5 DQ 2

I believe that most healthcare institutions, not just mine, take evidence-based practice extremely seriously. It has been clearly shown that implementing evidence-based practice generally leads to an improvement in patientcare outcomes across the board in more instances than not (Black et al., 2016). Same thing is heavily stressed upon in my workplace as well. We are constantly encouraged to remain vigilant and informed about all the various research studies that are being conducted involving the healthcare industry, particularly if it involves nursing. The leadership is constantly on the lookout on how to apply the new findings in improving the overall healthcare provided in the institution. It is very important for nurses because so much of the patientcare rely on the nurse. Even a slight improvement in the nursing standards can lead to a significant improvement in the overall quality of care, which is important (Karaca & Durna, 2019). We often participate in group discussions where there are presentations on something new or different in the healthcare industry that we should try to implement in our own. In addition to that, nurses are constantly encouraged to self-reflect and identify if the change has brought about positive results or not. Evaluation is a critical component of research-based practice. Just because a study result might be appropriate and useful in one place, there is no guarantee it would be effective everywhere, and evaluation will ensure only processes which are effective in the necessary setting will be implemented. That is why it is critical for nurses to continuously aim for self-improvement and not just be content with the current standards.

Using 200-300 words APA format with at least two references to support this discussion.

 

According to the textbook, nurses in various settings are adopting a research-based (or evidence-based) practice that incorporates research findings into their decisions and interactions with clients. How do you see this being applied in your workplace?

Week 7: Discussion Question – Case Study

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Points: 25 | Due Date: Week 7, Day 3 & 7 | CLO: 1-7 | Grade Category: Discussions

Discussion Prompt

Ms. Whitley is a 26 year old female. She has a history of asthma since grade school, for the last 3 months she has had to use her Albuterol inhaler 3-4 times per week, sometimes at night. She states she has chronic knee pain from playing soccer in high school, no surgeries, and takes Acetaminophen as needed. She also asks about starting a birth control method, currently using condoms. She asks what you think about medication to help with weight loss since she would like to drop the 20 lbs she gained in college.

>What medication recommendations will you make? Include the drug class, generic and trade name and starting dose range. Provide rationale for your choices.

>Discuss any potential side effects and drug interactions for this patient.

>What non-pharmacological interventions would you suggest?

>What patient education would you provide?

Expectations

Initial Post:

• Due: Thursday, 11:59 pm PT
• Length: A minimum of 500 words, not including references
• Citations: At least two high-level scholarly reference in APA from within the last 5 years

 With minimum of 300 words and 2 references each:

1) Research the delivery, finance, management, and sustainability methods of the U.S. health care system. Evaluate the effectiveness of one or more of these areas on quality patient care and health outcomes. Propose a potential health care reform solution to improve effectiveness in the area you evaluated and predict the expected effect. Describe the effect of health care reform on the U.S. health care system and its respective stakeholders. Support your post with a peer-reviewed journal article.

 

2) The Affordable Care Act was signed into law by President Barack Obama in March 2010. Many of the provisions of the law directly affect health care providers. Review the following topic materials:

1. “About the Affordable Care Act”
2. “Health Care Transformation: The Affordable Care Act and More”

What are the most important elements of the Affordable Care Act in relation to community and public health? What is the role of the nurse in implementing this law?

You are working with Dr. Lorenzen, who asks you to start interviewing Susan Johnston, a patient she knows well who is here to discuss recent symptoms of chest pain.

Before seeing the patient, Dr. Lorenzen asks you to review the differential diagnosis for chest pain. She reminds you, “There are many causes of chest pain including cardiac, gastrointestinal, pulmonary, musculoskeletal, and psychogenic causes.”

1. List below three potential causes of chest pain in each of the categories mentioned.

2. Discuss the history of present illness that you would take on this patient in preparation for the clinic visit. Include questions regarding Onset, Location, Duration, Characteristics, Aggravating Factors, Relieving Factors, Treatment, Severity (OLDCARTS).

3. Describe the physical assessment and diagnostic tools to be used for Ms. Johnston. Are there any additional you would have liked to be included that were not? 

4. What plan of care will Ms. Johnston be given at this visit; what is the patient education and follow-up?

please use apa style with references

 

Module 07 Content

1. You will perform a history of a neurologic problem that your instructor has provided you or one that you have experienced and perform an assessment of the neurologic system. You will document your subjective and objective findings, identify actual or potential risks, and submit this in a Word document to the drop box provided.

  

Title:

Documentation of problem based assessment of the neurological system.

Purpose of Assignment: 

Learning the required components of documenting a problem based subjective and objective assessment of neurological system. Identify abnormal findings.

Course Competency:

Apply assessment techniques for the neurological and respiratory systems.

Instructions:

Content: Use of three sections: 

o Subjective

o Objective

o Actual or potential risk factors for the client based on the assessment findings with description or reason for selection of them.

Format:

· Standard American English (correct grammar, punctuation, etc.)

Resources:

Chapter 5: SOAP Notes: The subjective and objective portion only

Sullivan, D. D. (2012). Guide

      

Subjective 

(4 Pts)

Missing   components such as biographic data, medications, or allergies. Symptoms   analysis is incomplete. May contain objective data.

Basic   biographic data provided. Medications and allergies included. Symptoms   analysis incomplete. Lacking detail. No objective data. 

Basic   biographic data provided. Included list of medications and allergies.   Symptoms analysis: PQRSTU completed. Lacking detail. No objective data.   Information is solely what “client” provided.

      

Objective

(4 Pts)

Missing   components of assessment for particular system. May contain subjective data.   May have signs of bias or explanation of findings. May have included words   such as “normal”, “appropriate”,
  “okay”, and “good”.

Includes all   components of assessment for particular system. Lacks detail. Uses words such   as “normal”, “appropriate”, or “good”. Contains all objective information. May have signs of bias or   explanation of findings. 

Includes all   components of assessment for particular system. Avoided use of words such as   “normal”, “appropriate”, or “good”. No   bias or explanation for findings evident Contains all objective information

Includes all   components of assessment for particular system. Detailed information   provided. Avoided use of words such as   “normal”, “appropriate”, or “good”. No   bias or explanation for findings evident. All objective information 

 

Points: 1

Points: 2

Points: 3

Points: 4

 

Actual or Potential Risk Factors

(2 pts)

Lists one to   two actual or potential risk factors for the client based on the assessment   findings with no description or reason for selection of them. Failure to provide any potential or actual   risk factors will result in zero points for this criterion.

Brief   description of one or two actual or potential risk factors for the client   based on assessment findings with description or reason for selection of   them.

Limited   description of two actual or potential risk factors for the client based on   the assessment findings with description or reason for selection of them.

Comprehensive,   detailed description of two actual or potential risk factors for the client   based on the assessment findings with description or reason for selection of   them.