NRS 490

NRS 490

NRS 490  Week 1 Discussion 1

Which scholarly databases (name two) in the GCU Library will you choose in order to find the best research articles to support your EBP proposal? Discuss why these two (at least) databases are better than Google Scholar or a general Internet search?
NRS 490 Week 1 Discussion 2
The Institute of Medicine has stated a goal that 90% of practice be evidence-based by 2020. We are currently at approximately 15%. Discuss two barriers that might hold nursing practice from achieving this goal. In your responses to course colleagues, suggest ways in which identified barriers may be addressed.
NRS 490 Week 2 Discussion 1
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During your practicum, determine what clinical problem or issue the organization is facing. Discuss two implications for nursing.

NRS 490 Week 2 Discussion 2
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.
NRS 490 Week 3 Discussion 1
Submit a summary of six of your articles on the discussion board. Discuss one strength and one weakness to each of these six articles on why they may or may not provide sufficient evidence for your practice change.
NRS 490 Week 3 Discussion 2
Name two difference methods for evaluating evidence. Compare and contrast these two methods.
NRS 490 Week 4 Discussion 1
With your mentor, discuss why understanding the health care system at the local level plays an important part in the logistics of an EBP implementation. Discuss one of your learnings from this conversation that you will take into consideration for your own change project.
NRS 490 Week 4 Discussion 2
Identify two change theories, and in your selection process include asking your mentor which one(s) he or she uses or has used. Compare and contrast each one and then note which theory makes the most sense for implementing your specific EBP project?
NRS 490  Week 5 Discussion 1
Stakeholder support is necessary for a successful change proposal project implementation. Name one internal (facility, unit or health care setting where the change process is situated) and one external stakeholder (individual or group outside the health care setting) and (1) why their support is necessary to the success of your project, and (2) how you will go about securing that support.
NRS 490  Week 5 Discussion 2
Technology is integral to successful implementation in many projects, through either support or integration or both. Name at least one technology that you might or will need to work with that will improve the implementation process and the outcomes of your EBP project.
NRS 490  Week 6 Discussion 1
After discussion with your mentor, name one financial, one quality, and one clinical aspect that needs to be taken into account for developing the evidence-based practice project. For each aspect, explain how your proposal will directly and indirectly impact each of the aspects.
NRS 490  Week 6 Discussion 2
Access and review the “Capstone Project Topic Selection, Rationale, and Approval” assignment from Topic 1. Now that you have completed a series of assignments that have led you into the active project planning and development stage for your project, take your discussion a step further and briefly describe your proposed solution to address the problem, issue, suggestion, initiative, or educational need. How has this changed since you first envisioned it, and what led to your current perspective and direction?
NRS 490  Week 7 Discussion 1
Determine one internal and one external method for dissemination of your EBP project. For example, an internal method may be the hospital board, and an external method may be a professional nursing organization. Discuss why it is important to report your results to both of these groups. How might your tactics change for each type of group?
NRS 490  Week 7 Discussion 2
While EBP is not research, it is important to be able to determine the effectiveness of your change. Discuss one way you will be able to evaluate whether your project made a difference in practice.
NRS 490  Week 8 Discussion 1
Based on how you will evaluate your EBP project, which independent and dependent variables do you need to collect? What basic statistical analysis might be run to determine statistical significance?
NRS 490  Week 8 Discussion 2
Not all EBP projects result in statistically significant results. Explain what clinical significance is, the difference between clinical and statistical significance, and how you might use clinical significance to support positive outcomes in your project.
NRS 490  Week 9 Discussion 1
Discuss one personal strength and one weakness you have regarding professional presentations. Name one method for improvement for each of these, and discuss why it is important for you to work on these skills.
NRS 490  Week 9 Discussion 2
Sustaining change can be difficult, as there are many variables that can affect the process and implementation. One critical component of EBP is to ensure that practice change is hardwired so that it will thus continue to impact outcomes over time. Name two potential barriers that may impact your EBP change proposal from continuing to obtain the same desired results six months to a year from now, and your strategies for overcoming these barriers.
NRS 490  Week 10 Discussion 1
Dissemination of EBP and research, such as presenting results at a conference or writing an article for a journal, is an important part of professional practice. Name one professional journal and one nursing or health care conference where you might present our project as a presentation or article and discuss why each of your choices is the best option for you to disseminate your new knowledge.
NRS 490  Week 10 Discussion 2
Discuss why EBP is an essential component of the practice of a BSN-prepared RN. Then name two ways in which you will continue to integrate evidence into your practice and encourage it within your work environment. What problems or impediments do you foresee in being able to follow your EBP action plan? What steps can you take to minimize these?
NRS 490  Week 2 Assignment
In collaboration with your approved course mentor, you will choose a specific evidence-based practice proposal topic for the Capstone Project. Consider the clinical environment in which you are currently working or have recently worked. The Capstone Project topic can be a clinical practice problem, an organizational issue, a quality improvement suggestion, a leadership initiative, or an educational need appropriate to your area of interest as well as your practice immersion (practicum) setting. A combination of 100 “supervised clinical hours” in community health and leadership areas will be obtained through the application of the objectives listed in the “Guidelines for Undergraduate Field Experiences” manual and as captured in the ISP.
Practicum immersion experiences are required in a community health setting. Community health and leadership practice immersion can occur in the same site and in conjunction with the evidence-based project in the NRS-490V course. Definitions of community-based settings should encourage community integration and involvement; expand accessibility of services and supports; promote personal preference, strengths, dignity; and empower people to participate in the economic mainstream. Examples of the integration of community health, leadership, and an EBP can be found at Healthy People 2020.
