Collaboration Caf What have been your greatest challenges and learning in this course? How does this learning and overcoming challenges in this course prepare you for your current nursing role or that in your future? Be sure within this final reflection that you address each of the course outcomes. Be sure to address each component/question within the prompt.

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07. 88. 3. 38. 8. 35

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07. 88. 3. 38. 8. 35

Course Outcomes

This discussion enables the student to meet the following course outcomes:

• CO 1: Examine the role of research and evidence from nursing and related fields in advancing healthcare outcomes and equity. (POs 4, 5)
• CO 4: Apply evidence-based models to enhance advanced nursing practice. (POs 4, 5)
• CO 5: Develop professional competencies in scientific inquiry and translating scholarship into practice. (POs 4, 5)

Preparing the Discussion

Follow these guidelines when completing each component of the discussion. Contact your course faculty if you have questions.

General Instructions

Use the practice problem identified in the Week 1 discussion and include the sections below. Select a practice change that is client-focused, specific, measurable, and related to your future role in advanced nursing practice. Nurse practitioner students must choose a practice change that impacts client care directly and avoid topics related to changes in public policy or law, such as full-practice authority.

Include the following sections: Chronic Pain is the TOPIC

1. Application of Course Knowledge: Answer all questions/criteria with explanations and detail.
2. Summarize your practice problem in 2-3 sentences.
3. Describe the evidence-based intervention you plan to implement to address the identified problem.
4. Write your practice question in standard PICOT format: In ________(Population), what is the effect of _________(Intervention) in comparison to _________ (Comparison) on _____________ (Outcome) to be completed over __________ (Time).
5. Identify components of your PICOT question where peer input would help refine those elements.
6. Integration of Evidence: Integrate relevant scholarly sources as defined
7. Cite a scholarly source in the initial post.
8. Accurately analyze, synthesize, and/or apply principles from evidence with no more than one short quote (15 words or less) for the week.
9. Include a minimum of two different scholarly sources per week. Cite all references and provide references for all citations.
10. Communicate using respectful, collegial language and terminology appropriate to advanced nursing practice.
11. Professionalism in Communication: Communicate with minimal errors in English grammar, spelling, syntax, and punctuation.
12. Reference Citation: Use current APA format to format citations and references free of errors.

Assignment RUBIC

Outcome

Application of Knowledge

4 Required Criteria

Answer all questions/criteria with explanations and detail:

1. Summarize your practice problem in 2-3 sentences.

2. Describe the evidence-based intervention you plan to implement to address the identified problem.

3. Write your practice question in standard PICOT format: In ________(Population), what is the effect of _________(Intervention) in comparison to _________ (Comparison) on _____________ (Outcome) to be completed over __________ (Time).

4. Identify components of your PICOT question where peer input would help refine those elements.

Integration of Evidence5 Required Criteria

Integrate relevant scholarly sources as defined by program expectations:

1. Cite a scholarly source in the initial post.

2. Cite a scholarly source in one faculty response post.

3. Cite a scholarly source in one peer post.

4. Accurately analyze, synthesize, and/or apply principles from evidence with no more than one short quote (15 words or less) for the week.

5. Include a minimum of two different scholarly sources per week. Cite all references and provide references for all citations

Outcome

Engagement in Meaningful Dialogue

3 Required Criteria

Engage peers and faculty by asking questions, offering new insights, applications, perspectives, information, or implications for practice:

3. Communicate using respectful, collegial language and terminology appropriate to advanced nursing practice.

Professionalism in Communication Communicates with minimal errors in English grammar, spelling, syntax, and punctuation.

Reference Citation Uses current APA format to format citations and references and is free of errors. Sources HAS TO BE WITHIN THE LAST FIVE YEARS

Formatting Practice Questions: PICOT Framework

Once a practice question is identified, the population, intervention, comparison, outcome, and time (PICOT) framework is used to support the search for the best available evidence to answer the question. The PICOT framework provides a standardized format for formulating a practice question, as seen below.

In _____ (P), how does _____ (I) compared to _____ (C) affect _____ (O) within _____ (T)?

Additional examples of PICOT framework sentences may be found in Melnyk & Fineout-Overholt (2023), Table 2.2.

Each component of a PICOT question is patient-focused and measurable. Click each plus (+) sign in the activity below to learn more about each PICOT component.

P: Population

• Defines the Person, Population, or Problem succinctly; includes characteristics to limit population such as age, gender, ethnicity, diagnosis, or symptoms. Who is the client, and what is the problem?

I: Intervention

• Identifies an Intervention or treatment. What treatment change, educational offering, or observation would help address the client’s problem?

C: Comparison

• Offers a Comparison to the selected intervention. Is there a standard or alternative intervention? Not all practice questions will have a comparison group or comparison intervention.

