Post a brief description of your patient’s health needs from the patient case study you assigned. Be specific. 

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Post a brief description of your patient’s health needs from the patient case study you assigned. Be specific.

Then, explain the type of treatment regimen you would recommend for treating your patient, including the choice or pharmacotherapeutics you would recommend and explain why.

Be sure to justify your response.

Explain a patient education strategy you might recommend for assisting your patient with the management of their health needs.

Be specific and provide examples.

Case Study

 

A 66-year-old, 70-kg woman with a history of MI, HTN, hyperlipidemia, and diabetes mellitus presents with sudden-onset diaphoresis, nausea, vomiting, and dyspnea, followed by a bandlike upper chest pain (8/10) radiating to her left arm.

She had felt well until 1 month ago, when she noticed her typical angina was occurring with less exertion.

Electrocardiography showed ST-segment depression in leads II, III, and aVF and hyperdynamic T waves and positive cardiac enzymes. BP = 150/90 mm Hg, and all labs are normal; SCr =1.2 mg/dL. Home medications are aspirin 81 mg/day, simvastatin 40 mg every night, metoprolol 50 mg twice daily, and metformin 1 g twice daily.

Why is it important to use a staffing matrix in your health care setting?

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  1. Why is it important to use a staffing matrix in your health care setting?
  2. Briefly describe your staffing matrix. How many FTEs (full-time equivalent) on the staffing roster are required to cover daily needs? What units of services or work measurement did you use and why? What financial management principles did you use to determine your staffing matrix?
  3. Explain how you adjusted your staffing based on changes in the patient census.
  4. You receive your financial report for the month. You have used more FTEs than what was budgeted for your census. How will you make up the variance? How would you reallocate resources to make up for the variance and still comply with guidelines?

Include two to four peer-reviewed references in your essay, including the textbook.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

1. Integrate evidence-based practice and research to support advancement of holistic nursing care in diverse healthcare settings. (PO 1)

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1. Integrate evidence-based practice and research to support advancement of holistic nursing care in diverse healthcare settings. (PO 1)

2. Integrate knowledge related to evidence-based practice and person-centered care to improve healthcare outcomes. (PO 1, 5)

3. Develop knowledge related to research and evidence-based practice as a basis for designing and critiquing research studies. (PO 1, 5)

4. Analyze research findings and evidence-based practice to advanced holistic nursing care initiatives that promote positive healthcare outcomes. (PO 1, 5)

Due Date:  Sunday 11:59 PM MT at the end of WEEK 4, 5, 6

Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment. Quizzes and discussions are not considered assi gnments and are not part of the late assignment policy.

Total Points Possible:  130 points each in weeks 4, 5 & 6

Directions and Assignment Criteria

Students will critique a research article in weeks 4, 5 & 6 (3 total) as follows:

Week 4:  Non-research appraisal (Links to an external site.):  Guidelines and Reviews

Each critique will require a two-three page written analysis of the article. The paper should include:

Introduction

· Article topic/focus

· Author(s)

· Aim of assignment

Critique of Article

The article critique should be a methodological review specific to type of article (for example, qualitative or quantitative) . The analysis must be two to three pages and detailed using the text and resources. The content of the review should also include:

1. Ethical review

2. Analysis of findings

3. Limitations

4. Discussion

5. Application (translation) to practice specialty

6. Future implications

In addition, students must complete the Johns Hopkins Research Appraisal Tool that is applicable to the type of study design (qualitative, quantitative or non-research evidence) for the week. Refer to the rubric for additional requirements.

Preparing the Assignment

Week 4

Non-research appraisal: Guideline or Systematic Review

1. Select a guideline or systematic review article from the Week 4 list.

Article to use: Piercy, L. K., Troiano, P. R., & Ballard, M. R. (2018). The physical activity guidelines for Americans. JAMA, 320(19), 2020-2028.

Reference: Jacobs, A. (2016). A medical writer’s guide to meta-analysis. Medical Writing, 25(3), 22-25.

2. Write a two-three (2-3) page critique of the article in a Word Doc integrating your course readings. Be sure to include a citation for your article using APA format.

3. Complete the Johns Hopkins Non-research evidence review document.

4. Submit both through TurnItIn by Sunday 11:59pm MT of week 4

Format & Presentation Requirements

· APA Format According to 6th edition

· Word Doc  per assignment requirements.

· Word Doc Format: Cover page, no abstract, introduction (no heading per APA), body of the paper/review, reference list, appendix with Johns Hopkins appraisal doc. For review sections refer to your readings and the Johns Hopkins Research Appraisal Tool.

