Diabetes Mellitus

literature review and deconstruction

Selection of 15 Articles 

Select 15 empirical articles related to your PICOT question.

PICOT question: what is the effect of an “in-class diabetes education  versus giving reading materials in managing patients with diabetes and how it improves patient’s outcome

At least one article must demonstrate a quantitative methodology.

Part 2: Research Article Chart

Using the articles acquired in Part 1, provide a summary review of each component using the “Research Article Chart” template.

Part 3: Literature Review

Prepare a Literature Review (Chapter 2) of 2,000-3,000 words for your scholarly project.

Utilizing the major concepts ( definition of Diabetes Mellitus, Treatment of DM, Complication of DM, Costs of Treatment, Educating patient with DM)  further develop each major concept and subtheme by locating 15 more empirical articles related to your project topic

Use the “Research Article Chart” as a guide to analyze and synthesize (summarize) the literature into the paper you began in the Topic 4 assignment.

Based upon your review of the 15 additional research articles, expand on your summary of each major concept and your synthesis of the three identified subthemes that support each concept. At the end of each major concept, include a summary statement.

Research Article Chart

Criteria and Defining Characteristics Article 1: Article 2: Article 3:
Abstract

After reading the abstract what do you expect to learn from the article?

Introduction: Summarize the following in paragraph form.

· What is the purpose of the study?

· What is the scope of the study?

· What is the rational for the study?

· What is the hypothesis or research question?

· What key concepts and terms are noted?

· Is a review of the literature provided?

Methods: Summarize the following in paragraph form.

· What is the population being sampled?

· What data collection procedure is presented?

· What other procedures are described?

Results: Summarize the following in paragraph form.

· What are the given findings?

· How was data collected?

· Are the findings supported by graphs and charts?

· What does the analysis of data state?

Conclusion: Summarize in paragraph form.

· What is the summary of the study?

· What is the conclusion of the hypothesis?

· What are the questions for future research?

References

· What are the total number of references used in the study?

· List two of the references used.

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Hypertension

What is hypertension, causes, progression, treatment, nursing assessment, nursing intervention and dietary therapy?

Running head: PROJECT OUTLINE 1

PROJECT OUTLINE 4

Project Outline

Nutritional Principles in Nursing

Written Assignment

Thomasia Naya

October 27, 2019

Submitted to: Evelyn Corda – Course Instructor

Topic: Hypertension

A. A cardiovascular disease

B. Normal blood pressure

C. Types of hypertension

I. Essential

II. Malignant

III. Pulmonary

IV. Pregnancy induced

V. Portal

i. The role of nutrition in preventing hypertension

A. Reduced Carbohydrates

B. Reduced salt in diet

C. Increases fruits and vegetables

ii. Etiology of Hypertension

A. Genetics

B. Diet

C. Age

D. Lack of physical activities

E. Obesity

iii. Progression

A. Left Ventricular Hypertrophy (LVH)

B. Systolic and Diastolic Dysfunction

C. Arrhythmia and Symptomatic Heart Failure

iv. Treatment

A. Life style changes

1.Diet modification

2. Exercise

B. Antihypertensive medications

1. Angiotensin II Receptor Blocker (ARBs)

2. Angiotensin – Converting Enzyme (ACE) Inhibitors

3. Beta Blockers

4. Diuretics

v. Recommended Diet

A. Fruits and vegetables

B. Low salt diet

vi. Nursing Assessment

A. Gathering objective data

B. Gathering Subjective data

C. Therapeutic communication

vii. Nursing Intervention

A. Monitor blood pressure

B. Monitor diet

C. Monitor blood glucose

D. Monitor for signs of edema

viii. Client education and adherence

A. Check blood pressure

B. Check blood glucose

C. Reduce salt in food

D. Sit for some time before you stand

References

Mark H. Drazner, (2011). The progression of hypertensive heart disease. Retrieved from: https://ahajournals.org/doi/full/10.1161/circulationaha.108.845792

