What barriers does Janii face to becoming more physically active? Be very specific in your notes and explain why? For example, if she has a specific medical condition, discuss why this presents a problem?

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What barriers does Janii face to becoming more physically active? Be very specific in your notes and explain why? For example, if she has a specific medical condition, discuss why this presents a problem?
How can Janii overcome any challenges she faces and what is the solution. There’s one particular step that needs to be taken in this process that you will need to discuss. Again, be specific with the steps you will take as if you were going to train Janii.
If you were to design Janii’s exercise program, how would you structure this knowing what you know about her medical history. Pages 380-381 of your text will provide some guidance on MET values and exercise intensity.

Case Study
Today, at age 65, Janii can’t even walk a half-mile to the post office without feeling winded. She now has full-blown high blood pressure, in addition to asthma. At 5’5″ tall and 200 pounds, she is also now obese.

Janii shakes her head in dismay at what has happened to her. “Six years ago I was 50 pounds lighter and had my blood pressure under control with medication. I walked a lot and I ate regular, healthy meals. I went to the community center two times a week for exercise. But when I left my job downtown to stay home and take care of my mother, everything went to pot.” Instead of being able to go to exercise class on her way home from work, Janii’s schedule revolved around her mother’s needs. “And now that my mother is gone,” Janii says, “I want to be active again, but I just don’t have the energy.” Janii recently stopped in at the community center to inquire about exercise classes. “They had me fill out something called a PAR-Q, and they didn’t like my answers to questions 2, 4, and 6. So now I have to go to my doctor again.”

Identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices. Analyze this research to compare research methodologies employed.

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Is there a difference between “common practice” and “best practice”?

When you first went to work for your current organization, experienced colleagues may have shared with you details about processes and procedures. Perhaps you even attended an orientation session to brief you on these matters. As a “rookie,” you likely kept the nature of your questions to those with answers that would best help you perform your new role.

Over time and with experience, perhaps you recognized aspects of these processes and procedures that you wanted to question further. This is the realm of clinical inquiry.

Clinical inquiry is the practice of asking questions about clinical practice. To continuously improve patient care, all nurses should consistently use clinical inquiry to question why they are doing something the way they are doing it. Do they know why it is done this way, or is it just because we have always done it this way? Is it a common practice or a best practice?

Identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices. Analyze this research to compare research methodologies employed.

To Prepare:

  • Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.
  • Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.
  • Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research.
  • Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected.

Part 1: An Introduction to Clinical Inquiry

Create a 4- to 5-slide PowerPoint presentation in which you do the following:

  • Identify and briefly describe your chosen clinical issue of interest.
  • Describe how you used keywords to search on your chosen clinical issue of interest.
  • Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.
  • Provide APA citations of the four peer-reviewed articles you selected.

Describe the roles and responsibilities of an academic nurse educator in ensuring safe, quality patient care in academic and practice settings. Discuss how the academic nurse educator functions within the parent institution.

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Analyze the role of the academic nurse educator by doing the following:

  1.  Describe the roles and responsibilities of an academic nurse educator in ensuring safe, quality patient care in academic and practice settings.
  2.  Discuss how the academic nurse educator functions within the parent institution.
  3.  Identify twoexternal stakeholders vital to the role and responsibilities of an ANE
  4.  Discuss twostrategies to facilitate communication with external stakeholders.
  5. Discuss how the ANE facilitates the development of interprofessional collaborative efforts.
  6.  Summarize an educational, political, cultural, or economical challenge identified from your interview.
  7.  Analyze how the challenge from part D impacts the role of the academic nurse educator.
  8.  Explain how threerelevant peer-reviewed scholarly sources support the identified challenge from part D.
  9.  Describe strategies that can be implemented to address barriers and opportunities of the challenge from part D.
  10.  Complete a reflective analysis that includes a development plan for becoming socialized to the role of an academic nurse educator by doing the following:
  11.  Discuss how you will incorporate teaching, scholarship, and service as you transition to the role of an ANE.
  12.  Describe how you will adhere to the ethics, values, and cultural norms of nursing education as you transition to the role of an ANE.
  13.  Describe the type of academic environment that will best facilitate your transition into the role of an ANE.

