Evidence-Based Practice Project: Intervention Presentation on Diabetes

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Identify a research or evidence-based article published within the last 5 years that focuses comprehensively on a specific intervention or new treatment tool for the management of diabetes in adults or children. The article must be relevant to nursing practice.Create an 11 slide PowerPoint presentation on the study’s findings and how they can be used by nurses as an intervention. Include speaker notes for each slide and additional slides for the title page and references.Include the following:Describe the intervention or treatment tool and the specific patient population used in the study.Summarize the main idea of the research findings for a specific patient population. The research presented must include clinical findings that are current, thorough, and relevant to diabetes and nursing practice.Provide a descriptive and reflective discussion of how the new tool or intervention can be integrated into nursing practice. Provide evidence to support your discussion.Explain why psychological, cultural, and spiritual aspects are important to consider for a patient who has been diagnosed with diabetes. Describe how support can be offered in these respective areas as part of a plan of care for the patient. Provide examples.You are required to cite a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines

 
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health assessment of a todlar

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Consider the following patient scenario:A mother comes in with 9-month-old girl. The infant is 68.5cm in length (25th percentile per CDC growth chart), weighs 6.75kg (5th percentile per CDC growth chart), and has a head circumference of 43cm (25th percentile per CDC growth chart).Describe the developmental markers a nurse should assess for a 9-month-old female infant. Discuss the recommendations you would give the mother. Explain why these recommendations are based on evidence-based practice.

 
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Preliminary Needs Assessment

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The first assignment of this semester is for you to perform a PRELIMINARY NEEDS ASSESSMENT by performing an evidence-based literature review. Once you identify a need, then you can start creating a solution.  This will specifically, later on, assist you in explaining and justifying what the needs are in your target population. Use the following process to PREPARE to do your needs assessment.*Review Healthy People 2020 documents and the objectives from 2020 Topics and Objectives (Objectives A–Z) Link:https://www.healthypeople.gov/2020/topics-objectives (Links to an external site.).  Also Table 1-4 (pg. 26) (Course required textbook).*Choose a numerical Healthy People 2020  objective with a HEALTH BEHAVIOR CHANGE  FOCUS for your anticipated health promotion/education program (examples include obesity, tobacco use, substance abuse, responsible sex behavior, mental health, injury, violence, immunization).Make sure that the Healthy People 2020 OBJECTIVE and associated HEALTH BEHAVIOR CHANGE  FOCUS is one that you can envision being able to develop into a ready to implement community health promotion intervention with a strong health education component as well as a strong health promotion and empowerment focus.REQUIRED COMPONENTS for Assignment #1: THE PRELIMINARY NEEDS ASSESSMENT (PLEASE READ CAREFULLY)The assignment should be typed out on a word document in APA format. Each paragraph should consist of 5-6 complete sentences. The assignment should consist of 1,500- to 3,000-words. This assignment must be completed and submitted on a Microsoft word document.APA format is required. 12 font size should be used, font names that should be used are Times New RomanorCambria (not both), normal margins (no more than 1 inch), double spaced, indentation, etc. Please include a title page that consists of your name (First and Last), Panther ID number, and title of the article (APA format).In addition, include a reference page that consists of three (3) references from creditable resources.Requirements:1. Document your targeted Objective and your Health Behavior Change Focus. State your chosen health behavior focus and targeted objective from HP 2020 and the Leading Health Indicator it relates to that you intend to address in your health education and program.2.  Document the need for a program related to your targeted objective.   Discuss the rationale or need for your choice to design a program to meet the targeted HP 2020 objective by reporting on the following:  a) Report on the documented health risk(s) associated with not meeting this objective.  b) State ALL of the HEALTH RISKS AND HEALTH CONDITIONS and DISEASES that are associated with the objective’s corresponding maladaptive health behavior. This is to be done by doing an evidence-based literature review using appropriate sources of secondary data.Examples of appropriate sources include official statistical databases like National Center for Health Statistics, technical reports, scholarly journal articles, and literature review articles. A practical example of this would be to perform a literature review that provides documentation of all pertinent health risks and conditions and diseases that are associated with one of the Healthy People Objective’s that deal with tobacco use, and that describes each of these health risks and diseases (lung cancer, chronic obstructive pulmonary disease).3. Report on the incidence and prevalence rates of the health risks and the health conditions and diseases that are associated with your chosen Healthy People 2020/2010 Health Behavior.  Report on any pertinent morbidity rates or mortality rates that are directly linked to your chosen Healthy People 2020 health behavior.  Report any temporal trends of incidence and prevalence rates of the health risks and health conditions and health diseases that are directly linked to your chosen Healthy People 2020 health behavior.  Locate research data and statistics from scholarly literature, trustworthy websites, and statistical evidence.  You must provide incidence and prevalence rates on a national level.  Examples of appropriate sources of data include official statistical databases like NWCHS and census database atwww.census.gov (Links to an external site.), technical reports, scholarly journals, and literature review articles). An example of this would be to expound upon the prevalence AND incidence rates AND TRENDS of INCIDENCE AND PREVALENCE RATES of lung cancer and chronic obstructive pulmonary disease for one of the Healthy People 2020/2010 Tobacco Use Objectives at the national level morbidity and mortality rates associated with lung cancer and chronic obstructive pulmonary disease.4.  Report what the research and literature suggest to minimize the risk that is associated with not performing your chosen health behavior change and thus, to meet the Healthy People 2020 objective. This is also to be done by doing an evidence-based literature review using appropriate sources.  Examples of appropriate data sources include evidence base search engines, journals, and resources such as Cochrane, Medline, Trip Database, and any other evidence-driven journals or resources.  An example would be to search the literature for “evidence-based” methods and programs that have been most effective to accomplish the desired behavior change (like increase physical activity).

