s Discussion: genetics, gender, ethnicity, age, or behavior. Consider how the factor you selected might impact the pathophysiology of GERD, PUD, and gastritis. Reflect on how you would diagnose and prescribe treatment of these disorders for a patient based on this factor.
• Review the “Mind Maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning Resources. Use the examples in the media as a guide to constructing a mind map for gastritis. Consider the epidemiology and clinical presentation of gastritis.

To Complete

Write a 2- to 3-page paper that addresses the following:

• Describe the normal pathophysiology of gastric acid stimulation and production. Explain the changes that occur to gastric acid stimulation and production with GERD, PUD, and gastritis disorders.
• Explain how the factor you selected might impact the pathophysiology of GERD, PUD, and gastritis. Describe how you would diagnose and prescribe the treatment of these disorders for a patient based on the factor you selected.
• Construct a mind map for gastritis. Include the epidemiology, pathophysiology, and clinical presentation, as well as the diagnosis and treatment you explained in your paper.
• 3 to 4 references within 5 years

This is a discussion post, about 250 WORDS, tittle page not require In- text citation is required original work please, scholarly references are required for this assignment, website source strongly preferred.

QUESTION 2

Sustaining change can be difficult, as there are many variables that can affect implementation. One critical component of EBP is to ensure that practice change is part of an organization’s culture so it will continue to impact outcomes over time. Name two potential barriers that may prevent your EBP change proposal from continuing to obtain the same desired results 6 months to a year from now, and your strategies for overcoming these barriers.