The goals of the practice immersion experience is to apply the learning from your research, community health, and leadership courses:
After studying this course, you should be able to:
Demonstrate and apply knowledge of factors to consider when planning to work with a chosen community.
Demonstrate and apply knowledge of approaches that will facilitate engagement of the community.
Demonstrate and apply knowledge and skills required to work constructively with communities.
Demonstrate and apply knowledge related to engagement of organizational leadership and change agents.
Demonstrate and apply knowledge related to disseminating project findings/data with organizational leadership and change agents.
Demonstrate and apply knowledge related to completing an evidence-based project to impact population health outcomes.
Demonstrate and apply Healthy People 2010/2020 principles related to completing an evidence-based project to impact population health outcomes.
According to Healthy People.gov, educational and community-based programs and strategies are designed to reach people outside of traditional health care settings. These settings may include:
Schools
Worksites
Health care facilities
Communities
Each setting provides opportunities to reach people using existing social structures. This maximizes impact and reduces the time and resources necessary for program development.
In a composition of no more than 750 words, describe the nature of your proposed project topic. Include the following in your discussion:
The setting or context in which the problem, issue, suggestion, initiative, or educational need can be observed.
A description providing a high level of detail regarding the problem, issue, suggestion, initiative, or educational need.
Impact of the problem, issue, suggestion, initiative, or educational need on the work environment, the quality of care provided by staff, and patient outcomes.
Significance of the problem, issue, suggestion, initiative, or educational need and its implications to nursing.
Preview and utilize the “Project Topic Checklist” resource located in the topic materials to assist in developing your proposed Capstone Project topic. This resource will assist you in organizing your work and will provide additional information regarding the assignment. Note: You are required to retrieve and assess a minimum of 15 peer-reviewed articles. Plan your time to complete this assignment accordingly.
Attach the completed “Project Topic Checklist” to your assignment submission.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
You are not required to submit this assignment to Turnitin.
Portfolio Practice Hours
Students will track their practice hours throughout the course via the Practice Hours Completion Statement provided in this assignment.
Complete the following statement in a Word document and submit it to the instructor via the individual forum in LoudCloud.
Practice Hours Completion Statement NRS-490
I, (INSERT NAME), verify that I have completed (NUMBER OF) practice hours in association with the goals and objectives for this course. I also verify that all required course approvals are in place from my faculty and practice mentor.
NRS 490  Week 3 Assignment
Review the PICO(T) resources listed in the topic readings.
Formulate a PICOT statement using the PICOT format used in the assigned readings. The PICOT statement will provide a framework for your Capstone Project.
In a paper of 500-750 words, clearly identify the clinical problem (from your Topic 1 approved Change Proposal) and how it can result in a positive patient outcome.
Make sure to address the following on the PICOT statement:
Evidence-Based Solution
Nursing Intervention
Patient Care
Health Care Agency
Nursing Practice
Recall that a PICOT starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention should be an independent, specified nursing change intervention. The intervention cannot require a provider prescription or equipment change. Include a comparison to a patient population not currently receiving the intervention, and specify the timeframe needed to implement the change process.
While APA format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
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 Turnitin. Please refer to the directions in the Student Success Center.
Portfolio Practice Hours
Students will track their practice hours throughout the course via the Practice Hours Completion Statement provided in this assignment.
Complete the following statement in a Word document and submit it to the instructor via the individual forum in LoudCloud.
Practice Hours Completion Statement NRS-490
I, (INSERT NAME), verify that I have completed (NUMBER OF) practice hours in association with the goals and objectives for this course. I also verify that all required course approvals are in place from my faculty and practice mentor.
NRS 490  Week 4 Assignment
In nursing practice, accurate identification and usage of research is essential to achieving successful outcomes. Being able to articulate the information and successfully summarize relevant peer-reviewed articles in a scholarly fashion helps to support the student’s ability and confidence to further develop and synthesize the progressively more complex assignments that constitute the components of the course change proposal Capstone Project.
For this assignment, the student will provide a synopsis of 15 peer-reviewed articles from nursing journals using an evaluation table that determines the level and strength of evidence for each of the 15 articles. The articles should be current within the last 5 years and closely relate to the PICOT statement you developed earlier in this topic. Appropriate resources to include involve quantitative research, descriptive analyses, longitudinal studies, or meta-analysis articles. A systematic review may be used to provide background information for the purpose or problem identified in the proposed Capstone Project.
While APA format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
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 not required to submit this assignment to Turnitin.
Portfolio Practice Hours
Students will track their practice hours throughout the course via the Practice Hours Completion Statement provided in this assignment.
Complete the following statement in a Word document and submit it to the instructor via the individual forum in LoudCloud.
NRS 490  Week 6 Assignment 
An implementation plan prepares students to apply the research they have identified and vetted to the problem or issue they have identified for their Capstone Change Proposal Project. A literature review enables students to map out and move into the active planning and development stages of the Project.
In this assignment students will develop a 750-1,000-word literature review in which to synthesize what is known and unknown about the Project issue selected. Students will use the information from the PICOT Statement and Evaluation Table assignments prior in the course to develop a planned approach to implementing the evidence-based practice solution. The underlying purpose of this assignment is to analyze how the current research supports the PICOT, and to identify what is known and what is not known in the evidence, providing a logical, constructive argument.
Include the following sections:

