Week 5 Project

Compilation

Summarize, in 3-4 pages, this assignment that provides information from Weeks 1 to 4.

In addition to the work you completed in the last four weeks, your assignment should also:

• Include an introduction and a conclusion.
• Implement the recommendations from the instructor.
• Describe the role of nursing informatics.
• Explain how nursing informatics or technology in health care will help or hinder your leadership.

On a separate references page, cite all sources using APA format. Helpful APA guides and resources are available in the South University Online Library. Below are guides that are located in the library and can be accessed and downloaded via the South University Online Citation Resources: APA Style page. The American Psychological Association website also provides detailed guidance on formatting, citations, and references at APA Style.

• APA Citation Helper
• APA Citations Quick Sheet
• APA-Style Formatting Guidelines for a Written Essay
• Basic Essay Template

Please note that the title and reference pages should not be included in the total page count of your paper.

Theory Utilization and Application Paper Using the nursing theory by Hildegard Peplau’s Theory of Interpersonal Relations in Nursing which consists of the Orientation phase, working phase, termination phase, and working phase, identify an area of interest in nursing, locate examples of the theory’s application and utilization in practice. Additionally, opportunities for enhancement of existing nursing environments by utilization of theory application will be addressed. The paper should be no more than ten typewritten pages, using appropriate APA format. Theory Usage and Application Paper – Guidelines and Grading Criteria In this paper, you will describe a nursing theory and its application to nursing practice. This paper should be no more than 10 pages long. It should coincide with the theory presentation that you have submitted. The focus of this paper is on the application of theory to nursing practice. A brief description of the components of the theory should be presented in this paper, however, since this should be done in your presentation the focus here will be on application. The proposed guidelines are based on Chinn and Kramer (2004). 

Criteria 

APA format please use resources with in the last 5 years and most of all DO NOT TURNITIN

Components of the theory 

• Major concepts of theory 

• Philosophical basis/underpinnings; worldview 

• Conceptual model (if available) 

Structural aspects of the theory (including but not limited to) 

• Assumptions, theorems, propositions, etc.

• relations of concepts and assumptions 

• clarity, simplicity, and ease of application of theory

• consistency and adequacy of theory 

Use of theory in: 

• nursing practice

• nursing education 

• nursing administration 

• nursing research 

A literature review will provide the basis for this section 

Identify an area of your practice where this theory could be applicable. 

• The area may be used to theory test, theory generate, etc.

• What is the question that the theory will help to answer? 

• Describe the area of interest in relation to the theory/theoretical model. Why or how is it appropriate to use this theory. 

• Discuss the use of theory in pursuing this area of interest. What are the steps /methods that you might use? 

• Are there weaknesses in this theory that make it difficult to use in real situations? If so, what are they? 

Evaluation of theory – your thoughts about the theory 

• How “user friendly” is the theory? 

• What are some of the difficulties you encountered or would you anticipate you might encounter in trying to use this theory. 

• What would make this theory more usable or applicable to practice, and why? 

 

Create a 5-6 slide powerpoint, 

• Create a 5- to 6-slide PowerPoint presentation that can be used in a staff development meeting on presenting different approaches for implementing the stepwise approach for asthma treatment. Be sure to address the following:
• Describe long-term control and quick relief treatment options for the asthma patient from your practice as well as the impact these drugs might have on your patient.
• Explain the stepwise approach to asthma treatment and management for your patient.
• Explain how stepwise management assists health care providers and patients in gaining and maintaining control of the disease. Be specific.

  Respond  by providing at least two contributions for improving or including  in their Parent Guide and at least two things that you like about their  guide. 

NOTE: Positive Comment

                                                    Main Discussion

     

Rett Syndrome is a neurodevelopmental disorder that almost exclusively affects girls (National Institute of Neurological Disorders and Stroke [NINDS], 2020). Rett syndrome is characterized by normal early growth and development, followed by a slowing of development, loss of purposeful use of the hands, distinctive hand movements, slowed brain and head growth, problems with walking, seizures, and intellectual disability (NINDS, 2020). Rett Syndrome is a rare disease, affecting 1 in every 10,000 to 15,000 newborn females worldwide.   

Rett   Syndrome is a rare genetic neurological and developmental disorder that   affects how the brain develops, resulting in the progressive loss of   developmental milestones, intellectual disability, breathing abnormality,   motor skills, and speech (Yang et al., 2019). Mutations in the X-linked gene   methyl-cytosine-binding protein 2 (MECP2) occur among individuals with Rett   Syndrome (Kyle et al., 2018). MECP2 is located on the X-chromosome and controls   the functions of several other genes (NINDS, 2020). MECP2 is necessary for   brain development and acts as a biochemical switch that can either increase   gene expression or direct other genes to turn off and end the production of   their unique proteins (NINDS, 2020). Since the gene encoding of MECP2 occurs   on the X-chromosome, the disease occurs predominately among females   heterozygous for MECP2 mutations (Yang et al., 2019). Among individuals with   Rett Syndrome, the inefficient functioning of the MECP2 gene results in the   abnormal expression of other genes (Ehinger et al., 2018; NINDS, 2020). 

