Is theory used in practice, or is there a theory practice gap that needs to be addressed?

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Study daily 004

Topic: Theory – Practice Gap

Think back to the beginning of the course and consider your thoughts on learning about nursing theory. Did you question the usefulness of spending a term learning about theory? Next, consider your current practice environment now that you know more about theory. Is theory used in practice, or is there a theory practice gap that needs to be addressed?

If you think theory is known and used in practice, support your view with evidence.

If you think a theory-practice gap exists, support your view with evidence.

If you were planning to run a marathon, give an example of a day’s food intake on one of your 21 mile training days. 

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Quest. #1: If you were planning to run a marathon, give an example of a day’s food intake on one of your 21 mile training days. 

Let’s say you were going to do this training run around 5:30 p.m. at the end of your work day.

Include DETAILED protein, carbohydrate, fat and fluid recommendations and timing of meal/snacks. 

Base these recommendations on your current height and weight.  Explain the nutritional rationale for all your suggestions.

Question #2:

What do you think are some of the reasons for the high incidence of eating disorders…bulimia, anorexia, binge-eating disorder, purging disorder, night time eating syndrome?  

Can the CCCR model be used in managing this patient’s care?

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Begin by identifying a patient from your clinicals who has a chronic health condition such as diabetes, COPD, hypertension, mental health diagnosis, and post stroke care. Discuss all aspects of healthcare coordination with the chosen diagnosis. Your paper should include the following information: 

1. Description of the patient’s health issues, diagnoses, and treatment plan.

2. Description of the interdisciplinary team that will participate in this care.

3. Can the CCCR model be used in managing this patient’s care? How so? If not, can you name another model to help in managing this patient’s care?  

4. What is the cost of managing this disease? Are there resources available for the patient and family to help with costs and other factors such as commute and etc?

5. What is your role as the APRN in this team?

6. As the APRN, how can you evaluate if the care management is successful?

7. As the APRN, how can you evaluate if this patient needs a higher level of care?

8. Are there any barriers or challenges that you foresee for this patient? How can you overcome these barriers?

· The body of your paper should be a three to four pages long. This does not include the title page and reference page. Papers that are more than four pages long will not be accepted. Incorporate information from the course text plus a minimum of three (3) scholarly references published within the last five (5) years. Textbooks are not to be considered scholarly references.

· Use current APA Style to write your paper and to cite your sources. Your source(s) should be integrated into the paragraphs. Use internal citations pointing to evidence in the literature and supporting your ideas. 

· Headings are required.

· Be sure to allow time for editing and proofreading. Paper will be submitted through turnitin.com to check for plagiarism.

Review the rubric for more information on how the assignment will be graded. Rubric will be submitted once bit is accepted. Thank you

Search and locate an existing instrument that will be used to address your research question.

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Please begin by responding to the following questions.

Search and locate an existing instrument that will be used to address your research question. Post the title of the instrument selected and the level of measurement on the tool. Next, post a description of the type of scale used in the instrument. Include a brief discussion of data collection procedures that will be presented in your proposal.

What are the risks of foley catheter placement?

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Case Study: Jimmy, ten years old, was admitted to the pediatric intensive care unit after a fall from the second-story townhome were sustained a fractured left femur and mild head injury. Currently, Jimmy is two days post open reduction internal fixation of the left femur. Orders were updated to transfer Jimmy out of Intensive Care Unit (ICU) after being cleared by the neurologist. He has a long leg cast, indwelling foley catheter and will require neuro checks every two hours.

  • What are two priority nursing diagnoses for this child?
  • What are the priority nursing interventions for this patient after being transferred from the ICU?
  • What are the risks of foley catheter placement?
  • Does the patient still require an indwelling foley catheter? Provide a rationale to support your answer.

Discuss how epidemiologic methods are used to evaluate Healthy People 2030 objectives.

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Visit the Healthy People 2030 website, Topics and Objectives page (Links to an external site.)  (Links to an external site.) and explore some topics of interest to you. Discuss how epidemiologic methods are used to evaluate Healthy People 2030 objectives. Give an example. The example can be one you created or one from an actual study. Include the primary goal/purpose of the descriptive or analytical study, design type in the category chosen, uses of analytic or descriptive type, at least one advantage and disadvantage of the design type.

What teaching would you reinforce to prevent the recurrence of otitis media?