Sahed Mehrdad Hamriahan, MD (2017). Pathophysiology of hypertension. Retrieved from: https://emedicine.medscape.com/article/1937383-overview

George L. Bakris, MD (2019). Overview of Hypertension. https://www.merckmanuals.com/professional/cardiovascular-disorders/hypertension/overview-of-hypertension

Juan J. Bolivar(2013). Essential Hypertension: An approach to it etiology and nerogenic pathophysiology. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3872229/

Christopher E ClarkLindsay F P SmithRod S Taylor,  and John L Campbell (2010). Nurse led interventions to improve control of blood pressure in people with hypertension: systematic review and meta-analysis. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2926309/

Schlenka E. D.; PhD, RDN, Gilbert J.; PhD, RDN (2019), Williams’ Essentials for Nutrition and Diet therapy (12th ed.), St. Louis, MI: Elsevier

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Principals in Epidemiology

Principals in Epidemiology

Homework #2 (50 Points Total)

Please complete the following:

1. Utilizing the following list of communicable/infectious/exposure related conditions/diseases:

a. Lead, elevated blood levels

b. Hepatitis C

State: North Carolina

c. Measles

d. Animal Bites and Human Rabies

Please provide a description of the reporting requirements from the State in which you practice and include all of the following elements for each of the above diseases (a-d). Please include the name of the State, in the textbox above, in which you are providing information from and include all reference website URLs that the reporting information was obtained from for each disease below.

· Case definition: include suspect, probable, and/or confirmed, if appropriate – 5 points

· Reporting criteria: time frame, method (e.g. by phone, Fax form, electronic), and required agency to report to (e.g. local HD, State HD, or CDC) – 2.5 points

· Major elements of the information required to be reported (list categories or important information). If there is a reporting form available please attach a copy (not all diseases have a manual reporting form or some forms are used for multiple diseases, only need to attach one copy and note which diseases utilize the same attached form). If there is any standard follow-up patient/client information needed after reporting, please provide a description of this. – 5 points

A. Lead, elevated blood levels – 12.5 total points

B. Hepatitis C – 12.5 points

C. Measles – 12.5 points

D. Animal Bites/Rabies – 12.5 points

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create an educational risk management presentation.

The purpose of this assignment is to create an educational risk management presentation.

Building upon the outline for an educational session you created in the Educational Program on Risk Management Part One: Outline of Topic 2 assignment, develop a 12-15 slide PowerPoint presentation that expands in greater detail on how and why your organization should implement your proposed risk management strategy. Incorporate any instructor feedback from the Topic 2 assignment into this presentation and include talking points in the speaker notes section of each slide.

Keep in mind that the PowerPoint is meant to serve as a visual aide to bolster your presentation and is intended to highlight main ideas and key points. Do not use dense blocks of text or more than 7 bullet points of text per slide.  However, you may include supplementary images, graphs, and data where relevant.

To successfully complete this assignment, include the following sections as per your outline from Topic 2, though you may include any additional sections as needed:

  1. Introduction
  2. Rationale
  3. Support
  4. Implementation
  5. Challenges
  6. Evaluation
  7. Opportunities

You are required to support your statements with a minimum of six citations from appropriate credible sources.

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.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting 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 LopesWrite.

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Risk Management And The Role Of Managed Care

Reflective Analysis: Risk Management And The Role Of Managed Care

The purpose of this assignment is to analyze the role of managed care organizations within health care and risk management programs.

Reflect on and evaluate the role that the managed care organization (MCO) plays in today’s health care environment by developing a 250‐500-word response that addresses the following:

  1. What is a health care organization’s administrative role in executing risk management policies and ensuring compliance with managed care organization (MCO) standards?
  2. What value do the regulatory statutes of a typical MCO provide to a health care organization? Consider how strategies pertaining to policies such as conflict resolution and risk management affect patients as well as employees and employers.
  3. What MCO responsibilities relevant to the Patient Protection and Affordable Care Act (ACA) and Center for Medicare and Medicaid Services (CMS) focus on fraud, waste, and abuse laws?

