Category: Nursing

You are a new FNP in a restricted state and have your DEA license, and state furnishing for schedule II-V controlled substances. You are working at a busy family practice group, and you have a patient, SP, that is establishing care for the first time with your practice and comes to you with the following scenario:
• SP is a 54 y.o. Hispanic female with hx of chronic shoulder and back pain that began 10 years ago when she was in a boating accident.
• She lives in both US and Mexico, making regular visits across the border. Lately, she has stayed in the US due to Covid border crossing constraints, living with her daughter’s family.
• She had rotator cuff surgery in 2011 and reports to you that due to a long operation and poor positioning, she has suffered from not only pain, but also chronic numbness and tingling in her R shoulder.
• As “la abuela” (grandma), she is the primary caregiver of the children and homemaker for her family. Her pain is exacerbated with housework, and especially with the prolonged carrying of her grandchildren; one of which is 10 month.
• Currently, her med list is as follows
o Losartan 50 mg BID for HTN
o Gabapentin 300 mg po BID for pain
o Atorvastatin 40 mg daily for cholesterol
o Diazepam 5 mg po up to TID prn pain
o Norco 5/325 mg – takes up to two, sometimes up to 4-5x a day, prn pain
• She is a smoker, only smokes outside the house, and drinks 2-3 cans of beer on the weekends, but more on family celebrations.
• She denies recreational drugs and denies past overdoses.
• She has recently moved to CA more permanently to stay to take care of children during Covid/school closures.
• She asks you to refill all her meds for 6 months, like her doctor in Mexico did, so she doesn’t have to make another co-pay and come back and see you so often. It’s hard for her to get an appointment, and with Covid, her daughter has to take off of work to watch the kids so that she can come to you by bus (since there is only one family car).
• Here VS are 135/75, 80, 97.5, 20 and PE unremarkable other than R shoulder exam with pain with ROM, but full ROM, no tenderness, otherwise normal, back exam including SLR are normal/neg
Describe your approach with this patient. In your response, include the following:
• What concerns do you have about her current regimen, and what alternatives will you discuss and offer? What other screenings might you apply? What are your own ethical standards on this case that you might consider in addition to legal standards?
• Provide a sample of an appropriate pain contract that would suit this patient and address her specific safety concerns (cite it and attach the actual contract you found – you do not have to make your own – there are plenty online).
• Include your steps to ensure safe prescribing. Include the registry you will search prior to any prescribing; name the CA registry, and also NJ registry.
• If you were to keep her current list, what are the laws surrounding refills and the amounts you are allowed to dispense with the schedule II and III medications in the state of CA and NJ.
• Which medications on her list may you call into the pharmacy, and which would you need a written scriipt or electronic order? What are some elements required to include on the prescriiption form (paper or electronic signature) for the scheduled medications?
• After you prescribe, how, when, and where would you (or your staff) go about making a report of your scheduled prescriiption in the state registry so that other prescribers and pharmacies could be aware?
• In restricted states, APRN prescribers must follow a standardized procedure or protocol for furnishing schedule II and III controlled substances with a patient-specific approach. Please outline the minimum required components of a protocol. You may outline this in bullet form. Alternatively, you may find an appropriate protocol, clinical guideline, or standardized procedure from a literature search and attach it in lieu of outlining your own protocol.
References should be APA format and within 5 years.

Complete the following flow chart by adding the names of the veins. Where possible,
include the organs/areas each vein serves above or next to each box. Note that some of
these veins are more medial than others; this is important for determining the naming. We use visible body app and book by Cynthia Harley, Ph.D.

