Analyze This Case Study

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– Analyze processes related to neurological and musculoskeletal disorders

– Identify racial/ethnic variables that may impact physiological functioning

–  Evaluate the impact of patient characteristics on disorders and altered physiology

Scenario: 74-year-old male with a history of hypertension and smoking, is having dinner with his wife when he develops sudden onset of difficulty speaking, with drooling from the left side of his mouth, and weakness in his left hand. His wife asks him if he is all right and the patient denies any difficulty. His symptoms progress over the next 10 minutes until he cannot lift his arm and has trouble standing. The patient continues to deny any problems. The wife sits the man in a chair and calls 911. The EMS squad arrives within 5 minutes. Upon arrival in the ED, patient‘s blood pressure was 178/94, pulse 78 and regular, PaO2 97% on room air. Neuro exam – Cranial nerves- Mild left facial droop. Motor- Right arm and leg extremity with 5/5 strength. Left arm cannot resist gravity, left leg with mild drift. Sensation intact. Neglect- Mild neglect to left side of body. Language- Expressive and receptive language intact. Mild to moderate dysarthria. Able to protect airway.

In this assessment, you will lay the foundation for the work that will carry through your capstone experience and guide the practice hours to complete the work in this course. The purpose of this assessment is to allow you to define a patient, family, or population health problem that is relevant to your personal practice and to begin building a body of evidence that will inform your approach to your practice hours, the intervention you design, and the professional product you will deliver.

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Use a provided template to develop a 2-4 page submission in which you research and define a patient, family, or population health problem relevant to personal practice.

Important: Complete this assessment first and complete all other assessments in the order they are presented.

In this assessment, you will lay the foundation for the work that will carry through your capstone experience and guide the practice hours to complete the work in this course. The purpose of this assessment is to allow you to define a patient, family, or population health problem that is relevant to your personal practice and to begin building a body of evidence that will inform your approach to your practice hours, the intervention you design, and the professional product you will deliver.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

  • Competency 1: Lead people and processes to improve patient, systems, and population outcomes.
    • Define a patient, family, or population health problem that is relevant to personal practice.
  • Competency 2: Make clinical and operational decisions based upon the best available evidence.
    • Analyze evidence from the literature and professional sources to define and guide nursing actions related to a health problem.
  • Competency 7: Implement patient-centered care to improve quality of care and the patient experience.
    • Propose strategies to improve patient or population outcomes related to a health problem.
  • Competency 8: Integrate professional standards and values into practice.
    • Reflect on state board nursing practice standards relevant to a selected health problem.
    • Communicate professionally in writing that is clear and logically organized, with correct grammar, spelling, and use of APA style.

Important: Complete this assessment first and complete all other assessments in the order they are presented.

Professional Context

Nurses are leaders in problem identification and solution, planning and implementing patient care strategies to address problems in the home, hospital, and community. This assessment will help you develop a problem statement for a patient, family, or population health concern.

Instructions

Throughout this capstone course, you will be investigating a patient, family, or population health problem relevant to your practice. For this assessment, you will identify the problem that you will address throughout your clinical practicum in this course, as well as begin to establish your evidence and research base to plan, implement, and share findings related to your project. The Problem Identification Template [DOC] will guide you through development of a problem statement, evidence collection and analysis, and best practices to help you create your implementation plan for the second assessment in this course.

Your submission for this assessment will be the completed template. When working through the template, you may use the resources provided in this course; however, most of your research and search for evidence will be conducted by you. Use the Capella University Library, professional organization and government resources, and relevant organizational best practices as sources of evidence. This is the capstone course for your BSN degree; your goal is to demonstrate your achievement of the program outcomes through your work on this project.

The following are some health issues that would be appropriate for your project:

  • Diabetes self-management.
  • Hypertension management and prevention.
  • Medication reconciliation within a family or group.
  • Parkinson’s disease support group.
  • Patient family education communication improvements.
  • Postoperative home care.

This list is by no means exhaustive. You should choose a patient, family, or population health issue that is relevant to your practice and organization; you must be able to study the problem in your clinical practicum effectively.

Scoring Guide Criteria

Your submission will be assessed based on the following criteria:

  • Define a patient, family, or population health problem that is relevant to personal practice.
  • Analyze evidence from the literature and professional sources to define and guide nursing actions related to a health problem.
  • Propose strategies to improve patient or population outcomes related to a health problem.
  • Reflect on state board nursing practice standards relevant to a selected health problem.
  • Communicate professionally in writing that is clear and logically organized, with correct grammar, spelling, and use of APA style.

