Tag Archive for: Nursing Assignment Help

2023 opic Discuss the Importance of Proper Pain Assessment Differentiate between acute and chronic pain the different

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Nursing 2023 Pain assesment

opic Discuss the Importance of Proper Pain Assessment Differentiate between acute and chronic pain the different 2023 Assignment

 

opic: Discuss the Importance of Proper Pain Assessment

Differentiate between acute and chronic pain, the different assessment tools that can be used depending on the age of the patient, and management of pain. List 3 pain assessment tools used (Newborn, Toddler, Adult).

Your response should be at least 250 words. 

APA formatted paper (Title page, Introduction, Conclusion, Reference Page)

Reference should be within 5 years

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2023 In nursing practice accurate identification and application of research is essential to achieving successful outcomes Being able

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Nursing 2023 Assignment

In nursing practice accurate identification and application of research is essential to achieving successful outcomes Being able 2023 Assignment

In nursing practice, accurate identification and application of research is essential to achieving successful outcomes. Being able to articulate the information and successfully summarize relevant peer-reviewed articles in a scholarly fashion helps to support the student’s ability and confidence to further develop and synthesize the progressively more complex assignments that constitute the components of the course change proposal capstone project.

For this assignment, the student will provide a synopsis of eight peer-reviewed articles from nursing journals using an evaluation table that determines the level and strength of evidence for each of the eight articles. The articles should be current within the last 5 years and closely relate to the PICOT statement developed earlier in this course. The articles may include quantitative research, descriptive analyses, longitudinal studies, or meta-analysis articles. A systematic review may be used to provide background information for the purpose or problem identified in the proposed capstone project. Use the “Literature Evaluation Table” resource to complete this assignment.

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, 

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2023 Nursing researchers have argued that nurses are taught to value clinical skills over theoretical

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Nursing 2023 Theoretical Knowledge

Nursing researchers have argued that nurses are taught to value clinical skills over theoretical 2023 Assignment

 

Nursing researchers have argued that nurses are taught to value clinical skills over theoretical knowledge. With the focus on medical interventions, laboratory values, and nursing diagnoses, theory is often under-represented. This can cause nurses to react to nursing theory as having little or nothing to do with the profession of nursing. 

As you begin your graduate level nursing career, consider the following:

  • Do you agree with this assessment?
  • Based on your prior experiences, how much has theory been integrated into your nursing education?
  • In your opinion, how might a greater theoretical awareness benefit your education at the graduate level?
  • Be sure to supplement your discussion with your personal and professional experiences.

Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with citations and references in APA format. 

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2023 Need a response to the following Therapy guidelines for H Pylori Treatment H Pylori remains to be

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Nursing 2023 response

Need a response to the following Therapy guidelines for H Pylori Treatment H Pylori remains to be 2023 Assignment

Need a response to the following: 

Therapy guidelines for H. Pylori Treatment

H. Pylori remains to be one of the most common chronic bacterial infection affecting humans. Research shows that H. Pylori is normally acquired during childhood, with most victims being those who are socially disadvantaged and people who have migrated to North America (Chey et al., 2017). Although currently, there are no new drugs that have been developed, treatment primarily depends on a mixture of antibiotics and anti-secretory agents. H. Pylori treatment regimens are such as triple therapy, sequential therapy, quadruple treatment, and levofloxacin-based triple therapy (De Francesco et al., 2017). In selecting the best treatment regimen, it’s important to consider previous antibiotic exposure, the rate of eradication, and regional antibiotic-resistance patterns as these can affect the successful treatment of the condition (Myran & Zarbock, 2018). Additionally, it can be noted that for a treatment to be effective and successful, then host factors such as allergies and patient adherence need to be considered (Fashner & Gitu, 2015).

