evidence based

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Nursing Research

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Arranging Matrix table

  

· Week 8 Matrix of Significant Studies

The Matrix is a personal critical appraisal of key studies contributing to the body of evidence related to your clinical topic and proposed project. This matrix represents your synthesis of articles you find most relevant to your proposed evidence-based project.  This matrix is not only a class assignment but should be a tool you use throughout your journey towards the completion of your project. As your accumulation of evidence grows, so should your matrix so you are able to locate valuable information easily! 

For this assignment, you will appraise 10 articles related to your project, sharing all pertinent data you can in the matrix form. Please view the sample matrix as a visual guide as to what information should be gathered. Remember, this is evidence for change and should be relevant, reflect useful data, and be current.

Note

Clinical Topic ” The Prevalence of Depression among adolescents in the American Society”

In the attachment below, there example matrix table and blank matrix table, the blank one is for the work and the example is for you to see what is expected to be done. 

Secondly, you will use 10 articles from the assigned clinical project or are related to the clinical project.

Thirdly, the clinical project is uploaded you may use some of the References. 

DB

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Please respond using APA format, and at least 4 scholarly references, due by 09/03/23 12 pm EST

 

Develop a 1- to 2-page case study analysis in which you:

  • Explain why you think the patient presented the symptoms described.
  • Identify the genes that may be associated with the development of the disease.
  • Explain the process of immunosuppression and the effect it has on body systems.

Case study: 

  

A 49-year-old patient with rheumatoid arthritis comes into the clinic with a chief complaint of a fever. Patient’s current medications include atorvastatin 40 mg at night, methotrexate 10 mg po every Friday morning and prednisone 5 mg po qam. He states that he has had a fever up to 101 degrees F for about a week and admits to chills and sweats. He says he has had more fatigue than usual and reports some chest pain associated with coughing. He admits to having occasional episodes of hemoptysis. He works as a grain inspector at a large farm cooperative. After extensive work-up, the patient was diagnosed with Invasive aspergillosis.

Critical reflection

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I attached assignment task description 

And module 1 
Rest module 2-8 I will combine and send you 1 file. 
As there is 4 part of assignment to reflect which student have to pick from module. It will be good if you pick Mildred video to reflect on it in module 6 I have put link in document. 
For the 1 st critical reflection is from module 1 personal leadership philosophy. 
For the 2nd it is related to standard 
For the 3 reflection it is good to pick Mildred video module 6
For the 4th, you can pick any reading in the modules which you feel good to do critical reflection as a nurse leader not as organisation leader. 

informatics

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1. Interoperability can only be achieved when provider organizations do the work necessary to participate. Do provider organizations have the necessary incentives to do that work?

2. Private health information exchanges seem to be growing at a faster pace than public health information exchanges. Public exchanges should arguably offer more value to patients and lower costs to provider organizations. Why the discrepancy?

3. The INPC, originated as a research project, was initially funded by grants and one of the ongoing value propositions is research use of the data. Is research necessarily critical to success of a health information exchange?

4. Establishing and operating a health information exchange requires a variety of investments including computing and network infrastructure, software systems of various types, legal and operational costs. Would you agree that data capture and normalization is the largest investment required?

5. Computing infrastructure, networking technology, software and clinical information standards will continue to evolve rapidly and investments in the technology will depreciate relatively rapidly. What are the core assets of an HIE if not these things?

ASSESSING, DIAGNOSING, AND TREATING ADULTS WITH MOOD DISORDERS

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Develop a Focused SOAP Note, including your differential diagnosis and critical-thinking process to formulate a primary diagnosis. Incorporate the following into your responses in the template:

  • Subjective: What details did the patient provide regarding their chief complaint and symptomatology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life? 
  • Objective: What observations did you make during the psychiatric assessment?  
  • Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest to lowest priority. Compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.
  • Plan: What is your plan for psychotherapy? What is your plan for treatment and management, including alternative therapies? Include pharmacologic and non pharmacologic treatments, alternative therapies, and follow-up parameters as well as a rationale for this treatment and management plan. Also incorporate one health promotion activity and one patient education strategy.
  • Reflection notes: Reflect on this case. Discuss what you learned and what you might do differently. Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), social determinates of health, health promotion, and disease prevention that takes into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).

all i need is paraphrazing this work sample.

