Category: Health care

 
This is a CLC assignment.

Refer to “Sallie Mae Fisher’s Health History and Discharge Orders” for specifics related to the case study used to inform the assignment.

Using “Home Visit With Sallie Mae Fisher” and “Sallie Mae Fisher’s Health History and Discharge Orders,” complete the following components of this assignment:

Essay Portion

After viewing the home visit, write an essay of 500-750-words in which you do the following:
1.Identify, prioritize, and describe at least four problems.
2.Provide substantiating evidence (assessment data) for each problem identified.
3.Identify and describe at least four medical and/or nursing interventions.
4.Discuss your rationale for the interventions identified.

Prepare this step of the assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

Scripted Dialogue Portion

Utilizing the information learned from the home visit, health histories, and discharge orders, write a scripted dialogue in which you provide Sallie Mae with education that describes her problems and the interventions
identified to improve her condition. Consider Sallie Mae’s physiological, psychosocial, educational, and spiritual needs when developing your dialogue.
Your dialogue should resemble a script. The following is an example of a few sentences from a scripted dialogue:

Nurse: “Good morning, Salle Mae, my name is ______ and I will be your nurse today. I understand you are experiencing problems with ________.”

APA format is not required for this part of the assignment, but solid academic writing is expected.
My portion (overall) is the rationale for the interventions.

Cancer Screening
Directions
Review the clinician provider guidelines and recommendations found at:

Imagine you are working in a clinic and need to screen a patient for one of the types of
cancer listed below. While this is a preventative measure, it also can be a diagnostic
tool for finding cancer.
● Prostate Cancer
● Breast Cancer
● Cervical Cancer
Please select one screening methodology to rule out cancer. Your screening choice
must come from the National Clearinghouse guidelines. You will need to provide
evidence for each of the guidelines for your selection and apply it to a specific
population.
This paper should not exceed 2-3 pages, excluding your title page, and references.
This paper should adhere to appropriate 6th edition APA format.
DUE: to Dropbox on end of Day 7 of Unit 2.
To view the Grading Rubric for this Assignment, please visit the Grading Rubrics
section of the Course Home.

Explain, in your own words (500-750 words), the necessity of using small molecule kinase inhibitors together with antibodies that target EGFR for the possible treatment of colorectal cancer patients. Your answer should be based on the attached paper (1) [within the Folder, “Literature for Seminar-1”]. If you wish, you could also look in paper (2) and other similar articles on PubMed (provided in the “Abstract of the Key Article”).

 
As the American federal government continues to enact legislation regulating the health care industry in general and health care finance in particular, how will health care organizations need to adapt to ensure continued delivery of quality patient care? Why?

 
Write a paper addressing the sections below of the research proposal. (Diabetes Mellitus: Women with Gestational Diabetes).
This week you will submit the LITERATURE REVIEW section of your proposal (Diabetes Mellitus). The review of literature is a critical, analytical summary and synthesis of the current knowledge of your research topic. Thus it should compare and relate different theories, findings, etc., rather than just summarize them individually.
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Assignment 2 Grading Criteria
1-Literature reviewed represents current scholarly literature. 15 PTS
2-Literature reviewed represents a comprehensive review of the research topic. 15 PTS
3-Review of the literature is a critical, analytical summary. 15 PTS
4-Review of the literature illustrates a synthesis of the current knowledge of research topic 40 PTS.
Followed APA guidelines for writing style, spelling and grammar, and citation of sources. 15 PTS

ON THE PREVIOUS ORDER YOU WROTE IN THE RESEARCH PROPOSAL THAT “THE PURPOSE OF THE STUDY LOOKS TO ADD TO THE AVAILABLE KNOWLEDGE ON MANAGING WOMEN WITH GESTATIONAL DIABETES MELLITUS”

After completing this week’s Practicum Experience, reflect on a patient with a known history of strokes. Describe the patient’s personal and medical history, drug therapy and treatments, and follow-up care. If you did not evaluate a patient with this background during the last 10 weeks, you may select a related case study from a reputable source or reflect on previous clinical experiences.

