• Discuss the purpose defining the purpose of the PICO question for the psychiatric mental health nurse practitioner.
• Explain the purpose of your selected PICO question advanced practice psychiatric nurses or the patients or the populations they treat.

Submission Instructions:

• Your initial post should be at least 500 words, formatted and cited in the current APA style.
• Provide support for your work from at least five academic sources less than 5 years old.

Exercise Instructions

nursing’ topic: Comprehensive Pain Assessment in Adult Patients: Nursing Strategies for Accurate Evaluation and Effective Management , complete a research paper.

Guidelines:

APA Format

MUST utilize credible data sources such as CINAHL, MEDLINE, Embase, ClinicalKey, The Cochrane Library. Library resources can be accessed from the Library page at the FNU.edu website. FNU Librarians are available to assist each student with retrieving the required scholarly content.

Research paper must be 450 words.

3 or more scholarly sources must be utilized

Sources must be within the last 5 years

Must have a minimum of 2 Sources

All article sources must be cited by including them in reference sheet (separate).

Review the technologies presented in the Sentinel U: Telehealth Nursing Series Medical/Surgical: Lynn Tan activity. There are 3 patients listed under Cases. Pick one case and select ONE of the technology options used in the SIM to use as the focus for this assessment. The SIM report must demonstrate 100% complete. You will upload the completed SIM report with your assignment.

Next prepare a 46 page paper in which you introduce your selected technology and describe at least five peer-reviewed publications that promote the use of your selected technology to enhance quality and safety standards in nursing. You will conclude your paper by summarizing why you recommend a particular technology by underscoring the evidence-based resources you presented. Be sure that your paper includes all of the following elements:

• Introduction to the Selected Technology Topic
  • What is your rationale for selecting this particular technology topic? What is interesting about it?
  • What research process did you employ?
    • Which databases did you use?
    • Which search terms did you use?
    • Note: In this section of your bibliography, you may use first-person since you are asked to describe your rationale for selecting the topic and the research strategies you employed. Use third person in the rest of the bibliography, however.
• Annotation Elements
  • For each resource, include the full reference followed by the annotation.
  • Explain the focus of the research or review article you chose.
  • Provide a summary overview of the publication.
    • According to this source, what is the impact of this technology on patient safety and quality of care?
    • According to this source, what is the relevance of this technology to nursing practice and the work of the interdisciplinary health care team?
    • Why did you select this publication to write about out of the many possible options? In other words, make the case as to why this resource is important for health care practitioners to read.
• Artificial Intelligence (AI)
  • How can AI be used with your chosen technology to improve patient care, nursing workflow, or efficient healthcare delivery. Be sure one of your journal articles supports this.
• Summary of Recommendation
  • How would you tie together, or integrate, the key learnings from each of the five publications you examined?
  • Describe which organizational factors influence the selection of a technology in a health care setting? Consider such factors as organizational policies, resources, culture/social norms, commitment, training programs, and/or employee empowerment.
  • How would you justify the implementation and use of the technology in a health care setting? This is the section where you will justify (prove) that the implementation of the
    patient care technology is appropriate or not. The evidence should be cited from the literature that was noted in the annotated bibliography.
    • Consider the impact of the technology on the health care organization, patientcare/satisfaction, and interdisciplinary team productivity, satisfaction, and retention.

Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:

• .
  • Written communication: Ensure written communication is free of errors that detract from the overall message.
  • Length: 46-typed, double-spaced pages.
  • Upload: You must upload the completed SIM report from Sentinel U: Telehealth Nursing Series Medical/Surgical: Lynn Tan with your annotated bibliography.
  • Number of resources: Cite a minimum of five peer-reviewed publications, not websites. At least four for the annotation elements and at least one for your justification of AI.
  • Font and font size: Use Times New Roman, 12 point.
  • APA: Follow APA style and formatting guidelines for all bibliographic entries. Refer to as needed.

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

    • Competency 3: Evaluate the impact of patient care technologies on desired outcomes.
      • Describe one’s rationale for selecting a technology topic, including the process used to identify it.
      • Describe current evidence on the impact and relevance of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team.
      • Integrate current evidence about the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team into a recommendation.
    • Competency 4: Recommend the use of a technology to enhance quality and safety standards for patients.
      • Describe organizational factors influencing the selection of a technology in the health care setting.
      • Justify the implementation and use of a selected technology in a health care setting.
    • Competency 5: Apply professional, scholarly communication to facilitate use of health information and patient care technologies.
      • Create a clear, well-organized, and professional, annotated bibliography that is generally free from errors in grammar, punctuation, and spelling.
      • Follow APA style and formatting guidelines for all bibliographic entries.

