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What will happen to the readmission rate of patients with congestive heart failure if they receive strict follow up from nurses versus no follow up care within 30 days?

Nursing homework help

What will happen to the readmission rate of patients with congestive heart failure if they receive strict follow up from nurses versus no follow up care within 30 days?

Please locate an academic nursing journal article related to congestive heart failure readmissions and follow up after discharge. Using the article selected, construct a critique of the article, 7-8 pages (including cover page and references).

· identify the problem statement or statement of purpose of the article

· describe the participants being studied, stating inclusion and exclusion criteria

· discuss the sampling issues, such as probability or nonprobability and number of subjects used

· identify the study setting—where data collection occurred

· discuss informed consent—whether the participants were fully informed, how their consent was obtained, and any other ethical considerations

· identify the hypothesis or research question

· identify the research design—for example, experimental or nonexperimental; descriptive, exploratory, explanatory, or predictive?

· identify research variables, both independent and dependent

· comment the on article’s literature review—how the study data were analyzed (what statistical measures were used)

· describe the results of the study and appropriateness of the methods used; include study limitations

· accurately critique comments on level of evidence used, nursing theory, and implications for nursing practice or research

· discuss how the research findings can be applied to the clinical area

Can Mrs. Klausman Stay in Assisted Living?

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case

Can Mrs. Klausman Stay in Assisted Living?

Mrs. Klausman is a 92-year-old resident in an assisted living facility. She has a mild cognitive impairment and needs help with bathing and medication administration. Because of progressive arthritis, she is having difficulty eating. The silverware slips out of her hands and falls to the floor so that staff members must keep replacing it. Mrs. Klausman becomes visibly frustrated and embarrassed. The food service manager and the administrator decide to meet with Mrs. Klausman’s daughter and recommend that the family should hire a home care provider to assist Mrs. Klausman at mealtimes. The facility does not have staff resources to feed residents. The resident’s daughter is thinking whether a skilled nursing facility would be more appropriate for her mother.

Questions

1.  Identify and evaluate Mrs. Klausman’s deficit in self-feeding from different perspectives on what long-term care consists of.

2.  Should Mrs. Klausman be transferred to a skilled nursing facility? Explain.

3.  Is hiring a homemaker appropriate? Why or why not? What do you suggest?

What demographic variables were measured at the nominal level of measurement in the Oh et al.(2014)study?

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1.Question

What demographic variables were measured at the nominal level of measurement in the Oh et al.(2014)study?

Answer:The demographic variabless measured at the nominal level include non-smoker,non-drinker,history of fracture,regular exercise and are considered nominal because can be describe by precentages, and mode.

2.Question

What statistic were calculated to describe body mass index(MBI) in this study?Were these appropiate?

Answer:Mean and standard deviation were the statistic used to calculated BMI.Because BMI is an interval-ratio variable,mean and stadard deviation are appropiate.

3.Question

Were the distributions of scores for BMI similar for the intervention and control groups?

Answer:The distribution of scores for BMI was similar for intervention and control groups because the mean and standard deviation were very similar.

4.Question

Was there a significant difference in BMI between the intervention and control groups?

Answer:There was not a significant difference in BMI between the intervention group and the control group.

5.Question

Bssed on the sample size of N=41,what frequency and percentage of the sample smoked?What frequency and percentage of the sample were non-drinkers(alcohol)?Show your calculations and round to the nearest whole percent.

Answer:

Frequency of participants who smoked=0+0=0

Percentage of participants who smoked=0%

Frequency of participants who were non-drinkers=20+20=40

6.Question

What measurement method was used to measure the bone mineral density(BMD) for the study participants?Discuss the quality of this measurement method and document your response.

Answer:The bone mineral density (BMD) was measurement by ratio/interval level.The mean and standard deviation equal central location and dispersion gives us the shape of the graph.

7.Question

What statics was calculated to determine differences between the intervention and control groups for the lumbar and femur neck BMDs?Were the groups significantly different for BMDs?

Answer:The statistic used to to determined the difference between the intervention and control groups for the lumbar and femur neck BMDs was the mean.The value between lumbar and femur neck does not show us a significant difference.

8.Question

The researchers stated that there were no significant differences in the baseline characteristics of the intervention and control groups(see Table 2).Are these groups heterogeneous or homogeneous at the beginning of the study?Why is this important in testing the effectiveness of the therapeutic lifestyle modification(TLM)program?

