NUR 445 – Week 3 Discussion: Researching and Recommending Evidence-Based Research Resources

tep 1 Read the case scenario.
You are part of an interprofessional team working on an evidence-based project to look at falls in patients with dementia in the long-term care setting. The team was brought together in response to a noted increase in the incidence of falls in residents with dementia over the past three months. One of the recent changes before the increase in falls was a mandate to no longer use physical restraints on residents. Several staff members feel that the use of restraints is a must, and they do not have time to use the restraint alternatives that have been suggested. They also feel they do not have enough time to continuously check on residents. This has caused major issues of concern and has compromised the quality and safety of the residents.

When the team meets together, one of the first items discussed is the clinical question. The team uses the PICO question format to develop the following question:

In patients with a diagnosis of dementia in the long-term care setting (P), how does the use of a comprehensive falls assessment prevention plan that includes restraint alternatives (I) compare with the use of a fall prevention protocol that includes the use of restraints (C) affect the number of falls that occur (O)?

Step 2 Post to the discussion forum.
In your initial response, address the following questions:

  1. Determine the best resources to use when conducting a search on the topic. Consider these questions: What databases would be most appropriate? Where would you locate clinical practice guidelines that could be used in the EBP process for this issue?
  2. Conduct a search using the resources you identified in Step 2a. What key search terms did you use? What filters did you use?
  3. From your search, identify at least three articles that you would consider using in an EBP project such as the one described in the case scenario. If possible, suggest resources that meet the highest level (Level I) of evidence. Why would these sources be most appropriate in determining best practices and supporting clinical decision-making for this issue?

fundamentals M 4

Module 04 Written Assignment Nursing Process – Case Study

Top of Form

Bottom of Form

Module 04 Content

1.

Top of Form

Please read the following case study and complete the questions below.

Daniel is a 16 year old boy who is an identical twin. He and his brother Jeff are very close and do most things together. While Daniel excels at sports he believe his brother is much better at most everything. Daniel, his brother, and their two sisters live with their parents in the Midwest. Recently Daniel has been feeling more tired than usual. He thought it was because of his schedule and school work, which he is fairly good at. He gets mostly Bs, but his grades have been slipping of late. One day he fainted while getting ready for a game. His coach called his parents to let them know Daniel was taken to the Emergency Room. While there the doctor decided to admit Daniel to the hospital for observation. At the time he was running a slight fever, his breathing was shallow, and he was sweating. He was also very sleepy and his blood pressure was high. He did have some abnormal laboratory work, but his doctor was not too concerned at present. Daniel also stated that he felt achy.

You are assigned to take care of Daniel today and when you walk into his room, his mother and brother Jeff are there. Daniel appears to be sleeping. In your written assignment, respond to the following questions applying the nursing process:

Assessment: What type of objective and subjective data can you collect with what you know? How will you collect these data? What further evidence do you need?

Analysis and Identification of the Problem: What do you believe Daniel's problem(s) are? What might be the nursing diagnoses? Use the following for identification.

Planning: Identify two goals and one nursing intervention for each, based on your nursing diagnoses.

While you will not be able to 
implement or 
evaluate, how well do you think your nursing interventions might help with Daniel's care.

Additional Resource


Nurse’s Pocket Guide: Diagnoses, Prioritized Interventions, and Rationales

Case presentation

 State 3–4 objectives for the presentation that are targeted, clear, use appropriate verbs from Bloom’s taxonomy, and address what the audience will know or be able to do after viewing. Present the full complex case study. 

The good over the bad

Can I please get some assist with this question?

English 101

Assignment Guide: The Persuasive Letter

Assignment Prompt

For this assignment, you will be writing a letter compelling a friend or family member to change either a behavior or a belief with which you disagree. Choose your own topic, but for example, this letter could petition an enthusiastic neighbor to scale down his blinding Christmas decorations, an immature cousin to take a gap year between high school and college, a grandparent to vote to pass the new school district budget, a friend to stop drinking, or a spouse to reconcile with an estranged sibling. Because the letter will be written to an individual of your choosing, you must tailor your 
language and 
logic to the person to whom you are writing. 

Assignment-Specific Requirements:

Length: This assignment should be at least 750 words. 


Thesis

Underline your 
thesis statement or the main 
claim of your letter.

