milestone 2

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need to refer to the first one to do the second

DUE TOMORROW @ 8PM……NO PLAGARISM, FOLLOW ALL INSTRUCTIONS

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 GRADUATE PRIMARY CARE CLASS FOR FAMILY NURSE PRACTITIONER

Goals for this semester – Due

11:59 PM

4 goals – each goal should be:

Specific

 Measurable

Achievable

Relevant

Time-Bound.

nursing

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Assessment Description

Prepare this assignment as a 1,500-1,750-word paper using the instructor feedback from the previous course assignments and the guidelines below.


PICOT Question 

Revise the PICOT question you wrote in the Topic 1 assignment using the feedback you received from your instructor.
The final PICOT question will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).


Research Critiques

In the Topic 2 and Topic 3 assignments, you completed qualitative, quantitative, and mixed methods research critiques on two articles for each type of study (four articles total). Use the feedback you received from your instructor on these assignments to finalize the critical analysis of each study by making appropriate revisions.

The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT question.

Use the “Research Critiques and PICOT Question Guidelines – Final Draft” document to organize your essay. Questions under each heading should be addressed as a narrative in the structure of a formal paper.

 Please note that there are two new additional sections: Outcomes Comparison and Proposed Evidence-Based Practice Change
.


General Requirements

You are required to cite a minimum of three peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.  

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

INSTRUCTORS REQUIREMENTS

As you start the final paper for this course, I wanted to point out a couple of items.

1. Review the rubric found in the syllabus and be sure to follow the requirements.

2. Review my comments in previous submission and make the revisions. I attached your paper in the gradebook feedback with extensive feedback. One of the grading criteria for the final paper is evidence of revisions based upon previous feedback.

3. The paper is to be 
1,500-1,750 words. Points will be deducted for exceeding the word count.

4. All references to articles in the be done by using the author's name. The title of the article is not to be in the text of the paper.

5. All references are to be in APA format. 
Retrieved from is not to be included.

6. Please message me with questions

7.
No late submissions will be accepted after the end of the class which Sunday, October 1, 1159PM.

Dr. Cook

Effect of Delayed Newborn Bath

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Please follow directions attached. Thank you

discussion post communication

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Complete the Typefinder Personality TestLinks to an external site.. For the class discussion, post your response to the following questions:  

  • Did taking the test provide you with any new insight?  
  • How might considering the personalities of those with whom you interact support interpersonal communication? When possible, provide examples from your own experience.  
  • Discuss strategies for resolving disagreements and conflicts. Describe a time that you have dealt with a conflict or disagreement in a professional setting and how you handled the situation?  
  • Could it have been handled better if you were in the same situation again?   
  • Incorporate strategies found in the unit presentations, textbook, or other professional or academic sources.   

Additionally, view the TED Talk “The Power of Introverts”Links to an external site. by Susan Cain (TED, 2012). Respond to the following questions:  

  • Did her talk give you any new perspective on the process or skill of communication, especially with regard to personality and interpersonal engagement?  
  • Share how you may relate to her talk and/or to the material we studied for this week. 

Be sure to respond to your peers as well.  As a reminder, connect to a scholarly source beyond the TED Talk. 

Reference

TED. (2012). The power of introverts. https://www.ted.com/talks/susan_cain_the_power_of_introverts 

Respiratory

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Discuss what is happening on a cellular level with the disease process. Be careful to realize that patients have co-morbidities, and you may need to discuss the other diseases impact on the pathophysiology and care of the patient.  Three (3) resources after 2008 are required along with APA format. Add questions to paper

CASE STUDY: 
Asthma

 

Patient Profile:

    Miss Winters, age 25, comes to the emergency department with severe wheezing, dyspnea, and anxiety. She was in the ED only 6 hours ago with an acute asthma attack, which resolved with nebulized albuteral treatments.

 

Subjective Data:

-Admits to use of albuterol inhaler several times weekly for the last few months 

-Asthma symptoms occasionally awaken her at night (about 3 times a week), and she has cancelled several outings with her family due to her symptoms

          -Can now only speak in one to three word sentences

          -Is allergic to cigarette smoke

-Began to experience increased shortness of breath and chest tightness when she returned home

-Used albuterol inhaler repeatedly at home without relief

-History of pruritic skin lesions that have come and gone since childhood.

 

Objective Data:

            Physical Examination:

                -Using accessory muscles to breath

             -Audible inspiratory and expiratory wheezing to auscultation with no air movement in lower lobes of l

                     lungs

             -HR = 126/min; Resp = 40/min

             -Areas of dry, scaling skin in antecubital areas bilaterally with evidence of scratching

            
Diagnostic Studies:

                        ABGs: PO2  = 80 mm Hg

                                    PCO2  = 35mm Hg

                                    HCO3  = 24 mEq/L

                                    pH = 7.48

                        PEFR: 150 L/min (Personal best: 400 L/min)

                        Continuous pulse oximetry: 82-85

 

CRITICAL THINKING QUESTIONS:

 

1. Why did Ms. W. return to the ED? Explain the pathophysiology of this second exacerbation of asthma.

 

2. Describe the progression of breath sounds auscultated from early in an asthma attack through very severe respiratory impairment. How do the sounds change as the patient improves?

 

3. What is the significance of her dry, scaling, pruritic skin lesions? What is your diagnosis (no nursing dx please)? How do these types of lesions relate to asthma? What is their physiologic cause ?

 

4. Analyze the ABG. What type of acid-base disorder is present? Why? Is there any compensation?

 

5. Discuss the four categories of asthma diagnosis advocated in the 
Guidelines for the Diagnosis and Management of Asthma from the National Heart, Lung, and Blood Institute of the National Institutes of Health. Which classification best describes Ms. W.'s asthma?

 

6. According to the asthma treatment guidelines from #5: the “Step up-Step down” approach, what is the recommended treatment strategy for a patient currently at Ms. W.’s classification level once this current exacerbation is controlled? When would it be appropriate to reevaluate the interventions and possibly adjust the medications?

 

7. She lost her Peak Flow meter during a recent house move. Why would you want to order a new one for her? How is it used and how can it help increase her ability to control her asthma? Explain the red, yellow, and green zones. What is the significance of her PEFR level on her return to the Emergency Room?

 

Chronic mental illness

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Analyze the potential effectiveness resulting from professional or nurse-provided social support versus enhancement of social support provided by personal relationship and social networks for parents of children with chronic mental illness.

Please include 400 words with two scholarly articles no later than 5 years old. 

No Plagiarism

Run rheumatoid arthritis

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I’ve attached a list of question asked by the patient please insert accordingly 

Peer responses

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Respond to two of your colleagues’ posts by offering suggestions/strategies for working with this database from your own experience, or offering ideas for using alternative resources.

See attachments for peer responses 

Requesting writing tutor

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Answer in 500 words

1. Find two articles (evidence-based) that discuss emerging trends in Nursing Informatics.

a. Conduct a literature review on emerging trends in nursing informatics. 

2. For your post, briefly summarize the important points and/or findings of the articles. 

3. State why your chosen articles are relevant to nursing. 

4. Answer the question: “How can I help my colleagues and patients embrace, understand, and use technologies to manage health?” 

5. Include references in APA format.