Case study

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Neurologic Function Case Study 

Pain and Neurologic Syndromes

  

Instructions  

For this case study, you will create a case related to the Neurological Functions.

  

Download this document, type your answers, and include references (including in-text citations per item). Then, upload it to this assignment page.  

  

Neurological Function 

 

Part 1:

Compare and contrast the 3 conditions in

one
 of the charts below: 

PAIN SYNDROME

 

Migraine Headaches 

Tension Headaches 

Meningitis 

Risk Factors 

 

 

 

Pathophysiology 

 

 

 

Clinical Manifestations 

 

 

 

 

OR

NEUROLOGIC SYNDROME

 

Dementia 

Depression  

Anxiety

Risk Factors 

 

 

 

Pathophysiology 

 

 

 

Clinical Manifestations 

 

 

 

Part 2:

Choose a
pain or
neurologic syndrome to explore. You can also choose a diagnosis not listed (that coincides with your advanced practice specialty) as long as it relates to the neurological function.

Present a hypothetical case that includes the following:

1. Vital information about a person who might be predisposed to this condition (I.e., a person who may have risk factors for this condition). 

2. The pathophysiology of the disease, including clinical manifestations.

3. Which diagnostic tests you’d recommend and a rationale for the one(s) you choose.

4. How this condition compares to other differentials.

5. The evidence-based recommendations from the

AHRQ Guidelines
 or guidelines recommended from a professional organization. Based on these recommendations, discuss how  to manage the condition best.

6. A patient safety issue that could be associated with the condition presented in this case.

These charts may help in organizing information to answer the narrative questions: 

Name of Condition: 

Risk factors 

 

Pathophysiology 

 

Clinical manifestations 

 

Additional details (optional): 

 

Differential Diagnoses (See chart below) 

 

What makes this diagnosis unique from other differentials? 

 

Guidelines and recommendations for condition management

Potential related safety issues

 

 

DIFFERENTIAL DIAGNOSIS CHART

Condition

Differential 1

Differential 2

Differential 3

Risk factors 

 

 

 

 

Pathophysiology 

 

 

 

 

Clinical manifestations 

 

 

 

 

Additional details (optional): 

 

 

 

 

Unique characteristics 

 

 

 

 

 

 

The Case:

pn 2 m8 written

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An 8-year-old girl comes to your ambulatory care clinic with complaints of left ear pain for the past 3 days. She had respiratory infection a week ago. On physical examination, the tympanic membrane is bulging.

Answer the following questions:

  1. What else should you ask the client?
  2. What teaching would you reinforce to prevent the recurrence of otitis media?
  3. What expected outcomes would be specific to this situation?

EBP-Change

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 To Prepare:

  • Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT.
  • Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection.
  • Consider the best method of disseminating the results of your presentation to an audience. 

The Assignment: (Evidence-Based Project)

Part 4: Recommending an Evidence-Based Practice Change

Create an 8- to 9-slide narrated PowerPoint presentation in which you do the following:

  • Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)
  • Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.
  • Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.
  • Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.
  • Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.
  • Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.
  • Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.
  • Add a lessons learned section that includes the following:
    • A summary of the critical appraisal of the peer-reviewed articles you previously submitted
    • An explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides)

References x 4 to include:

 

Proposal

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a written proposal that describes an assessment of the needs of the client(s) and why you feel this project would be beneficial to improve health outcomes. Include the goal of the project, the target audience, and what you expect the response to be.

This proposal must be at least 2 pages long, not counting reference pages, and be appropriately cited in APA format.