Category: Health care

roles of MSN in relationship to research and evidence-based practice

Role of the MSN
1. Research
2. Evidence-Based Practice

Clinical Nurse Leader (CNL)
1. Research
2. Evidence-Based Practice

Staff Nurse (MSN)
1. Research
2. Evidence-Based Practice
Nurse Practitioner (NP)
1. Research
2.Evidence-Based Practice
Clinical Nurse Specialist (CNS)
1. Research
2.Evidence-Based Practice
Please use 65 word count for each Research response and Evidence based practice response

critically analyzing the topic above, please draw from an epidemiological risk perspective, as well as from a least one other risk perspective to support your argument (i.e. consumer, social constructionist, or human rights perspective). Consider the role of social work in assessing risk in this area. You may focus on the issue broadly as the statement or question is currently written, or you may consider analysing a more specific experience within the topic (you might prefer to consider this in relation to a specific type of harm to children i.e. physical harm or neglect).
Assessment criteria: This essay will be marked according to your ability to:
• demonstrate your knowledge of the particular practice issue (child maltreatment ) from an epidemiological perspective
• demonstrate your knowledge of the particular practice issue from at least one other perspective (consumer, social constructionist, human rights)
• demonstrate your understanding of assessing risk in social work practice in relation to this issue
• explicitly use the relevant chapter from the core text in addition to other relevant literature to support your arguments. • express your ideas in a coherent and scholarly manner
• use relevant references appropriately (APA 6 th).

For the past three years Joan and Bill Taylor have lived with their daughter Grace.
Joan is 81 years old and was diagnosed with dementia two years ago. Bill is 82 years old and very frail.
Grace felt unable to cope with both parents at home and as a result of this, four days ago, Joan was admitted into an aged care facility.

Since arriving at the facility, Joan has been wandering around in the facility and upsetting residents by removing personal items from their rooms. Joan left the facility unescorted this morning after a visitor let her out as they were leaving. Although she was found very quickly and was unharmed this may be an ongoing problem, as the facility does not have a specific secure area for persons with dementia who wander and there is a long waiting list for facilities with a secure dementia wing.

Joan gets very anxious and can become aggressive if she does not get her own way. On two occasions she has pushed care assistants. Joan will refuse to take medications at times when upset.

In addition to this, there is a new staff member who knows nothing about dementia and wants to know what it is and how to deal with Joan’s aggression.

Medications Metoprolol 50mg Mane Lorazepam 1-2mg PRN Maximum dose 2mg in 24 hours.

INSTRUCTIONS TO STUDENTS:

In essay format as the Registered Nurse on duty you are to provide information to the new staff member addressing the following criteria:

1. Explain what dementia is and what the new staff member can do when Joan is aggressive.

2. Provide some strategies to cope with Joan wandering into other residents rooms and leaving the facility unescorted.

3. Consider and discuss strategies for administering medications when Joan is anxious or upset.

4. Be sure to explain medications used and what they are for, including any concerns you may have.

The word count for this report is 2000 words.
A 10% leeway on either side of the word limit will be accepted.
Word count will be measured from the first word of the introduction to the last word of the conclusion and does not include in-text referencing.
Not included in the word count are the, contents page (if headings are used), and reference list.
This does not include in text or end text referencing. Referencing is APA.

You will need:- A title page A contents page if you use headings.
To show you have read widely on this subject by using peer reviewed journal articles not more than five years old in addition to any other references you use.
This assignment requires a size 12 font and double line spacing. This discussion is to be written in the third person.
Discussion needs to be linked to the case study provided and written in third person

Pre-Certification AssignmentUsing the Pre-cert criteria and patient histories, compare the three patient’s histories to the criteria for tonsillectomy/adenoidectomy. Determine if the patient should be approved for the procedure or not. Submit a summary page to your instructor for grading that includes: the patient number, which criteria you used for each patient (eg. 200 Chronic Tonsillitis) and then identify the specific criteria that the patient met (eg. 211 Throat pain and 212-4 Documented increase in tonsil size) or explain why the patient did not meet the criteria for the procedure. ONLY ONE set of criteria can be used per patient.

