Compare types of diabetes, including drug treatments for type 1, type 2, gestational, and juvenile diabetes.

Compare types of diabetes, including drug treatments for type 1, type 2, gestational, and juvenile diabetes.

  • Select one type of diabetes to focus on for this Discussion.
  • Consider one type of drug used to treat the type of diabetes you selected, including proper preparation and administration of this drug. Then, reflect on dietary considerations related to treatment.
  • Think about the short-term and long-term impact of diabetes you selected on patients, including the effects of drug treatments.
  • Post a brief explanation of the differences between the types of diabetes, including type 1, type 2, gestational, and juvenile diabetes. Describe one type of drug used to treat the type of diabetes you selected, including proper preparation and administration of this drug. Be sure to include dietary considerations related to treatment. Then, explain the short-term and long-term impact of this type of diabetes on patients. including the effects of drug treatments. Be specific and provide examples.
  • APA citation, 3 to 4 References within 5 years

Minimum of 300 words with at least 2 peer review reference in 6th edition apa style.

Minimum of 300 words with at least 2 peer review reference in 6th edition apa style.

 

Select two of the following discussion questions for your discussion response. Indicate which questions you have chosen using the format displayed in the “Discussion Forum Sample.”

  1. Explain the underlying pathophysiology associated with hypertensive conditions. What are the associated pathological complications?
  2. Detail the physiological process of heart failure, causes of heart failure, and pathological changes associated with heart failure.

Minimum of 300 words with at least 2 peer review reference in 6th edition apa style.

Minimum of 300 words with at least 2 peer review reference in 6th edition apa style.

What is the difference between leadership and management? Should all nurses be considered leaders? What characteristics of nurses make them leaders? How do your responses compare or contrast with the view of power according to servant leadership? Support your response with evidence from the textbook or study materials.

Ovarian Cancer screening

2-3 Pages

Ovarian Cancer screening

Ovarian cancer cases amongst adolescents/ teens

Due Urgently !

Only these resources can be used:

WorldCat

Journal title search

PubMed

ProQuest

Web of science

Library Databases

Google scholar

This section covers your planned recruitment and ethical considerations for your future participants. It should take up about two to three pages, or approximately 350 to 500 words. The purpose is to tell the reader what your recruitment plan is for the study. You should have subheadings throughout this section of the paper.

For this assignment, write the Sample Section of your EBP Project Proposal in a Word document.

Here is a Week 8 Sample Section Example (Word) of what the sample section can look like.

Sample Section Guidelines

This section covers your planned recruitment and ethical considerations for your future participants. It should take up about two to three pages, or approximately 350 to 500 words. The purpose is to tell the reader what your recruitment plan is for the study. You should have subheadings throughout this section of the paper.

In this section, write about the following:

  1. Sample: Cover the following points in no more than two paragraphs each:
    • How subjects will be recruited
    • What the inclusion criteria will be (for more expansion, you may add the exclusion criteria to show what was consciously eliminated)
    • The type of sample (random, purposive, convenience, etc.)
    • The proposed sample size and rationale for this choice
    • The selection method (random table of numbers, flip a coin, etc.— this depends on the type of study)

      Although this subsection should cover all these items, it may be written in a narrative style.

  2. Setting: Keeping in mind that this is a proposed setting, and it should not be recognizable for confidentiality and privacy reasons. It is a broad view of the setting. For example:

    The proposed setting for this study is a large teaching hospital in the northeast. The actual place where the study would be carried out is in the three medical–surgical units in this hospital. Each unit has a bed capacity of 25–30 beds with occupancy rates of 92% to 95%. The study will take place in a private conference room.

    Or, if a mailed questionnaire or survey is to be used:

    The proposed setting for data collection will be by mailing the questionnaire to the homes of the subjects. The researcher would be mailing the questionnaires from home with a return-addressed, stamped envelope.

  3. Informed Consent and Ethical Considerations: Institutional Review Board (IRB) approval will be obtained. The researcher will submit an application and proposal to the Regis College IRB first. After approval from Regis College, the institution where the study will take place usually requires IRB approval as well. The request or application may be one of three types:
    • Exempt from review: This is for studies with no intervention or may be just for a medical record review.
    • Expedited review: This is for minimal risk to subjects—physical or psychological.
    • Complete institutional review: This is for studies that may pose a risk to subjects.