 

Compare and contrast at least 2 systems that you found in professional nursing or healthcare literature/ professional journals. Are these systems adequate? Any concerns or recommendations?

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Describe concepts, theories and other information that is relevant to the care of the assigned patient population.
Answer the question in a comprehensive, well developed analysis of the content. Include an introduction, body and conclusion.

Topic: Research systems in the clinical setting for preventing medication errors. Compare and contrast at least 2 systems that you found in professional nursing or healthcare literature/ professional journals. Are these systems adequate? Any concerns or recommendations? Identify strengths and weaknesses of each system. If you are the CEO what system will you purchase and why?

Identify a practice/health care problem, challenge or issue in the context of the needs of an organization or patient population for improvement.Present a discussion about the evidence retrieved on your problem/issue/challenge.

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Identify a practice/health care problem, challenge or issue in the context of the needs of an organization or patient population for improvement (ex: quality, safety, care process, practice change, knowledge translation). Explore the databases to retrieve research and/or implementation evidence in at least 2 primary source peer-reviewed articles. Attach the articles to your discussion board post to share with peers.

Present a discussion about the evidence retrieved on your problem/issue/challenge and identify the relevant concepts/variables and implementation models or theoretical frameworks as they relate to your chosen health care problem, clinical challenge, or practice issue.

Explain how the implementation model/theoretical frameworks were utilized in the research to explore the problem or guide EBP, implementation, or quality improvement.

Share your professional work experience and explain the challenges in the translation of the most recent evidence into practice. Did you observe any medical misdiagnosis (our focus is the misdiagnosis)? If yes, what was the problem?

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Post a comprehensive response to the following, support your point with case studies, articles:

Pathophysiology is closely related to diagnosis and clinical presentation of diseases and is innately interdisciplinary and evidence-based. When you start practicing, you will be qualified to diagnose medical problems and use evidence-based practice and national guidelines.

Share your professional work experience and explain the challenges in the translation of the most recent evidence into practice. Did you observe any medical misdiagnosis (our focus is the misdiagnosis)? If yes, what was the problem? What would you recommend to prevent similar errors in diagnosis?

– If you do not have any work experience, you can find case studies and articles about how original research in pathology affects evidence-based medicine.

Explain the issues that you would need to be sensitive to when interacting with the patient, and why. Provide at least five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.

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EB is a 68-year-old black female who comes in for a follow-up of hypertension. She has glaucoma and her vision has been worsening during the past few years. She lives alone and is prescribed four hypertension medications (Hydralazine 50 mg PO Q8H, Metoprolol XL 200 mg PO Q12H, Lisinopril 40 mg PO daily, and HCTZ 25mg PO daily ). She brings in her medication bottles and she has some medication bottles from the previous year full of medications. She is missing one medication she had been prescribed and says she may have forgotten it at home. Her BP in the clinic today is 182/99 with HR of 84.

Details:
Post an explanation of the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you were assigned. Explain the issues that you would need to be sensitive to when interacting with the patient, and why. Provide at least five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.

Identify a workaround that is commonly used at your place of work, including a description of its impact on workflow processes. Explain how workarounds might affect potential patient safety issues

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Scenario: You work for a busy clinic that has recently hired a number of new nurses. Your supervisor wants to get the new hires up to speed as quickly as possible and realized that some important workflows are not documented. Your supervisor has asked you and the other veteran nurses to select a process and create a flowchart that illustrates the process. She has also asked you to identify one commonly used workaround in your selected process.