  Signs and Symptoms

In Rett Syndrome, common signs and symptoms that reflect the main diagnostic criteria include:

· Partial or complete loss of acquired purposeful hand skills (NINDS, 2020).

· Partial or complete loss of acquired spoken language (NINDS, 2020).

· Repetitive hand movements include hand wringing or squeezing, clapping, or rubbing (NINDS, 2020).

· Gait abnormalities, including toe walking, and an unsteady, wide-based, stiff-legged walk (NINDS, 2020).

Other signs and symptoms of Rett Syndrome may include (NINDS, 2020):

· Scoliosis 

· Teeth-grinding

· Small, cold hands and feet in relation to height

· Abnormal sleep patterns 

· Abnormal muscle tone

· Inappropriate laughing or screaming 

· Intense eye communication 

Diminished response to pain  

  

The clinical diagnosis of Rett Syndrome occurs by observing signs and symptoms congruent with this syndrome during the child’s early growth and development, and while conducting ongoing evaluations of the child’s physical and neurological status (Kyle et al., 2018; NINDS, 2020). Characteristic symptoms include loss of acquired speech and motor skills, repetitive hand movements, breathing irregularities, and seizures (Kyle et al., 2018). Sporadic episodes of gastrointestinal problems, hypoplasia, early-onset osteoporosis, bruxism, and screaming spells may also present among individuals with Rett Syndrome (Kyle et al., 2018). 

A genetic test that searches for the MECP2 mutation on the child’s X-chromosome can complement the clinical diagnosis (NINDS, 2020). The use of a highly specific test set of guidelines takes place to identify three types of clinical criteria: main, supportive, and exclusion (Bhandari et al., 2019; NINDS, 2020). Exclusion criteria for a Rett Syndrome diagnosis include a brain injury secondary to trauma, neuro-metabolic disease, severe infection contributing to neurobiological problems, and grossly abnormal psychomotor development in the first 6-months of life (NINDS, 2020). 

  

References

Djukic, A., Holtzer, R., Shinnar, S., Muzumdar, H., Rose, S. A., Mowrey, W., Galanopoulou, A. S., Shinnar, R., Jankowski, J. J., Feldman, J. F., Pillai, S., & Moshé, S. L. (2016). Pharmacologic treatment of Rett Syndrome with glatiramer acetate. Pediatric Neurology, 61, 51–57. https://doi-org.ezp.waldenulibrary.org/10.1016/j.pediatrneurol.2016.05.010

Ehinger, Y., Matagne, V., Villard, L., & Roux, J. C. (2018). Rett syndrome from bench to bedside: Recent advances. F1000Research, 7(398), 1-9. https://doi.org/10.12688/f1000research.14056.1

Glaze, D. G., Neul, J. L., Percy, A., Feyma, T., Beisang, A., Yaroshinsky, A., Stoms, G., Zuchero, D., Horrigan, J., Glass, L., & Jones, N. E. (2017). A double-blind, randomized, placebo-controlled clinical study of trofinetide in the treatment of Rett Syndrome. Pediatric Neurology, 76, 37–46. https://doi.org/10.1016/j.pediatrneurol.2017.07.002

Kyle, S. M., Vashi, N., & Justice, M. J. (2018). Rett syndrome: A neurological disorder with metabolic components. Open Biology, 8(2), 1-17. https://doi.org/10.1098/rsob.170216

National Institute of Child Health and Human Development (2016, December 1). What are the treatments for Rett syndrome? National Institute of Health. https://www.nichd.nih.gov/health/topics/rett/conditioninfo/treatments

National Institute of Neurological Disorders and Stroke (2020, March 17). National Institute of Health. Rett syndrome fact sheet. https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Rett-Syndrome-Fact-Sheet 

Please read the following post and add information or comment on the post . One page with 2 reference and citation 

 

The problem that I talked about during last week’s discussion was nurses experiencing burn out during a pandemic. The research design that I believe would best fit this problem would be qualitative. According to this week’s lesson, “qualitative designs are chosen in order to understand the meaning of phenomena and may form the basis of theories.” (Chamberlain University, 2020). More specifically, I believe the study is focused on phenomenology. “Phenomenology develops understanding of experiences through the perception of those living them.” (Chamberlain University, 2020). The study should focus on interventions to reduce burn out in nurses and how nurses are responding to them. The research method should include participants who understand the study and are willing to express feelings and experiences. The findings will be described from the participants point-of-view (“Qualitative Research Designs”, n.d.). This will give us the best idea of how the nurses are feeling based on the interventions we study.

References:

Chamberlain University. (2020). Week 3: The Research Design. https://chamberlain.instructure.com/courses/69443/pages/week-3-the-research-design?module_item_id=9595709

Qualitative Research Designs. (n.d.). http://www.umsl.edu/~lindquists/qualdsgn.html