Please address means of protecting human subjects, such as the use of pseudonyms for qualitative studies and the use of numbers to identify subjects in quantitative studies. Data storage must be addressed. Make certain that identifying data (informed consent document) is maintained in a locked file separate from de-identified data (demographics, surveys, transcripts) that also will be maintained in a locked file in the researcher’s locked office.

 

Week 8 Sample Section Example

Written by Jennifer Oddy, Entitled: Distress And Coping of Mothers of Children With Muscular Dystrophy 

Sampling Method, Sample, and Setting

Sampling method. The participants will be recruited by criterion purposive sampling by their doctors/nurses at the Muscular Dystrophy Association clinic at Boston Children’s Hospital.

Sample. Inclusion criteria are the following: (1) You are 21 years of age or greater; (2) are the mother of a child with muscular dystrophy; (3) your child is aged between 4 and 17 and was 10 years or younger at their first physical assessment by a primary care provider; (4) you provide roughly 75% or more of the home care for the child.

People will not be eligible for this study if they: (1) have been diagnosed with a mental health disorder (bipolar disorder, schizophrenia, or have a physical addiction to drugs or alcohol); (2) if the child is currently residing in a long-term care facility.

The sample size will ideally be about 10 participants. Phenomenological studies tend to rely on very small samples, since there is one guiding principle for selecting the sample: all participants must have experienced the phenomenon and must be able to articulate what it is like to have lived the experience (Polit & Beck, 2012). Data will be collected until saturation is accomplished.

Setting. The proposed setting for this study is at the Muscular Dystrophy Association (MDA) clinic at Boston Children’s Hospital located at 300 Longwood Ave, Boston, MA. There are two directors at the clinic, an orthopedic, and a pediatric neurologist. The team members include a social worker, physical therapist, and a genetic counselor. The number of patients at the clinic cannot be disclosed, however, Boston Children’s Hospital is considered an elite clinic and is included in the MDA network that supports clinical trials and research. The hospital offers the highest level of diagnostic and treatment services, with neurologists and other specialists being very experienced in treating children with muscular dystrophy.

Informed consent and ethical considerations 

Before enrolling participants in this study, an informed consent must be signed and approved by an Institutional Review Board (IRB, Appendix A). This will be obtained from the Muscular Dystrophy Association clinic at Boston Children’s Hospital, as well as from Regis College. An application and proposal will be sent to the IRB, requesting approval for this study. Since there is minimal risk to subjects, an expedited review will be requested (Polit & Beck, 2012). There is a risk that the participant may have feelings of discomfort while discussing the experiences of caring for a child with muscular dystrophy. This will be minimized by the researcher with empathy and compassion. If the participant would like counseling, a call will be made to their primary care provider.

There are no foreseen ethical issues involved in this research study. The interviews will be tape recorded, transcribed, and held in locked files in an office. The results of the interviews will remain confidential, only being available to the researcher, in order to protect the participants. All participants involved in the study will receive full clarification of the purpose of the study, the research process, and research results in order to ensure that participants can make an informed consent to participate in the study.

minimum of 500 words with 3 or more peer review reference in 6th edition apa style.

minimum of 500 words with 3 or more peer review reference in 6th edition apa style.

You are the director of an urgent care center, research and defend your thought why the urgent care center is more beneficial to be hire an APP(advanced practice provider) rather than run/hire a MD.  please also include a cost and salary deferential between the two.  What are the pros and con using an APP.  can you achieve the same patient outcome with a APP.  Your job is to convince the share holders. please include some form of graph to help illustrate or back up your point of view.

Mrs. Allen is a 68-year-old African American who presents to the clinic for prescription refills. The patient indicates that she has noticed shortness of breath which started about 3 months ago. The SOB gets worse with exertion, especially when she is walking fast, and it is resolved when she is resting. She reports that she is also bothered by shortness of breath that wakes her up intermittently during her sleep. Her symptoms of shortness of breath resolve after sitting upright on 3 pillows. She also has lower leg edema pitting 1+ which started 2 weeks ago. She indicates that she often feels light headed at times with intermittent syncope episodes while going up a flight of stairs, but it resolves after sitting down to rest. She has not tried any over the counter medications at home.

