Describe the chronic relapsing inflammatory bowel diseases , and summarize the pathophysiology, clinical manifestations, evaluation, and treatment recommendations for each.

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DISCUSSION ESSAY

Select one of the following discussion prompts to address:

Describe the pathophysiology of celiac disease, clinical manifestations, evaluation, and treatment. What are the differences between non-celiac gluten sensitivity and celiac disease?

What trends, if any, have you noticed among the following conditions? Describe the pathophysiology, clinical manifestations, evaluation, and treatment of gastroesophageal reflux disease (GERD), peptic ulcer disease, and gastritis.

Describe the chronic relapsing inflammatory bowel diseases , and summarize the pathophysiology, clinical manifestations, evaluation, and treatment recommendations for each.

Use at least one scholarly source other than your textbook to connect your response to national guidelines and evidence-based research in support of your ideas.

 

What would your treatment plan be for this patient? How will you decide which antibiotic to prescribe and how long she will need to take it? What non pharmacological treatments can you offer her to help her feel better?

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CASE STUDY

In the subject line of your posts,  identify which prompt you are responding to, for example, prompt #2.

Nancy is an 18-year-old female who is sexually active with multiple partners. She presents to the clinic with painful blister-like sores on the vagina, pain when having sex, and a foul-smelling vaginal discharge for the past two weeks. She is diagnosed with genital herpes and chlamydial infection. Describe your treatment plan for Nancy and for her multiple sexual partners. How should you assist Nancy in getting her sexual partners to come for treatment? What are your obligations to report sexually transmitted diseases?

Nolan is a 55-year-old male with a 5-day history of nasal congestion, rhinorrhea, malaise, and irritated sore throat. His nasal discharge has gone from clear to yellow in color. He took OTC acetaminophen at onset of symptoms with minimal relief. He has no health history and his examination in your office today is unremarkable. He has already missed 2 days of work and insists he needs an antibiotic. He adds that he “always gets an antibiotic” when he sees the other clinician in your clinic. When looking at his chart, you confirm this to be true. You have diagnosed Nolan with a viral URI. What medication treatment plan do you recommend, if any? Discuss your patient education and outcome evaluation for this patient. What does the literature say about the over prescribing of antibiotics?

Jessica is a 35-year-old female who presents to the clinic with a 2-day history of fever , purulent nasal discharge, and erythema/warmth/tenderness to palpation to her left maxillary sinus area. She also states that her “teeth ache” on the left side and that her face hurts worse when she bends down to tie her shoes. She had started with a mild cold a couple of weeks ago and thought she was getting better but then 2 days ago she started feeling much worse. You diagnose Jessica with bacterial sinusitis. She states that she has always gotten a Z-pack prescription for her sinusitis in the past. What would your treatment plan be for this patient? How will you decide which   antibiotic to prescribe and how long she will need to take it? What non pharmacological treatments can you offer her to help her feel better?

Use at least one scholarly source other than your textbook to connect your response to national guidelines and evidence-based research in support of your ideas.

 

To what extent did the researcher follow the norms and expectations of the sponsoring institution? In other words, was the sponsor complicit in the fraud, or did the researcher act alone in violation of corporate policy? What was the researcher’s motive in compromising the integrity of the study?

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Scandal/fraud in healthcare

Write a 2- to 3-page paper analyzing a journal or media article about a scandal or fraud involving a compromised research study in healthcare. It is recommended that you utilize the LIRN Library when conducting research for this paper. You can access the LIRN Library in your Canvas navigation bar.

Summarize the errors made and their consequences using the following questions.

  • To what extent did the researcher follow the norms and expectations of the sponsoring institution? In other words, was the sponsor complicit in the fraud, or did the researcher act alone in violation of corporate policy?
  • What was the researcher’s motive in compromising the integrity of the study?
  • Exactly what ethical research principles were violated? How?
  • Exactly which provisions or interpretative statements of the Code of Ethics for Nurses were violated? How?
  • What consequences did the fraud carry for the subjects? The researcher? The sponsor? The researcher’s profession?
  • How could the researcher have avoided the fraud and maintained the integrity of the study?
  • What oversight mechanisms brought this violation to light?
  • What implications does this case have for nursing research studies?

