Category: Nursing

Instructions
Imagine that you are a staff nurse that has identified a problem in your unit. You have created a PICO and taken the draft to your supervisor. Your supervisor asks you to complete a brief report using your PICO and two articles (one qualitative and one quantitative) to support your practice change suggestion. 
For this activity, you may use the PICO identified in the Module 3 discussion or a new PICO of your choice.
Use one of the following databases to find one qualitative and one quantitative article to appraise and support the proposed intervention in the PICO:
The following databases are available through the LIRN library. You can access the LIRN Library in the Canvas navigation bar.
CINAHLPlus
Medline (PubMed or Ovid)
Proquest Central
PsycINFOLinks to an external site.
Cochrane Database of Systematic ReviewsLinks to an external site.
Write a 1-to-2 page summary report for your supervisor using the articles found. The report should include
A detailed summary of the problem identified in the unit, along with the PICO
A summary of the articles’ findings
The reliability of the articles selected to defend your practice change suggestion

Follow these guidelines when completing each component of the discussion. Contact your course faculty if you have questions.
Include the following sections:
Application of Course Knowledge: Reflect on an experience in which you were directly involved or witnessed incivility in the workplace and answer all questions/criteria with explanations and detail.
Provide a brief synopsis of the situation.
Describe how the situation made you feel. Discuss your response or the response of others involved.
What were the consequences of this situation? Provide an example of how this affected the work environment and outcomes.
How could the situation have been prevented? Discuss evidence-based strategies to support a healthy work environment.
Integration of Evidence: Integrate relevant scholarly sources as defined by program expectations:
Cite a scholarly source in the initial post.

Briefly describe how Plessy v. Ferguson (1896) impacted civil rights and liberties in the United States among minority groups. What did the social fabricate look like? 
Contrast the social forces that rose in opposition to combat legal segregation. Who were some of the main leaders, and what did they advocate? 
Differentiate the main arguments of the Civil Rights Act of 1964 from the Voting Rights Act (1965) and Fair Housing Act (1968).  
Analyze how the Civil Rights Act of 1964 affected and improved conditions for minority groups within American society.  
Assess significant milestones achieved to span Civil Rights to make America inclusive and uphold diversity.

Welcome to Week 7 Discussion Board! Alcohol  150 
On this discussion board, we will be discussing Alcohol! 
Assignment Instructions: 
Use critical thinking and apply the information you learned this week in chapter 7. 
Select ONE question from the list below and answer it completely.  
Write a professionally written paragraph to answer your selected question.  
Your instructor is looking for 3-4 key points in your responses that relate to this week’s readings.  
Reference your information using the APA citation format.  
Participation in weekly discussions is worth a significant part of your final grade and this forum presents you with an opportunity to develop a lifelong skill of written communication. Please review the grading rubric attached to this assignment so you know what is expected. Please see the course calendar for specific due dates. 
Select the question you would like to discuss from the list provided below: 
What is alcohol and how is it made? 
Explain why people drink alcohol. 
Describe how alcohol is absorbed and metabolized in the body. 
What are the harmful effects of alcohol on the body? 
What is alcohol use disorder? Discuss the signs and symptoms. 
Are the benefits of alcohol consumption worth the risks? 
Chapter 7 along with additional course content, discusses how alcohol is made through the distilling and fermentation processes. The metabolism of alcohol along with the health consequences and health benefits are also discussed. Alcohol use disorder is explained including where to get help when a friend or family member is drinking too much. Your instructor will be looking for detailed answers that are both substantive and informative.  
2. Week 7: Discussion – Group 2 only 150 
Our discussion, this week, will focus on the thyroid.
Respond to the following statements and questions, using the included case study, in your discussion submission.
Discussion Assignment:
Thyroid hormones exert their effects on cells in a manner similar to steroid hormones; describe the mechanism of action of thyroid hormones.
Why would an imbalance in thyroid hormones have such widespread effects on the body?
Why was goiter observed in George’s case?
Why would calcium homeostasis be impaired in response to removal of the thyroid gland?
What could be used to specifically destroy the thyroid gland and have minimal effects on other cells and tissues in the body?
Case Study:
George is a thirty five year old hardware clerk. During his routine physical he casually mentions to his physician that he seems to be sweating more profusely than normal and most rooms that once were comfortable are now too “hot”. At home a room that his wife and children find to be comfortable causes him to sweat profusely. George also reports that he seems to be losing weight even though his appetite has increased. He also complains that he has a shortened attention span and that he always wants to be moving around. Despite the fact that he feels fatigued, George claims to have difficulty sleeping and seems to have more frequent bowel movements, occasionally accompanied by diarrhea. The physician discovers George has lost 15 pounds since his last physical. In checking his chart, the physician finds that George has a negative history for chronic illnesses, does not smoke, and has a low risk for cardiovascular disease. He does however have a positive family history for autoimmune diseases. His father suffers from idiopathic thrombocytopenia, his mother has been diagnosed with rheumatoid arthritis and his oldest sister was recently diagnosed with systemic lupus erythematosus.
Results of George’s physical examination were within normal ranges with the exception of the following: he demonstrated tachycardia, loud heart sounds, and apparent cardiac arrhythmias accompanied by slight hypertension. These arrhythmias were confirmed by electrocardiogram to be supraventricular in origin. George’s eyeballs appeared large and protruding and his hair was fine and soft. He was also beginning to demonstrate some degree of alopecia. George was also observed to have palmar erythema. palpation of the neck revealed the presence of goiter. Results of blood tests indicated elevated concentrations of thyroid hormones (thyroxin and triiodothyronine), hypercalcemia, and decreased circulating concentrations of lipids. Based on the physical characteristics and the results of the blood tests, George’s physician suspected that George was suffering from some form of hyperthyroidism and sent him to an endocrinologist to confirm the initial diagnosis.
Following the initial consultation and examination, the endocrinologist ordered tests to determine whether George was indeed hyperthyroid. The test results indicated an elevation in the concentration of thyroid hormones in the blood and the presence of thyroid-stimulating antibodies. These antibodies specifically stimulate the thyroid gland by binding with the thyroid stimulating hormone receptor located on the plasma membrane of the follicular cells of the thyroid gland. Based on these results, the endocrinologist concluded that George had Grave’s disease, a form of hyperthyroidism believed to be autoimmune in nature. George was presented with a number of possible treatment options. These included treatment with chemicals (propylthiouracil and methimazole) that decrease the production of thyroid hormones by the thyroid gland, radioisotopic destruction of the thyroid gland by the use of 131I, and surgical removal of the thyroid gland. After considering all the options, especially the possible effects of radiation on gamete development, George chose surgery. Following successful surgery, George was prescribed synthetic thyroid hormone to ensure that his body was receiving adequate thyroid hormone and told to return within 2 months for a follow-up evaluation of circulating thyroid hormone concentrations. He was also cautioned to carefully monitor his calcium intake.
this is for the second discussions 
https://www.news-medical.net/news/20240617/HEALing-Communities-Study-Data-driven-intervention-did-not-reduce-opioid-related-overdose-death-rates.aspx