Case Study

Chief complaint: “I’m here for a medication refill because I ran out of my medicines”.

HPI:  Mrs. Allen is a 68-year-old African American who presents to the clinic for prescription refills. The patient indicates that she has noticed shortness of breath which started about 3 months ago. The SOB gets worse with exertion, especially when she is walking fast, and it is resolved when she is resting. She reports that she is also bothered by shortness of breath that wakes her up intermittently during her sleep. Her symptoms of shortness of breath resolve after sitting upright on 3 pillows. She also has lower leg edema pitting 1+ which started 2 weeks ago. She indicates that she often feels light headed at times with intermittent syncope episodes while going up a flight of stairs, but it resolves after sitting down to rest. She has not tried any over the counter medications at home.

She started taking her medications, but failed to refill the prescriptions because she cannot afford the medications as she only works part-time and lives alone. In addition, she reports that she does not think taking all these medications would help her condition anyway.

PMH: Primary Hypertension, Previous history of MI 1 year ago

Surgeries:

1 year ago-Left Anterior Descending (LAD) cardiac stent placement

Allergies: Penicillin

Vaccination History:  Up-to-date

Social history:

High school graduate married and no children. Drinks one 4-ounce glass of red wine daily. She is a former smoker and stopped 5 years ago.

Family history:

Both parents are alive. Father has history of MI and valvular heart disease; mother alive and cardiac history is unknown. He has one brother who is alive and has history of MI 5 years ago at age 52.

ROS:

Constitutional: Lightheaded and faint with exertion. Respiratory: Shortness of breath with exertion. + Orthopnea. Cardiovascular: + 2 pitting leg edema for 3 weeks.

Psychiatric: Non-contributory.

Physical examination:

Vital Signs: Height: 5 feet 1 inches Weight: 175 pounds BMI: 32, Obese, BP 160/92, T 98.0, P 111,  R 22 and non-labored

HEENT: Normocephalic/Atraumatic, Bilateral cataracts; PERRLA, EOMI; Teeth intact. Negative for gum disease. NECK: Neck supple, no palpable masses, no lymphadenopathy, no thyroid enlargement. LUNGS: + Mild Crackles on inspiratory phase not clearing with cough. Equal breath sounds. Symmetrical respiration. No respiratory distress. HEART: Normal S1 with S2 during expiration. An S4 is noted at the apex; + systolic murmur noted at the right upper sternal border without radiation to the carotids. Pulses are 2+ in upper extremities and 2+ in pedal pulses bilaterally. 2+ pitting edema to her knees noted bilaterally. ABDOMEN: No abdominal distention. Nontender. Bowel sounds + x 4 quadrants. No organomegaly. Normal contour; No palpable masses. GENITOURINARY: No CVA tenderness bilaterally. GU exam deferred. MUSCULOSKELETAL: + Heberden’s nodes at the DIP joints, hands. + Crepitus, bilateral knees. Slow gait but steady. No Kyphosis. PSYCH: Normal affect. Cooperative. SKIN: No rashes. Positive for dry skin.

Labs: Hgb 13.2, Hct 38%, K+ 4.0, Na+137, Cholesterol 228, Triglycerides 187, HDL 37, LDL 190, TSH 3.7, glucose 98.

A:

Primary Diagnosis: Congestive Heart Failure (CHF)

Secondary Diagnoses: Primary Hypertension, Obesity, Osteoarthritis (OA)

Differential Diagnosis: Peripheral Vascular Disease (PVD)

Plan:

Medications: Tylenol 650 mg PO Q4 hours as needed for arthritis pain

Labs: UA; Brain natriuretic peptide (BNP); LFTs and TSH; 12-lead EKG, Chest X-ray; Initial 2D echo with Doppler; Ankle-brachial index.

Additional lab results: Echo results 1 week ago: Left ventricular EJ Fraction decreased to 35 %

BNP – not available.

As a future FNP, you need to determine the medications for CHF/ASCVD. (Arteriosclerotic Cardiovascular Disease).

Questions:

1.     According to the ACC/AHA guidelines, what medications should this patient be prescribed?

2.     Does he need medication(s) given his history of MI?

Thanks!

a list of at-least 10 ingredients.