In response to your supervisor, you have decided to create a presentation that will document both the workflow and the workaround for the process you have chosen, as well as an analysis of how the workaround impacts the workflow flowchart

Your presentation should contain the following sections:

Introduction (1 slides)
Identify a workaround that is commonly used at your place of work, including a description of its impact on workflow processes. Explain how workarounds might affect potential patient safety issues.
Workaround Strategy (1 slide)
Recommend at least one strategy that can be used to resolve the workaround.
Workflow (1 slide)
Explain the workflow process affected by the workaround. Include a description of the process and its purpose.
Preliminary Flowchart (1 slide)
Create a preliminary flowchart to illustrate the workflow process. The goal of this preliminary flowchart is just to get the process mapped out. You will add more detail in the final flowchart.
Final Flowchart (1-2 slides)
If you can, observe the process you are describing at your place of work and look for ways to improve the process. Also, look for ways to incorporate the workaround into the standard process. Consider checking with the EHR vendor for your clinic to see if they have suggestions for how to improve your workflow. Based on your findings, prepare a final flowchart that represents a thorough and complete illustration of the improved workflow process you have chosen—one that can quickly and efficiently get the new hires up to speed.
Discussion of Change in Flowchart (1-2slides)
Evaluate how your flowchart changed from the preliminary flowchart to the final flowchart in your presentation. Explain why these changes were made and how they affect the overall process you are describing. Analyze how these changes will contribute to increased efficiencies and workflow.
Strategies for Improved Workflow Processes (1 slides)
Analyze the challenges and possible impediments to the implementation of the revised workflow. Recommend a strategy to address these potential challenges.

Does the clinical practice guideline adequately address the health problem? Describe.Does this clinical practice guideline adequately direct the healthcare provider in the management of a patient with this problem?

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Briefly describe the health problem you have identified. DIABETES
morbidity
mortality
epidemiology
pathophysiology related to this health problem
PRACTICE GUIDELINE: Diabetes – American Diabetes Association .Describe the clinical practice guideline used for this problem. Reflect on the questions included. Expand on your answer using support from evidence
Does the clinical practice guideline adequately address the health problem? Describe.
Is this practice guideline based on current evidence (within 5 years)? What is the strength of this evidence?
Does this clinical practice guideline adequately direct the healthcare provider in the management of a patient with this problem?
How effective is this clinical guideline in the management of patients with this healthcare problem? Think about how you would assess the effectiveness of patient management.
ANALYSIS: Think about future healthcare needs of patients with this problem, changing demographics, and changes in healthcare policies. Address these questions.
Does this clinical practice guideline need revision(s)? Please explain your answer in detail.
If you were going to revise this clinical practice guideline, what would you change? What evidence would you use to base your changes on?
How might changes in US demographics and healthcare reform affect this clinical practice guideline?
What strategies would you use to increase the likelihood that a new or modified clinical practice guideline would be adopted and used in clinical practice?
EVALUATION How would you determine its effectiveness of this revised clinical practice guideline in directing care for patients with the identified health problem? Outline the steps you might employ.

How might your understanding of aging and disability compare to someone of a different generation? How might it compare to someone of a different culture? Include examples in both your answers.

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The purpose of this assignment is to reflect on different ethnic and generational perspectives on aging and disability as well as to consider their approaches to the care of the elderly and disabled.

This assignment is open to a variety of approaches. You may write an essay, conduct interviews, create a PowerPoint, or make a video.

Part 1

  1. What is your personal understanding of what it means to be “old”? What is your personal understanding of what it means to be “disabled”? Include examples in both your answers.
  2. How might your understanding of aging and disability compare to someone of a different generation? How might it compare to someone of a different culture? Include examples in both your answers.
  3. If someone in your family needed care due to aging and/or disability, who would be responsible for providing that care and why? Would it be important that caregivers be “family”?  What is your definition of “family”?

Part 2

Select one topic – either aging or disability — and address the following topics (10 points)

  1. Describe some way(s) in which your life been impacted by aging or disability, either your own or someone else’s.
  2. Identify at least three statistics that you feel provide important information on attitudes towards the aging or disabled in America and their care and explain why you selected them. List the resources you used to obtain this information at the bottom of your paper, in the last slide of your PowerPoint, or in the space below if you submit a video.
  3. Based on what you have learned so far in this course, explain how you feel we, as a society, can do better at addressing the social and healthcare needs of the aging or the disabled.