M10 Case Study

• Points 76

CHIEF COMPLAINT: Fatigue

HISTORY OF PRESENT ILLNESS

M.W., a 78-year-old female widow, presents to urgent care with the chief complaint of feeling very tired lately. She also complains of some nasal congestion. She arrives with her daughter, who provides some gaps in the medical history. The daughter notes that M.Ws fatigue has been a complaint for about 16 months.

Further review of systems provided by the daughter reveals a concern that her mother seems to have slight confusion, increased fatigue, poor appetite, and a bitter taste sensation when eating. M.W. eats 3 small meals daily, and shes had some unintentional weight loss over the past few months. She reports a marked decrease in energy level. She denies nausea, vomiting, or emotional lability. She does not eat red meat.

PAST MEDICAL HISTORY: Significant for hypertension for many years; type 2 diabetes mellitus that is not well controlled on oral meds; high cholesterol for many years; lymphedema in lower extremities bilaterally since adolescence; benign lung densities per chest x-ray; and a report of Mediterranean anemia. She sees a podiatrist every 3 months and sees a retinopathist periodically.

PAST SURGICAL HISTORY: She had cataract removal surgery in 2009. Her last visit was today, and her exam was negative.

CURRENT OUTPATIENT MEDICATIONS

• Glucophage, 1000 milligrams BID
• Avandia, 4 mg daily
• Protonix, 40 mg daily
• Glucotrol, 10 mg daily
• Aricept, 10 mg daily at night
• Cardia, 240 mg daily in AM
• Lisinopril, 10 mg daily
• Diovan, 160/12.5 BID
• Aspirin, 81 mg daily
• Crestor, 5 mg daily
• Zetia, 10 mg daily
• Coreg, 12.5 mg BID
• Lasix, 20 mg daily
• Potassium, 10 mEq daily
• Actonel, 35 mg weekly.
• Multivitamin, over the counter
• B12
• Tylenol, as needed for pain

ALLERGIES: No known drug allergies and is up to date on her immunizations.

Family History: Her mother died at age 81 with DM and hypertension. Her father died of lung cancer. She has two brothers ages 81 and 83, both with hypertension and one with prostate cancer.

Social history: Born in California and has four children. She does not drink coffee and does not exercise. Her typical day includes watching television and doing housework. She lives independently in an adult community in Alabama and has a homemaker 3 times weekly. She is a retired cook. She has one daughter who lives nearby.

BEHAVIORAL: Does not use tobacco currently; quit smoking over 20 years ago. She denies ETOH use or history of substance abuse

REVIEW OF SYSTEMS:

HEENT: Denies any dizziness or blurry vision. No headaches except for + right ear pain. Sometimes difficulty swallowing.

Respiratory: Occasional cough and has noticed more shortness of breath recently. Sleeps on 2 pillows.

CV: Denies chest pain or palpitations. Denies numbness to upper and lower extremities.

GI: Denies abdominal pain or bloating. She does not have any regurgitation. No nausea or vomiting. She has a bowel movement daily which is normal, brown in color, and normal consistency. She does not report any blood in her stool.

Neurological: Reports fatigue. Denies weakness, numbness, slurred speech.

General/Constitutional: Generally happy, social, but most recently not engaged due to fatigue and weakness.

Musculoskeletal: Reports joint pain in her knee, especially her left knee.

Dermatological: Complains of dry skin.

PHYSICAL EXAMINATION

General: She is a 78-year-old female who is pleasant, slightly confused, and moderately anxious. Her daughter is present during the visit. The patient defers to her daughter for clarification of events and details. Daughter and mother have a positive working relationship with evidence of support and caring.

Vital signs: T: 98.2; P: 86; RR: 28; SaO2: 93; B/P: 140/70. Her weight is 191 pounds, and her height is 64 inches. General: Overweight and in no mild distress.

Skin: Clear, slightly grayish color.

HEENT: Hair thinning, gray at roots, silky texture. Sclera nonicteric, pupils dilated since she just came from the retinopathist (examination of her eyes deferred). Oral mucosa, pink moist intact. Supple, no JVD, no bruits. Thyroid nonpalpable. No lymphadenopathy.

Resp: Lungs clear to auscultation. Transverse/AP diameter 2/1.

Heart: Heart regular rate and rhythm. PMI is at 5th intercostal space left sternal border; + systolic murmur II/VI. Pulses positive all extremities.

Abdomen: BS+, obese, soft, nontender. No hepatomegaly; no splenomegaly; no hernia.

Extremities: There is bilateral lower leg edema; chronic lymphedema; no ulcerations; skin intact; no hair growth; no pitting.

Musculoskeletal strength: Walks with a cane; s/p right knee replacement 2007. Full ROM; no deformities; muscle strength appropriate for age.

Neurological: Alert, oriented 3, follows command to bilaterally, visual fields intact, extraocular movements intact. Slightly confused, and moderately anxious. CN IXII grossly intact. Mental status 30/30 (Folstein Mini Mental Status Exam). Geriatric depression screen: No evidence of depression.