           Recent treatment guidelines have recommended quadruple therapy, which consists of PPI and three antibiotics (metronidazole, clarithromycin, and amoxicillin), which are to be administered concurrently (Chey et al., 2017). According to Shiotani et al. (2017), the rationale for this treatment option is that it’s not evidence-based but “hope-based” because gastroenterologists do believe that the infection would be susceptible to metronidazole or clarithromycin. 

           Patient compliance is a key factor that would determine treatment success. To minimize cases of side effects, clinicians should talk to their patients to adhere to their treatment plans and also instruct their patients on the right time to take their doses in relation to their meal (Li et al., 2019). Patients should be informed that they should avoid taking alcohol with metronidazole, avoid cheese, soy beans, and soy sauce taken with furazolidone (Li et al., 2019). Finally, it’s important to advice the patient to maintain personal hygiene by taking clean water and avoid ingesting contaminated food.

The original work is below in case you needed:

GI Case Study:

Chief complaint: “I have recurrent H. Pylori infection”. 

HPI: M.C. a 46-year-old Hispanic female presents to the GI clinic for complaint of recurrent H. Pylori infection. She was treated about 2 ½ months ago with H. Pylori triple therapy and failed treatment. She has PMH of dyspepsia, and GERD. She also indicates that she has noticed that her symptoms of dyspepsia are worsening for past 2 months. She has associated her symptoms with nausea, upset stomach with all foods. Denies associated symptoms of hematochezia, melena, hemoptysis, abdominal pain, fever, chills, pain or any other symptoms. 

PMH: 

H. Pylori infection gastritis

Diabetes Mellitus, type 2

Surgeries: None

Allergies: NKDA

Vaccination History: Up-to-date

Social history:

High school graduate, married and no children. He frequently eats out in restaurants. He drinks one 4-ounce glass of red wine daily. He is a former smoker that stopped 3 years ago.

Family history:

Both parents are alive. Father has history of DM type 2, Tinea Pedis. Mother alive and has history of atopic dermatitis, tinea corporis and tinea pedis. 

ROS:

Constitutional: Negative for fever. Negative for chills. 

Respiratory: No Shortness of breath. No Orthopnea. 

Cardiovascular: No edema. No palpitations. 

Gastrointestinal: No vomiting. +Dyspepsia. + Nausea. No constipation. No melena. No abdominal pain.

Physical examination:

Vital Signs

Height: 5 feet 5 inches Weight: 140 pounds BMI: 31 obesity, BP 110/70 T 98.0 po P 80 R 22, non-labored

ABDOMEN: No abdominal distention. Nontender. Bowel sounds + x 4 quadrants. No organomegaly. Normal contour; No palpable masses.

Labs day of visit:: Hgb 15.2, Hct 40%, K+ 4.0, Na+137, Serum Creatinine normal 1.0, AST/ALT normal. TSH 3.7 normal, glucose 98 normal

Assessment:

Primary Diagnosis: Recurrent H. Pylori infection gastritis

Secondary Diagnoses: Dyspepsia

Differential Diagnosis: Peptic Ulcer Disease

Previous medication plan: two months ago and failed.

  1. Clarithromycin      500 mg po BID for 2 weeks
  2. Omeprazole      40 mg po BID for 2 weeks and then po daily.
  3. Cipro      500 mg po BID for 2 weeks

Plan: Tests

Pt had EGD done 2 weeks ago that showed H. Pylori positive gastritis in biopsy results. 

Urea breath test 8 weeks after treatment with H. Pylori medications. Pt needs to stop PPI’s 2 weeks prior to Urea Breath test. 

Labs: No new labs are needed.  

Referrals: may refer based on effect of medication therapy given for 2 weeks.

Follow up: return to office in 8 weeks to reevaluate symptoms.

As a future nurse practitioner, it is important that you determine the medications used for recurrent H. Pylori infection. 

Please discuss new therapy guidelines for H. Pylori treatment, and provide patient education.