  1. Title page
  2. Introduction section
  3. A comparison of research questions
  4. A comparison of sample populations
  5. A comparison of the limitations of the study
  6. A conclusion section, incorporating recommendations for further research

While APA format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
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 Turnitin. Please refer to the directions in the Student Success Center.
Portfolio Practice Hours
Students will track their practice hours throughout the course via the Practice Hours Completion Statement provided in this assignment.
Complete the following statement in a Word document and submit it to the instructor via the individual forum in LoudCloud.
Practice Hours Completion Statement NRS-490
I, (INSERT NAME), verify that I have completed (NUMBER OF) practice hours in association with the goals and objectives for this course. I also verify that all required course approvals are in place from my faculty and practice mentor.

NRS-440VN Trends and Issues in Today’s Healthcare

NRS-440VN Trends and Issues in Today’s Healthcare

NRS 440VN Implementation of the IOM Future of Nursing Report

Details:
In a formal paper of 1,000-1,250 words you will discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.” Identify the importance of the IOM “Future of Nursing” report related to nursing practice, nursing education and nursing workforce development. What is the role of state-based action coalitions and how do they advance goals of the Future of Nursing: Campaign for Action?
Explore the Campaign for Action webpage (you may need to research your state’s website independently if it is not active on this site): http://campaignforaction.org/states
Review your state’s progress report by locating your state and clicking on one of the six progress icons for: education, leadership, practice, interpersonal collaboration, diversity, and data. You can also download a full progress report for your state by clicking on the box located at the bottom of the webpage.
In a paper of 1,000-1,250 words:
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  1. Discuss the work of the Robert Wood Johnson Foundation Committee Initiative on the Future of Nursing and the Institute of Medicine research that led to the IOM report, “Future of Nursing: Leading Change, Advancing Health.”
  2. Identify the importance of the IOM “Future of Nursing” report related to nursing practice, nursing education and nursing workforce development.
  3. What is the role of state-based action coalitions and how do they advance goals of the Future of Nursing: Campaign for Action? NRS-440VN Trends and Issues in Today’s Healthcare

Summarize two initiatives spearheaded by your state’s action coalition. In what ways do these initiatives advance the nursing profession? What barriers to advancement currently exist in your state? How can nursing advocates in your state overcome these barriers?
A minimum of three scholarly references are required for this assignment.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. NRS-440VN Trends and Issues in Today’s Healthcare
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 Turnitin. Please refer to the directions in the Student Success Center.

NRS 440VN Week 2
NRS 440VN Evolving Practice of Nursing and Patient Care Delivery Models
Details:
As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. It is expected that more and more nursing jobs will become available out in the community, and fewer will be available in acute care hospitals.

  1. Write an informal presentation (500-700 words) to educate nurses about how the practice of nursing is expected to grow and change. Include the concepts of continuity or continuum of care, accountable care organizations (ACO), medical homes, and nurse-managed health clinics. NRS-440VN Trends and Issues in Today’s Healthcare
  2. Share your presentation with nurse colleagues on your unit or department and ask them to offer their impressions of the anticipated changes to health care delivery and the new role of nurses in hospital settings, communities, clinics, and medical homes.
  3. In 800-1,000 words summarize the feedback shared by three nurse colleagues and discuss whether their impressions are consistent with what you have researched about health reform.
  4. A minimum of three scholarly references are required for this assignment. NRS-440VN Trends and Issues in Today’s Healthcare

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. NRS-440VN Trends and Issues in Today’s Healthcare
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

NRS 440VN week 3
NRS 440VN Reflection Paper
Details:
In a reflection of 450-600 words, explain how you see yourself fitting into the following IOM Future of Nursing recommendations: NRS-440VN Trends and Issues in Today’s Healthcare

  1. Recommendation 4: Increase the proportion of nurses with a baccalaureate degree to 80% by 2020.
  2. Recommendation 5: Double the number of nurses with a doctorate by 2020.
  3. Recommendation 6: Ensure that nurses engage in lifelong learning.

Identify your options in the job market based on your educational level.

  1. How will increasing your level of education affect how you compete in the current job market?
  2. How will increasing your level of education affect your role in the future of nursing?

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center. NRS-440VN Trends and Issues in Today’s Healthcare
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center. NRS-440VN Trends and Issues in Today’s Healthcare

NRS 440VN Week 4
NRS 440VN CLC – Pros and Cons of Mandatory Continuing Nursing Education
Details:
This is a Collaborative Learning Community (CLC) assignment.
In your CLC group, create a PowerPoint presentation of 10-15 slides in which you compare the pros and cons of continuing nursing education related to the following:

  1. Impact on competency.
  2. Impact on knowledge and attitudes.
  3. Relationship to professional certification.
  4. Relationship to ANA Scope and Standards of Practice.
  5. Relationship to ANA Code of Ethics.

Take a position with your CLC group: Should continuing nursing education be mandatory for all nurses? Support your position with rationale.
A minimum of three scholarly sources are required for this assignment.
While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
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 not required to submit this assignment to Turnitin.