In addition to your textbook, you are required to support your analysis with a minimum of two peer‐reviewed references.

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.

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SWOT ANALYSIS

SWOT ANALYSIS 2

A strategy map seeks to align organizational goals into strategy and provide clear direction for the organization.

Review the mission statement of your selected organization. Prior to creating a strategy map, identify your stakeholders. Complete a stakeholder analysis to identify and prioritize the various stakeholders. Refer to the “Stakeholder Analysis” resource from Mind tools and complete all steps.

Based on your strategic goal, create a strategy map using Microsoft Word, Microsoft PowerPoint, Microsoft Visio, or other software. Include only the required perspectives (financial, customer, internal, and learning and growth) that pertain to the strategic goal in your map. The cause-and-effect relationships are described by connecting arrows.

 

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Holistic Care of Older Adults

Older adult interviewed : Ardmon Flemings

You can create an age and any additional information as no official interview was conducted. Must follow the attached document and answers must be typed in APA format in the attached document.

* Must cite 3 references

* Must use APA formatting

*No plagiarism, turnitin report needed.

N3325 Holistic Care of Older Adults

Week 4 – Assignment: Life Review Analysis

Submit by 2359 Saturday of Week 4.

Name: Date:

Overview: Life Review Analysis

For this assignment, you will reflect on your interview with the older adult, introduce the individual to the reader, and respond to guiding questions to prepare an analysis paper.

DO NOT INTERVIEW A FAMILY MEMBER UNLESS YOU OBTAIN COACH’S WRITTEN APPROVAL PRIOR TO INTERVIEW

Your paper should include the following sections:

1. Introduction of Older Adult – This is the overall context of your interview but should not include the entire interview itself.

2. Analysis of the Life Review Interview – This includes description of the goals and benefits of life review, your differentiation between a Life Review and ordinary remembering and your analysis of the degree of ego integrity reached by the older adult.

3. Student’s Reflections – This describes your personal experience during the process, any impact it will have on your clinical practice, and a projection of your own legacy.

4. References – This is a list of resources you used during your interview and analysis recorded in APA format. Use at least 3 in-text citations of your sources.

Use APA format throughout paper and references as appropriate. The paper should be no longer than 4 pages (not counting Pages 1-3 of this document and your page of references). If you have questions, please discuss them with your Academic Coach.

You must also scan, upload, and submit your Interview Consent Form in the appropriate assignment portal. This form counts toward up to 15 points of your Life Review Analysis score. Your Interview Subject’s full name must appear on the signed consent form!

Details about each section are given later in this document.

Performance Objectives:

· Apply gerontologic nursing principles and standards in nursing practice across the continuum of elder care.

· Use current evidence and theories in care of older adults.

· Conduct a personal interview with an older adult for the purpose of documenting Life Review.

Rubric

Use this rubric to guide your work on the assignment, “Life Review Analysis.”

The completed Life Review Interview will be analyzed, tying together what the student has learned from the literature about the goals and benefits of Life Review as well as evaluating the interviewee’s status according to Erikson’s final developmental stage, Ego Integrity vs. Despair.

· Rubric Detail

  Levels of Achievement
Criteria Proficient Competent Novice
Interview Consent Form https://elearn.uta.edu/images/ci/icons/cmlink_generic.gif

Weight 15.00%

100 %

complete with signatures or participant is at least age 70 and is not a relative of student unless student has written permission from Coach/Faculty for an exception(10). Consent is in correct format (not JPEG)

0 % 0 %

not submitted at all. Missing information

or signatures or consent is submitted in incorrect format

If the consent form is not submitted then no credit will be

Given for the assignment

Introduction of Older Adult Confidentiality https://elearn.uta.edu/images/ci/icons/cmlink_generic.gif

Weight 2.00%

100 %

Older adult is identified only with initials

50 % 0 %

Name is used

Selection Process/criteria Biography Significant Events Relationships work and Home Summary statements https://elearn.uta.edu/images/ci/icons/cmlink_generic.gif

