NURS – 6501N Advanced Pathophysiology

42-year-old man presents to ED with 2-day history of dysuria, low back pain, inability to fully empty his bladder, severe perineal pain along with fevers and chills. He says the pain is worse when he stands up and is somewhat relieved when he lies down. Vital signs T 104.0 F, pulse 138, respirations 24. PaO2 96% on room air. Digital rectal exam (DRE) reveals the prostate to be enlarged, extremely tender, swollen, and warm to touch.In your Case Study Analysis related to the scenario provided, explain the following:The factors that affect      fertility (STDs).Why inflammatory markers      rise in STD/PID.Why prostatitis and      infection happens. Also explain the causes of systemic reaction.Why a patient would need a      splenectomy after a diagnosis of ITP.Anemia and the different      kinds of anemia (i.e., micro and macrocytic).

 
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Discussion

Week 7Based on your readings, compare and contrast (view any similarities or differences between) the theories of Dr. Marth Rogers and Dr. Rosemarie Rizzo Parse’s theories. Which one would you prefer?Section IV: Conceptual Models and Grand Theories in the Unitary Transformative ParadigmAssigned ReadingsChapter 14: Martha E. Roger’s Science of Unitary Human BeingsChapter 15: Rosemarie Rizzo Parse’s Human becoming Paradigm.Text Readings:Smith, M. & Parker, M. (2014). Nursing Theories and Nursing Practice. (4th ed.). Philadelphia, PA: F. A. Davis Company.Supplemental Text Readings:Masters, K. (2015). Nursing Theories: A Framework for Professional Practice. (2nd ed.). Burlington, Massachusetts. Jones & Bartlett Learning.InstructionsReferenceSmith, M. & Parker, M. (2014). Nursing Theories and Nursing Practice. (4th ed.). Philadelphia, PA: F. A. Davis Company. ISBN-13: 978-0-8036-3312-4All assignments must be completed and submitted as Microsoft Word documents.All assignments must follow APA 7th edition format.minimum of 250 wordsthree references needed (one the reference’s book )

 
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Peers reply

two peers reply for week3 discussion.

 
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Evidence-Based Practice and the Quadruple Aim

Healthcare organizations continually seek to optimize healthcare performance. For years, this approach was a three-pronged one known as the Triple Aim, with efforts focused on improved population health, enhanced patient experience, and lower healthcare costs.More recently, this approach has evolved to a Quadruple Aim by including a focus on improving the work life of healthcare providers. Each of these measures are impacted by decisions made at the organizational level, and organizations have increasingly turned to EBP to inform and justify these decisions.To Prepare:Read and include as a reference point the articles by Sikka, Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016) provided in the Resources.Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare.Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery.To Complete:Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim.Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of:Patient experiencePopulation healthCostsWork life of healthcare providers

 
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Nursing Theory

Answered the questions in APA format, more than  300 words. Please no plagiarismCASE STUDYIndividuals and a Family as a ClientMila Jefferies is a recently widowed 36-year-old mother of two children and the daughter of two aging parents in the southeastern United States. She and her children have recently relocated from an urban neighborhood to a rural town to care for her parents, Robert and Susan. The move involved a job change for Elizabeth, a change in schools for the children, and an increased distance from the family of the children’s deceased father. Mila’s older child is a 5-year-old daughter, recently diagnosed with autism spectrum disorder and dyslexia. The younger of the two children is a 3-year-old boy with asthma that has been difficult to control since the move. Robert is a 72-year-old Methodist minister who recently suffered a stroke, leaving him with diminished motor function on his left side and difficulty swallowing. Susan is 68 years old and suffers from fibromyalgia, limiting her ability to assist with the daily care of her husband. She has experienced an increase in generalized pain, difficulty sleeping, and worsening fatigue since her husband’s stroke.Use the Neuman systems model as a conceptual framework to respond to the following:• Describe the Jefferies family as a client I system using each of the five variables.• What actual and potential stressors threaten the family? Which stressors are positive, and which are negative? Separate the actual and potential stressors that threaten the individual members of the family. Which of the stressors are positive, and which are negative?• What additional nursing assessment data are needed considering Robert’s medical diagnoses? What additional data would be helpful for Susan’s medical diagnoses? What about each of the children?• What levels of prevention intervention(s) are appropriate for the Jefferies family? Propose potential prevention intervention(s) for each member of the family.• Identify your nursing priorities if you were providing care to this family.

 
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For Essays Guru – Solution to evidence based nursing practice

What is the main issue for your organization in addressing a solution to evidence-based nursing practice? Discuss what might be the first step in addressing and resolving this issue. 200 words still following the capstone selected topic.

 
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Discussion #2

Read the following article carefully: https://www.medicare. gov/yourmedicarecosts/get-helppayingcosts/medicaidReflect on Medicare or Medicaid and discuss which has a greater impact in the state where you plan to practice?