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An 8-year-old girl comes to your ambulatory care clinic with complaints of left ear pain for the past 3 days. She had a respiratory infection a week ago. On physical examination, the tympanic membrane is bulging.

Answer the following questions:

  1. What else should you ask the client?
  2. What teaching would you reinforce to prevent the recurrence of otitis media?
  3. What expected outcomes would be specific to this situation?

Needs at least one citation and reference

Interventions should have at LEAST:

3 things you would monitor/reassess,

3 things you would do or action

3 things you would teach your patient

The medication you would administer

What would make obtaining fruits and vegetables so difficult for the average American to eat in adequate quantities?

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Diet Analysis Project

Download the MyFitnessPal app to your smartphone (you will not need the Premium

membership).

You can also visit the website: MyFitnessPal.com. There are many resources to the website including blogs, community, recipes, goal setting and is useful for determining calorie needs, managing weight, tracking physical activity, assessing nutrient intake. Included on the website are many suggestions and useful tips for eating a healthier diet. This project will help reinforce the nutrition concepts taught in this class and are a great resource to share with your clients and family.

The purpose of this paper is to display what you have learned throughout the course and it should include references. I’m looking to see that you understand what nutrients and/or foods are found in each category and why they are important to our health.

You WILL NEED REFERENCES to complete this paper.

To Get Started :

1. Download the MyFitnessPal to your smartphone.

2. Create a profile and log-in. You’ll need to supply at a minimum a username, password, ht, wt, and activity level. There are many other options such as goal setting, weight loss, etc.

Food and Exercise Records:

Record everything you eat and drink for 6 days. The accuracy of your diet analysis will greatly depend on how well you enter your food intake information into the MyFitnessPal food diary. In order for the analysis to be of any value to you, it is extremely important to be as accurate and as truthful as possible when keeping track of the foods/beverages you consume on these days. The following are some things to note when keeping your food records.

· Record what you eat at the time you ate it. Remember to include things such as snacks, beverages, alcohol, etc.

· Make sure you record portion sizes accurately. Become familiar with what 1 cup, 1 tablespoon, 4 oz, etc., looks like on a plate or in a glass so you can visually estimate when you don’t have measuring cups or spoons available

· While you are keeping your records do not change your eating habits. The main objective of this project is to analyze your current daily eating pattern, so do not try to avoid eating something just because it may be inconvenient to write down or remember

· Record 5 weekdays and 1 weekend days to get a better assessment of your weekly intake

Pay careful attention to portion size, time of day the food was eaten, and additional condiments used in the preparation of the food. If you are having difficulty finding a match for the food eaten, try the best you can to select a food with the closest nutrient profile.

Note: If you take a multivitamin- it is recommended to leave it out of your food record as this project is meant to analyze your food intake.

Activity Record: Enter the time you spend doing exercise every day. Include running, aerobics, weight lifting, walking, or any other activity that you engage in outside of the activities of daily living.

TO DO:

1) Once you have entered your full day’s intake and exercise click on “Complete This Entry” and then “View Full Report” (Printable). This should provide your food records. Make sure you have checked all the boxes for “Printable Diary”

2) Make note of your totals for each day for each category, divide by 6 to get your average intake for calories, carbohydrates, fat, protein, cholesterol, sodium, sugar, and fiber.

You will report on the following items: carbohydrates, fiber, fat, trans fat, protein, potassium,

vitamin C, vitamin A, calcium and physical activity.

Answer the following:

1. What are your estimated calorie needs, according to your goal? (1 pt.)

2. What is your average (for 6 days) calorie intake? (1 pt.)

3. Compare your average caloric intake to your estimated calorie needs, will the difference or similarity have any effect in helping you achieve or maintain a healthy body weight? Why or why not? (3 pt.)

4. What are your average daily intakes of calories, carbohydrates, fat, protein, potassium, vitamin C, vitamin A, calcium and fiber? Include an actual number, not just “below” or “above” (5 pts.)