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2023 In patients with central lines what is the effectiveness of daily chlorhexidine bath compared to weekly or as needed

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Nursing 2023 Effectiveness of chlorhexidine bath in preventing central line infection

In patients with central lines what is the effectiveness of daily chlorhexidine bath compared to weekly or as needed 2023 Assignment

 In patients with central lines, what is the effectiveness of daily chlorhexidine bath compared to weekly or as needed dressing changes to reduce infection within the first three months of insertion?

Referenes has to be:

Furuya, Y., Dick, A., Perencevich, E., Pogorzelska, M., Goldman, D., & Stone, P. (2011). Central line bundle implementation in US intensive care units and impact on bloodstream infections. PLoS ONE, 6(1), 1-6.  

Graling, P., & Vasaly, F. (2013). The effectiveness of 2% CHG Cloth Bathing for Reducing Surgical Site Infections. AORN Journal, 97(5): 547-551.

Kim, J., Holtom, P., & Vigen, C. (2011). Reduction of catheter-related bloodstream infections through the use of a central venous line bundle: Epidemiologic and economic consequences. American Journal of Infection Control, 39(8), 640-646. 

Klinworth, G., Stafford, J., O’Connor, M., Leong, T., Hamley, L., Watson, K., Kennon, J., Bass, P., Cheng, A. C., & Worth, L. (2014). Implementation of a successful hospital-wide initiative to reduce central line–associated bloodstream infections. American Journal of Infection Control, 42(6), 685-687.

McAlearney, A., Hefner, J., Robbins, J., Harrison, M., & Garman, A. (2013). Preventing central line-associated bloodstream infections: A Qualitative Study of Management Practices. Infection Control & Hospital Epidemiology, 36(5), 557-563. 

Power, J., Peed, J., Burns, L., & Davis, M. (2012). Chlorhexidine bathing and microbial contamination in patients’ basin. American Journal of Critical Care, 21(5), 338-342.

Quach, C., Milstone, A, Perpe, C., Bonenfant, M., Moore, D., & Perreault, T. (2014). Chlorhexidine Bathing in a tertiary care neonatal intensive care unit: Impact on central line–associated bloodstream infections. Infection Control & Hospital Epidemiology, 35(2), 158-163.

 Richardson, J., & Tjoelker, R. (2012). Beyond the central line-associated bloodstream infection bundle: the value of the clinical nurse specialist in continuing evidence-based practice changes. The Journal of Advanced Nursing Practice, 26(4), 205-211. 

 Scheithauer, S., Lewalter, K., Schroder, J., Koch, A., Hafner, H., Krizanovic, V., Nowicki, K., Hilgers, R.-D., & Lemmen, S. (2014). Reduction of central venous line-associated bloodstream infection rates by using a chlorhexidine-containing dressing. Infection, 42(1), 155-159.

 

U.S. Department of Health and Human Services. (2011). Health-care-associated infection (HAI). Retrieved 10/21/2016 from http://www.hhs.gov/ash/initiatives/hai/index.html

This criterion is linked to a Learning Outcome Abstract: Brief summary of the direction of the project.

This criterion is linked to a Learning Outcome Introduction to problem or issue in practical setting. Overview, purpose, plan for paper.

This criterion is linked to a Learning Outcome Literature Review: 12 single, original research articles (NO systematic reviews, meta- analyses, or meta-syntheses). Discuss purpose, question, methodology, analysis, and results. Tabular format must be added as Appendix A.

This criterion is linked to a Learning Outcome Analysis: Systematically analyze and evaluate relevance and validity of articles.

This criterion is linked to a Learning Outcome Gaps in research identified during the literature search.

This criterion is linked to a Learning Outcome Research Question(s): Flow(s) directly from the review of literature and posed for pilot study.

This criterion is linked to a Learning Outcome Summary: Explain how this paper met the purpose stated in the introduction.

This criterion is linked to a Learning Outcome Standard English for spelling, grammar, punctuation, paragraph formation, and paper formation used

This criterion is linked to a Learning Outcome References (within past 5 years): current and relevant to topic-Utilize at least 12 appropriate scholarly research sources beyond textbooks.