O: Outcome

• Identifies measurable Outcomes. What does the intervention hope to accomplish, improve, or affect? What is the clients ideal state?

T: Time

• Specifies the Timeframe for investigating influence and impact upon identified outcomes. Not all practice questions will have a specified timeframe.

IMPORTANT NOTE: While a timeframe is not always necessary, you are required to have one for your practice question.

The Centers for Disease Control (CDC) (2023) report that 60,000 – 100,000 Americans die each year from venous thromboembolisms and the resulting pulmonary embolisms. Nurses play a key role in the prevention of the development of VTEs.

For this assignment, create a 1- (one) page client teaching handout about prevention and early recognition of venous thromboembolisms in the newly postoperative client. Because this is for a client, use clear, concise language. Guidelines from the CDC for creating client teaching information are available

.

You may use Word, PowerPoint, Canva, etc. to create the handout as long as it can be uploaded below. You can include facts, figures, pictures, etc. to enhance the handout if you choose.

• Include these headings at a minimum:
• Risk Factors
• Signs and Symptoms to Report to Your Nurse
• Actions Your Nurse Might Perform to Prevent the Development of a Clot
• References
• Give credit to your sources using APA 7th edition format.

WEEK 2 ASSIGNMENT (covers weeks 1-2)

SCENARIO 1

What are the errors in the following prescriptions (1 per prescription)? Rewrite each

prescription correctly. What is each medications classification and mechanism of action

(MOA)?

Repatha 140 mg IV every 2 weeks #1 1 RF

Hyzaar (losartan/hydrochlorothiazide) 50/25 mg PO daily #30 3 RF

digoxin 1.25 mg PO daily #30 1 RF

hydralazine/isosorbide mononitrate (BiDil) 37.5 mg/20 mg PO every 8 hours #90

1 RF

clonidine 0.3 mg patch PO once weekly #4 1 RF

SCENARIO 2

A patient with stable angina is prescribed nitroglycerin. The provider avoids oral tablets

and instead chooses a sublingual or transdermal formulation. Why is oral nitroglycerin

not clinically useful? Discuss how first-pass metabolism affects nitroglycerins

bioavailability and define both terms. Identify the route of administration with 100%

bioavailability and explain how alternative routes overcome the first pass effect. Include

a sample prescription for nitroglycerin.

SCENARIO 3

Where are the majority of cytochrome P450 (CYP) enzymes located? Using the

Drugs.com pill identifier, enter the following characteristics to identify the medication

AND strength. What CYP enzyme metabolizes this medication? How can this

information be applied to medication therapy management? Write a sample prescription

for the identified medication and strength.

Imprint (E 137) Shape (Round) Color (Pink) Form (Tablet) Scoring (None)

SCENARIO 4

KU is a 47-year-old male following up on his labs that were drawn last week. He

smokes 1 pack per day. He is currently on lisinopril 40 mg po daily, liraglutide (Victoza)

0.6 mg subcutaneously once daily and St. Johns Wort. Fasting lipid profile shows total

cholesterol 260 mg/dL, LDL 180 mg/dL, HDL 43 mg/dL, and TG 185 mg/dL. He is 59

and weighs 204 lbs. What treatment plan would you implement for KU? What are GOAL

Total Cholesterol (TC), HDL, LDL, and Triglyceride levels for KU? What is his BMI per

Medscape calculator? What patient monitoring and education would you provide? How

many risk factors for coronary artery disease does this patient have? Identify them

specifically.

Directions: For each of the scenarios below, answer the questions using your required

learning resources, Medscape, and clinical practice guidelines (ie AHA, ACC, ADA,

GINA). When recommending medications, write out a complete prescription for each

medication. What order would you send to a pharmacy? Include drug, dose, route,

frequency, # dispensed (days supply), refills, special instructions etc. Also state if you

would continue, discontinue or taper the patients current medications (if

applicable). Use at least 3 sources for each scenario and cite sources using APA

format. LIST REFERENCES AFTER EACH SCENARIO.

Case studies are a useful way for you to apply your knowledge of pharmacokinetics and pharmacodynamic aspects of pharmacology to specific patient cases and health histories.

For this Assignment, you evaluate drug treatment plans for patients with various disorders and justify drug therapy plans based on patient history and diagnosis.

Resources

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

https://waldenu.instructure.com/courses/214955/modules/items/9092730″ rel=”noopener noreferrer” target=”_blank”>WEEKLY RESOURCES

To Prepare:

• Review the case study posted in Announcements by your Instructor for this Assignment
• Review the information provided and answer questions posed in the case study
• When recommending a medication, write out a complete prescription for the medication
• Whenever possible, use clinical practice guidelines in developing your answers when possible
• Include at least three references to support your answer and cite them in APA format.

Nursing PowerPoint Presentation Assignment Instructions

Assignment Overview

Create a professional PowerPoint presentation on an assigned nursing topic that demonstrates your understanding of evidence-based practice and effective health communication.