· Article title, author, journal, publication date

· Evidence level and quality

· Analysis of the study methodology (specific to study type, e.g., qualitative versus quantitative versus non-research)

· Reference list should include the chosen article and other resources used to construct the review, such as course textbook, Johns Hopkins Evidence Based Practice: Model and Guidelines, and How to Read a Paper by Greenhalgh (2014).

 

ASSIGNMENT CONTENT
Category Points % Description
Introduction 10 8% Required content for this section includes:

· Introduction to chosen article: Provide introduction to article topic/focus, authors and specific aim of assignment.

· Succinct overview of assignment focus.
Critique of Article 50 38% Required content for this section includes:

· Methodological review specific to type (non-research versus research): (use text and resources)

· Ethical review (not always present with guidelines or systematic reviews)

· Analysis of findings

· Limitations

· Discussion

· Application to practice (translation)

· Future implications
Johns Hopkins Appraisal Tool 50 38% All sections of the Appraisal Tool are completed for the correct article review (for example, the non-research tool is used for guidelines, the qualitative tool is used for qualitative review).
  110 84% Total CONTENT Points= 110 pts
ASSIGNMENT FORMAT
Category Points % Description
APA 15 12% Requirements:

· Cover (title) page

· Running head

· No abstract

· Introduction (no heading per APA)

· Body of paper and reference page must follow APA guidelines as found in the 6th edition of the manual. This includes the use of headings for each section of the paper except for the introduction where no heading is used.
Syntax, grammar, spelling 5 4% Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal written work as found in the 6th edition of the APA manual.
  20 16% Total FORMAT Points= 20 pts
  130 100% ASSIGNMENT TOTAL=130 points

 

 

Rubric

NR505NP WK4,5,6 Article Critique_SEPT19

NR505NP WK4,5,6 Article Critique_SEPT19
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeIntroduction

Required content for this section includes: • Introduction to chosen article • Succinct overview of assignment focus.
10.0 pts

Excellent

Content includes well-written, succinct, information that includes: Article topic/focus, authors and specific aim of assignment.

 9.0 pts

V. Good

Content is well-written but omits or is thin in one area.

 8.0 pts

Satisfactory

Section content is basic in its explanation of the article (overview) and the purpose of the assignment but lacks specific detail and depth.

 5.0 pts

Needs Improvement

All content is included but difficult to piece together in its explanation of the article (overview) and the purpose of the assignment OR a piece of the content is missing, for example, overview of assignment focus, yet what is written is well stated.

 0.0 pts

Unsatisfactory

Missing OR Section content is vague in its introduction of the article (overview) and the purpose of the assignment is missing OR article overview is missing, and purpose of the assignment is vague.)
10.0 pts
This criterion is linked to a Learning OutcomeCritique of Article

Required content for this section includes: • Methodological review specific to type (non-research versus research): (use text and resources) • Ethical review (not always present with guidelines or systematic reviews) • Analysis of findings • Limitations • Discussion • Application to practice (translation) • Future implications
50.0 pts

Excellent

All content is included in the critique with comprehensive definitions, examples and with in-text citations that support the article evaluation with depth.

 46.0 pts

V. Good

All content is included in the critique. One or two sections may be included without depth: For example, Definitions, examples and with in-text citations that support the article evaluation with depth. Or: All content has explanatory depth of analysis including definitions, examples and in-text citations supporting the analysis, however, a content area may be missing (such as ethical review or limitations)

 42.0 pts

Satisfactory

Two or three content areas are missing, or all content areas are included but there is inconsistent depth/ integration of definitions, examples and in-text citations that support the article evaluation with depth

 25.0 pts

Needs Improvement

Four or more content areas are missing, or all content areas are included but there is little to no depth/ integration of definitions, examples and in-text citations that support the article evaluation with depth.

 0.0 pts

Unsatisfactory

Critique is vague, without structure, without discernible integration of definitions, examples, and in-text citations that support the writing.
50.0 pts
This criterion is linked to a Learning OutcomeJohns Hopkins Appraisal Tool
50.0 pts

Excellent

All sections of the Appraisal Tool are completed for the correct article review (for example, the non-research tool is used for guidelines, the qualitative tool is used for qualitative review).

 46.0 pts

V. Good

Tool is included, is the correct tool, and is missing: A. Non-Evidence Tool: 1 of the 6 sections B. Evidence Tool: 1 section missing

 42.0 pts

Satisfactory

Tool is included, is the correct tool, and is missing: A. Non-Evidence Tool 2 or 3 of the 6 sections B. Evidence Tool: 2 sections missing

 25.0 pts

Needs Improvement

Tool is included and is missing: A. Non-Evidence Tool 4 or more of the 6 sections B. Evidence Tool – 3 more sections missing.