This criterion is linked to a Learning Outcome Follows appropriate APA format.

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2023 Things are changing with the Affordable Care Act ACA Many if not most of

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Nursing 2023 nursing

Things are changing with the Affordable Care Act ACA Many if not most of 2023 Assignment

  

Things are changing with the Affordable Care Act (ACA). Many, if not most of the class, work in environments that have been impacted by the ACA. If your organization was impacted favorably or negatively, share your information with the class. 

***Adding new information or furthering the discussion by asking a question of the class, helps to further the discussion.

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2023 Now that you have completed your in person or digital mock interview please

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Nursing 2023 Module 5 Healthcare Explorations

Now that you have completed your in person or digital mock interview please 2023 Assignment

 

Now that you have completed your in-person or digital mock interview, please provide a minimum of a one-page, single-spaced document that reflects the following items:

  1. How you prepared yourself for the interview.
  2. What you learned from the exercise.
  3. If the experience was what you expected or not.
  4. What you will do the same and/or differently in your next interview.

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2023 Since P4P paid for performance has been around for a number of years one would think that its effectiveness

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Nursing 2023 paid for performance paper

Since P4P paid for performance has been around for a number of years one would think that its effectiveness 2023 Assignment

Since P4P ( paid for performance) has been around for a number of years, one would think that its effectiveness should be clearly documented. However, Peter Kongstvedt says that results have been mixed. He concludes that “positive results remain ambiguous, at least on a broad basis.”

Review various P4P program results and effectiveness on the Internet or through your college’s Online Library, which you can access in the Resources tab.

Write a 1-page report of your findings. Specifically, address strengths and weaknesses of this compensation method, both from the point of view of the health plan and the physician. Cite at least two sources. List sources in APA format.

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2023 The American Cancer Society ACS is a nationwide community based voluntary health organization dedicated to eliminating cancer as a major

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Nursing 2023 dq

The American Cancer Society ACS is a nationwide community based voluntary health organization dedicated to eliminating cancer as a major 2023 Assignment

The American Cancer Society (ACS) is a nationwide, community-based, voluntary health organization dedicated to eliminating cancer as a major health problem. Together with its supporters, ACS is committed to helping people stay well and get well by finding cures and by fighting back.Critical Thinking Questions:

  1. Imagine that a family friend or colleague has just been diagnosed with cancer. Explain how the American Cancer Society might provide education and support. What ACS services would you recommend and why?
  2. According to statistics published by the American Cancer Society, there will be an estimated 1.5 million new cancer cases diagnosed each year over the next decade. What factors contribute to the yearly incidence and mortality rates of various cancers in Americans? What changes in policy and practice are most likely to affect these figures over time
  3. Select a research program from among those funded by the American Cancer Society. Describe the program and discuss what impact the research will have on the prevention or treatment of cancer.

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2023 Scenario You are speaking in a meeting with the hospital compliance officer and the hospital

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Nursing 2023 Need help writing paper due tomorrow Wed, 18 Mar

Scenario You are speaking in a meeting with the hospital compliance officer and the hospital 2023 Assignment

 

Scenario: You are speaking in a meeting with the hospital compliance officer and the hospital representative for Health Insurance Portability and Accountability Act of 1996 (HIPAA) team, and have been asked “How will we maintain patient privacy with our documents on the Internet?”

Use the university library, journals, and your experience to create a strategic plan for a 200-bed acute care facility that considers possible data privacy breaches and proposes effective methods to avoid them. Additionally, explain what is required by the Joint Commission, the Health Information on Technology for Economic and Clinical Health (HITECH) Act, and the HIPAA regulations that must be followed for the protection of individually identifiable health information.

Cite at least 4 peer-reviewed references published within the past 5 years.

 Deliverable Length:  3-5 pages excluding the title and reference pages 

See rubric attached. 

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