 

Discuss the ways in which an EBP model and relevant evidence helped you to develop and make decisions about the plan you proposed Wrap up your video by identifying the benefits of the remote collaboration in the scenario, as well as discuss strategies you found in the literature or best practices that could help mitigate or overcome one or more of the collaboration challenges you observed in the scenario.

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Evidence-based plan to improve the outcomes for the Vila Health patient

Create a 5-10 minute video of yourself, as a presenter, in which you will propose an evidence-based plan to improve the outcomes for the Vila Health patient and examine how remote collaboration provided benefits or challenges to designing and delivering the care.

Introduction
As technologies and the health care industry continue to evolve, remote care, diagnosis, and collaboration are becoming increasingly more regular methods by which nurses are expected to work. Learning the ways in which evidence-based models and care can help remote work produce better outcomes will become critical for success. Additionally, understanding how to leverage EBP principles in collaboration will be important in the success of institutions delivering quality, safe, and cost-effective care. It could also lead to better job satisfaction for those engaging in remote collaboration.

Professional Context
Remote care and diagnosis is a continuing and increasingly important method for nurses to help deliver care to patients to promote safety and enhance health outcomes. Understanding best EBPs and building competence in delivering nursing care to remote patients is a key competency for all nurses. Additionally, in some scenarios, while you may be delivering care in person you may be collaborating with a physician or other team members who are remote. Understanding the benefits and challenges of interdisciplinary collaboration is vital to developing effective communication strategies when coordinating care. So, being proficient at communicating and working with remote health care team members is also critical to delivering quality, evidence-base care.

Scenario
The Vila Health: Remote Collaboration on Evidence-Based Care simulation provide the context for this assessment.

Instructions
Before beginning this assessment, make sure you have worked through the following media: http://media.capella.edu/CourseMedia/nursfp4030element17273/wrapper.asp

Vila Health: Remote Collaboration on Evidence-Based Care.
You may wish to review Selecting a model for evidence-based practice changes. [PDF] and Evidence-Based Practice Models, which help explain the various evidence-based nursing models.

For this assessment, you are a presenter! You will create a 5-10-minute video using Kaltura or similar software. In the video:

Propose your evidence-based care plan that you believe will improve the safety and outcomes of the patient in the Vila Health Remote Collaboration on Evidence-Based Care media scenario. Add your thoughts on what more could be done for the client and what more information may have been needed.

Discuss the ways in which an EBP model and relevant evidence helped you to develop and make decisions about the plan you proposed
Wrap up your video by identifying the benefits of the remote collaboration in the scenario, as well as discuss strategies you found in the literature or best practices that could help mitigate or overcome one or more of the collaboration challenges you observed in the scenario.

Be sure you mention any articles, authors, and other relevant sources of evidence that helped inform your video. Discuss why these sources of evidence are credible and relevant.
Important: You are required to submit an APA-formatted reference list of the sources you cited specifically in your video or used to inform your presentation. You are required to submit a narrative of all your video content to this assessment and to SafeAssign.

The following media is an example learner submission in which the speaker successfully addresses all competencies in the assessment.

Exemplar Kaltura Reflection.
Please note that the scenario that the speaker discusses in the exemplar is different from the Vila Health scenario you should be addressing in your video.
So, the type of communication expected is being model, but the details related to the scenario in your submission will be different.
Make sure that your video addresses the following grading criteria:

Propose your own evidence-based care plan to improve the safety and outcomes for a patient based on the Vila Health Remote Collaboration on Evidence-Care media scenario.

Explain the ways in which you used an EBP model to help develop your plan of care for the client.

Reflect on which evidence you found in your search that was most relevant and useful when making decisions regarding your care plan.

Identify benefits and strategies to mitigate the challenges of interdisciplinary collaboration to plan care within the context of a remote team.

Communicate in a professional manner that is easily audible and uses proper grammar, including a reference list formatted in current APA style.
Refer to Using Kaltura as needed to record and upload your video.

Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact DisabilityServices@Capella.edu to request accommodations. If, for some reason, you are unable to record a video, please contact your faculty member as soon as possible to explore options for completing the assessment.