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Write a 5-page essay in which you react to and apply the concepts presented in the readings. You might discuss how you see the concepts at play in your life or work, look at your own organization through the complexity lens or incorporate ideas from the readings into a plan for change in some aspect of your organization. This paper need not be supported by references other than the assigned readings. NOTE: Be sure that you include the articles cited in your list of references.

WHAT I LIKE TO SEE IN A DISSERTATION PROPOSAL
A dissertation proposal is a presentation of the first three chapters of your dissertation. These first three chapters, then, are not static, but are works in progress and should be treated as such. This means that you will continue to search the literature and update as you find new material, for example, or as interaction with your participants leads you in new directions. Because you are conducting Action Research, which is cyclical, every cycle of investigation should lead to new ideas and discoveries as you move through the process. One last thought on the way Action Research is conducted and written — work on writing in active voice. In other words, avoid sentences like, “This study will…” It’s not your study that’s doing this work — it’s YOU! Consequently, feel free to say, “I will…” and when you’re done, you can say, “I did it!”
The approval process of the proposal always begins with your mentor. Then the remainder of your committee will have the opportunity to read your work. Often, members of your committee will approve with recommendations for revision. Plan on completing multiple iterations of your work!
This is what I like to see in a dissertation proposal — I hope this helps you organize your thinking as you put your proposal together. Creativity is welcome and I realize that the research problem and method can drive the organization of the proposal. Use this only as a guide — your judgment in what you present should prevail. I would like to see some semblance of these headers, however, to help organize the work so that it’s easy to follow and captures everything needed. But remember – This is YOUR study!
CHAPTER 1 – INTRODUCTION TO THE STUDY
Introduction: Begin with an introduction that tells us what you’re studying and why you’re interested in this. What has drawn you to this topic and why do you think it’s important? What is the relevance of the problem to the field?
Background of the Problem: Describe some of the important information that readers need to know to understand why this is a research problem and why it should be studied.
Statements of the Problem: After providing some background, concisely state what the research problem is in a couple of paragraphs, including why we need to care about this. Why is this a problem that should be researched?
Research Question(s): Every dissertation study MUST be guided by research questions. Often, in qualitative studies, there is a main question followed by sub-questions. Quantitative studies should also have hypotheses in addition to research questions. This is not part of a qualitative study, however.
Purpose of the Study: This section should answer the important “So what?” question. In other words, what is the larger purpose this study will fulfill? Your main purpose is to answer or address your research questions, but your secondary purpose is to address a larger problem through your results.
Significance of the Study: Drawing from the purpose discussion, who will most benefit from your work? Who in the profession will be most interested in seeing your results and why?
Nature of the Study: How will you conduct the study? Give a brief but specific discussion of the study itself, including method(s).
Assumptions and Limitations: What are the givens with which you’re approaching this work, and what might get in your way? Your assumptions should be methodological, theoretical, and topic-specific. Your limitations might be potential design flaws, issues with participants, or both. They are issues that might impede your ability to draw conclusions from your data once it’s collected. You should also discuss delimitations, or areas that are intentionally being excluded from the research and why.
Definitions of Terms: List and define any terms that might be unfamiliar to the reader and that help to explain what is being measured through your work.
Summary: Summarize your chapter with a transition to the remainder of the proposal or final dissertation.
CHAPTER 2 – LITERATURE REVIEW
A good literature review should contain the following:
• A description of the “line of research” — in others words, what is the history of study of this problem? Where and how will your study contribute to this line?
• Identify, describe, and evaluate the studies that have come before yours on this research problem. What studies support your work and have helped you to determine the research problem, research questions, and significance of your study? Where are the gaps in that research? What unanswered questions have they created that your study might address?
• What is your theoretical framework? How has that helped you to select the focus for the study and potentially guide your analysis and interpretation of the data you hope to collect?
• Are there any studies that support the selection of your methodology and approach to your work? In other words, are there mostly quantitative studies that precede yours and you think a qualitative study is in order as a result? Is this a topic that has never been studied using focus groups, or phenomenological interviews, or surveys, or? Has the group you intend to study never been studied on this topic? These are all questions that help you to address the gap in the literature that your study may fill.
• Any other literature that supports the work you are doing.
• Provide a summary of the literature at the end of the chapter with a clear description of the gap your study will attempt to fill.
Remember — a good Literature Review is research-based, meaning that you should mostly be focused on previous studies in the area you intend to research.
CHAPTER 3 – METHODOLOGY
Chapter 3 is an extremely important chapter in that it presents the step-by-step approach you will use to conduct your study. Think of it as the blueprint for the house you are building and ask yourself, “If someone else were to read my work, would they be able to do EXACTLY what I did?”
Some of Chapter 3 mirrors the work that you did in Chapter 1. In Chapter 1 you described the research question and why it is being asked. In Chapter 3, you are describing exactly how you intend to go about answering it.
A good Chapter 3 should include:
• Purpose of the Study: You should begin by re-introducing why you’re doing this at all.
• Research Design: Define more fully the design of your work. What do you intend to do? With whom? Where and when? How? What instruments do you intend to use (i.e., interviews, surveys, focus groups, etc)?
• Target Population and Participant Selection: What is your sampling method? How will you recruit and choose your participants? How will you avoid coercion? How will you obtain informed consent?
• Data Collection and Data Analysis: Describe in detail and present the instruments you will use (interview questions, focus group procedures, surveys, etc.). Describe in detail how you will collect the data and once collected, how you will analyze your data and present your results.
• Ethical Considerations: How will you protect your participants and the data you collect? Are there any particular concerns for your study that should be addressed? How will you address them?
• Expected Findings: What do you think you’ll have when all is said and done? What are you really going for in this study?

