Directions: Case Study

due 10-7-23 @10am

PICOT QUESTION FORMATION

Use thgis topic to develop a PICOT question. Please see attached documents for the rubrics and the PICOT question development tools. Also provide 10 articles that are peer reviewed and randomized. “Effectiveness of pharmacological and non pharmacological treatment of Parkinson’s disease.” Let me know if you have any questions.

W6 D see attachment.

Chamberlain


NR599-11532

Week 6

Medical Application Critical Appraisal Guidelines

Preparing the Assignment

>>>>>>. Red letters are notes added by me for work instructions.>>>>>>>

Preparation and Paper Outline:

1. 
PART 1: The medical application selection for this assignment is contingent upon the month of your birthday. Use the table below to identify the Medical App for this assignment.

Your Birth Month

Medical App for Assignment

 January, February

MDCalc

 March, April, May

Medscape (this is the one that corresponds to me)

March is My Birth Month

 June, July, August

The Chief Complaint

 September, October

Pocket Pharmacist(PocketRx)

November, December

SingleCare

· Use the 
Google Play Store for Android devices or the 
Apple iTunes App Store for Apple devices to search for the medical application as determined by the table above.

· In order to complete the following guided appraisal, 
download the app to a mobile device (smartphone or tablet). The apps are free and do not require purchase to complete this assignment.

·
Provide 
proof of download by attaching a screenshot of the device screen in JPEG or PDF format to the assignment upload tab (in addition to submitting this assignment). Following the general instructions below for smartphone devices (specific device instructions may vary):

·
Android 4.0 and Newer: (Galaxy SIII, Galaxy S 4, Galaxy Note, HTC One, Nexus phones, Droid phones)

· Any Android phone running Ice Cream Sandwich (4.0) or later can easily take a screenshot. Hold the Power and Volume Down buttons together until the screen flashes and you hear the shutter sound. The screenshot image will appear in your Gallery app, usually inside the Screenshots folder

·
iPhone

· The method for taking a screenshot in iOS has been the same since version 2.0. Hold the 
Power (Sleep/Wake) and 
Home buttons together until the screen flashes and you hear the shutter sound. The screenshot image will appear in your 
Photos app under 
Camera Roll.

Use this Pic as a Proof of download 
in my device
A screenshot of a phone  Description automatically generated

2. 
PART 2: Answer the Medical App Critical Appraisal questions thoughtfully and comprehensively. 
Use the criteria headings on this outline as the headings on your properly APA- formatted paper.

·
NAME: What is the name of the app?

·
AUTHOR: Who created, developed, or maintains the app? Explain.

·
ENDORSEMENT: Is the app licensed by the Food and Drug Administration, other government agency, or endorsed by an academic institution or medical professional organization? Explain.

·
OPERATION: Which platform (mobile or web-based) is suitable for the app and why?

·
AESTHETICS: Is the information displayed in a way that is easy to navigate? Is it easy to use? Can you use it without instructions? Explain.

·
PURPOSE: What is the intended purpose or use of the app?

·
CLINICAL DECISION MAKING: What influence does the app have on clinical decision making? Explain.

·
SAFETY: Is there potential for patient harm? Explain.

·
PRIVACY/SECURITY: Does the app have privacy statement or setting? Is there a clear privacy policy stating information will be encrypted and not shared with third parties? Does the app share information on social networks? Are users notified in the event of a breach of privacy and health information? Explain.

·
USER: For whom is the app intended (providers, patients, or others)? Explain.

·
DISTRIBUTION: Is it designed for local use or wider distribution? Explain.

·
CREDIBILITY: How credible are the sources of information? How do you know? Explain.

·
RELEVANCE: How current is the information in the app? When was the last update? Is the content consistent with evidence-based literature or best practices/standards of care? Explain.

3. 
PART 3: Provide 
one example of an appropriate patient or clinical scenario for this app. The example should include the following details:

· Patient Age-population (Pediatric, Adult, Geriatric)

· Clinical Setting (Hospital, Private Practice, Extended Living Facility)

· History of Present Illness and Diagnosis or Condition

· Provide a detailed description of the app in your example. When will the app be implemented (at the Point-of-care or elsewhere)? Who will use the app? What potential impact will it have on the scenario? Incorporate the critical appraisal information from Part 2. 
Provide one evidence-based scholarly article as a reference to support clinical decision-making.

4. This assignment will be graded on the quality of the information, inclusion of one evidence-based scholarly resource, use of citations, use of Standard English grammar, and organization based on the required components (see the paper headings and content details in Part 1).
5. The length of the paper is to be 
between 1,000 and 1,500 words, excluding title page and reference list.
6. Create this assignment using Microsoft (MS) Word. You can tell that the document is saved as a MS Word document because it will end in “.docx.”
7. APA format is required in this assignment, explicitly for in-text citations and the reference list. Use 12-point Times New Roman font with 1-inch margins and double spacing. See the APA manual for details regarding proper citation. See resources under Course Resources, “Guidelines for Writing Professional Papers” for further clarification.