NRS 440VN How a Bill Becomes a Law
Details:
As you have discovered through this course, nurses are influential members of the community and the political system. Therefore, for the purposes of this assignment you will identify a problem or concern in your community, organization, etc. that has the capacity to be legislated. You will conduct research and state a proposal. Through the legislative process, your proposal for the problem or concern may influence an idea for change into a law.
First, refer to the “How a Bill Becomes a Law” media.
http://lc.gcumedia.com/zwebassets/courseMaterialPages/nrs440v_how-a-bill-becomes-a-law-v2.1.php/.
Then, view the “Bill to Law Process” to watch the scenario.
After viewing the scenario, refer to the “Legislative Assignment.” You will need to save the document first in order to use it.
Submit the assignment to the instructor. You also reserve the right to submit your completed proposal to the respective government official. However, this is optional. If you select to submit your proposal as a part of the legislative process, refer to “Find Your Representative” or research the contact information on your own.
APA format is not required, but solid academic writing is expected.
You are not required to submit this assignment to Turnitin.
NRS 440VN Week 5
NRS 440VN Combining Nurse Leader With Advocacy
Details:
Rate yourself using the results from the “Nurse Manager Skills Inventory”:
http://www.aone.org/resources/nurse-manager-skills-inventory.pdf
Write a reflection of 750-1,000 words in which you identify your strengths and weaknesses related to the four content areas below: NRS-440VN Trends and Issues in Today’s Healthcare.

  1. Personal and professional accountability
  2. Career planning
  3. Personal journey disciplines
  4. Reflective practice reference behaviors/tenets

Discuss how you will use your current leadership skill set to advocate for change in your workplace.
Identify one personal goal for your leadership growth and discuss your implementation plan to achieve that goal.
While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center. NRS-440VN Trends and Issues in Today’s Healthcare
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 Turnitin. Please refer to the directions in the Student Success Center. NRS-440VN Trends and Issues in Today’s Healthcare