Give examples demonstrating the difference between symptomatic treatment and treatment of the underlying cause.

 
Assignment
Details:

Asthma is a chronic lung disease caused by inflammation of the lower airways and episodes of airflow obstruction. Asthma episodes or attacks can vary from mild to life-threatening. In 2007, about 7% percent of the U.S. population was diagnosed with asthma and there have been a growing number of new cases since that time. There are several known risk factors identified as triggers of asthma symptoms and episodes, including inhalation of allergens or pollutants, infection, cold air, vigorous exercise, and emotional upsets. There is also growing evidence relating body-mass index to asthma in both children and adults. Design a study to investigate whether there is such an association.

Choose a study design and justify the reasons you chose the design over others.

Select a statistical measure you would use to describe the association (if there is one) between body mass index and asthma.

In addition, address:
1.Subject selection
2.Issues relating to the measurement of both the exposure and the outcome
3.Potential biases that the study might be prone to, and how they might be handled
4.Possible confounding factors and effect modifiers and how to overcome their effect

Present the information in a 750-1000-word report, using section headings where each requirement is described and justified under each of the following headings: Study Design, Statistical Measures, Subject Selection, and Measurement Issues.

Refer to the “Key Elements of a Research Proposal.”

You are required to use a minimum of three scholarly resources.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.
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(Apply Rubrics)

Asthma Study
1
Unsatisfactory
0.00%
2
Less Than Satisfactory
74.00%
3
Satisfactory
79.00%
4
Good
87.00%
5
Excellent
100.00%
70.0 %Content
15.0 % Study Design

Does not fully describe the chosen study design. Information is ambiguous and leaves the audience questioning.

States the chosen study design. Provides a brief rationale behind selection. Information is not developed or comprehensive

Presents a detailed outline of the chosen study design. Outlines rationale, justifying selection of study design. Minimal use of details is present.

Presents a basic description of the chosen study design. Provides convincing rationale, justifying selection of study design. Details are provided.

Presents a full description of the chosen study design. Provides detailed and convincing rationale, justifying selection of study design. Details are in-depth and expanded upon.
15.0 % Statistical Measures

Gives vague and/or incomplete description of a statistical measure to describe the association between body mass index and asthma. More than one major component of the criteria is missing.

