Category: Nursing

Please refer to uploaded files for details on assignment. I would like for the topic “Polypharmacy” to be elaborated on. This should be written from the perspective of an Advanced Nurse Practitioner student. Please have a section titled Thoughts, Limgering questions, and Epiphanies. Must include a reference in last five years. 

The purpose of this discussion is to teach students to use electronic databases and methodological filters to select the most relevant evidence to answer the clinical questions. A secondary purpose of this assignment is to teach students to format citations according to the American Psychological Association Style Handbook (7th Edition).
Instructions:
For this discussion, you will use the PICO question you generated for the previous discussion (Use the PICO worksheet attached to this discussion).
Select the most appropriate databases using information from the MDC Library databases.  Explain in a short paragraph why you selected each one.
Find synonyms for Population, Problem, Intervention, Comparison, Outcome. Fill out the list with synonyms. 
Using the advanced search feature, conduct separate searches for each of the above PICO, using “OR” with synonyms. Check for the number of hits for each search and revise as necessary.
Using the search history feature, combine PICO searches, using “And.”
Make note of the number of hits. 
Revise the searches combined, if necessary.
Use methodological filter terms, first for systematic reviews, randomized control trials, cohort studies, etc. Note the number of studies found after applying the exclusion and inclusion criteria).
Limit your searches to five (5) years.
Write a paragraph describing the process ( this is the method section of the literature review). 
Title the discussion with the PICOT question.
Initial post: Your post should be within a range of 200-300 words.
Peer response: Identify two (2) students that may share a similar question and make significant comments in their Search methodology (can it be replicated?).
Be active because it may help you form a group for the EBP paper.
Cite your references APA 7th  ed. (not included in the length of the post). 
To see rubric, click on the 3-dot menu  on the top-right side of screen. 

Describe the impact of climate change on a disaster that could affect your community. Describe the health and safety hazards that would be present in this type of disaster. Based on your assessment, discuss how you would advise community members to prepare for this disaster. Describe one policy that could be implemented to mitigate risk for nurses working during a disaster.
Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN Discussion Question Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.

Legal issues of Advanced Practice Nursing in the Workplace
Choose one topic from the following list and evaluate how the chosen topic impacts your role as an advanced practice nurse. What are the legal implications related to your role? Analyze how understanding of the chosen topic will impact your future role as an advanced practice nurse.
Choose one:
Employer and employee rights
Americans with Disabilities Act
Employment contracts and unionization
Corporate liability
Sexual harassment in the workplace
Employees with AIDS/HIV and exposure to bloodborne pathogens
Environmental health and safety

The purpose of the case study is for you to expand on the pathophysiological disease process by searching for evidence-based practice treatment and advanced practice nursing role implications related to the disease. 
Part 1:
Compare and contrast the 3 conditions in one of the charts found in the attachment. 
PAIN SYNDROME:
Migraine Headaches 
/ Tension Headaches/ 
Meningitis 
Risk Factors 
Pathophysiology 
Clinical Manifestations 
Part 2:
Choose a pain syndrome to explore from the chart. You can also choose a diagnosis not listed (that coincides with your advanced practice specialty) as long as it relates to the neurological function.
Present a hypothetical case that includes the following:
Vital information about a person who might be predisposed to this condition (I.e., a person who may have risk factors for this condition). 
The pathophysiology of the disease, including clinical manifestations.
Which diagnostic tests you’d recommend and a rationale for the one(s) you choose.
How this condition compares to other differentials.
The evidence-based recommendations from the AHRQ GuidelinesLinks to an external site. or guidelines recommended from a professional organization. Based on these recommendations, discuss how  to manage the condition best.
A patient safety issue that could be associated with the condition presented in this case.
Part 3:
Answer these reflection questions:
What information would a master’s prepared nurse gather from a patient with this condition?
How could the master’s prepared nurse use this information to design a patient education session for someone with this condition?
What was the most confusing or challenging information presented in this case?
Expectations: 
Your paper should be 3–4 pages (excluding cover and reference pages).
Use medical terminology and appropriate graduate level writing.
Your resources must include research articles and reference to non-research evidence-based 
AHRQ Guidelines.Links to an external site.
Use APA format to style your paper and to cite your sources. Your source(s) should be integrated into the paragraphs. Use internal citations pointing to evidence in the literature and supporting your ideas. You will need to include a reference page listing those sources. Cite a minimum of three resources.