Answer: These groups are homogeneous,homogeneous scores are similar,and heterogeneous scores are diferent having a wide variation.This was a key factor because if the groups were heterogeneous the the data results would have been broader and more detailed.I feel as if if we compared the groups with similarities in the beggining, then this allows the results to be more profound when all is concluded.

9.Question

Oh ET AL.(2014,P.296)stared that adherence rate to the TLM program was 99.6%.Discuss the importance of intervention adherence,and document your response.

Answer:The adherence rate was almost at 100% during the 2 week time period.If the adherence rate would have ben less then the significance and importance of the results would have declined significantlly.I would not put in question the data results as they 99.6% for adherence and the group showed increase.I believe the TLM program is effective.

10.Question

Was the sample for this study adequately described?

Answer:Yes, the sample was adequate, the group showed that the program worked, the program consisted of a mix of individuals and even though it functioned well, I believe if the study was done with more individuals and done at longer intervals, then it would indicate and show more accurate results.

What does it means to document accurately and appropriately?

Nursing homework help

The medical interview serves several functions. It is used to collect information to assist in diagnosis of the present illness, to understand the patient’s values, to assess and communicate prognosis, to establish a therapeutic relationship and to reach agreement with the patient about further diagnostic procedures and therapeutic options. The interview also offers an opportunity to influence patient behaviors.  Discuss the following:  Please answer the following questions and include your rationale and evidence-based research to support your written work. •What does it means to document accurately and appropriately? •What are the documenting guidelines? When is it appropriate to use abbreviations? •What is the difference between subjective and objective data? •What does it mean to demonstrate clinical reasoning skills? •How can you use clinical reasoning to plan the organization of a comprehensive exam? •How will you document variations of normal and abnormal assessment findings? •What factors influence appropriate tools and tests necessary for a comprehensive assessment? •Reflect on personal strengths, limitations, beliefs, prejudices, and values. •How will these impact your ability to collect a comprehensive health history? •How can you develop strong communication skills. •What interviewing techniques will you use to interview the patient to elicit subjective health information about their health history? •What relevant follow-up questions will you use to evaluate patient condition? •How will you demonstrate empathy for patient perspectives, feelings, and sociocultural background? •What opportunities will you take to educate the patient?

Identify and describe the positive implications of Medical Research and Education.

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According to The Institute for Health Care Improvement (2006), “Continuing Education (CE) is a vehicle for spreading best practices and how to improve patient outcomes.” In short, continuing education assists with keeping health care teams well-informed of current research, laws, regulations, and practices in the fields in which they practice.

Massoud M. R., Nielsen, G. A., Nolan K., Schall, M. W., Sevin. C. (2006). A Framework for Spread: From Local Improvements to System-Wide Change. Retrieved from http://www.ihi.org/resources/Pages/IHIWhitePapers/AFrameworkforSpreadWhitePaper.aspx

Review the following literature:

Belliolio, M. F. & Stead, L. G. (2009). Continuing Education Meetings and Workshops: Effects on Professional Practice and Health Care Outcomes. Annals of Emergency Medicine. 53(5). 685-687.

Filipe, H. P., Sliva, E. D., Stulting, A. A., Golnik, K. C. (2014). Continuing Professional Development: Best Practices. Middle East African Journal of Ophthalmology. 21(2), 134-141. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4005177/

Based on your research of professional literature and the literature above, in a 3 page scholarly evaluation essay:

  1. Identify and describe the positive implications of Medical Research and Education.
  2. Explain the importance of continued education for health care professionals.
  3. Explain benefits of organizational/departmental training and staff development.
  4. Identify two current issues/problems in health care organizations and explain from a health care administer perspective how they could have been avoided with proper education.

For assistance on writing an evaluation essay, please review the following source: http://web.ics.purdue.edu/~pbawa/421/Evaluation%20Essay%20sample.htm

  1. Conduct additional research to gather sufficient information to justify/support your position and answers to the questions.
  2. Limit your response to a maximum of 3 pages.
  3. Include an introduction and conclusion in your paper.
  4. Support your case with peer-reviewed articles, with at least 4 references. Use the following link for additional information on how to recognize peer-reviewed journals: http://www.angelo.edu/services/library/handouts/peerrev.php.