5. Average Daily Calorie Intake (10 pts.)

Carbohydrate (daily average): ___________g/day x ______ calories/g = _____________ calories/day

Protein (daily average): ____________g/day x ______ calories/g = ______________calories/day

Fat (daily average): ____________g/day x ______ calories/g = ______________calories/day

If you consumed an alcoholic beverage, include the calories here

Alcohol ________________calories/day

Total kcal/day (add up all of the above calories) ________________calories/day

Percentage of kcal from macronutrients:

Carbohydrate calories total average calories x 100 = _________________% of total calories

Protein calories total average calories x 100 = ____________________% of total calories

Fat calories total average calories x 100 = ______________% of total calories

To analyze the health benefits and harms from each category, please use the National Institutes of Health (https://ods.od.nih.gov/Health_Information/Dietary_Reference_Intakes), recommendations for carbohydrate, fiber, protein, fats, vitamin C, vitamin A, potassium and calcium to find the data representing your individual requirements.

6. If your average intake is higher/lower than recommended, why is this a proble? What are the possible consequences of continuing to eat this way? If you are on target with the recommendations, why is this beneficial? Make sure to discuss the health benefits or harms within each category. For example, if you are averaging 5 grams of

fiber/day what effect might this have on your health? If you are on target for

fiber, why is this beneficial? You must report on all categories even if you are

meeting the recommendations and discuss the benefits or harms of continuing

to eat this way. This question is worth 20 points so make it count! (20 pts.)

7. What role does physical activity play in health? (5 pts.)

8. What would make obtaining fruits and vegetables so difficult for the average American to eat in adequate quantities? (5 pts.)

9. What are some suggestions that would help you or others obtain their recommended daily intake of fruits and vegetables? (5 pts.)

10. In general, how do you think your diet fairs? What, if any, changes will you make to your diet after completing this project? This question is worth 20 points and deserves at least 2 good paragraphs and with attention to detail and specifics. (20 pts.)

TO BE PASSED IN:

· Include all 6 days of your food intake and exercise as entered into MyFitnessPal. Click on “View Full Report” (Printable) OR either take a screen shot OR save as a .pdf. Attach all 6 reports to your project. (20 points).

· Answers to the questions (points indicated for each answer)

· Include references

What is the role of the following bone formation: hormones (GH + sex hormones), Ca2+, stress; low Ca2+ increases PTH.

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MSN570 Week 8 Case Studies

A 30-year-old female presents with muscle weakness and fatigue. Abnormal electromyography testing and a positive acetylcholine receptor antibodies test is reported. Her final diagnosis is Myasthenia Gravis.

1. Describe the normal synaptic transmission at the Neuromuscular Junction (NMJ).

2. Why is the ACh level increased?

3. Explain why the patient with myasthenia gravis cannot generate consistent action potentials in the muscle fiber.

4. Treatment for the patient involves pyridostigmine—what does this drug do and how would it benefit our patient?

An 80-year-old male presents with resolving decubitus, that is now oozing and red. The wound team has been involved. His daughter wants information regarding his skin condition.

1. Describe the phases of wound healing.

2. What is resolution, regeneration and replacement?

3. What is the significance of the oozing and discoloration?

4. What factors impede the healing process and why?

A 65-year-old male presents with a painful left finger, he is unable to bend it and it is significantly swollen. He has a history of osteoarthritis.

1. OA is a disease of articular cartilage and subchondral bone in diarthrodial joints. Explain this.

2. What is the role of osteophytes in OA?

3. How do NSAIDS affect OA?

4. How does weight loss affect OA?

A 6-year-old male fell out of a tree and broke his left ulna.

1. What is the significance of a growth plate?

2. How is bone formed?

3. What is the role of the following bone formation: hormones (GH + sex hormones), Ca2+, stress; low Ca2+ increases PTH.

4. Compare and contrast the various types of fractures.

Prepare a voice-over PowerPoint presentation summarizing the PICO question, research findings, recommendations for change/no change to practice, and rationale for the recommendation. 

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Based on the strength of the evidence from the three articles reviewed in do introduce substance abuse programs compared to no substance abuse programs reduce substance abuse within a year., decide if a practice change or a recommendation for the implementation of a practice is indicated. You will make a recommendation to change or not change current practice (“C”) to the new practice that you reviewed (“I”) based on this evidence. 

Prepare a voice-over PowerPoint presentation summarizing the PICO question, research findings, recommendations for change/no change to practice, and rationale for the recommendation.  Limit your presentation to no more than 10 minutes and 8-10 slides that are clear, succinct, and compelling enough to convince the audience of the soundness of your recommendation.