Will need minimum of 300 words, APA Style, double spaced, times new roman, font 12, and Include: (3 references within years 2015-2018) with intext citations.  

Considering Pertinent Negatives and Positives:

In this Journal, you will review the history and physical of a patient exam and address the critical indicators used to develop the differential diagnosis in the specific care plan to be developed for the patient. (31 y/o male Obese patient with hypertension).

The case study should consist of a 12-15-slide presentation, including slide notes. Make sure to include: at least 6 peer review reference in 6th edition apa style.  All slides most include comprehensive speaker notes.

1. Appropriate demographic factors, such as age, gender, and ethnicity.
2. The reason the patient was seen.
3. Description of the pathophysiology of the disease process/processes observed.
4. Past medical history of the patient and the pathophysiology of the disease process/processes, if they are different from the current concern. Determine whether the patient’s past medical history has had an impact on any of the disease processes observed.
5. Diagnostic findings, such as lab values or imaging results. Include an explanation of how diagnostic findings may relate to the disease process/processes.
6. Differential diagnoses applicable to the patient, as well as rationale for why the differential diagnoses would or would not pertain to the patient.

 A 42-year-old Black male presented by ambulance to the emergency department with several hours of severe substernal chest pain at rest. Prior to presentation, he was physically active, had no history of cardiovascular disease, and took no medications he smoke 1 packs of cigarette a day and drinks social. Family history Father died of a heart attack at age 57 and he has an imediate family of high blood pressure. At the time of arrival, the patient had received aspirin 325 mg and several doses of sublingual nitroglycerin without pain relief. His initial vital signs showed a heart rate of 64 bpm, blood pressure of 196/104 mmHg, respiratory rate of 18 breaths per minute, and oxygen saturation of 95% on room air. Physical examination was unremarkable. The patient’s electrocardiogram showed sinus rhythm with small Q waves in leads III and aVF with T-wave inversions in leads II, III, and aVF and ST depressions in V5 and  The basic metabolic panel and complete blood count were within normal limits. A point-of-care troponin I level was elevated at 1.5 ng/mL (normal ≤ 0.06 ng/mL) 

Before the digital revolution, health information technology supplied very limited support for evidence-based practice. If nurses wanted to be informed about cutting-edge research, their best bet was to either subscribe to leading journals or make periodic trips to the library. With the establishment of research databases, however, nurses became empowered to learn about and facilitate interdisciplinary and translational research. Databases are just one example of how health information technology supports evidence-based practice.

To prepare:

· Read the following scenario from the text (McGonigle & Mastrian, 2018, p. 506):

Twelve-hour shifts are problematic for patient and nurse safety, and yet hospitals continue to keep the 12-hour shift schedule. In 2004, the Institute of Medicine (Board on Health Care Services & Institute of Medicine, 2004) published a report that referred to studies as early as 1988 that discussed the negative effects of rotating shifts on intervention accuracy. Workers with 12-hour shifts realized more fatigue than workers on 8-hour shifts. In another study done in Turkey by Ilhan, Durukan, Aras, Turkcuoglu, and Aygun (2006), factors relating to increased risk for injury were age of 24 or less, less than 4 years of nursing experience, working in the surgical intensive care units, and working for more than 8 hours.

· Consider how the resources identified in the scenario above could influence an organization’s practice.

· Select an issue in your practice that is of concern to you. Using health information technology, locate at least three evidence-based practice resources that address your concern and that could possibly inform further action.

Post a description of your practice concern. Outline how you used health information technology to locate evidence-based practices that address this concern. Cite and include insights from the resources. Analyze how health information technology supports evidence-based practice.

 Details:

Prepare this assignment as a 1,500-1,750 word paper using the instructor feedback from the Topic 1, 2, and 3 assignments and the guidelines below.

PICOT Statement 

Revise the PICOT statement you wrote in the Topic 1 assignment.

The final PICOT statement will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).

Research Critiques

In the Topic 2 and Topic 3 assignments you completed a qualitative and quantitative research critique. Use the feedback you received from your instructor on these assignments to finalize the critical analysis of the study by making appropriate revisions.

The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT statement.

Refer to “Research Critique Guidelines.” Questions under each heading should be addressed as a narrative in the structure of a formal paper.

Proposed Evidence-Based Practice Change

Discuss the link between the PICOT statement, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanation and use that information to propose evidence-based practice changes.

Prepare this assignment according to the APA 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.

NRS-433V-RS-Research-Critique-Guidelines.docx 

Select an ethnic minority group that is represented in the United States (American Indian/Alaskan Native, Asian American, Black/African American, Hispanic/Latino, Native Hawaiian, or Pacific Islander). Using health information available from Healthy People, the CDC, and other relevant government websites, analyze the health status for this group.

In a paper of 1,000-1,250 words, compare and contrast the health status of your selected minority group to the national average. Include the following:

1. Describe the ethnic minority group selected. Describe the current health status of this group. How do race and ethnicity influence health for this group?
2. What are the health disparities that exist for this group? What are the nutritional challenges for this group?
3. Discuss the barriers to health for this group resulting from culture, socioeconomics, education, and sociopolitical factors.
4. What health promotion activities are often practiced by this group?  
5. Describe at least one approach using the three levels of health promotion prevention (primary, secondary, and tertiary) that is likely to be the most effective in a care plan given the unique needs of the minority group you have selected. Provide an explanation of why it might be the most effective choice.
6. What cultural beliefs or practices must be considered when creating a care plan? What cultural theory or model would be best to support culturally competent health promotion for this population? Why?