Assignment: Evidence-Based Project, Part 4: Recommending an Evidence-Based Practice Change 2025

PLEASE FOLLOW INSTRUCTION BELOW ZERO PLAGIARISM FIVE REFERENCES The collection of evidence is an activity that occurs with an endgame in mind. For example, law enforcement professionals collect evidence to support a decision to charge those accused of criminal activity. Similarly, evidence-based healthcare practitioners collect evidence to support decisions in pursuit of specific healthcare outcomes. In this Assignment, you will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach. To Prepare: Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT. Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection. Consider the best method of disseminating the results of your presentation to an audience. The Assignment: (Evidence-Based Project) Part 4: Recommending an Evidence-Based Practice Change Create an 8- to 9-slide PowerPoint presentation in which you do the following: Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.) Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general. Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered. Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation. Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy. Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change. Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking. Add a lessons learned section that includes the following: A summary of the critical appraisal of the peer-reviewed articles you previously submitted An explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides)

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FOCUS 2025

32-year-old female, comes into your office with complaints of “feeling tired” and “hair falling out”. She has gained 30 pounds in the last year but notes markedly decreased appetite. On ROS, she reports not sleeping well and feels cold all the time. She is still able to enjoy her hobbies and does not believe that she is depressed. Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.

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Week 9 Assignment: Dietary Needs for Patient with Heart Disease 2025

Assignment Overview For this assignment, you will answer questions about a client named Mr. Smith. You will analyze the dietary needs and risks for patients who are at risk for heart disease. Using your textbook and the internet you will identify the best recommendations, risks, and needs of a patient in Mr. Smith’s condition, based on the questions asked. You are required to include citations of your references. This assignment is intended to explore differences between macronutrient and micronutrient concepts and describe their physiological functioning. Additionally, you will apply human nutritional theories and relevant research to formulate nutritional assessments and describe nutritional requirements corresponding to stages in the life span. You will also examine how effective nutritional counseling is contingent upon collaboration, organization, and concurrence among the members of the health care team. Case Study: Mr. Andrew Smith is a 50-year-old male, 5 feet 10 inches tall and weighs 265 lbs. He has gained 30 pounds in the past year. He has been diagnosed with heart disease. Testing revealed his total cholesterol is 225 mg/dL, and blood pressure is 150/95. Mr. Smith eats a diet that is high in saturated and trans fats. He also complains of shortness of breath when climbing stairs. Mr. Smith meets with his physician and is started on atorvastatin. Mr. Smith is concerned because he has never taken anything besides over-the-counter medicines before. He would like to explore dietary interventions to improve his heart health. Assignment Details: Perform the following tasks: Please review your reading for this week as well as the Case Study located in Week 9. Use your text and the internet to respond (in approximately 250 words) to the following (provide your responses in the Assignment Worksheet): Based on what you learned about Mr. Smith in your interview, briefly explain his modifiable risk factors for heart disease. Based on your client’s height and weight, what is his current body mass index? Based on his current BMI, how many pounds should your client lose to achieve a healthy weight? Discuss the recommendations that you would make for Mr. Smith’s fat intake (in grams) What foods should be limited to restrict saturated and trans fat intake (list 5)? Discuss heart healthy fats. What foods should be included to increase your clients intake of heart healthy fats? (list 5)? Briefly discuss three nutritional interventions that you would suggest to your client to improve his heart health.