Weight 7.00%

100 %

Key information is present in these areas

75 %

Sketchy, missing some information

0 %

missing critical information

Organizations/quality https://elearn.uta.edu/images/ci/icons/cmlink_generic.gif

Weight 1.00%

100 %

Well organized, brief

0 % 0 %

Lacks continuity or is excessively wordy

Analysis of Life Review goals and Benefits of Life Review https://elearn.uta.edu/images/ci/icons/cmlink_generic.gif

Weight 10.00%

100 %

4 or more benefits or goals are listed

70 %

2-3 benefits or goals listed

0 %

0-1 benefits or goals

Similarity of Life Review to Ordinary Remembering https://elearn.uta.edu/images/ci/icons/cmlink_generic.gif

Weight 10.00%

100 %

Comparison is present with 2 or more examples from the interview

50 %

Comparison with 1 example

0 %

no comparison or no examples

Differences between Life Review and Ordinary Rememberinghttps://elearn.uta.edu/images/ci/icons/cmlink_generic.gif

Weight 6.00%

100 %

Contrast between Life Review and ordinary remembering with explanation of Evaluation. 2 or more examples from interview given

50 %

same as proficient but with only 1 example

0 %

contrast is inadequate or no examples given

Erikson’s Developmental Stage and Description of Interview Subject https://elearn.uta.edu/images/ci/icons/cmlink_generic.gif

Weight 10.00%

100 %

Theory is described clearly with 2 specific examples given from the interview

80 %

same as proficient with only 1 example

0 %

Loos connection between theory and client: missing description of theory or no connection.; no examples

Ego Integrity Rating https://elearn.uta.edu/images/ci/icons/cmlink_generic.gif

Weight 3.00%

100 %

rating is present and plausible based on documented interview

0 % 0 %

Rating is missing or implausible

Rationale for rating https://elearn.uta.edu/images/ci/icons/cmlink_generic.gif

Weight 3.00%

100 %

Rationale is present and clear from the examples given

0 % 0 %

Rationale unclear or missing

Citations regarding Erikson’s Theory https://elearn.uta.edu/images/ci/icons/cmlink_generic.gif

Weight 3.00%

100 %

1+ source is cited in text

0 % 0 %

no citation given to support information on Erikson

Reflections Value and Reason https://elearn.uta.edu/images/ci/icons/cmlink_generic.gif

Weight 3.00%

100 %

Statement(s) with 1+ reason(s)

50 %

Statement with no reasons

0 %

no statement of personal value

Most Significant Point of Interview https://elearn.uta.edu/images/ci/icons/cmlink_generic.gif

Weight 3.00%

100 %

Example(s) with 1+ reason(s)

50 %

examples with no reason

0 %

no statement of significant point

Most Difficult or Anguishing part https://elearn.uta.edu/images/ci/icons/cmlink_generic.gif

Weight 3.00%

100 %

example(s) with 1+ reasons or statement of none

50 %

examples with no reasons

0 %

no statement

Impact on Clinical Practice https://elearn.uta.edu/images/ci/icons/cmlink_generic.gif

Weight 3.00%

100 %

examples with 1+ reasons

50 %

examples with no reasons

0 %

no statement

Personal Legacy https://elearn.uta.edu/images/ci/icons/cmlink_generic.gif

Weight 2.00%

100 %

definition, personal legacy present

50 %

definition or personal legacy

0 %

no statement regarding legacy

APA Format Used List of References https://elearn.uta.edu/images/ci/icons/cmlink_generic.gif

Weight 5.00%

100 %

APA format used, 3+ references

60 %

APA format used, 1-2 references 1-2 APA errors in references

0 %

Incorrect APA (>4 errors) or no list of references

References in Body of the Text https://elearn.uta.edu/images/ci/icons/cmlink_generic.gif