APTA’s vision for physical therapy is "transforming society by optimizing movement to improve the human experience." How will you embody this vision as a future physical therapist?
which will help you better understand.
Major: physical therapist

Journal 7 Reminder-please be sure all journals have a minimum of 3 cited references from either or both texts by author and page number in order to receive a grade. Introducing Moral Theology: True Happiness and the Virtues.

Read Chapter 7: Health Care Ethics—Embryonic Stem Cell Research,
Human Cloning, and Regenerative Medicine
What Cost a Cure?
Setting the Context: The Science and Politics of Stem Cell
Research and Human Cloning
The Science of Human Cloning
US Public Policy, Human Cloning, and Stem Cell Research
Discussion: Ethical Issues and Analysis
Conclusion.

 

Assessment Task: Poster
This assessment requires students to produce an electronic poster, suitable for display at a conference. The poster shall address the following scenario. This assessment aims to develop the student’s knowledge in searching for relevant information through literature review and identify the diagnostic accuracy of imaging modalities for diagnosis of particular selected pathology, with a focus on the diagnostic value/accuracy.

The poster should include:
• Brief aetiology, pathogenesis & prognosis
• Patient presentation & clinical features
• Relevant imaging techniques/protocols, image appearances & diagnostic value
• Contribution to management and treatment of the disease
Poster structure in details:
 Brief aetiology, pathogenesis & prognosis:

 Cerebral infarction (most common)

Atherosclerosis – causing occlusion of blood flow
(Blood vessels?)

 Pathogenesis:
• Can be caused by a thromdes or emboli
Patient in at high risk hypertension
Smoking
Age

• Patient with critical stenosis increased risk of stroke
Would benefit from endarterectomy surgery

 Prognosis:
• Depends on the extent of the stroke
• May or may not die (References)
• Size + location of infarction determines seventy
 Patient presentation & clinical features:

1) Patient age 51 years old
2) History of hypertension
3) Smoking

4) Sudden onset of difficulty difficulty speaking
5) Weakness of left hand (Vascular territory?)
6) Drooling from the left side of his mouth

The purpose of this assignment is for students to become familiar with current expert consensus on how malnutrition is assessed and diagnosed in adult patients.

READ: White JV, GuenterP, Jensen G, et al. Consensus statement of the Academy of Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition: Characteristics recommended for the identification and documentation of adult malnutrition (undernutrition). J. AcadNutr Diet 2012; 112: 730-738.

RESPOND to the following questions:

1. List four reasons why malnutrition is a problem.
• Increase morbidity and mortality
• Decrease function and quality of life
• Increase frequency and length of hospital stay
• Higher health cost

2. What is the difference between a chronic illness and an acute illness?
The difference is the time
3. Discuss the relationship between serum albumin and prealbumin, weight loss, and malnutrition.
4. What is the relationship between malnutrition and the inflammatory response?

5. List the six characteristics that are required for diagnosis of malnutrition. How many of these must be present to confirm the diagnosis of malnutrition?
Two or more of the characteristic must be present to confirm malnutrition.
The characteristics are:
• Insufficient energy intake
• Wight loss
• Loss of muscle mass
• Loss of subcutenous fat
• Localized or generalized fluid accumulation that may mask weight loss
• Diminished functional status as measured by hand grip strength

6. Clinical judgment is required in assessing adults for malnutrition. List 3 examples of patients for whom malnutrition is not a consistently appropriate diagnosis.
7. Patients with severe acute illness or injury, i.e. with extreme metabolic stress, can rapidly develop malnutrition. List 3 contributing factors to this.
8. Complete the following table on assessing adult patients for malnutrition.
Category Parameter/s to measure or assess In the Nutrition Care Process, this would be part of:
Medical History & clinical diagnosis

Physical Exam/
Clinical Signs

Anthropometric Data
Laboratory Data
Food/Nutrient Intake
Functional Assessment

the case study with the reference i provided and use other current references.