NUR 641E Advanced Pathophysiology and Pharmacology for Nurse Educators

NUR 641E Advanced Pathophysiology and Pharmacology for Nurse Educators
NUR 641E Week 1 DQ 1 and 2 
Find an article on a genetic disorder and summarize in two or three paragraphs the genetic component causing the disorder and any multifactorial inheritance components that may contribute to the disorder. Discuss the usual age of disease onset and if the sex-specific threshold model fits the disorder. What education could you present to high-risk patients to reduce the risk of disease onset if a multifactorial component exists?
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Dq2 
Genetic screening has become widely available to the public including prenatal screening of the fetus in utero to screening adults for genetic disorders, such as Parkinson’s disease and breast cancer. Share your thoughts on the legal, ethical, and social implications that may be related to genetic screening. How would you educate your patient that is considering having genetic screening? NUR 641E Advanced Pathophysiology and Pharmacology for Nurse Educators
NUR 641E Week 2 DQ 1 and 2
DQ 1
Choose an FDA-approved prescription medication and discuss the pharmacokinetics and pharmacodynamics of the medication, including any differences that would be expected based on the patient’s age, a condition of pregnancy, or lactation. Address any adverse effects the medication may have based on age, pregnancy, or lactation. NUR 641E Advanced Pathophysiology and Pharmacology for Nurse Educators
DQ2
Active acquired immunity can be achieved through the use of childhood immunizations. Many parents voice concerns regarding the safety of vaccinations. What is your opinion on the current use of vaccinations? How would you educate parents regarding the safety and effectiveness of vaccinations? Defend your answers with evidence-based research.
NUR 641E Week 3 Dq 1 and dq 2
DQ1
Share a case study of an electrolyte imbalance from your practice or from the literature. Summarize the case study in 1-2 paragraphs. Then discuss the clinical manifestations of the imbalance, the pathophysiology behind the imbalance, normal cell membrane transport of the electrolyte(s), and any alterations in cell membrane transport caused by the imbalance. How was the electrolyte imbalance resolved? Analyze the case study to determine any areas in which patient or staff education may have helped to prevent the electrolyte imbalance. NUR 641E Advanced Pathophysiology and Pharmacology for Nurse Educators.
Use at least three scholarly, peer-reviewed resources less than 5 years old in addition to course materials
DQ2 
A widespread belief is that caffeine has a diuretic effect when consumed and will induce dehydration if used by athletes or those who perform strenuous exercise. Discuss the pathophysiology behind this belief. Share your thoughts on whether you agree or disagree that caffeine can induce dehydration. Support your answer with evidence-based literature. NUR 641E Advanced Pathophysiology and Pharmacology for Nurse Educators
NUR 641E Week 4 DQ 1 and DQ 2
Compare and contrast the pathophysiology between chronic obstructive pulmonary disease (COPD) and pneumococcal pneumonia. Include any types of cellular injury or cellular adaptation that may occur. Evaluate if an inflammatory response is present and discuss the impact of that response. In the case of COPD, discuss the type of patient education you would implement to help with the patient’s understanding of the disease and to improve compliance with a treatment plan. NUR 641E Advanced Pathophysiology and Pharmacology for Nurse Educators
DQ 2
Find an evidence-based journal article on cystic fibrosis and summarize the article in one or two paragraphs. Address why you chose the article and how you might use the findings in your current or future practice setting.
NUR 641E Week 5 DQ 1 and DQ 2
DQ 1
Atherosclerosis is a common disorder of the arteries. A modifiable risk factor for the development of atherosclerosis is hypertension. Discuss the pathophysiology of both disorders and the mechanisms by which hypertension contributes to atherosclerosis. Discuss the current medications used to treat both disorders and the pharmacologic actions the medications have in altering the pathophysiology. How can you use this information in your current or future practice setting? NUR 641E Advanced Pathophysiology and Pharmacology for Nurse Educators