Additional Requirements
Your assessment should meet the following requirements:

Length of video: 5-10 minutes.
References: Cite at least three professional or scholarly sources of evidence to support the assertions you make in your video. Include additional properly cited references as necessary to support your statements.

APA reference page: Submit a correctly formatted APA reference page that shows all the sources you used to create and deliver your video. Be sure to format the reference page according to current APA style. Submit a narrative of all of your video content.

Portfolio Prompt: Remember to save the final assessment to your ePortfolio so that you may refer to it as you complete the final capstone course.

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

Competency 2: Analyze the relevance and potential effectiveness of evidence when making a decision.

Reflect on which evidence you collected that was most relevant and useful when making decisions regarding the care plan.

Competency 3: Apply an evidence-based practice model to address a practice issue.

Explain the ways in which you used the specific evidence-based practice model to help develop the care plan identifying what interventions would be necessary. This requires a particular evidence-based model, such as the Johns Hopkins, Iowa, Stetler, or other.

Competency 4: Plan care based on the best available evidence.
Propose your evidence-based care plan to improve the safety and outcomes for the Vila Health patient with a discussion of new content for the care plan.

Competency 5: Apply professional, scholarly communication strategies to lead practice changes based on evidence.
Identify benefits and propose strategies to mitigate the challenges of interdisciplinary collaboration to plan care within the context of a remote team.
Communicate via video with clear sound and light, and include a narrative of video content.

Provide a full reference list that is relevant and evidence-based (published within five years), exhibiting nearly flawless adherence to APA format.

Which of the vital signs above is consistent with a diagnosis of rheumatoid arthritis and why? List two conditions for which the drug venlafaxine is often prescribed. Identify two abnormal findings from the physical exam above that are consistent with rheumatoid arthritis.

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Case Study: Rheumatoid Arthritis

Patient’s Chief Complaints and History of Present Illness:
M.L. is a 50-year-old white female who has been working in the front office of a medical clinic for the past five years. She has made an appointment to see her primary care provider because she has been feeling very tired for the past month and has also been suffering from stiffness, pain, and swelling in multiple joints. “I ache all over,” she told her PCP, “and I have pain in different places all the time. One day it is in my right shoulder, the next day in my right wrist, and the following day in my left wrist. I’m stiff everywhere when I get up in the morning or if I sit for any length of time. And I feel so tired, like I have a case of the flu that won’t go away.”
The patient is allergic to IV iron dextran from which she has developed shortness of breath. She rarely uses alcohol and does not smoke. She is taking an over-the-counter calcium supplement, levothyroxine sodium, and venlafaxine. There is no family history of rheumatoid arthritis.

Physical Examination and Laboratory Tests
The patient is pleasant and alert, but appears very tired. She is in moderate acute distress from joint pain. Vital Signs BP 125/80 left arm, sitting; P 80; RR 15; T 100.0°F; Ht 54; Wt 140 lbs.

Patient Case Question 1. Which of the vital signs above is consistent with a diagnosis of rheumatoid arthritis and why?
Patient Case Question 2. List two conditions for which the drug venlafaxine is often prescribed.
Patient Case Question 3. Identify two abnormal findings from the physical exam above that are consistent with rheumatoid arthritis.

Patient Case Question 4. What is the association between the “fixed nodule(s) at pressure point(s)” on the left wrist/right elbow and a diagnosis of rheumatoid arthritis?
Patient Case Question 5. Why is it reasonable that this patient has no stiffness, pain, or swelling in the DIP joints of the fingers?
Patient Case Question 6. Identify three abnormal laboratory tests in Table 80.1 that are consistent with a diagnosis of rheumatoid arthritis.
Patient Case Question 7. Why is it entirely appropriate that the PCP has ordered a TSH test for this patient?

Patient Case Question 8. Provide a reasonable explanation for the serum uric acid test result shown in Table 80.1.
Patient Case Question 9. What is probably the first class of drugs that the PCP will prescribe for this patient?
Patient Case Question 10. In terms of the progression of the disease, what do the results of the hand x-ray suggest?
Patient Case Question 11. Which findings in the examination of the synovial fluid are consistent with a diagnosis of rheumatoid arthritis?
Patient Case Question 12. What causes limitation of joint motion that occurs early in the clinical course of rheumatoid arthritis?
Patient Case Question 13. What causes limitation of joint motion that occurs late in the clinical course of rheumatoid arthritis?