Please identify your relationship to the patient (friend and family) and how you made contact with the individual. Remember to only use the individual’s initials in your assessment to protect privacy.

CORE ELMS

Completion of this course requires a remote rather than a face-to-face clinical practicum. You are required to log your time in the CORE ELMS system just as you have for past courses with clinical interaction. The CORE ELMS link is located in the left-hand navigation pane.

Additional Requirements

  • Length of submission: Use the provided template. Most submissions will be 2 to 4 pages. You do not need to include a title page. Be sure to complete the reference page at the end of the template.
  • Number of references: Cite a minimum of 5 sources of scholarly or professional evidence that support your central ideas. Resources should be no more than five years old.
  • APA formatting: Make sure that in-text citations and reference list follow current APA style.

Portfolio Prompt: Remember to save the assessment to your ePortfolio. After you complete your program you may want to consider leveraging your Portfolio as part of a job search or other demonstration of your academic competencies.

Nursing Responses

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1. What personal experiences have prepared you to work with underserved populations, such as participation in a federal pipeline program, community service, internships, or experience in rural, frontier or tribal populations?

 

ESSAY QUESTIONS

  1. How will you contribute to the mission of the Nurse Corps Scholarship Program in providing care to underserved communities?

Respond to your colleagues and offer alternative views on the impact of patient preferences on treatment plans or outcomes, or the potential impact of patient decision aids on situations like the one shared.

 

This week we are going to expand our horizons even further. We have our final reflection assignment. I would like for everyone to incorporate their knowledge from this course and reflect on a theory or concept that you could develop as a nursing professional. If you could develop your own personal nursing theory, what would it be? How would you use it?

 

Case Study# 1: A 27-year-old male who works on a construction site visits his family physician three days after suffering a puncture wound from a nail gun in his foot.  The site of the injury is painful, red, warm and swollen with evidence of pus. There are reddish streaks extending up his ankle and lower leg. His temperature is 101 °F.

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Each student will be assigned two of the case studies below. Your post should be approximately 250 words in length and contain substantive information that contributes to an understanding of the disorder under discussion. You may post graphics from online sources, but please do NOT simply cut and paste entire entries from the internet. You are expected to provide references for all the information cited.

Discussion Questions

1. Relate history to the diagnosis. What risk factors are present, and how does each predispose to disease?

2. Explain the cause of the disease in this patient.

3. How could this disease have been prevented in this patient?

4. Discuss the complications that might develop in this patient.

5. Discuss the treatments available to the patient.

6. What is the probable prognosis for this patient?

Case Study# 1: A 27-year-old male who works on a construction site visits his family physician three days after suffering a puncture wound from a nail gun in his foot.  The site of the injury is painful, red, warm and swollen with evidence of pus. There are reddish streaks extending up his ankle and lower leg. His temperature is 101 °F.

Case Study# 2:  Harold, a 61-year-old male smoker, suffers from chronic bronchitis, which was diagnosed two years ago.   At that time, he was treated with antibiotics, told to stop smoking and given a prescription for albuterol.  He attempted to give up smoking, but he says that, although he has cut back, he still smokes about half a pack a day.  He has been faithful about seeing his doctor for follow-up visits every six months and has occasionally required antibiotic therapy when his bronchitis flairs up. On his most recent visit he reports that his dyspnea is getting worse, and he experiences wheezing whenever he does anything strenuous.  His doctor notes a slight bluish tint to his lips and mucous membranes, as well as peripheral edema and some enlargement of the liver. He informs Harold that his chronic bronchitis is getting worse and he is beginning to experience symptoms of cor pulmonale.

Explain the historical relationship between Judaism, Christianity, and Islam. What are their geographical connections? What are their historical timelines?

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Required Resources
Read/review the following resources for this activity:

  • Textbook: Chapter 8, 9, 10
  • Lesson
  • Minimum of 6 scholarly sources (at least 2 for Judaism, 2 for Christianity, & 2 for Islam)
    • Please review criteria for scholarly sources.

Instructions
In a short essay, complete the following:

  • Explain the historical relationship between Judaism, Christianity, and Islam. What are their geographical connections? What are their historical timelines?
  • Analyze the historical relationship between Judaism, Christianity, and Islam in order to make an argument about the similarities and differences between the three religions. Select one main example from the following list on which to focus your comparison: the nature of God, the nature of Jesus, Holy Books, or Salvation. Your analysis should span multiple paragraphs and utilize specific examples.
  • Conclude by examining the current relationship between Judaism, Christianity, and Islam today. How has globalization influenced or affected the current relationship?