Critical Evaluation of a Research Paper
The purpose of this assignment is to demonstrate your ability to evaluate one quantitative or qualitative nursing research article of interest from any refereed nursing journal. Writing a critical review of a journal article can help to improve your writing and analytical skills. By assessing the work of others, you develop skills as a critical reader and become familiar with the types of evaluation criteria necessary to translate the evidence to practice.
Instructions:
Choose one primary research (1) article used in the literature review—less than five years or if you prefer in the EBP project. It is preferable to use a randomized controlled trial or the highest level of evidence. Attach a copy of the article.
Write a 1-2 page critique on the article (excluding cover and reference page).
Format references and citations using 7th ed. APA guidelines. Read the Johns Hopkins nursing evidence-based practice: model and guidelines and use Appendix E critically appraise from the article. Begin your critique by identifying the:
article’s title
author(s)
date of publication
name of the journal or other publication in which it appeared
and when was the article published
In your introduction, you should briefly describe the purpose and nature of the study and, if applicable, its theoretical framework. If the paper was not published in a peer-reviewed journal, consider the credibility of the publication in which it appeared.
If you are reviewing a research study, organize the body of your critique according to the paper’s structure.
Did the researcher identify the gaps in the knowledge?
Did the researcher identify the purpose of the study?
Write a brief description and analysis of the strengths and weaknesses of the research design and methodology. For example:
How does the method reflect other studies of the same topic? (sample, data collection, setting).
What makes this method feasible? (quantitative, qualitative, mixed methods).
How realistic is it? How does the method address questions of validity? (independent, dependent variables).
How does the researcher overcome the limitations of the method?
Are there large limitations or minor ones?
How will these limitations affect your ability to use this data to answer your research question?
Describe the results by answering:
How were the results interpreted?
How were they related to the original problem (author’s view of evidence rather than objective findings)?
Look at DISCUSSION are the author(s) able to answer the question (test the hypothesis) raised?
Did the research provide new factual information, a new understanding of a phenomenon in the field, a new research technique?
How was the significance of the work described?
Did the reported observations/interpretations support or refute observations or interpretations made by other researchers?
Did the researcher report limitations.
Describe the significance of the research by answering:
Did the research make a significant contribution to human knowledge?
Did the research produce any practical applications?
What are the nursing implications of this research?
How do you evaluate the significance of the research?
Papers will be graded by rubric. Please take time to review the rubric so that you are aware of the expectations for the research critique paper. Rubric 🌟
1. Quality and Copy of the article
The journal’s primary research article is current, peer-reviewed, contains the author’s name(s), year of publication, and corresponds
to the list of references.
2. Study Summary
The summary clearly outlines the main research question, methods, results, and implications in the student’s own words.
3. Identify the Gap of Knowledge
Identifies the rationale for the study’s aim/ purpose by clearly identifying a gap in the literature.
4. Study Methods
The study design is described in detail. If quantitative data were collected, psychometric properties of instruments are provided (e.g.
validity and reliability) are provided. The sampling strategy(inclusion/ exclusion criteria), study setting, and data collection procedures are described in detail. The approach used for
data analyses is described.
5. results/findings Outstanding
Results/products/outcomes are described in detail and align With description ofstudy methods. Analyses of data are sophisticated and precise.
6. Discussion Applies relevant thinking skills and shows that understand the meaning of the results of the study Identifies and clearly discusses multiple implications and consequences of the findings and compares the findings to other
evidence.
7. Conclusion & recommendation
Stated recommendations are based on a thorough examination of evidence, a clear explanation of reasonable alternatives, and an evaluation of possible consequences.
Conclusions and recommendations are congruent with the strength of evidence reviewed, and an appropriate interpretation of both clinical and statistical significance of the findings.
8. Limitations and implications
Limitations of the study are clearly stated and are linked to
implicationsfor future studies.
9. Overall analysis of the study
The student provides an insightful analysis of the article, answering all or nearly all of the questions assigned. The student articulates
novel ideas that clearly go beyond what is in the article itself. The analysis is clear and rational.

Identify the different theories and their implications on the aging process.
Define aging from biologic, sociologic, and psychological theories.
Develop nursing interventions based on the psychosocial issues and biologic changes associated with older adulthood.
Discuss several nursing implications for each of the major biologic, sociologic, and psychological theories of aging.
Based on your experience what health promotion strategies would you recommend to facilitate successful aging?
Turnitin score<20%

Describe the health care problem or issue of having limited access to healthcare. A separte document has been attached with full and clear instructions.

To Assess the need for a capital budget item. To also, investigate the information needed to prepare a budget proposal.
Identify the cost of the piece of equipment and if there are any alternative funding sources.
Presents a compelling argument for the purchase of the capital item
Incorporate a minimum of 4 current (published within 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 APA style (the library has a copy of the APA Manual).

, begin to develop a comprehensive care plan for the aggregate based on the health risks faced by the aggregate that you identified in the risk assessment. 
In your paper, address the following:
Propose two (2) priority-nursing diagnoses based on the major health risks identified during the risk assessment for the aggregate
Include strategies to address the nursing diagnoses and identified risks of aggregate.
Support your strategies with at least two journal articles.
Develop a disaster management plan with the following components:
List of disasters that might affect your aggregate (take into consideration the geographical location of the aggregate, past history, etc.).
Strategies for handling at least two disasters from the list.
Recommendations for a disaster supplies kit.
Reference page and title page are separate.  Also, AI and Turnitin scores are monitored.  
A copy of my aggregate is attached