Discuss a different family dynamic and how it can affect a child’s growth and development. What can be done in that situation to assist the child in developing optimally? My choice of topic is birth order. for example, how older children are usually the leader, middle children are usually the flexible ones, and the babies are the “free spirits”. Also, the only child tends to carry both the qualities of the youngest and oldest child. APA format, with at least (2) evidence-based resources. post should be one page without references.

The final project presents a culmination of nursing research and evidence-based practice (EBP)knowledge as students choose a qualitative or quantitative study to critically evaluate, including making a recommendation for utilization in EBP.   
In a 5 page paper (excluding title page and references), critically evaluate the study:
Lizarondo, L. M., Grimmer-Somers, K., & Kumar, S. (2011). Exploring the perspectives of allied health practitioners toward the use of journal clubs as a medium for promoting evidence-based practice: a qualitative study. BMC Medical Education, 11(1). doi:10.1186/1472-6920-11-66
– Evaluates credibility of research article the components of the appropriate evaluation using LoBiondo-Wood,& Haber, (2018)
– Evaluates the problem statement and research design using the components of the evaluation using LoBiondo-Wood,& Haber, (2018)
– Evaluates ethical issues in the study using most of the components of the evaluation using LoBiondo-Wood,& Haber, (2018)
– Evaluates the purpose statement using most of the components of the evaluation using LoBiondo-Wood,& Haber, (2018)
– Evaluates the literature review  using most of the components of the evaluation using LoBiondo-Wood,& Haber, (2018)
– Evaluates the sampling strategy using most of the components of the evaluation using LoBiondo-Wood,& Haber, (2018)
– Evaluates the measurement strategy and validity in quantitative studies using most of the evaluation using LoBiondo-Wood,& Haber, (2018)
– Evaluates how study results may (or may not) be used to inform EBP. 

In this exercise, you will complete a Mind Map Template to gauge your understanding of this week’s content. Select one of the possible topics provided to complete your MindMap Template.
Ulcers
After HP shots
Gastroesophageal Reflux Disease
Pancreatitis
Liver failure—acute and chronic
Gall bladder disease
Inflammatory bowel disease
Diverticulitis
Jaundice
Bilirubin
Gastrointestinal bleed – upper and lower
Hepatic encephalopathy
Intra-abdominal infections (e.g., appendicitis)
20 to >17.0 pts
Excellent
A thoroughly completed MindMap Template with a selected topic was submitted. The response accurately and thoroughly describes in detail the pathophysiology of the primary diagnosis in the student’s own words. The response accurately and thoroughly explains in detail the patient’s risk factors for this diagnosis.
20 to >17.0 pts
Excellent
The response accurately and thoroughly describes in detail the patient’s signs and symptoms for this diagnosis. The response accurately and thoroughly describes in detail how this diagnosis might impact other body systems and their possible complications.
20 to >17.0 pts
Excellent
The response accurately and completely describes in detail the potential diagnoses that present in a similar way to the diagnosis provided.
20 to >17.0 pts
Excellent
The response accurately and thoroughly describes in detail the diagnostic tests and labs they would order to rule out the differentials for this patient, and in confirming the primary diagnosis.
20 to >17.0 pts
Excellent
The response accurately and thoroughly describes in detail the treatment options they would consider. The response accurately and thoroughly describes potential referrals and medications.

The Vietnam War and Agent Orange 
Briefly summarize why and how the United States became involved in the Vietnam War. 
Analyze how the Vietnam War heightened the United States’ social, political, and economic tensions. Focus your answer on the period of 1964–1975. 
Explain how the civil rights movement and the Vietnam War were connected. 
Assess if waging war is an effective way to spread democracy. Do you think the Vietnam War can be justified? 
Evaluate the use and effects of Agent Orange influenced the Vietnam War.

Attach your Final Evidence-Based Practice Project PowerPoint (PPT) presentation to this discussion forum. – (see attached)
Include the following in your initial post:
Brief description of the practice problem and its significance
PICOT Question
How will outcomes be measured?
Synthesis of evidence from the three studies selected
Include in-text citations and reference list in APA format

Explain how the concept continuum of care is used in case management.  Provide an example of how this concept is used in your practice (labor and delivery) or within your organization.
Please support your discussion with facts, relevant examples, and at least two citations from the readings or peer-reviewed professional nursing literature.