Geography of Food Exercise: Checklist (Rubric) Include your name, date, and a title in the first page of your work. Your work must include the following sections in this order: Title, Table, Map, Essay, and Bibliography. Table (25%)*: Your table must include the following information:

A. Title: with the name of the dish and the claimed country of origin of your dish at the top and before introducing your table.

B. Table: must include two columns with the following information:

 First column: a list of at-least 10 ingredients. If using a by-product of any plant or animal, then the main source of your ingredient must be included first and then, using parenthesis, include the name of the by-product. For example: tomato (paste); goat (cheese); wheat (flour), olive (oil).

If your dish does not include 10 ingredients, you can add sides to complete this requirement (i.e., a salad, steamed vegetables, etc. that are traditional “companions” – sides- when these dishes are served).

 The second column: the region of domestication of these ingredients using the

“Centers of Plant and Animal Domestication” map provided, or any other reputable source. If you are using another source, meaning a reputable source (which must be included in your Bibliography), the regions of domestication of these ingredients must be included in your table using the regions provided on the map. For example, if the source you are using states that an ingredient was domesticated in ancient Egypt or Mesopotamia, this ingredient would have been domesticated in the Mediterranean or the Southwest Asia region of domestication, respectively.

If your dish includes an animal or plant that is native (also called indigenous) to the claimed country of origin of your dish, you must include it in your table as “native” or “indigenous.” In most cases these will apply to seafood caught locally or salt. Note that the map “Centers of Plant and Animal Domestication show that parts of Europe are included in the Mediterranean region of domestication (not including France). So, in case you are using a dish from, for example, Spain (which is included in the Mediterranean region), you must include in your table all ingredients domesticated here as either Mediterranean or Native, but not both. If your dish includes an ingredient that was domesticated in two regions, include the one that is closest to Europe. Some examples include cattle (Mediterranean and Southwest Asia) or rice (West Africa and South and Southeastern Asia).

C. Chart (Not Required) your work may include a chart with the basic statistics of your dish next to your table. This information is required in your essay when you answer the ‘where’ question (origin of these ingredients). In this chart include the contributions of each region of domestication to the make-up of your dish. Completing this portion will be very easy because you are required to include ten items (ingredients) in your work, and each item equals to ten percent of the total number of ingredients included in your dish (i.e., 5 items will correspond to 50%).

*Note: If your table includes incorrect information (plants and animals not domesticated in the regions cited in your work/table), this fact will make your work inaccurate (including your table and essay), and

will be reflected in your grade (5% discount in the final grade for each item that falls within this category).

Map (25%)*: Your map must include the following information:

A. Title (i.e., “The Geography of _________ (name of your dish)” (country of origin).

B. Orientation arrow pointing to the geographical north.

C. A legend that includes all symbols used in your map (i.e., flow lines, native ingredients icon).

D. Labels: E. Labels for each region of domestication included in your recipe, and the shapes of these

regions’ boundaries. F. A label for the claimed country of origin of your dish located in its exact position. Use an arrow

connecting the country label to the exact position of this country if necessary.

G. Flow lines that connect the regions of domestication of the ingredients included in your dish and the claimed country of origin. The width of the flow lines must represent the contribution of each region of domestication as well.

*Note: Each of these items is worth 5% of the final grade for this assignment.

Essay (45%)*: Your essay must include the following information and other requirements listed below:

A. Meet the minimum required number of words for the essay (800 words). This word count does not include the Bibliography, Table, Map, and other information included in other sections of your work.

B. Demonstrate knowledge of the topic using key definitions (i.e., cultural diffusion –relocation and expansion diffusion-, the Columbian Exchange, globalization, etc.).

C. Include at-least one pertinent reference (textbook or a reputable source) that relates to your dish, and introduce this source by making a notation in your work (as a direct quote or in your own words; see PPT for details).

D. Your essay must answer three broad questions (Where? Why [and how]? and, So what?) that any geographically-based work must include.

E. Do not include the preparation (recipe) of your dish in your essay. This is irrelevant to the purpose of this exercise, and will not be counted towards the minimum word requirement. A 10% discount in the final grade for this assignment will also apply.