Discuss how genetic and genomics can play a role in a demand for new health services and how it may impact health care expenditures in the aging population

Nursing homework help

Tutor MUST have a good command of the English language

These are two discussion questions

Your DQ1 and DQ2 posts must be at least 150 words each and have at least one reference cited for each question. In-text citation, please

DQ 1

Discuss how genetic and genomics can play a role in a demand for new health services and how it may impact health care expenditures in the aging population. Give one example

DQ 2

Describe one method that includes using evidence-based data to support a new or innovative ways to care for the aging now or in the future. How will it impact care and what are the anticipated outcomes?

Conduct a literature search to explore such words as planning, public health, and evaluation

Nursing homework help

  • Conduct a literature search to explore such words as planning, public health, and evaluation. Select an article on a health issue, disease, or an issue of your choice.
  • After selecting your article, explain the public health program and evaluation process. Respond to the following giving examples from your research:
  • Define the significance of public health programs and address the saliency of the framework.
  • What are some conditions that you might use to conduct an evaluation? Explain in detail with a minimum of three examples.
  • Explain the logic model. Why are the contributions of program development, implementation, and evaluation vital to the model?

Discuss what evidence-based strategies should be implemented to achieve continuity between state regulatory boards?

Nursing homework help

Need Powerpoint done.

Address the following Topics/Questions:

· How do licensure, accreditation, certification, and education (LACE) considerations differ for APN clinical roles for these three states: California, Washington, and Illinois? Provide evidence for your response.

· Discuss what evidence-based strategies should be implemented to achieve continuity between state regulatory boards? Provide evidence for your response.

· Is independent NP practice allowed in your state? Discuss your opinion regarding independent NP practice. Provide evidence for your response.

Presentation Guidelines: . .

· The presentation should contain appropriate scholarly evidence to support the information presented per APA format.

· PowerPoint slides should be used as cues to topics and key concepts without lengthy sentences and paragraphs- reading information from slides is not professional and therefore not acceptable.

· Add speaker notes under each slide for presentation aspect.

· A professional presentation includes an introduction both of yourself and of the topic, the touch points of information you’re going to discuss as well as a conclusion. A professional presentation should be covered in approx. 5-15 slides.

· 12 pt font Times New Roman is the recommended font size/style. Slides should include bullet points you intend to cover, 4-5 bullet points per slide. The bullet points should be expanded upon with oral information. Direct quotes and paragraphs are discouraged.

· The student’s oral presentation should demonstrate clear understanding of all concepts along with specific examples to represent concepts

How might this bill impact professional nursing practice standards if passed?

Nursing homework help

This week’s graded discussion topic relates to the following Course Outcome (CO).

•CO7 Integrates the professional role of leader, teacher, communicator, and manager of care to plan cost-effective, quality healthcare to consumers in structured and unstructured settings. (PO 7)

 

There is much attention on federal health care policy and law. Health Bills: GovTrack.us provides a list of federal bills that are currently in process in Congressional Committees.

Go to https://www.govtrack.us/congress/bills/subjects/health/6130 (Links to an external site.)Links to an external site.

Choose a health-related federal bill of interest to you. Read through the bill and post a summary in your own words. Include the bill number and name.

•How might this bill impact professional nursing practice standards if passed? If not passed?

•How might the bill impact your own nursing practice?

2 paragraphs

Compare structural family therapy to strategic family therapy Create structural family maps Justify recommendations for family therapy To prepare

Nursing homework help

#6527 Topic: nursing Number of Pages: 1 (Double Spaced) Number of sources: 4 Writing Style: APA Type of document: Essay Academic Level:Master Category: Nursing VIP Support: Yes Language Style: English (U.S.) Order Instructions: Students will: Compare structural family therapy to strategic family therapy Create structural family maps Justify recommendations for family therapy To prepare: Review this week’s Learning Resources and reflect on the insights they provide on structural and strategic family therapies. Refer to Gerlach (2015) in this week’s Learning Resources for guidance on creating a structural family map. The Assignment In a 1 PAGE address the following: Summarize the key points of both structural family therapy and strategic family therapy. Compare structural family therapy to strategic family therapy, noting the strengths and weaknesses of each. Provide an example of a family in your practicum using a structural family map. Note: Be sure to maintain HIPAA regulations. Recommend a specific therapy for the family, and justify your choice using the Learning Resources. This is the website.http://sfhelp.org/fam/map.htm. Gerlach, P.K. (2015).Use of structural to mamange your family well: Basic premises and examples. Retrieved from http://sfhelp.org/fam/map.htm Thanks