Your paper should include an introduction and thesis that clearly states your central claim, thoughtful examples and analysis in your body paragraphs, and a conclusion to finalize your thoughts.

Writing Requirements (APA format)

  • Length: 1200-1400 words (not including title page or references page)
  • 1-inch margins
  • Double spaced
  • 12-point Times New Roman font
  • Title page
  • References page (minimum of 6 scholarly sources)

Grading
This activity will be graded based on the Written Assignment Grading Rubric.

Weekly Objectives (WO)
WO4.1, 4.2, 6.11-6.13, 7.3

Resource:

 

Molloy, M. (2013). Experiencing the world’s religions (6th ed.). New York City, NY: McGraw-Hill Companies, Inc.

Use the following link https://www.hcup-us.ahrq.gov/reports/methods/2007_02.pdf (Links to an external site.)Links to an external site. to access the Healthcare Cost and Utilization Project (HCUP) for Using the KIDS’ Inpatient Database (KID) to Estimate Trends Report. After thoroughly reading the report you need to provide the following: 1. On page 11 of the document, review the four diagrams that show average length of stay (ALOS) in 1997, 2000, and 2003 for KID vs NHDS. Discuss the trends that you see and conclusions you can draw from the clinical data graphs. 2. On page 20 of the document, review the four diagrams that show trends for in-hospital mortality rates. Discuss the trends that you see and the conclusions you can draw from the clinical data graphs. 3. On page 26 of the document, list the trends you see for children admitted with lymphatic malformations. GRADING CRITERIADiscuss the trends and draw the appropriate conclusions based on the data for question 110 pointsDiscuss the trends and draw the appropriate conclusions based on the data for question 210 pointsList the trends for question 35 pointsTotal25 points

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Use the following link https://www.hcup-us.ahrq.gov/reports/methods/2007_02.pdf (Links to an external site.)Links to an external site. to access the Healthcare Cost and Utilization Project (HCUP) for Using the KIDS’ Inpatient Database (KID) to Estimate Trends Report.

After thoroughly reading the report you need to provide the following:

1.  On page 11 of the document, review the four diagrams that show average length of stay (ALOS) in 1997, 2000, and 2003 for KID vs NHDS.  Discuss the trends that you see and conclusions you can draw from the clinical data graphs.

2.  On page 20 of the document, review the four diagrams that show trends for in-hospital mortality rates. Discuss the trends that you see and the conclusions you can draw from the clinical data graphs.

3.  On page 26 of the document, list the trends you see for children admitted with lymphatic malformations.

GRADING CRITERIADiscuss the trends and draw the appropriate conclusions based on the data for question 110 pointsDiscuss the trends and draw the appropriate conclusions based on the data for question 210 pointsList the trends for question 35 pointsTotal25 points

There are several vulnerable populations who are susceptible to chronic illnesses (older; homeless; and lesbian, gay, bisexual, and transgender populations) and who face challenges when it comes to care.

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Topic 2

There are several vulnerable populations who are susceptible to chronic illnesses (older; homeless; and lesbian, gay, bisexual, and transgender populations) and who face challenges when it comes to care.

  • Choose one vulnerable population and identify chronic illnesses to which they might be  susceptible
  • Identify challenges they face related to one of the identified chronic illnesses
  • Discuss what can be done to help alleviate these challenges.

A research critique demonstrates your ability to critically evaluate an investigative study. For this assignment, choose an original or primary research study related to nursing or medicine. The purpose of this assignment is to review a research study in-depth and to decide whether or not it is a valid research study that can be used in practice. It is your written evaluation of the study, not just a summary of the study.

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 A research critique demonstrates your ability to critically evaluate an investigative study. For this assignment, choose an original or primary research study related to nursing or medicine. The purpose of this assignment is to review a research study in-depth and to decide whether or not it is a valid research study that can be used in practice. It is your written evaluation of the study, not just a summary of the study.

The body of your paper should follow APA Style guidelines, and it should 4–6 pages double-spaced plus a cover page and reference list. The full article must be attached to the critique for credit.