DIAGNOSTICS

Laboratory Findings:

CBC: WBC 8K, Hemoglobin and hematocrit were 10.1/29.5, PLT 160

FBS: 149

BMP: Sodium 135, potassium 4.8; BUN: 42; creatinine 1.44 (estimated glomerular filtration rate [GFR] was 35)

A1C of 5.3, and negative troponins.

Chest X-ray: mild pulmonary congestion

ECG: showed sinus rhythm with a heart rate of 72bpm.

Based on the main diagnosis of this patient you, the nurse practitioner identify, you will submit your case study completed in the sections identified below:

1. Definition of diagnosis you suspect in this patient
2. Epidemiology
3. Etiology/Classification
4. Risk Factors of the diagnosis – emphasize with an asterisk (*) the risk factors this patient exhibits
5. Pathophysiology
6. Clinical Presentation (including History and Physical Exam pertinentfindings of the typical presentation of this diagnosis)
7. Diagnosis (including criteria, laboratory findings, imaging)
8. Management of the disease
9. Prevention of recurrence
10. Complications and Prognosis

Bonus- Differential Diagnoses. If you accurately list the pertinent differential diagnoses for this patient, you will be awarded bonus points per the rubric.

Note: Use 3 or more references. List your content in sections denoting the headings 1-10 and in the order listed above. Bonus differential diagnoses can be included at the end of your submitted case study.

Rubric

Case Study Rubric Week 10

Case Study Rubric Week 10

Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeEpidemiology, Etiology/Classification & Risk Factors	16 ptsExcellentComplete inclusion of epidemiology, etiology/classification data, and pertient risk factors12.44 ptsGoodIncomplete inclusion of epidemiology, etiology/classification data, and pertient risk factors. Missing 1-4 data points. 8.89 ptsFairIncomplete inclusion of epidemiology, etiology/classification data, and pertient risk factors. Missing 5 or more data points.0 ptsNo MarksNo inclusion of content for this topic	16 pts
This criterion is linked to a Learning OutcomePathophysiolgy	21 ptsExcellentComplete inclusion of pathophysiology content16.5 ptsVery GoodIncomplete inclusion of pathophysiology content. Missing 1-2 data points. 10.5 ptsGoodIncomplete inclusion of pathophysiology content. Missing 3-4 data points.6 ptsFairIncomplete inclusion of pathophysiology content. Missing 5 or more data points.0 ptsNo MarksNo inclusion of content for this topic	21 pts
This criterion is linked to a Learning OutcomeClinical Presentation & DiagnosisClinical Presentation (including History and Physical Exam pertinent findings), Diagnosis (including criteria, laboratory findings, imaging)	19 ptsExcellentComplete inclusion of clinical presentation & diagnosis criteria. Missing no more than 1 data points.15.83 ptsGoodIncomplete inclusion of clinical presentation & diagnosis criteria. Missing 2-4 data points. 11.08 ptsFairIncomplete inclusion of clinical presentation & diagnosis criteria. Missing 5 or more data points.0 ptsNo MarksNo inclusion of content for this topic.	19 pts
This criterion is linked to a Learning OutcomeManagement of the Disease, Prevention of Recurrence & Complications and Prognosis	16 ptsExcellentComplete inclusion of management of the disease, prevention of recurrence & complications and prognosis data points. Missing no more than 1 data points.12.44 ptsGoodIncomplete inclusion of management of the disease, prevention of recurrence & complications and prognosis data points. Missing 2-4 data points. 8.89 ptsFairIncomplete inclusion of management of the disease, prevention of recurrence & complications and prognosis data points. Missing 5 or more data points.0 ptsNo MarksNo inclusion of content for this topic.	16 pts
This criterion is linked to a Learning OutcomeBonus: Differential Diagnosis	0 ptsFull MarksAccurately list the 3-4 most pertinent differential diagnoses for this patient in order to receive points.0 ptsNo MarksNo partial points will be awarded.	0 pts
This criterion is linked to a Learning OutcomeReferences3 or more references listed in APA format.	4 to >0.8 ptsExcellent3 references. Correctly cited. Appropriate quality resources.0.8 to >0 ptsNo Marks	4 pts

Total Points: 76

After studying , discuss the following:

Post:

The purpose of this discussion is to deepen your ability to critically evaluate qualitative and quantitative research designs, two distinct yet complementary approaches that underpin nursing knowledge development. As a masters-prepared nurse, your capacity to discern methodological rigor directly impacts how effectively you integrate evidence into theory-driven practice.

Discussion

Nursing research relies on both qualitative and quantitative methodologies to generate and validate knowledge. While quantitative research seeks to measure and test relationships, qualitative research explores meaning and experience, each offering unique insights that inform theory and practice.