Weight 5.00%

100 %

APA format used, no APA errors. 3+ references

60 %

APA format used, 1-2 APA errors. 1-2 references

0 %

Incorrect APA, 3+ APA errors, or no list of references

Spelling Punctuation and Grammar https://elearn.uta.edu/images/ci/icons/cmlink_generic.gif

Weight 5.00%

100 %

no errors

60 %

1-2 errors

0 %

>2 errors

Scope minus 5 points if a family member is interviewed without consent of faculty in advance https://elearn.uta.edu/images/ci/icons/cmlink_generic.gif

Weight 1.00%

100 %

within maximum of 6 pages

0 %

over 6 pages

-5 %

family member interviewed without permission

A. Interview Consent Form

Upload and submit your Interview Consent Form (with elder’s signature) in the appropriate Week 4 assignment portal. This is due 2359 Saturday of Week 4 along with your Life Review Analysis.

B. Introduction of Older Adult

Do not submit the entire interview.

· Describe how and why you selected this older adult (use only older adult’s initials).

· Include a brief biography of your elder. For example:

C.R. is an 84-year-old white male living with his wife of 60 years in Arlington, Texas. He was born in Madison, Wisconsin, the oldest of four children. During his childhood, he lived on a farm, graduated high school and moved to Chicago, IL. He graduated with a bachelor’s degree in electrical engineering from the University of Chicago…..etc., etc.

The brief biography should be at maximum one page in length Do not rewrite your interview, only summarize it. Since the instructor was not present at your interview, this section of the paper provides the context of your interview.

C. Analysis of the Life Review Interview

· Compare and contrast the elements of a Life Review with those of ordinary remembering. Give two supporting examples from your interview. How are they similar, and how are they different?

· Describe 4 goals and benefits of life review. Give references and citations to support them.

· Based on your interview, describe the degree on a scale of 0 to 10 of Erikson’s ego integrity reached by the elder. Give a rationale for your assessment that includes at least one example from the interview.

· Include the reference(s) for your supporting citations (APA style).

· Organize your analysis so that it is complete and concise. Your total paper (beginning with Page 4 of this document) should be 6 pages maximum in length, not counting your page of references.

D. Student’s Reflections

· This interview experience was/was not an enlightening experience. Why?

· Describe the most significant point of the interview to you, and explain why.

· Describe a difficult/anguishing part of the interview, if any, and explain why.

· In what way might you change your general approach to elders in your clinical practice after this experience, if any?

· Define “legacy” in your own terms. Discuss what you would like your legacy to be; what would you like to leave for others?

E. References

List your references for this assignment using APA format.

3

©2009 UTA School of Nursing

Week 6 Ethical Issues: Opposing Viewpoint Presentation

In week 6, you will present a 6-10 minute audio/visual presentation opposing the issue you previously supported (Patient Confidentiality). You may not be personally in opposition of this issue, however it is your job to convince us you are. Include evidence why you are taking this stance with this issue. Your presentation should include both audio and visual components. The visual component can be PowerPoint slides, graphics, etc.

  • Your presentation should be no more than 10 minutes long. Only the first 10 minutes of your presentation will be graded if you go over the time limit.
  • You must succinctly sum up your position.

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Bipolar Disorder Alternate Treatments

Bipolar Disorder Alternate Treatments Powerpoint

You will submit a PowerPoint presentation containing a title slide, 10-15 slides each with comprehensive content demonstrating the use of your peer-reviewed sources, and reference slides. Remember to include a source for each image or graphic included on the slides; this is easiest done directly on the slide under or next to the image. Your “talking points” are considered speaker notes and should contain 20-30 minutes of “talk time.” Information read directly from the slide should be included in the speaker notes. We recommend you time yourself while reading your speaker notes to determine if your presentation is within the 20-30 minutes for content. Your speaker notes should be written exactly as you would be speaking to your audience. You do need to include citations in your speaker notes. Be sure to include all of your references on the reference slide(s).

 

Create a formal reference page including all of your nine (or more) references from your project. Please be sure to use formal APA format. Refer to your APA manual for any questions.