Sources Needed: None required. 
Cite if used, following 
MLA guidelines

Page Formatting: Use 
MLA guidelines.  Also add an opening salutation (e.g. Dear Sarah, or Hello, Jon.), and a closing salutation & signature (Best regards, Tom or Sincerely, Liza)


MLA

 Requirements: See 
Formatting your Essay: MLA 8th Edition

Rhetorical Mode

The goal of 
persuasive writing is to get a 
reader (your 
audience) to agree with your 
point of view
Persuasive writing blends facts and emotion to convince the 
reader that the writer is right. This 
genre relies on opinion and emotion to a greater extent than argumentative writing, but in moving a 
reader, the successful persuasive letter also deploys logically sound 
argumentation and quite often researched support and fact. 

Rhetorical Considerations

Purpose:

The purpose of 
drafting a persuasive letter is to move your 
reader to agree with your 
point of view
Persuasion is single-minded; it is based on a conviction that a particular way of thinking or acting is the only way to go; all of the energy of the letter works toward this end. As a writer, you will present one side–your side. While an 
opposing point should be mentioned, it is only mentioned to be refuted or dismissed in the service of your position.  

Audience:

Persuasive writing is almost always written with a particular 
audience in mind.  For this piece of writing, you will direct your persuasive letter to one person. Thus, your 
audience is not imagined, but rather very real, and that person and their characteristics will inform many of the choices you make as a writer. The persuasive letter requires constant negotiation with another person’s mind. At every phase of the writing process, as you prewrite, draft, and 
revise, this assignment will ask you to imagine and anticipate how your 
reader feels, responds, and thinks.   

Form:

This piece of writing will be presented using a letter format.  Thus, while you still need an 
MLA
style heading to format your work for submission, you will address your letter directly to your 
reader with a formal letter salutation. 

Five Features of a Persuasive Letter

1.
Rhetorical Situation: 
Persuasive Writing vs. Argumentative Writing: 
Persuasive writing, in a way, is a form of argumentative writing; however, the goal of 
persuasive writing is to get a 
reader or group of readers to agree with you/your 
point of view on a particular topic, and the goal of argumentative writing is to get the 
reader to acknowledge that your side is valid and is worth considering. 
Persuasive writing blends facts with emotion in an attempt to convince the 
reader that the writer is “right,” while in argumentative writing, the writer cites relevant reasons, credible facts, and sufficient 
evidence in order to convince the 
reader to consider a particular perspective. The nuances are subtle but important to consider. (Later in this course you will be crafting an argument and will see the differences in these genres of writing with greater clarity. The letter makes balanced use of the three rhetorical appeals to persuade a 
reader to change a behavior or belief.  The three appeals, which come to us from that consequential deceased Greek, Aristotle, are: 

1.

1.

Ethos

a writer’s or speaker’s credibility. In your letter, therefore, 
ethos is you, sort of. It’s the “you” that your writing transmits to your 
reader, the sum total of your 
tone and 
language choices, and also the values and intelligence that your writing communicates. Therefore, be vigilant with your work because 
ethos is the appeal that’s most immediately harmed by faulty word choices, punctuation mistakes, and lapses in 
tone

2.

Pathos

the appeal to a 
reader’s emotions and values. Get your 
reader to feel. Play (in a non-evil way) on their emotions–their compassion, their fears, their sense of community.   

2.

Logos

the appeal to a 
reader’s 
logic or reason.  Ensure your 
claims are logical, free of fallacies, and backed with specific support.  

3.

Organization

Organize using argumentative structure: an 
introduction with a 
thesis/main 
claim, body paragraphs that advance points in support of the 
thesis/main 
claim, and a 
conclusion

2.

Transition

s: Uses 
transitional phrases to connect your ideas and move the 
reader forward smoothly and logically between sentences. 

3.
Known 

Audience

: The letter’s appeals are personalized to the 
reader’s characteristics–their professional role and its obligations, as well as their values and emotions. 

4.
Formal or Informal Writing? The 
tone of the letter depends upon the recipient and your relationship and also upon 
subject matter. The 
tone should enhance the letter’s persuasive efforts, not undermine them. Always strive for a respectful approach.

Mini-Lesson on 

ETHOS

 – 

PATHOS

 – 

LOGOS

Plan to use these appeals heavily throughout your Persuasive Letter.


Ethos

This is an 
ethical appeal. It relies on your reliability and credibility as the author. 