Law and ethics in healthcare
You are the Chief Executive of a Local Health Network is New South Wales. E is a patient in one of your hospitals. E had suffered from anorexia since her early teens, brought about by serious sexual abuse which she experienced between the ages of 4 and 11. Despite the challenges of her illness, she was universally described as intelligent and articulate and had completed several years of a medical degree at university before her illness rendered it impossible to continue. She had undergone a number of admissions for medical and psychiatric care, including legislative sectioning on about 10 occasions. In July 2012 E signed a document saying that she did not want to be resuscitated or to be given any medical intervention to prolong her life.
In October 2012, she signed another advance directive in a standard form, assisted by her mother. Following her discharge and return to the community, a familiar pattern re-asserted itself. By early 2013 E was drinking very heavily. She was re-detained in March 2013 and was initially fed by tube but opposed this and tube feeding was stopped. As a result, she has not been taking any calories at all since the end of March. On 20 April 2013 E was admitted to a community hospital for palliative care and placed on an ‘end of life’ care pathway with high doses of opiate medication, to which she is physically addicted.
E has been diagnosed as suffering from a very rare triad of anorexia, alcoholism and personality disorder. Her parents, although not wanting E to die, did not support any further medical intervention unless there was a real prospect of success. E’s treating doctors are doubtful about further coercive treatment. The NSW Health Solicitor has been instructed by you and she has relied on the advice of an expert, who advised that highly specialized treatment was available, which had not been tried, that although not without significant risk might return E to relatively normal life. The treatment involves a number of medical interventions including forcible feeding and using chemical sedation.
The Department of Health, on your behalf, has applied to the NSW Supreme Court in its parens patriae jurisdiction for orders on how to proceed.
What do you think will be the outcome of this application? In addressing this issue, include the following:
1. Does E have the capacity to refuse life-sustaining treatment, including feeding? (10 marks)
2. Were E’s attempts to make binding advance directives refusing treatment valid? (10 marks)
3. A. If the court decides they were valid, what is the procedure the health service should follow to enact those directives? (5 marks)

B. If the court decides they were not valid, what test will the court apply to decide whether or not the proposed treatment of force –feeding is valid? What will their decision be after applying the test? (5 marks)
4. What are the ethical factors, legal principles, and critical thinking framework(s) that you, as a health service manager, would apply in balancing the value of Es life in one scale and the value of her personal independence on the other? In considering your answer please pay particular attention to how you would manage the team treating E, some of which may object to the way the matter proceeds. (10 marks)
READ: Chapter 1-4 of your text.
READ: Chapter 2 of Windows into Safety and Quality in Health Care 2008 and the ACSQHC Charter of Health care rights.

clinton is a thirty-one-year-old female who comes in for a routine follow-up. She reports that she has been feeling excessive fatigue over the last month. She also notes that she is having some problems at work, not only because of her fatigue but also because of difficulty concentrating. She also notes that she has gained 10 pounds over the last month, and she is unable to identify the cause of the weight gain. She also notes that her periods are a little heavier and more irregular. She is currently taking daily ferrous sulfate and over-the-counter calcium. According to her medical record, she had a TSH level of 4.2 mIL/L about a year ago. Although this is slightly elevated, no further follow-up was deemed necessary at the time. Repeat blood work today reveals a TSH level of 9.8 mIL/L and a free T4 of 0.72 ng/dL.
Answer the following questions:
• What additional findings on the physical exam would you look for?
• What implication does the previous TSH level have?
• What therapy would you institute?
• If VG becomes pregnant, what adjustment, if any, would be needed in her thyroid medication?

For medications, include dosages and schedules. Include highlights of patient teaching and/or lifestyle alterations.
Support your decisions with at least one reference to a published clinical guideline and one peer-reviewed publication.
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