 
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Using library

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NOTE: 300 Words with 3 resources- 1 below+ 2 others.Use below peer-reviewed article to answer the questionPractice Area: Mental Health NurseUsing proper APA formatting, cite the peer-reviewed article you selected that pertains to your practice area (Mental Health Nurse) and is of particular interest to you and identify the database that you used to search for the article. Explain any difficulties you experienced while searching for this article. Would this database be useful to your colleagues? Explain why or why not. Would you recommend this database? Explain why or why notUse below peer-reviewed article to answer above question.ArticleDuffy, Anne. 2014. Mental Health in Adolescents: Bipolar Disorder. Clinical Insights. Future Medicine Ltd. https://search-ebscohost-com.ezp.waldenulibrary.org/login.aspx?direct=true&db=cat06423a&AN=wal.EBC5092489&site=eds-live&scope=site.

 
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Group Management for Just Culture

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DiscuDiscussion: Making the Case for CapitalDiscussion: Group Management for Just CultureThe concept of a fair and just culture refers to the way an organization handles safety issues. Humans are fallible; they make mistakes. In a just culture, ‘hazardous’ human behavior such as staff errors, near–misses and risky actions are identified and discussed openly in hopes of finding ways to improve processes and systems—not to identify and punish the individual.—Pepe & Caltado, 2011This Discussion examines the opportunities of managers in working with groups to promote change that facilitates the delivery of safe, high–quality care.To PrepareReview the information on just culture presented in the Learning Resources.For this discussion, you will use the Regulatory Decision Pathway found in Russell, K. A. & Radtke, B. K. (2014).Examine an adverse event at the unit level in your organization or one with which you are familiar and apply the Regulatory Decision Pathway.Compare the findings of the Regulatory Decision Pathway  to what actually happened at the unit in your organization. Was the event deemed: bad intent, reckless, at risk, or human error? According to the pathway, do you now think it was the correct action?Think about how a nurse leader–manager may use just culture as a framework to create or maintain a focus on accountability and outcomes throughout a group. What actions could be taken if a systems–related error was made or if an error resulted from risky behavior?How might role conflict and/or ambiguity have contributed to the situation?By Day 3Post a description of an adverse event in your organization and your analysis of the issue using the Regulatory Decision Pathway. Explain how role conflict or ambiguity might have influenced this situation. Apply the principles of just culture as you explain how you, as the group’s manager, would handle the situation.Read a selection of your colleagues’ responses.By Day 6Respond to at least two of your colleagues on two different days using one or more of the following approaches:Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.Validate an idea with your own experience and additional research.Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.ReferencePepe, J., & Cataldo, P. J. (2011). Manage risk, build a just culture. Health Progress. Retrieved from http://www.outcome–eng.com/wp–content/uploads/2012/01/manage–risk.pdfRussell, K. A. & Radtke, B. K. (2014). An evidence–based tool for regulatory decision–making: regulatory decision pathway. Journal of Nursing Regulation, 5(2), 5–9.Marquis & Huston, Leadership roles and management functions in nursing, 2015