In your initial post:

1. Select one qualitative and one quantitative nursing research study (preferably published within the last five years).
2. Critically appraise each studys design, addressing aspects such as:
   • Research purpose and alignment with design
   • Sampling strategy and adequacy
   • Data collection and analysis methods
   • Rigor, trustworthiness (qualitative), or validity/reliability (quantitative)
   • Ethical considerations
3. Compare and contrast the two approaches in terms of how they contribute to nursing theory, evidence-based practice, and patient outcomes.
4. Reflect on how understanding both designs strengthens your ability to evaluate and apply research findings in your advanced nursing role (e.g., practitioner, educator, or leader).

Submission Instructions:

• Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

Based on and experience, please answer the following questions:

1. Describe dermatitis, diagnostic criteria, and treatment modalities
2. Describe the drug therapy for Conjunctivitis and Otitis Media
3. Discuss Herpes Virus infections, patient presentation, and treatment
4. Describe the most common primary bacterial skin infections and the treatment of choice.

Submission Instructions:

• Your initial post should be at least 500 words, formatted and cited in the current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
  • Each question must be answered individually as in bullet points. Not in an essay format.
  • Example: Question 1, followed by the answer to question 1; Question 2, followed by the answer to question 2; and so forth.

I think I should know the medical term for skin rash as a nurse

• Length: a minimum of 2 pages, title page and references not included in page count
• Citations: a minimum of 2

Assignment Prompt

This course is designed to prepare investigators involved in the design and/or conduct of research involving human subjects to understand their obligations to protect the rights and welfare of subjects in research. The course material presents basic concepts, principles, and issues related to the protection of research participants.

Evidence based research involving human subjects requires that researchers be cognizant of and adhere to the important tenets necessary to protect subjects from abuse, harm, injury, and/or other undesirable outcomes resulting from the research process. Based on this fact, write a minimum of 2 pages (Title page and Reference not included in page count) of an APA formatted paper answering the following questions with a minimum of 3 short sentences for each question:

1. Historical background of human subjects protection? (10 points)
2. Find and discuss at least one historical incident of human subjects abuse in research and what human right was violated. (10 points)
3. What steps will you take to minimize risks on human subjects? (10 points)
4. What populations are considered vulnerable populations and why? (10 points)
5. What are appropriate ways to recruit subjects? (10 points)
6. How would you properly obtain consent? (10 points)
7. What are the elements of a properly executed consent? (10 points)
8. What committees are responsible for monitoring the protection of human subjects? (10 points)

Scoring Scheme:

• Total points for questions/content: 80 points
• Title page and a minimum of 2 References: 10 points
• Minimum of 3 short sentences to answer each question: 10 points
• TOTAL POINTS: 100 (the gradebook will re-weight this total as 50 points or 5% of the course grade)

NOTE: This is a written APA formatted assignment and NOT a YES or NO answer assignment. You are expected to answer each question with at least 3 short sentences, points will be deducted for using a single sentence. Title and Reference pages are required.

Instructions:

1. Click and choose (1) Case Study below and post answers.
2. Answers must:
   • Be 100 words or more
   • Use the standard English grammar and spelling
   • References are cited (if necessary)
3. Responses must:
   • Use the standard English grammar and spelling
   • Be substantial.
   • Do NOT just say, “I agree” or “Good point”.

New Dimensions in Womens Health, Ninth Edition

Linda Lewis Alexander, Judith H. LaRosa, Helaine Bader, Susan Garfield, William Alexander

Case Study 6 Understanding and Preventing Cardiovascular Disease and Cancer

Imagine that you are an English teacher in a high school in a very diverse community in an

American city. The community residents have emigrated from many different countries in search

of social and economic opportunities. Many of the residents have limited incomes and work in

low-level jobs and struggle with English proficiency. Many firmly believe in the value of education

and make certain that the children attend school.

One thing that you, the teacher, have noticed is that the knowledge of health promotion and

disease prevention is limited. You have decided that you may be able to help them, and possibly

their families, by providing some health education opportunities both in the classroom and in

special after-school meetings.

You decide to develop a health education plan that can be tested initially with a small group of

students and then expanded as you see what works. Having discussed the project with some of the

students, you decide, based on their recommendations, to focus on cardiovascular and cancer risk

factors: smoking, overweight, and exercise in an after-school program.

If you were the teacher, how would you proceed?

Questions

1. How would you design the after-school program: lectures, discussions, presentations by

local advocates, and?

2. How would you market the program to the ninth- and tenth-grade girls?

3. What materials would you design to engage them in learning about the health risks?

4. Would you serve snacks?

Please develop an action plan for a 6-month period of time. Make certain to state your goal and

objectives, the plan for implementing the action, and how you will evaluate the results of the plan.