F. Format your work following all technical aspects: 12-point font (Arial, Times New Roman, Garamond, or Book Antiqua), one-inch margins all around, double-spaced, and, number the pages. Not following this format will result in a 10% discount in the final grade for this assignment.

*Note: In this section you will be evaluated in terms of the detail and thoroughness of the information you provide, showing knowledge of the key definitions used by geographer when analyzing such topics. This means that your analysis should be as descriptive and detailed as possible. Remember that this is a geography exercise and spatial distribution should be highlighted in your analysis (essay).

Bibliography (5%)*: This section can also be referred as References or Works Cited (use only one title) in your work.

A. Include on a separate page using one of the following titles only, Bibliography/References/Works Cited, a full reference of all the works cited in your essay.

B. Include all the reference cited in the Bibliography/References/Works Cited in your Essay.

*Note: Missing to include either a) or b), or both in your work will lead to a 5% deduction in your final grade of this assignment.

What type of drug should you prescribe based on your patient’s diagnosis? How much of the drug should the patient receive? How often should the drug be administered? When should the drug not be prescribed? Are there individual patient factors that could create complications when taking the drug? Should you be prescribing drugs to this patient? How might different state regulations affect the prescribing of this drug to this patient?

What type of drug should you prescribe based on your patient’s diagnosis? How much of the drug should the patient receive? How often should the drug be administered? When should the drug not be prescribed? Are there individual patient factors that could create complications when taking the drug? Should you be prescribing drugs to this patient? How might different state regulations affect the prescribing of this drug to this patient?

These are some of the questions you might consider when selecting a treatment plan for a patient.

As an advanced practice nurse prescribing drugs, you are held accountable for people’s lives every day. Patients and their families will often place trust in you because of your position. With this trust comes power and responsibility, as well as an ethical and legal obligation to “do no harm.” It is important that you are aware of current professional, legal, and ethical standards for advanced practice nurses with prescriptive authority. Additionally, it is important to ensure that the treatment plans and administration/prescribing of drugs is in accordance with the regulations of the state in which you practice. Understanding how these regulations may affect the prescribing of certain drugs in different states may have a significant impact on your patient’s treatment plan. In this Assignment, you explore ethical and legal implications of scenarios and consider how to appropriately respond.

To Prepare
  • Review the Resources for this module and consider the legal and ethical implications of prescribing prescription drugs, disclosure, and nondisclosure.
  • Review the scenario assigned by your Instructor for this Assignment.
  • Search specific laws and standards for prescribing prescription drugs and for addressing medication errors for your state or region, and reflect on these as you review the scenario assigned by your Instructor.
  • Consider the ethical and legal implications of the scenario for all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.
  • Think about two strategies that you, as an advanced practice nurse, would use to guide your ethically and legally responsible decision-making in this scenario, including whether you would disclose any medication errors.

senario

As a nurse practitioner, you prescribe medications for your patients. You make an error when prescribing medication to a 5-year-old patient. Rather than dosing him appropriately, you prescribe a dose suitable for an adult.

Write a 2- to 3-page paper that addresses the following:

  • Explain the ethical and legal implications of the scenario you selected on all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.
  • Describe strategies to address disclosure and nondisclosure as identified in the scenario you selected. Be sure to reference laws specific to your state.
  • Explain two strategies that you, as an advanced practice nurse, would use to guide your decision making in this scenario, including whether you would disclose your error. Be sure to justify your explanation. 
  • Explain the process of writing prescriptions, including strategies to minimize medication errors.
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    helpfulwebsites.docx

Define patient-centeredness in the context of evidence-based practice. Describe barriers to the implementation of patient-centered evidence-based care in your practice environment and share actions that might be taken to alleviate these barriers

Define patient-centeredness in the context of evidence-based practice. Describe barriers to the implementation of patient-centered evidence-based care in your practice environment and share actions that might be taken to alleviate these barriers.

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook.

Learning Materials

  • Melnyk, B. M. & Fineout-Overholt, E. (2015). Evidence-based practice in nursing & healthcare: A guide to best practice (3rd ed.) Philadelphia, PA: Wolters Kluwer Health. ISBN: 978-1-4511-9094-6. Read Chapters 7 and 8.