· Includes 
reliable sources

· Is written from an unbiased perspective

· Shows the writer’s expertise through the presentation of careful insight and research


Pathos

This is an 
emotional appeal. It relies on the construction of careful connection between the 
claims presented and the emotions of the readers. 

· Includes the writer’s values and beliefs

· Uses stories or examples that convey emotion

· Contains broader appeal and 
focus  


Logos

This is an appeal to 
logic and reason. It relies on facts and figures that can convince the 
reader of the 
claims

· Relies on fact and opinion

· Focuses on reasonable 
claims and 
organization of ideas

· Only includes relevant material with a 
narrow 
focus

Pharm: Bipolar Type II with Diabetes Type 1

ASSESSING AND TREATING PATIENTS WITH BIPOLAR II DISORDER AND DIABETES TYPE 1.

For this Assignment, as you examine the patient case study in this week’s Learning Resources, consider how you might assess and treat patients presenting with bipolar disorder.

For this assignment, you will write a 5–6-page paper on the topic of bipolar and bipolar and related disorders. You will create this guide as an assignment; therefore, a title page, introduction, conclusion, and reference page are required. You must include a minimum of 3 scholarly supporting resources outside of your course provided resources.

In your paper, you will choose one of the following diagnoses: Bipolar I, Bipolar II, Cyclothymic Disorder, Substance/Medication-Induced Bipolar and Related Disorder, Bipolar and Related Disorder Due to Another Medical Condition. Your paper will include discussion for your chosen diagnosis of bipolar and related disorder on the following:

· Prevalence and Neurobiology of your chosen disorder ( Bipolar II and Type 1 Diabetes)

· Discuss the differences between your chosen disorder and one other bipolar and related disorders in relation to the diagnostic criteria including presentation of symptoms according to DSM 5 TR criteria

· Discuss special populations and considerations (children, adolescents, pregnancy/post-partum, older adult, emergency care) for your chosen bipolar and related disorder; demonstrating critical thinking beyond basics of HIPPA and informed consent with discussion of at least one for EACH category:  legal considerations, ethical considerations, cultural considerations, social determinants of health

· Discuss FDA and/or clinical practice guidelines approved pharmacological treatment options in relation to acute and mixed episodes vs maintenance pharmacological treatment for your chosen bipolar and related disorder

· Of the medication treatment options for your chosen disorder discuss side effects, FDA approvals and warnings.  What is important to monitor in terms of labs, comorbid medical issues with why important for monitoring.
(use Escitalopram for Bipolar II and Insulin for Diabetes Type 1)

 

References:

Stahl, S. M. (2021). 
Stahl's essential psychopharmacology: Neuroscientific basis and practical applications (5th Ed.) Cambridge University Press.

· Chapter 7, “Treatments for Mood Disorders: So-Called “Antidepressants” and “Mood Stabilizers” (pp. 338-358)

American Psychiatric Association. (2010b). 


Practice guideline for the treatment of patients with bipolar disorderLinks to an external site.


 (2nd ed.)

https://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/bipolar.pdf.

Hirschfeld, R. M. A. (n.d.). 


Guideline watch: Practice guideline for the treatment of patients with bipolar disorder

Links to an external site.
 (2nd ed.)
.  https://psychiatryonline.org/pb/assets/raw/sitewide/practice_guidelines/guidelines/bipolar-watch.pdf

elderly patients.

End-of-life care becomes an issue at some point for elderly patients. Even with the emergence of palliative care programs and hospice programs, most elderly people do not die in their own home as is their preference. What are the reasons for this trend? Discuss what you can do as a nurse to support your patients regarding end-of-life care in accordance with their wishes. Support your response with evidence-based literature.

see below

see below

Case 13

See attached report

W7

1. When dealing with a patient with both depression and anxiety how should the provider prioritize their care? (focused more on teenagers)

2. What are your thoughts in regard to the standard of care of pediatric patients who are diagnosed with MDD vs. Bipolar Disorder?

3- therapy options available that can assist the patient with
Major Depressive disorder, Recurrent episode, Severe, Generalized Anxiety Disorder and Bipolar II Disorder, current episode depressive, moderate ((no cognitive behavior therapy))

Hello, answer those 3 questions without introduction or conclusions, just the questions. references minimum 1 for each question.. simple but with content