 
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NU560-8D-Unit 4 Assignment Literature Review

InstructionsThis is part 2 of your evidence-based practice project.In this assignment, you will refer back to the topic you selected for your evidence-based practice problem from the identified list of topics provided by your course faculty in week 1 and thethreearticles selected from your week 2 assignment.For this assignment, you will interpret the three articles selected from your week 2 assignment. First, you must complete a matrix table for your three articles (see template provided below).  Once you complete this matrix table, you will write a paper, including the following information:An introduction to the topic from week 2 and created PICOT question (although this information may be similar to what you provided in your week 2 assignment, be sure to paraphrase and not copy/paste directly from that assignment).Foreach of the three articles selected, describe the following:Concepts explored in the article/study (This is the “what” of the study.)Methods used in the article/study (Describe this in detail; it’s “how” of the study.)Participants in the article/study (This is the “who” of the study.)Instruments/tools in the student (This is the resources used to collect the data; i.e.; survey, interview, etc. Be sure to include a discussion of reliability and validity, as well.)Conclusion/summary of the evidence.Be sure to provide the matrix table at the end of your paper as an appendix; failure to include this at the end of the paper or at all will result in point deduction.Remember to support your ideas with the articles you found. These articles should be less than five (5) years old. They should not be from the Web, but from the library databases, and be sure to use a narrative format.In addition, you must follow APA guidelines, providing a title page, reference page, appendix, and in-text citations, as well as use level headings to match the assignment criteria listed above.Please use, at minimum three scholarly references, and your paper should be 500-700 words, excluding title and reference pages and the matrix table.Please review the rubric to ensure that your assignment meets criteria.Unit 4 Required ResourcesGray, J. R., Grove, S. K. & Sutherland, S.  (2017). Burns and Grove’s the practice of nursing research: Appraisal, synthesis, and generation of evidence (8th ed.) . St. Louis, MO: Elsevier Saunders. ISBN 978-0-323-37758-4Review Chapter 2 pp. 33-34;  Chapter 13University of Calfornia Berkeley (2016).Evaluating resources.(Links to an external site.)Berkeley Library. [Digital resource]. Retrieved from http://guides.lib.berkeley.edu/evaluating-resourcesThis link provides information on ways to evaluate internet sources for authority and appropriateness to be included in scholarly research.Stillwell, S. B., Fineout-Overholt, E., Mazurek-Melynk, B., Williamon, K, M. (2010).Evidence based practice step by step (Links to an external site.). American Journal of Nursing , 110, 5.  Retrieved fromhttp://download.lww.com/wolterskluwer_vitalstream_com/PermaLink/NCNJ/A/NCNJ_546_156_2010_08_23_SADFJO_165_SDC216.pdf (Links to an external site.)University of Adelaide (2014). The JBI approach.  (Links to an external site.)Joanna Briggs Institute. Retrieved from https://joannabriggs.org/(Links to an external site.)University of Minnesota (2017).Levels of evidence and grades of recommendations (Links to an external site.). UM Bio-Medical Library. Retrieved from https://hsl.lib.umn.edu/biomed/help/levels-evidence-and-grades-recommendationsEvidence Based Health Care — Practice guidelines levels of evidence and grades of recommendations used by the National Guideline Clearinghouse.Uman, L. S. (2011).Systematic Reviews and Meta-Analyses (Links to an external site.). Journal of the Canadian Academy of Child and Adolescent Psychiatry, 20(1), 57–59. Retrieved fromhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3024725/ (Links to an external site.)Walden University (2019).Common assignments: Literature review matrix(Links to an external site.).  [Website]. Retrieved from https://academicguides.waldenu.edu/writingcenter/assignments/literaturereview/matrix

 
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A Comprehensive Health Education Program

A Comprehensive Health Education Program Presentation on a Specific Vulnerable Populationvulnerable population “senior citizens.5pages  not including your cover page or reference page. Your reference pages should cite at least seven references.Clearly states population chosenDescribes the vulnerable populationStates the current population demographicsDiscusses background of the problem, and its effect on public healthDiscusses the cultural background of the selected population and any relevant history pertaining to the populationDiscusses the psychosocial concerns and/or norms of the populationDiscusses the economic concerns of the population including, but not limited to, income levels, educational levels and occupationDiscusses specific health concerns of the populationInformation on specific risk factors for target population is presented concisely and accuratelyDiscusses prevention and control of health concerns and risk factors (primary, secondary and tertiary)Discusses the role of the public health nurse in caring for vulnerable populationsStates the core functions of public health and applies it to the care of the specific populationThree local agencies/facilities delivering services to the target population are identified and accessibility and service rendered are fully describedAdditional resources needed in the community are identified.Information discussed is current, within the last 5 years.Additional pointersExpands upon the cultural background of the selected population and any relevant history pertaining to the population, including psychosocial concerns and/or norms of the population, the economic concerns of the population including, but not limited to, income levels, educational levels and occupation, and specific health concerns, and risk factors. Topics include prevention and control of health concerns and risk factors (primary, secondary and tertiary), the role of the public health nurse and the core functions of public health as it applies to the care of the specific population. Three local agencies/facilities delivering services to the target population are identified and accessibility is and services rendered are fully described. Additional resources needed in the community are identified.

 
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Discussion Board

Visit the following website and answer the following question.https://nurse.org/resources/family-nurse-practitioner/1-After reviewing the different setting in which Family Nurse Practitioners work. What setting will be your career choice and why?APA style, 500 words, 2 references not older than 5 years.

 
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