 
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6051 Assignment

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Are there areas in your practice that you believe should be more fully explored? The central aims of nursing informatics are to manage and communicate data, information, knowledge, and wisdom. This continuum represents the overarching structure of nursing informatics. In this Assignment, you develop a research question relevant to your practice area and relate how you would work through the progression from data to information, knowledge, and wisdom.To prepare:Review the information in Figure 6–1 in Nursing Informatics and the Foundation of Knowledge.Develop a clinical question related to your area of practice that you would like to explore.Consider what you currently know about this topic. What additional information would you need to answer the question?Using the continuum of data, information, knowledge, and wisdom, determine how you would go about researching your question.Explore the available databases in the Walden Library. Identify which of these databases you would use to find the information or data you need.Once you have identified useful databases, how would you go about finding the most relevant articles and information?Consider how you would extract the relevant information from the articles.How would you take the information and organize it in a way that was useful? How could you take the step from simply having useful knowledge to gaining wisdom?Write a 3- to 4-page paper that addresses the following:Summarize the question you developed, and then relate how you would work through the four steps of the data, information, knowledge, wisdom continuum. Be specific.Identify the databases and search words you would use.Relate how you would take the information gleaned and turn it into useable knowledge.Can informatics be used to gain wisdom? Describe how you would progress from simply having useful knowledge to the wisdom to make decisions about the information you have found during your database search.Your paper must also include a title page, an introduction, a summary, and a reference page.

 
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Korean beliefs about Pregnancy and drinking

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Scenario: Jay and Sue Kim, ages 29 and 26 years and married for 2 years, immigrated from South Korea and settled in Los Angeles. They have lived in a small one-bedroom apartment since their arrival. Both graduated from the same Korean university with baccalaureate degrees in English literature. They have one child, Joseph, age 1 year. When they arrived in the United States, Jay was unable to find a job because of his poor proficiency in English, despite his major in English literature. He eventually obtained a job with a moving company through a church friend. Sue is not working because of their son. Although the Kim’s did not attend a church before immigration, they are now regularly attending a Korean Protestant church in their neighborhood.Sue is pregnant again, determined by a home pregnancy kit, with their second child and concerned about the medical costs. They did not use any contraceptives because she was breastfeeding. Because of financial limitations, Sue did not initially have prenatal care with her first pregnancy. However, she did keep up with the Korean traditional prenatal practice, tae-kyo. Eventually, she received help from her church and delivered a healthy son. She is not sure whether she can get financial help from her church again but is confident that her second child will be healthy if she follows the Korean traditional prenatal practices.Jay is concerned about job security because he recently heard from colleagues that the moving company might soon go bankrupt. Although Jay has not been satisfied with his current job (he thinks that he is overqualified), this news is still a cause for concern. Moreover, Sue’s recent pregnancy has made Jay more stressed, and he has started drinking alcohol. Joseph cannot stand up by himself and still wants to be breastfed. Although Sue has tried to give foods such as oranges, apples, steamed rice, and milk (because she is now pregnant), Joseph refuses to eat them and cries for breastfeeding. Joseph’s weight is low-normal for same-age babies.Describe the Korean cultural practice tae-kyo. Is this practice congruent with allopathic recommendations for prenatal care?How do food choices among Koreans differ with pregnancy and postpartum?Describe cultural attitudes toward drinking among Koreans.Identify two or three culturally congruent strategies a healthcare provider might use to address Jay’s drinking.Should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