DQ2
Share a case from your personal practice or from the literature in which alternative therapies were used to facilitate the management of acute or chronic cardiovascular conditions.
NUR 641E Week 6 DQ 1 and DQ 2
DQ1
Find an article on an inflammatory condition of the lower genitourinary tract. Summarize the article in one or two paragraphs. Discuss the pathophysiology of the condition, the pharmacologic agent(s) used to treat the condition, and how the agent(s) alter the pathophysiology. Discuss the role of the nurse educator related to patient education of the reported condition and treatment.
Respond to another student’s posting on an inflammatory condition that is different from the condition you posted, comparing and contrasting the differences between the conditions.
DQ 2
Infertility is considered a disease process of the reproductive tract.  Find an article on an alteration of the genital tract that can lead to infertility.  Summarize the article in two or three paragraphs. Discuss any potential treatments.  What is the potential psychosocial impact for the patient with the condition?
NUR 641E Week 7 DQ 1 and DQ 2
Review the following case study:
Chief Complaint:
A 23-year-old woman presents with complaints of muscle weakness in the face.
History:
The patient is a 23-year-old administrative assistant who complains of intermittent muscle weakness in her face that has been getting worse over the past 3 months. She also states that as she chews, her jaws feel tired. Swallowing has also become difficult. She reports episodes of double vision (diplopia), which seems to occur after reading for a few minutes in the late evening. With certain strenuous activities or after typing for long periods of time at work, she reports problems with bilateral arm weakness. NUR 641E Advanced Pathophysiology and Pharmacology for Nurse Educators
Physical Examination:
Notable ptosis (drooping) of the eyelids after repeated blinking exercises. When asked to smile, she appears to be snarling. Reflexes and sensation are normal in both upper and lower extremities. There is considerable weakness of the arms noted bilaterally after exercise.
Case Questions:

  1. Is the patient’s condition neurological, musculoskeletal, or both? Explain why and support your thoughts with evidence-based literature. What would be a possible neurologic or musculoskeletal condition causing the symptoms?

2.Explain the pathophysiology behind the condition.
3.What pharmacological agent(s) are commonly used to treat the disorder and how do the agent(s) alter the pathophysiology of the condition?
4.What would be your educational plan for the patient?
DQ 2 
Parkinson’s disease is a progressive neurodegenerative disorder. The current treatment options for the disorder have focused on symptom control. Research is now focusing on developing ways to modify the disease progression and possibly provide a cure. Investigate the current research on Parkinson’s disease treatments, including stem-cell research and the use of fetal tissue implants. Share your thoughts on the evolving therapies. What are the current controversies? NUR 641E Advanced Pathophysiology and Pharmacology for Nurse Educators
NUR 641E Week 8 DQ 1 and DQ 2
DQ 1
Share a case study from your clinical practice or from the literature on an endocrine disorder. Discuss the pathophysiology of the disorder, including the effects on the endocrine feedback system, and the role of the hypothalamic-pituitary axis. Identify the pharmacologic agent(s) used to treat the disorder and how the pharmacologic agent(s) alters the pathophysiology. NUR 641E Advanced Pathophysiology and Pharmacology for Nurse Educators
DQ2 
Human chorionic gonadotropin (HCG) is currently being used as an aid to weight loss in conjunction with an extremely restricted caloric intake of 500 calories per day. Many people are buying the HCG through the Internet with no medical surveillance. Research the HCG diet and share your thoughts on the efficacy, safety, and validity of the diet. What strategies would you use to educate patients on the diet? NUR 641E Advanced Pathophysiology and Pharmacology for Nurse Educators
                     