* Scholarly Sources: Only scholarly sources are acceptable for citation and reference in this course. These include peer-reviewed publications, government reports, or sources written by a professional or scholar in the field. The textbooks and lessons are 
NOT considered to be outside scholarly sources. For the threaded discussions and reflection posts, reputable internet sources such as websites by government agencies (URL ends in .gov) and respected organizations (often ends in .org) can be counted as scholarly sources. The best outside scholarly source to use is a peer-reviewed nursing journal.  You are encouraged to use the Chamberlain library and search one of the available databases for a peer-reviewed journal article.  The following sources should not be used: Wikipedia, Wikis, or blogs.  These websites are not considered scholarly as anyone can add to these. Please be aware that .com websites can vary in scholarship and quality.  For example, the American Heart Association is a .com site with scholarship and quality.  It is the responsibility of the student to determine the scholarship and quality of any .com site.  Ask your instructor before using any site if you are unsure. Points will be deducted from the rubric if the site does not demonstrate scholarship or quality. Current outside scholarly sources must be published with the last 5 years.  Instructor permission must be obtained BEFORE the assignment is due if using a source that is older than 5 years.

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nutritional principles in nursing

create a power point presentation of no more than 15 slides that reflect your understanding of the three macronutrients ,carbohydrates, lipids, and proteins. Be creative . Each slide should include information about each macronutrient. Definition of the macronutrients inclusive of its function and structure. Where they are digested and absorbed. Types and their purpose .Special characteristics and function. clinical applications as they relate to health and diets

Health Care Inequalities

 Based on viewing the Johnson & Johnson video, what are your thoughts about health care inequalities and the need for continuing reform? (Share at least 2 points of view.) 

Regardless of political affiliation, individuals often grow concerned when considering perceived competing interests of government and their impact on topics of interest to them.

 Regardless of political affiliation, individuals often grow concerned when considering perceived competing interests of government and their impact on topics of interest to them.  

NUR1172, NUTRITIONAL PRINCIPLES IN NURSING

what are the three components of the DRI? 

describe how RDA. AI, AND UL influence health

after reviewing your results on the interactive DRI, how well are you meeting the RDAs suggested 

what two changes can you make to improve

W2 R see attachment

Make a follow-up of a student's weekly discussion and respond with your opinion regarding to her post

——You don't have to post this in APA format necessarily, it's just giving feedback to the student .



Ally Carvalho

What are the potential ethical and legal implications for each of the following practice members?


Medical assistant 

The medical assistant engaged in unethical behavior by refilling a prescription without proper authorization. Her action can potentially harm the patient if the medication is no longer appropriate or if there are contraindications.

Her actions violate state laws and regulations related to prescribing and dispensing medications without proper authorization.

Nurse Practitioner

The NP should thoroughly investigate the situation and address any ethical concerns related to patient care, including the appropriateness of the prescription refill and the potential breach of trust. The National Health Care Anti-Fraud Association estimates three percent of all healthcare spending is lost to fraudulent transactions (Haddad Soleymani et al., 2018).

The NP's name was used on the prescription label without their knowledge and it must clarify this discrepancy and ensure compliance with prescription laws and regulations. At this point, the NP doesn't know if this has happened with other patients and it must be addressed.

Medical Director

The medical director has the ethical responsibility to address the situation promptly, ensuring that the practice's standards for ethical and legal behavior are upheld. 

Practice

The practice as a whole has an ethical obligation to provide high-quality, safe patient care. Any lapses in ethical standards may erode trust and confidence. Healthcare professionals must follow structured policies and procedures (Kadivar et al., 2017).

The practice should ensure that all staff members comply with legal requirements regarding prescription renewal. 

 

What strategies would you implement to prevent further episodes of potentially illegal behavior? 

Reinforce the importance of adhering to legal and ethical standards during training and ongoing education for medical assistants. 

Implementing stick protocols for prescription renewals including requiring direct provider authorization and documentation. 

According to the Department of Health and human services (2011), it is important to implement regular audits or checks of prescription practices to identify any irregularities.

Foster a culture of openness, where staff members feel comfortable reporting any ethical or legal concerns without fear of retaliation.

Medicare prescription drug sponsors’ training to prevent fraud, waste, and abuse. (2011). Department of Health and Human Services, Office of Inspector General.

Haddad Soleymani, M., Yaseri, M., Farzadfar, F., Mohammadpour, A., Sharifi, F., & Kabir, M. J. (2018). Detecting medical prescriptions suspected of fraud using an unsupervised data mining algorithm. 
Daru
26(2), 209–214. 

https://doi.org/10.1007/s40199-018-0227-zLinks to an external site.

Kadivar, M., Manookian, A., Asghari, F., Niknafs, N., Okazi, A., & Zarvani, A.

(2017). Ethical and legal aspects of patients safety; a ckunucak case report. Journal of Medical Ethics and History of Medicine, 10, 15-.

AVSAR RAC 3, 15 questions

 Avsar, P., Budri, A., Patton, D.,  Walsh, S., & Moore, Z. (2022). Developing algorithm based on  activity and mobility for pressure ulcer risk among older adult  residents: Implications for evidence‐based practice. Worldviews on Evidence-Based Nursing, 19, 112–120. https://doi.org/10.1111/wvn.12545 

Article Summary 2

 

  1. What is the research question?
  2. What research method is being used?
  3. How are the subjects chosen (explain the parameters & how many)
  4. What are the results of the study?
  5. What are the recommendations?
  6. What is your opinion? 
  7. Your references must be within the last five years, and websites are unacceptable. I am looking for scholarly research – peer-reviewed journal research articles.