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WK 11 ASSIGN NURS 6512 2025

Week 11-6512N-40 Based on the scenarios provided: Reflect on the material presented throughout this course. What necessary information would need to be obtained about the patient through health assessments and diagnostic tests? Consider how you would respond as an advanced practice nurse. Review evidence-based practice guidelines and ethical considerations applicable to the scenario you are given. Assignment 1: Lab Assignment: Ethical Concerns Photo Credit: Getty Images/Maskot As an advanced practice nurse, you will run into situations where a patient’s wishes about his or her health conflict with evidence, your own experience, or a family’s wishes. This may create an ethical dilemma. What do you do when these situations occur? In this Lab Assignment, you will explore evidence-based practice guidelines and ethical considerations for specific scenarios. To Prepare Review the scenarios provided by your instructor for this week’s Assignment. Please see the “Course Announcements” section of the classroom for your scenarios. Based on the scenarios provided: Select one scenario, and reflect on the material presented throughout this course. What necessary information would need to be obtained about the patient through health assessments and diagnostic tests? Consider how you would respond as an advanced practice nurse. Review evidence-based practice guidelines and ethical considerations applicable to the scenarios you selected. The Lab Assignment Write a detailed one-page narrative (not a formal paper) explaining the health assessment information required for a diagnosis of your selected patient (include the scenario number). Explain how you would respond to the scenario as an advanced practice nurse using evidence-based practice guidelines and applying ethical considerations. Justify your response using at least three different references from current evidence-based literature. The Lab Assignment Write a detailed one-page narrative (not a formal paper) explaining the health assessment information required for a diagnosis of your selected patient (include the scenario number). Explain how you would respond to the scenario as an advanced practice nurse using evidence-based practice guidelines and applying ethical considerations. Justify your response using at least three different references from current evidence-based literature. By Day 6 of Week 11 CASE STUDY 2:  Abolarin, Aladesanmi, Baribor, Black, Claggett, Diaby & Fadera A 49-year-old woman with advanced stage cancer has been admitted to the emergency room with cardiac arrest. Her husband and one of her children accompanied the ambulance. Week 11: The Ethics Behind Assessment Consider the following scenarios: You are a nurse at a large county hospital. One of your patients is leaning toward selecting a certain radical treatment for cancer, to which the family is in opposition. The family is concerned about making the correct decision and asks for your advice. The state of Oregon has passed a “Death with Dignity” act that allows for euthanasia in certain situations. One of your patients suffering from terminal cancer is thinking of moving there to take advantage of this law and asks your opinion. Throughout this course, you have explored a wide range of health assessments and abnormal examination findings. Although you have predominantly focused on the procedural aspects of health assessment, this week, you will focus on ethical considerations that should be taken into account when advising patients or their families. This week, you will consider how evidence-based practice guidelines and ethical considerations factor into health assessments. You will also evaluate health assessment concepts related to sports physicals and well-child and well-woman examinations. Learning Objectives Students will: Apply evidence-based practice guidelines to make an informed healthcare decision Apply ethical considerations to a health assessment response Apply concepts, theories, and principles relating to sports physicals and well-child and well-woman examinations Identify concepts, theories, and principles related to advanced health assessment Learning Resources Required Readings (click to expand/reduce) Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby. Chapter 24, “Sports Participation Evaluation” In this chapter, the authors describe the process of a sports participation evaluation. The chapter also states the most common conditions encountered in a sports participation evaluation. Chapter 25, “Putting It All Together” In this chapter, the authors tie together the concepts introduced in previous chapters. In particular, the chapter has a strong emphasis on the patient-caregiver relationship. Tingle, J. & Cribb, A. (2014). Nursing law and ethics (4th ed.). Chichester, UK: Wiley Blackwell. Furman , C. D., Earnshaw, L. A., Farrer, L. A. (2014). A case of inappropriate apolipoprotein E testing in Alzheimer’s disease due to lack of an informed consent discussion. American Journal of Alzheimer’s Disease & Other Dementias, 29 (7), 590–595. doi:10.1177/1533317514525829. Navarro-Illana, P., Aznar, J., & Díez-Domingo, J. (2014). Ethical considerations of universal vaccination against human papilloma virus. BMC Medical Ethics, 15 (29). doi:10.1186/1472-6939-15-29. Retrieved from http://www.biomedcentral.com/1472-6939/15/29 Maron , B. J., Friedman, R. A., & Caplan, A. (2015). Ethics of preparticipation cardiovascular screening for athletes. Nature Reviews Cardiology, 12 (6), 375–378. doi:10.1038/nrcardio.2015.21 May, K. H., Marshall, D. L., Burns, T. G., Popoli, D. M. & Polikandriotis, J. A. (2014). Pediatric sports specific return to play guidelines following concussion. The International Journal of Sports Physical Therapy, 9 (2), 242–255. PMCID: PMC4004129. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4004129/ American Academy of Pediatrics. (2008). Recommendations for preventative pediatric health care (periodicity schedule). Retrieved from https://www.harmonyhpi.com/WCAssets/illinois/assets/IL_MedicaidProviderManual_PEM_AdultPHGsForProviders.pdf This resource provides recommendations for preventative pediatric healthcare from infancy through adolescence. The periodicity schedule covers a variety of areas, from health history to measurements, developmental/behavioral screenings, physical exams, procedural screenings, and oral health. Rourke, L., Leduc, D., & Rourke, J. (2017). Rourke Baby Record . Retrieved from http://rourkebabyrecord.ca/ This website provides information on the Rourke Baby Record (RBR). The RBR supplies guidelines on growth and nutrition, developmental surveillance, physical exam parameters, and immunizations for well-baby and child care. Document: Final Exam Review (Word document) Required Media (click to expand/reduce) Module 4 Introduction Dr. Tara Harris reviews the overall expectations for Module 4. Consider how you will manage your time as you review your media and Learning Resources for your Case Study Lab Assignment and your Final exam (3m). Accessible player –Downloads–Download Video w/CCDownload AudioDownload Transcript Sports Participation Evaluation – Week 11 (12m) Accessible player –Downloads–Download Video w/CCDownload AudioDownload Transcript USE 3 5 RESOURCES FROM THE SCHOOL RESOURCES, THANK YOU.

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