PurposeThis project is an in-depth investigation of a health condition. It will allow for the expansion of knowledge and the ability to generalize larger concepts to a variety of health conditions. 

Ebook: Hubert, R. & VanMeter, K. (2018). Gould’s pathophysiology for the health professions (6th ed.). Elsevier.

Course outcomes:   This assignment enables the student to meet the following course outcomes.

1. Explain the pathophysiologic processes of select health conditions. (PO 1)

2. Predict clinical manifestations and complications of select disease processes. (PO 1, 8)

3. Correlate lifestyle, environmental, and other influences with changes in levels of wellness. (PO 1, 7)

APA format (7th ed.) and is free of errors       

Grammar and mechanics are free of errors free of Plagiarism   

References: Use your book, the outside source must be within the last 5 yrs, Scholarly Articles,s or Nurse journals within the last 5 yrs.     

 5 DQ 2

Every nurse is a leader in their own right. Our impact on the patient’s result is unquestionable. Together with the actual result of the patient, we are also responsible for promoting our profession and makes it a better workforce. Medical care is reform and nurses will benefit in the future, but nurses are currently those dealing with work stress. Therefore, to see any progress in reforms, we must defend our profession (Tomaján, 2012). I can be an active player to solve problems by listening to the concerns of team members and suggest solutions that are acceptable and advantageous for everyone. Working towards implementing these changes is also a way to return to the profession and improve the work environment. By participating in shared governance, it is another way I can claim to create a positive change in my workplace.

Being a proactive nurse in itself must be a leader who is willing to reach positive changes in the system and in his people (Whitney, 2018). This would mean examining the problem from different angles, collecting the data to support it, using the most recent technology to maximize resources, consider all opinions and work for an acceptable solution and aim to achieve a common goal. Enhanced members of my team and my collaborators are another way to improve the dynamics of the workplace. This will give you a sense of power and confidence to each member and touch the talent and innovation found in each of us. I would also have promoted the sense of responsibility and responsibility in each member. The Dynamics team will show a positive change with this and would involve better care and a better work environment.

   The influence of leadership can be far-reaching in practice and improving patient outcomes even when not in a formal role. Describe advocacy strategies that you can use as a leader to create positive change in your current workplace. In response to peers, describe a time when you provided leadership and the outcome. Was there anything that you would do differently? 

Using 200-300 words APA format with at least two references. Sources must be published within the last 5 years.

This week’s assignment is Part 2 – Project Purpose Statement, Background & Significance and PICOt Formatted Clinical Project Question.

1. Provide a title that conveys or describes the assignment.
2. Introduction (this is a part of Part 1–you’ve already done this–just make what changes you want to it (if any) and cut and paste it to this report 
3. Overview of the Problem–you’ve already done this–just make what changes ypu want to it (if any) and cut and paste it to this report.
4. Project Purpose Statement – Provide a declarative sentence or two which summarizes the specific topic and goals of the project.
5. Background and Significance – State the importance of the problem and emphasize what is innovative about your proposed project. Discuss the potential impact of your project on your anticipated results to the betterment of health and/or health outcomes.
6. PICOt formatted Clinical Project Question – Provide the Population, Intervention, Comparison, Expected Outcomes and timeframe for the proposed project.
7. Conclusion (this will change with every assignment)

Discussion Question 1

Mike is a 46-year-old who presents with a complaint of “heartburn” for 3 months. He describes the pain as burning and it is located in the epigastric area. The pain improves after he takes an antacid or drinks milk. He has been taking either over-the-counter (OTC) famotidine or ranitidine off and on for the past 2 months and he still has recurring epigastric pain. He has lost 6 lb since his last visit.

Assessment

His examination is unremarkable. His blood pressure (BP) is 118/72. Laboratory values are normal complete blood count (CBC) and a positive serum Helicobacter pylori test.

1. What would you prescribe initially?
2. How long would you prescribe these medications?
3. What other possible meds could you prescribe to assist with the side effects from the medications prescribed?
4. How would the treatment vary if the patient has GERD instead?

Discussion Question 2

List differential diagnosis that would help confirm GERD while ruling out other diagnosis. Which medication is the best medication for treatment of GERD and why? What labs or other diagnostic tests that are used to confirm GERD? Your response should be at least 350 words.

 Please answer the following Discussion Question. Please be certain to answer the three questions on this week DQ and to provide a well-developed and complete answer to receive credit. Your main discussion answer needs to be at least 3 paragraphs in length with 3 references to justify your answer. Use APA format.

Also, please ensure to have read the assigned chapters for the current week. 

1. Describe quality and safety in Nursing.
2. Describe some quality issues in healthcare.
3. Describe some safety issues in Nursing.