 

Introduction of Focused Area: Nursing Administration, Education, or Nurse Practitioner.

My focus area for this capstone project will be Education. I plan to educate my local community on an issue that I am passionate about because it can help save the lives of many. 

Introduction of Capstone Project. Identification of area of Interest and Strengths and why important. 

My area of interest is non-chemical practices for the treatment of bipolar disorder. Bipolar disorder is such a complicated mental illness that too many adults and children suffer from. Even with the use of medications, symptoms are not completely alleviated. I would like to educate the public on additional treatment practices that can make their lives and the lives of their families easier. 

3 references and 3 SMART goals I created for this project that must be used.

 

  1. By the end of my presentation, 88% of the audience will write down a  correlation between suicide and bipolar disorder.

·  Correlation   between suicide and bipolar disorder

Zai, C. C., Gonçalves, V.   F., Tiwari, A. K., Gagliano, S. A., Hosang,

G., de Luca, V., … Kennedy, J. L. (2015). A   genome-wide  association study of suicide severity   scores in bipolar disorder. Journal of   Psychiatric Research, 65, 23–29. https://doi-org.ezproxy.uta.edu/10.1016/j.jpsychires.2014.11.002

 

  1. By the end of my presentation, 95% of the audience will identify one        positive outcome of ECT therapy

· ECT and Bipolar Disorder

Bodnar,   A., Krzywotulski, M., Lewandowska, A., Chlopocka-

Wozniak,   M., Bartkowska-Sniatkowska, A., Michalak, M., &  Rybakowski, J. K. (2016).   Electroconvulsive therapy and cognitive functions in treatment-resistant   depression. World Journal of Biological   Psychiatry, 17(2), 159–164. https://doi-org.ezproxy.uta.edu/10.3109/15622975.2015.1091501

 

  1. Within        three months of the presentation, 90% of the audience will be able to        identify at least two benefits of DBT for treating Bipolar disorder

· Dialectical Behavioural Therapy in Bipolar   Disorder

Zargar, F., Haghshenas, N., Rajabi, F., & Tarrahi, M. J. (2019).

Effectiveness of Dialectical Behavioral   Therapy on Executive Function, Emotional Control and Severity of Symptoms in   Patients with Bipolar I Disorder. Advanced biomedical research8.

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Policy Organization And Financing

Discussion Prompt 1 Policy Organization And Financing

What is the difference between a protocol, standard of care delivery, and policy at the practice, state, and federal level?Briefly outline each. What are the perceptions of the health care delivery system from the perspectives of patients, providers, payers, and policy makers?  Discuss at least one perception from all one of the populations listed: patient, provider, payer, and policy maker.

Discussion 2 Strategic Plan

Your highest performing and tenured manager of a 20-person department unexpectedly submitted their two weeks’ notice. Your next-most tenured employee in the department has only 2 years of experience. Additionally, there is a major hospital chain in your area that seems to have the first pick recruiting the talent you need.

Develop a 3- to 4-page strategic plan that outlines priorities and steps to mitigate the impact of your employees’ rapid departure.

Propose a recruitment plan to fill the managerial position.

Develop a pre-boarding checklist and an onboarding plan covering an employee’s first 30, 90, and 180 days with performance metrics.

Identify policies and practices that could have been put in place to proactively avoid this situation.

Cite at least 3 reputable references to support your assignment (e.g., trade or industry publications, government or agency websites, scholarly works, or other sources of similar quality).

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Cultural Factors And Their Influence On Medications

Cultural Factors And Their Influence On Medications

In this written assignment, select one cultural factor such as health beliefs, language, perception of time, environment control, etc. (see textbook reading) and apply it to a selected ethnic group. The paper will include the following:

  1. One impact on medication preparation. Explain.
  2. Two impacts on medication administration. Explain.
  3. Two potential adverse reactions. Explain with rationale.
  4. One possible issue in adherence to medication regimen. Explain how this can be overcome.

The paper should be no more than 3 pages. Use APA Editorial Format for all citations and references used.

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