 
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Interview a Health Care Human Resource Professional

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The purpose of this assignment is to conduct an interview with a representative from human resources at a local health care organization to review the role and impact of the human resources department in that organization.Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style. Aim to follow the 7×7 rule, limiting 7 bullet points per slide and 7 words per bullet. The explanation and elaboration for each slide should be included in the accompanying speaker notes.In a 12-15-slide PowerPoint presentation, address how the following elements:Identify the human resource functions (such as benefits, employee relations, and risk management) that the organization utilizes and describe how they contribute to support of the organizational structure.Identify the various human resource tools (employee handbook, job descriptions, written policies, grievance forms, etc.) in the organizational structure, how they are used, and their importance.Examine what effect the human resources processes and policies have on patient care.Identify major human resources challenges the organization has faced and how they were handled.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.Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance

 
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Reply to my peers

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Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to all of the initial postings from your peers in your discussion group on different days of the week.Peer 1Initial Post:  Answer the following questions about Anna Sanchez and her condition.What evidence suggests that Anna does not have an acute severe infection?Anna’s vital signs are within normal limits, her blood pressure and pulse are all normal. Acute severe infections however cause low body temperature, chills, fevers and nausea, among others.If Anna has allergic rhinitis, what type of hypersensitivity reaction is involved?It looks to be that Anna has an Immediate (Type I) hypersensitivity. This type of reaction can also be called an Anaphylactic Response. These reactions are mediated by IgE that are produced as a response to certain allergens. These antibodies bind to mast cells. The most common reactions are caused by food allergies and other allergens in the environment. (Vaillant, 2020)A skin test indicates that Anna is allergic to cat dander. Two months ago, Anna’s roommate brought home a cat. Why didn’t Anna’s symptom start when the cat entered the household, rather than 3 weeks later?Sometimes it takes a while for the body to react to certain allergens, also her type of reaction (type I) is delayed because Anna’s body began sensitizing to the allergens in cat dander. Also, it might have taken a while for the cat to shed enough dander to a level that her body could recognize.What class of antibodies bind to the mast cells?The class of antibodies that bind to mast cells are called IgE (IgE | Biochemistry, n.d.)What physiological mechanisms caused the redness of Anna’s nasal mucosa?The cat dander allergens bind with the IgE antibodies on the mast surface which caused the mast cells’ degranulation. The degranulation releases inflammatory mediators which can cause redness. (Krystel-Whittemore, 2016)What mechanisms caused Anna’s clear postnasal drainage?Certain mediators like, histamine is released due to mast cell degranulation can cause vasodilation. These mediators promote nasal mucus secretion, this leads to drainage.IgE | biochemistry. (n.d.). Encyclopedia Britannica. Retrieved April 1, 2021, from https://www.britannica.com/science/IgEKrystel-Whittemore, M. (2016). Mast Cell: A Multi-Functional Master Cell. Frontiers. https://www.frontiersin.org/articles/10.3389/fimmu.2015.00620/fullVaillant, J. A. A. (2020, December 30). Immediate Hypersensitivity Reactions. PubMed. https://pubmed.ncbi.nlm.nih.gov/30020687/Peer 2Initial Post: Answer the following questions about Anna Sanchez and her condition.Itchy skin, nasal inflammation with watery nasal discharge, “tickling” cough at night, sneezing, and even polyps in her nose all point to allergic rhinitis, according to her medical records. Sneezing, nasal pruritus, airflow obstruction, and mostly clear nasal discharge are all signs of allergic rhinitis, which is caused by IgE-mediated reactions to inhaled allergens and involves mucosal inflammation driven by type 2 helper T (Th2) cells. Her flaking erythematous rash on the flexor surfaces of both arms, which is common in young people with allergies.1. What evidence suggests that Donna does not have an acute severe infection?All vital signs were all within normal ranges. You’d expect to see a rise in temperature and a spike in respiration. Her nasal drainage also was clear. Infection will be suggested by gloomy, gray, or even yellow drainage.2. If Anna has allergic rhinitis, what type of hypersensitivity reaction is involved?Most common allergies are Type I reactions. Type I reactions are mediated by antigen specific IgE and the products of tissue mast cells (McCance & Huether, 2014).3. A skin test indicates that Anna is allergic to cat dander. Two months ago, Anna’s roommate brought home a cat. Why didn’t Anna’s symptoms start when the cat entered the household, rather than 3 weeks later?Anna was being sensitized to the allergens in cat dander during the symptom-free period following her initial exposure to cat dander. Her B lymphocytes were developing antibodies that attached to the mast cell’s outer surface.4. What class of antibodies bind to the mast cells?Cat dander allergens bind to IgE antibodies on mast cells, allowing antigen to come into contact with the nasal mucosa and leading to crosslinking of immunoglobulin E (IgE) receptors on mast cells.5. What physiological mechanisms caused the redness of Anna’s nasal mucosa?When IgE binds to mast cells, a cascade of chemicals are released. Histamine, one of the chemicals, triggers skin redness and swollen membranes by opening blood vessels. When this happens in the nose, it causes sneezing and congestion.6.What mechanisms caused Anna’s clear postnasal drainage?T helper (Th)2 T cells infiltrate the nasal mucosa and release cytokines (e.g., interleukin [IL]-3, IL-4, IL-5, and IL-13) that promote the development of immunoglobulin E (IgE) by plasma cells. The release of mediators such as histamine and leukotrienes, which cause arteriolar dilation, increased vascular permeability, itching, rhinorrhea (runny nose), mucous secretion, and smooth muscle contraction, is triggered by IgE development.ReferencesMcCance, S.H. K. Pathophysiology. [South University]. Retrieved from https://digitalbookshelf.southuniversity.edu/#/books/9780323583473/