Presentation Requirements

Length: 12-15 slides (excluding title and reference slides)

Duration: 10-12 minute presentation

Topic: Select from the approved list or obtain instructor approval for an alternative topic related to current nursing practice, patient care, or healthcare issues.

Required Components

Title Slide: Include your name, course number, date, and presentation title.

Introduction: Clearly state your topic and its relevance to nursing practice. Provide an overview of what will be covered.

Background/Context: Present the current state of knowledge or practice related to your topic. Include relevant statistics or epidemiological data if applicable.

Main Content: Organize your material into 3-4 key sections that address the most important aspects of your topic. Use evidence from peer-reviewed sources.

Nursing Implications: Discuss how this topic impacts nursing practice, patient outcomes, or healthcare delivery. Include specific examples.

Recommendations: Provide evidence-based recommendations or best practices related to your topic.

Conclusion: Summarize key points and emphasize the significance for nursing professionals.

References: Include a minimum of 5 scholarly sources (peer-reviewed journals, textbooks, or professional nursing organizations). Use APA 7th edition format.

Design Guidelines

• Use a professional, readable font (minimum 24pt for body text, 32pt for headings)
• Limit text to 5-6 bullet points per slide with concise statements
• Include relevant images, charts, or graphs to enhance understanding
• Maintain consistent color scheme and layout throughout
• Avoid overcrowding slides with excessive text or images
• Use speaker notes for additional details you’ll discuss

Evaluation Criteria

• Content accuracy and depth (40%)
• Use of evidence-based sources (20%)
• Professional presentation design (15%)
• Organization and clarity (15%)
• APA formatting and citations (10%)

Logic models are snapshots of projects and help guide the implementation of the project.

A logic model presents a picture of how your effort or initiative is supposed to work. It explains why your strategy is a good solution to the problem at hand. Effective logic models make an explicit, often visual, statement of the activities that will bring about change and the results you expect to see for the community and its people. A logic model keeps participants in the effort moving in the same direction by providing a common language and point of reference.

More than an observer’s tool, logic models become part of the work itself. They energize and rally support for an initiative by declaring precisely what you’re trying to accomplish and how.

Rubric

Situation-Problem clearly stated

Resources-staff, funding, resources, equipment

Outputs- minimum of three

Outcomes- short, intermediate, and long term

Assumptions-thorough description of resources needed

External factors-thorough evaluation and description of external factors

Assignment Instructions

Read all three of the following cases and questions. Then, type your numbered responses to the questions in a document. Use complete sentences and support your answers with the textbook, and/or other scholarly sources. This should not be written in the format of an essay, but you must support your answers with the textbook and/or scholarly sources. This should be no more than 1-3 sentences. Format your in-text citations in APA-style and include an APA-style reference page in your document.

Case 1: Half-Life

JH is a 45 yo male who is currently on paroxetine (Paxil ) 40mg daily for depression. He has been on this med for about 6 months and has gained about 30lbs despite diet and a solid exercise routine. His Physician has attributed the weight gain to the paroxetine. He wishes to try fluoxetine (Prozac) to see if he can successfully treat his depression and lose weight.

How long would it take for the paroxetine to reach a level of about 2.5mg so you may safely start the fluoxetine regimen assuming the half life of paroxetine is 24hrs?

Case 2: Steady State

HT is a 26 yo female who has just started phenytoin (Dilantin) for her newly diagnosed seizure disorder. As she is just starting therapy, there is still a risk she may develop further seizures. How many days after starting the phenytoin would you expect her to be virtually free of that seizure risk?

Case 3: Drug Interaction

WR is a 67 yo male who has been placed on warfarin (Coumadin) for stroke prevention due to his atrial fibrillation. He has been on this medication about 3 months now and his last INR (international normalized ratio) was therapeutic via blood draw at 2.6 (goal INR 2-3).

He calls your clinic as he has recently started the antibiotic trimethoprim/sulfamethoxozole (Septra DS) 800mg twice daily for a sinus infection.

Are you concerned about a drug interaction at this time and if so, how is this drug interaction occurring? Also, do you expect to see a change in his INR level? Will it go up or down?

Click the assignment link to compare your work to the rubric before submitting it. Click the same link to submit your assignment.

Objective

• Bringing it all together.
• Create the final paper.

Deliverables

• Write 10-12 pages minimally (not including the title and reference pages).
• APA formatted paper with an introduction and conclusion.
• APA headings for each section of the paper.
• At least 6-8 peer-reviewed references.

Step 1: Capstone Project

• Write a paper bringing all sections of the paper together.

Step 2: Consider

• Including
• Title page
• Introduction to paper
• Purpose section
• Literature Review section
• Outcomes, Approach, and Budget section
• Strategies and Results section
• Conclusion
• Reference pages