 0.0 pts

Unsatisfactory

Tool is missing or the wrong tool is used.
50.0 pts
This criterion is linked to a Learning OutcomeOrganization & Format

Requirements: • Cover (title) page • No abstract • Introduction • Body of paper and reference page must follow APA guidelines as found in the 6th edition of the manual. This includes the use of headings for each section of the paper except for the introduction where no heading is used.
15.0 pts

Excellent

All aspects of paper follow APA guidelines (cover, no abstract, introduction, headings (not on introduction), body of paper and reference page

 14.0 pts

V. Good

1-3 APA errors

 12.0 pts

Satisfactory

4-5 APA errors

 8.0 pts

Needs Improvement

6-9 APA errors

 0.0 pts

Unsatisfactory

10 or greater APA errors
15.0 pts
This criterion is linked to a Learning OutcomeSyntax, grammar, spelling

Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal written work as found in the 6th edition of the APA manual.
5.0 pts

Excellent

There are no grammatical, spelling, word usage or punctuation errors.

 4.0 pts

V. Good

1-3 grammatical, spelling, word usage or punctuation errors.

 3.0 pts

Satisfactory

4-5 grammatical, spelling, word usage or punctuation errors.

 2.0 pts

Needs Improvement

6-9 grammatical, spelling, word usage or punctuation errors.

 0.0 pts

Unsatisfactory

10 or greater grammatical, spelling, word usage or punctuation errors.
5.0 pts
Total Points: 130.0

Discussion B

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Discussion B

Name

College of Affiliation

Date

The selected theory is Florence Nightingale whose theory was based on the idea a healthy environment is needed for proper nursing care and an adequate healing process. Nightingale focused on the environment and she, therefore, defined them based on the concepts of ventilation, warmth, light, cleanliness, diet, and noise. Nightingale’s believed that sufficient lighting, nutritious food, proper ventilation, and cleanliness are important aspects of environmental health (Norman et al., 2016).

The selected concepts for this theory are proper ventilation and warmth and adequate lighting. Based on the concepts of proper ventilation, the focus of Nightingale was on proper ventilation as a key factor that is needed for an effective supply of air to facilitate the breathing of the patient. Concerning sufficient lighting, patients require the beneficial effects of sunlight and, therefore, nurses are required to move and place patients in a position that they can have adequate light (Norman et al., 2016).

The proposition between the two concepts is that they are both aimed at ensuring that there is quality healthcare outcome for the patients. Both concepts are aimed at improving the surrounding environment of the patients to promote the healing process. Patients require proper ventilation to ensure that the breathing process is promoted. Both light and air are required to promote the patient’s recovery process. The supply of air and light is achieved through the opening of the windows and through a proper position of the patient in the room to ensure that the source of light and ventilation process is promoted (Norman et al., 2016).

In the healthcare facility, the term ventilation and lighting might not be used directly in reference to the promotion of the patient’s healing environment. Nevertheless, the two terms are generalized in the healthcare facility to refer to the factors that support the healing environment. The diffusion of lighting that is softened through a reflection of the ceiling is beneficial to dementia patients through ensuring that shadows are reduced. Nevertheless, this might be misinterpreted as objects, holes, or the steps that are being taken to help in the reduction of risk of falls (Cornell et al., 2016).

The role genetics plays in the disease.

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Post an explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation:

  • The role genetics plays in the disease.
  • Why the patient is presenting with the specific symptoms described.
  • The physiologic response to the stimulus presented in the scenario and why you think this response occurred.
  • The cells that are involved in this process.
  • How another characteristic (e.g., gender, genetics) would change your response.

III. Financial incentives and quality improvement processes

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III. Financial incentives and quality improvement processes

a) Analyze population health-oriented policies (such as non-discrimination in hiring, care and treatment, Patient Bill of Rights, financial assistance, etc.) that the organization may have implemented for reducing costs and improving overall quality. Be sure to provide evidence to support your claims.

b) To what extent is the organization’s approach to care considered patient-centered? Be sure to cite specific examples to substantiate your claims.

c) What specific strategies (such as eliminating unnecessary procedures and providing only essential treatments or interventions) does the organization employ in its population health approach to reduce costs and improve overall quality?

d) Describe gaps or deficiencies that may exist in the organization’s use of the population health approach in reducing costs and improving quality of care, and provide evidence to support your claims. If you feel there are none, be sure to explain your reasoning.

Guidelines for Submission: Milestone Three must be submitted as a two- to three-page Microsoft Word document with double spacing, 12-point Times NewRoman font, one-inch margins, with sources cited in APA format.