 
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Discussion: Diabetes and Drug Treatments

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Discussion: Diabetes and Drug TreatmentsEach year, 1.5 million Americans are diagnosed with diabetes (American Diabetes Association, 2019). If left untreated, diabetic patients are at risk for several alterations, including heart disease, stroke, kidney failure, neuropathy, and blindness. There are various methods for treating diabetes, many of which include some form of drug therapy. The type of diabetes as well as the patient’s behavior factors will impact treatment recommendations.For this Discussion, you compare types of diabetes, including drug treatments for type 1, type 2, gestational, and juvenile diabetes.Reference: American Diabetes Association. (2019). Statistics about diabetes. Retrieved from http://diabetes.org/diabetes-basics/statistics/To PrepareReview the Resources for this module and reflect on differences between types of diabetes, including type 1, type 2, gestational, and juvenile diabetes.Select one type of diabetes to focus on for this Discussion.Consider one type of drug used to treat the type of diabetes you selected, including proper preparation and administration of this drug. Then, reflect on dietary considerations related to treatment.Think about the short-term and long-term impact of the diabetes you selected on patients, including effects of drug treatments.By Day 3 of Week 5Post a brief explanation of the differences between the types of diabetes, including type 1, type 2, gestational, and juvenile diabetes. Describe one type of drug used to treat the type of diabetes you selected, including proper preparation and administration of this drug. Be sure to include dietary considerations related to treatment. Then, explain the short-term and long-term impact of this type of diabetes on patients. including effects of drug treatments. Be specific and provide examples.By Day 6 of Week 5Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days who selected a different type of diabetes than you did. Provide recommendations for alternative drug treatments and patient education strategies for treatment and management.Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link, and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!

 
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