NUR 641E Week 2 Patient Educational Flyer
Design a 1-2 page patient education flyer/pamphlet for an alternative medicine/herbal product.
Describe the product, its intended use, side effects, adverse reactions, and safety issues (risks and benefits of using an alternative medication/herbal product versus a prescription medication).
The flyer should include at least two community and/or online resources for the patient to obtain more information.NUR 641E Advanced Pathophysiology and Pharmacology for Nurse Educators
APA format is not required, but solid academic writing is expected.
NUR 641E Week 3 Acid-Base Case Study Paper
Read the “Resource 1: Case Study.” Read below
Answer the questions at the end of the case study in a paper of 750-1,000 words.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. NUR 641E Advanced Pathophysiology and Pharmacology for Nurse Educators
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. NUR 641E Advanced Pathophysiology and Pharmacology for Nurse Educators
Case Study =
A 22-year-old woman reports being “sick with the flu” for the past 8 days. She is vomiting several times every day, having difficulty keeping liquids or food down, and has been using more than the recommended dose of antacids in an attempt to calm the nausea. She has become severely dehydrated. After fainting at home, she was taken to a local hospital. An arterial blood gas sample was drawn and then an IV was placed to help rehydrate her. The arterial blood gas revealed the following:
Test                                  Result                                 Normal levels
pH                                            7.5                                    7.35 – 7.45
PaCO2                                       40 mm Hg                  35-45 mm Hg
PaO2                                 95 mm Hg                  80-100 mm Hg
SaO2                         97%                           95-100%
HCO3-                                     32 meq/liter                22-26 meq/liter
How would you classify the patient’s acid-base disturbance and explain why?
Given the case study, what are the possible factors causing this acid-base disturbance? Explain the pathophysiology created by these factors.
How would the renal and respiratory systems try to compensate for this acid-base disturbance?
What pharmacologic intervention is commonly used to correct this acid-base disturbance? Describe the pharmacological actions.
Describe the educational needs for this patient and what your approach will be.
NUR 641E Week 4 Patient Interview Paper
Interview a patient with a chronic pulmonary health condition who is on at least two medications.
In a 1,350-1,600-word paper, discuss the following:

  1. Obtain a complete health history.
  2. Obtain a complete medication history, including prescription and over-the-counter drugs or supplements.
  3. Analyze the client’s current knowledge level of medications and compliance with the prescribed dosing and administration.
  4. For each medication, identify the pharmacokinetics, pharmacodynamics, dose, route of administration, side effects, adverse reactions, any drug interactions, potential safety issues, and the impact on the client’s health status.
  5. Formulate possible interventions related to lack of drug efficacy, lack of client knowledge, or client compliance issues as identified during the interview.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. NUR 641E Advanced Pathophysiology and Pharmacology for Nurse Educators
NUR 641E Week 5
(CLC – Staff In-Service Presentation – Part 1) This is a group assignment. I will instruct the writer as to which part I am assigned to do.
Develop a PowerPoint presentation with complete speaker notes for a staff in-service on the pathophysiology and pharmacologic agents for a select disease process. The total maximum number of slides is 30 (Parts 1 and 2 combined). Your group may determine how to divide the number of slides between Parts 1 and 2.
Each CLC will choose one disease process to present from the following list with the instructor’s approval:
1.Alzheimer’s disease. NUR 641E Advanced Pathophysiology and Pharmacology for Nurse Educators.
2.Asthma
3.Diabetes Type 2
4.Epilepsy
5.Gastroesophageal reflux disease (GERD)
6.Hypertension
7.Hypothyroidism
8.Multiple sclerosis
9.Peptic ulcer disease
10.Tuberculosis.
Part 1 of the presentation will focus on the physiology and pathophysiology of the disease, clinical manifestations, and evaluation (e.g., labs, imaging).
Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style. NUR 641E Advanced Pathophysiology and Pharmacology for Nurse Educators.
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NUR 641E Week 6 Commercial Critique Paper
In a 1,200-1,500-word NUR 641E Advanced Pathophysiology and Pharmacology for Nurse Educators paper:
1.Critique a TV or radio commercial, an Internet advertisement, or a print advertisement from a nonprofessional journal/magazine related to an FDA-regulated prescription drug for a gastrointestinal disorder.
2.Critique a TV or radio commercial, an Internet advertisement, or a print advertisement from a nonprofessional journal/magazine related to a non-FDA-regulated over-the-counter medication/herbal for a gastrointestinal (GI) disorder.
Include a description of the pathophysiology of the GI disorder and how the medication/herbal alters that pathophysiology.
Compare and contrast the two commercials, including their stated use of medication/herbal, patient safety issues, analysis of company claims for any drug benefits. Substantiate your thoughts and ideas with evidence-based research/articles.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
NUR 641E Week 8 CLC – Staff In-Service Presentation – Part 2
This is a Collaborative Learning Community (CLC) assignment. This is a group assignment. I will instruct the writer as to which part of the assignment I am assigned.
Part 2 of the presentation will focus on the pharmacologic treatment of the disease, including pharmacokinetics, pharmacodynamics, drug interactions, side effects, adverse reactions, and application of the nursing process in monitoring the drug therapy.
Part 2 will also include the development of a creative patient education tool for the staff to use to assist in increasing patient knowledge of medications and medication compliance. NUR 641E Advanced Pathophysiology and Pharmacology for Nurse Educators
The total maximum number of slides is 30 (Parts 1 and 2 combined).
An abstract is not required.
Part 2 Class Advanced Pathophysiology and Pharmacology for Nurse Educators: Power Point for Staff In-Service. NUR 641E Advanced Pathophysiology and Pharmacology for Nurse Educators.
(Part 2 focuses on the pharmacologic treatment of the Alzheimer’s disease)
Please include speaker notes with all slides and references (journals preferably)!!!!

  • Focus on the pharmacologic treatment of Alzheimer’s disease/ Drug InteractionsSide EffectsAdverse Reactions (5-6 slides). Since it is 6 slides you can do two slides for each underlined section.

NUR 641E Advanced Pathophysiology and Pharmacology for Nurse Educators

Why EBP is an essential component of the practice of a BSN-prepared RN

Essay: Why EBP is an essential component of the practice of a BSN-prepared RN
GIVE A POSITIVE COMMENT BASED ON THIS ARGUMENT
Discuss why EBP is an essential component of the practice of a BSN-prepared RN. Identify two ways in which you will continue to integrate evidence into your practice and encourage it within your work environment. What obstacles could challenge this plan, and what steps will you take to minimize their impact?
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The EBP is such an important part of the BSN-RN because it helps to show how important research is and it shows the other side of nursing and others ways we can stand up for our patients. Two ways that I will continue to use evidence in my practice are first I will continue to research ways to improve falls in the hospital. The second way I will use and encourage evidence into my practice is to try to educate the other nurses around me on the importance of evidence and research. If I can do this then it will continue to help the nursing field for years to come. The main obstacle that could stand in my way is the amount of work nurses already have on their shoulder. That being said the nurses will most likely resist the change because of the lack on time they have but if I continue to push the issue then I can get them to turn around little by little. It might take a while but as long as I’m persistent I can get them to change.
 
Reference:
Stevens, K. (May 13,2013). The Impact of Evidence-Based Practice in Nursing and the Next Big Ideas. http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-18-2013/No2-May-2013/Impact-of-Evidence-Based-Practice.html
Essay: Why EBP is an essential component of the practice of a BSN-prepared RN