Suggests a statistical measure to describe the association between body mass index and asthma. Little to no supportive information is given.

Presents a statistical measure to describe the association between body mass index and asthma Provides some detail although limited.

Presents a detailed outline of a statistical measure to describe the association between body mass index and asthma. Supplies the rationale. Information is accurate, appropriate, and integrated effectively.

Presents a full detailed in-depth description of a statistical measure to describe the association between body mass index and asthma. Presents specific details and rationale. Demonstrates an understanding of the principles and elements and reflects a sophisticated understanding of the subject knowledge. Information is accurate, appropriate, and integrated effectively.
15.0 % Subject Selection

Does not fully describe the subject selection process. Information is ambiguous and leaves the audience questioning.

Outlines the subject selection process but the information is not developed or comprehensive.

Outlines the subject selection process. Minimal use of examples and details is present.

Presents a detailed outline of the subject selection process. Examples are provided.

Presents a full description of the subject selection process. Examples and details are in-depth and expanded upon.
25.0 % Measurement Issues

Description of issues relating to the measurement of both the exposure and the outcome is minimal. Only lists potential biases that the study might be prone to and/or possible confounding factors and effect modifiers Details are lacking. More than one major component of the criteria is missing.

Description of issues relating to the measurement of both the exposure and the outcome is minimal. Lists potential biases that the study might be prone to, as well as possible confounding factors and effect modifiers but does not provide solutions or effects. Details are lacking.

Surface level description of issues relating to the measurement of both the exposure and the outcome is offered. Outlines potential biases that the study might be prone to, and how they might be handled as well as possible confounding factors and effect modifiers and how to overcome their effect. Claims and ideas are supported.

Presents direct, competent, and appropriate analysis of plans to issues relating to the measurement of both the exposure and the outcome. Outlines, in detail, potential biases that the study might be prone to, and how they might be handled as well as possible confounding factors and effect modifiers and how to overcome their effect. Provides examples and details.

Thoughtfully analyzes, evaluates, and describes issues relating to the measurement of both the exposure and the outcome. Supports rationale. Describes in detail potential biases that the study might be prone to, and how they might be handled. Proposes possible confounding factors and effect modifiers and how to overcome their effect. Provides in-depth examples and details throughout.
20.0 %Organization and Effectiveness
7.0 % Thesis Development and Purpose

Paper lacks any discernible overall purpose or organizing claim.

Thesis and/or main claim are insufficiently developed and/or vague; purpose is not clear.

Thesis and/or main claim are apparent and appropriate to purpose.

Thesis and/or main claim are clear and forecast the development of the paper. It is descriptive and reflective of the arguments and appropriate to the purpose.

Thesis and/or main claim are comprehensive. The essence of the paper is contained within the thesis. Thesis statement makes the purpose of the paper clear.
8.0 % Argument Logic and Construction

Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.

Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.

Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.

Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.

Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
5.0 % Mechanics of Writing (includes spelling, punctuation, grammar, language use)

Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used.

Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, and/or word choice are present.

Some mechanical errors or typos are present, but are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.

Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used.

Writer is clearly in command of standard, written, academic English.
10.0 %Format
5.0 % Paper Format (Use of appropriate style for the major and assignment)

Template is not used appropriately or documentation format is rarely followed correctly.

Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent.

Appropriate template is used. Formatting is correct, although some minor errors may be present.

Appropriate template is fully used. There are virtually no errors in formatting style.

All format elements are correct.
5.0 % Research Citations (In-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment and style)

No reference page is included. No citations are used.

Reference page is present. Citations are inconsistently used.

Reference page is included and lists sources used in the paper. Sources are appropriately documented, although some errors may be present.

Reference page is present and fully inclusive of all cited sources. Documentation is appropriate and citation style is usually correct.

In-text citations and a reference page are complete and correct. The documentation of cited sources is free of error.
100 % Total Weightage