Note: Because submission of the article is part of the assignment requirements and is necessary for grading, any assignment submitted without the accompanying article will be considered incomplete. An incomplete assignment will be initially assigned a zero. The student has the opportunity to submit the article to complete the assignment. However, if it is submitted after the due date and time, the late penalty will apply. After five days, submissions will not be accepted, as per University policy, and the grade will remain a zero.

  • Articles used for one assignment cannot be used for the other assignments. (Students should find new research articles for each assignment.)
  • The selected articles should be original research studies. Review articles, concept analysis, meta-analysis, meta-synthesis, integrative review, and systemic review should not be used.
  • Mixed-methods studies should not be used.

Your critique should include the following:

Research Problem/Purpose

  • Describe the problem as it is presented in the study.
  • State the purpose of the research.
  • Have the investigators placed the study problem within the context of existing nursing or healthcare knowledge?
  • Will the study solve a problem relevant to nursing?

Review of the Literature (may be part of the author’s introduction or conclusion)

  • Identify the concepts explored in the literature review.
  • Are the references current in relation to the publication date of the study? If not, what are the possible reasons for using older sources?

Theoretical Framework

  • Do the authors identify their overall assumptions or a theoretical framework for the study? Are these assumptions appropriate for the study?
  • Does the research draw only on nursing theory, or does it draw on theory from other disciplines?
  • If a formal theory is not identified, suggest one (preferably a nursing theory) that might be suitable for the study. Various nursing theories can be found at http://www.nursing-theory.org/theories-and-models/

Variables/Hypotheses/Questions/Assumptions

  • What is the research question or the hypothesis? Is it clearly stated or implied?
  • What are the independent and dependent variables in the hypothesis or research question?
  • Are the variables clearly defined so that the reader understands the researchers’ interpretation of the variables?
  • Is the dependent variable concrete and measurable?

Methodology

  • What type of design (quantitative, qualitative) was used in this study?
  • Was inductive or deductive reasoning used in this study?
  • State the sample size and study population, sampling method, and study setting.
  • Did the investigator choose a probability or non-probability sample?
  • Describe how the independent variable was tested or surveyed in the study.
  • Describe how the dependent variable was measured.
  • Discuss the reliability and the validity (quantitative) or the credibility (qualitative) of the measurement tools.
  • How were ethical considerations addressed? What ethical considerations were necessary for this type of study?

Data Analysis

  • What data analysis method was used?
  • How were the results in the study presented to the reader?
  • Discuss at least one (1) finding from the authors’ results and relate it to the dependent variable of the study.

Summary/Conclusions, Implications, and Recommendations

  • What are strengths and limitations of the study other than those stated by the authors?
  • Can the researcher generalize the findings to other populations? Explain.
  • What is the significance of the findings and conclusions for you in your personal nursing practice? For nursing as a profession?

The body of your paper should be 4–6 pages double-spaced plus a cover page and a reference page. The critique must be attached to the article and follow APA Style guidelines.

Discussion post 1:   Examine Alexa’s skill in ordering drinks from Starbucks.

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Write two discussion posts for the following topics  :

Discussion post 1:   Examine Alexa’s skill in ordering drinks from Starbucks.

Note: Your response should be 250-300 words.

There must be at least one APA formatted reference (and APA in-text citation) to support the thoughts in the post.  Do not use direct quotes, rather rephrase the author’s words and continue to use in-text citations.

Discussion post 2:  Research Apple Home Pod. How does it interact with smart home devices?  Alexa is now connected to smart home devices such as thermostats and microwaves. Find examples of other appliances that are connected to Alexa and write a report.

Note: Your response should be 250-300 words.

There must be at least one APA formatted reference (and APA in-text citation) to support the thoughts in the post.  Do not use direct quotes, rather rephrase the author’s words and continue to use in-text citations.

Psychological disorders, such as  bipolar disorder can present several complications for patients of all ages.

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Psychological disorders, such as  bipolar disorder can present several complications for patients of all ages. These disorders affect patients physically and emotionally, potentially impacting judgment, school and/or job performance, and relationships with family and friends. Since these disorders have many drastic effects on patients’ lives, it is important for advanced practice nurses to effectively manage patient care. With patient factors and medical history in mind, it is the advanced practice nurse’s responsibility to ensure the safe and effective diagnosis, treatment, and education of patients with psychological disorders.

For this Discussion, you will select an interactive media piece to practice decision making when treating patients with psychological disorders. You will recommend the most effective pharmacotherapeutic to treat the psychological disorder presented and examine potential impacts of pharmacotherapeutics on a patient’s pathophysiology.