Research osteoporosis. Discuss various types and include risk management and prevention.

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Week 6 writing assignment

Research Osteoporosis, discuss various types and include risk management and prevention. APA format, minimum 3 content pages plus title page and reference page.

Create a PowerPoint presentation demonstrating ethical frameworks used for problem-solving in your workplace. Which approach would you use based on the descriptions in this model?

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PowerPoint presentation

Create a PowerPoint presentation demonstrating ethical frameworks used for problem-solving in your workplace. Which approach would you use based on the descriptions in this model?

Contribute a minimum of 10 slides. It should include at least four academic sources, formatted and cited in APA.

Submission Instructions:

Review the rubric to determine how your assignment will be graded.

Your assignment will be run through TurnItIn to check for plagiarism. Please check your results, make any necessary corrections, and resubmit a revised copy if the system identifies issues.

Your presentation must be original work, logically organized, and follow the current APA format, including citation of references.

Powerpoint presentation with 10-15 slides, clear and easy to read.

Speaker notes expanded upon and clarified content on the slides.

Incorporate a minimum of 4 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to the APA style (the library has a copy of the APA Manual).

 

Summarize the topic and the different opinions that you found during your research. Is there consensus to the opinions or are there different views about the topic’s future?

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Week 11 Discussion: The Future of Health Care 2 2

Search entries or author
Due: Post your initial response by Wednesday night at 11:59pm Pacific Time.
Respond to at least two of your fellow students’ posts by Friday night at 11:59pm Pacific Time.

Step 1 Conduct Research.
Select one of the topics discussed in the course and research opinions about how it will be shaped in the future. Include at least two scholarly articles in your research.

Step 2 Post a response to the discussion board.
In your post, address the following prompts:
Summarize the topic and the different opinions that you found during your research. Is there consensus to the opinions or are there different views about the topic’s future?
Discuss the impact of these potential outcomes on either health care quality, health care costs, or the status of health care professionals (Select One).

Step 3 Read and respond to two other students’ posts by Friday at 11:59pm MT.
Read other students’ posts and respond to at least two of them. Use your personal experience, if it’s relevant, to help support or debate other students’ posts. If differences of opinion occur, debate the issues professionally and provide examples to support your opinions.
In addition to your original post, be sure to provide a meaningful response to at least two of your peer’s posts by Friday night at 11:59pm Mountain Time. Cite any sources in APA format.

Describe at least two ways data from health care informatics systems can be saved for retrieval following a disaster. Describe at least one financial and one nonfinancial cost associated with a disaster that affects health care informatics systems.

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Week 11 Discussion: Recovery Following a Disaster 6 6

Search entries or author

Reply

  • Respond to the following question based on this weeks lesson and, if it’s relevant, include your own personal experience.
  • Describe at least two ways data from health care informatics systems can be saved for retrieval following a disaster.
  • Describe at least one financial and one nonfinancial cost associated with a disaster that affects health care informatics systems.

Describe additional information you would need in order to further assess his or her weight-related health. Identify and describe any risks and consider what further information you would need to gain a full understanding of the child’s health.

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Child Health Case

Review this week’s Learning Resources and consider factors that impact the validity and reliability of various assessment tools and diagnostic tests. You also will review examples of pediatric patients and their families as it relates to BMI.

Based on the risks you might identify consider what further information you would need to gain a full understanding of the child’s health. Think about how you could gather this information in a sensitive fashion.

Consider how you could encourage parents or caregivers to be proactive toward the child’s health.

Include the following:

An explanation of the health issues and risks that are relevant to the child you were assigned.

Describe additional information you would need in order to further assess his or her weight-related health.

Identify and describe any risks and consider what further information you would need to gain a full understanding of the child’s health. Think about how you could gather this information in a sensitive fashion.

Taking into account the parents’ and caregivers’ potential sensitivities, list at least three specific questions you would ask about the child to gather more information.

Provide at least two strategies you could employ to encourage the parents or caregivers to be proactive about their child’s health and weight.