SYNTHESIS OF LITERATURE ASSIGNMENT INSTRUCTIONS
OVERVIEW
I’VE ATTACHED THE PREVIOUS ASSIGNMENT WHICH IS A TEMPLATE FOR THIS ONE. THE REFERENCES ARE THERE IN THAT ASSIGNMENT SO THIS PAPER IS A CONTINUATION
Utilize the articles addressed in the literature matrix to write a synthesis of the research. You will
only have 10 – 15 articles, but you should be able to draw some conclusions and form opinions
about how the research could be used to make a practice change. It is important that students are
able to not only analyze individual research studies, but to then see how the evidence on a topic
“fits together”. This is beyond a simple literature review; it is looking at research as a whole and
drawing conclusions.
Review the articles you’ve gathered and address the following:
1. What are the overall strengths and weaknesses of the research studies?
2. Where there any obvious gaps in the research (something that wasn’t addressed that
really needed addressing)?
3. Which studies had similar conclusions? How did these studies differ in terms of strength
of design, level of evidence (using Melnyk classification system), number of subjects,
usefulness for practice, and other pertinent aspects of research?
4. Were there studies that had very different or contradictory results? Why do you think this
is the case?
5. What is your overall conclusion about what the research is concluding and using the
evidence for a practice change?
6. Anything else you found pertinent or noteworthy about the research studies you
reviewed.
Keep in mind that this is a synthesis, so you don’t want to discuss research using a “shotgun”
approach where you talk about research A, then research B, then research C, etc. This doesn’t
demonstrate an understanding of the research as a whole. An example of an approach for
synthesis might be research A & B reached similar conclusions while research C reached a
different conclusion with a smaller sample size. You would then add your own
conclusions/opinion, based on the whole of what the studies are telling you.
INSTRUCTIONS
 This is a formal paper and should be written in narrative format, utilizing APA format per
LU graduate level paper guidelines.
 Please include a title page, abstract, and reference page.
 Use headings to separate sections of your paper.
 Clearly cite information from the research studies themselves and other sources used in
evaluating them. Note that you may have several citations in one paragraph as you
discuss different research studies.
 A minimum of 5 pages is required, not including title, abstract, and reference pages.
Note: Your assignment will be checked for originality via the Turnitin plagiarism tool

Work with your EBP group for this part of the project; however, this is an individual assignment. Use the articles you retrieved from the previous assignment. Each student will select two (2) research articles from your prior submission which are approved by your course instructor. Each group will be analyzing a total of six (6) unique articles for the project. Try to select the best articles for your PICOT question. This will be your final article set.
Picot: IN ACUTE CARE GERIATRIC PATIENTS, HOW DOES BED ALARMS COMPARE TO NO BED ALARM IMPACT FALLS DURING HOSPITALIZATIONS.
Read each article carefully several times and answer the questions to the best of your ability about the merit of the article. Create an evidence table for your two (2) articles, using the template provided. Use either the quantitative or qualitative article templates depending on the type of article you are evaluating. This table will be a tool to inform your article analysis. Use the EBP article analysis document as a basis to evaluate the scientific merit of your articles. Write a summary of your findings in about 2 paragraphs for each article. Submit your assignment in one contiguous document (i.e., article 1 evidence table, article 1 analysis, article 2 evidence table, article 2 analysis).
im sending 12 articles that was approve my the instructor you just have to choose 2 from it, also there is an example

I am working on a PICO research paper about birth control and infertility. I need sections 3,4,5 of the rubic completed.
Section 3 – search and strategy / level of evidence
Section 4- literature review
Section 5- analysis of literature
I will attach my research paper, a rubic, and example research paper of what’s expected for this assignment.

Plan your health promotion activity/service
Instructions: For this part of the activity, you will begin to plan out your health promotion activity/service by performing a community assessment, research data and trends and selecting a community agency to collaborate with.
1. Each student will use a community assessment model (e.g. Community as Partner) to do an abbreviated community assessment, which must include data collection and a windshield survey, of your selected community. A complete windshield survey should include elements such as boundaries, housing and zoning, open space, commons, transportation, social service centers, stores, condition of the area, race and ethnicity, religion, health indicators, politics, media, media, business and industry. See Chapter 12 in text. (25 points)
2. The student will analyze data looking for trends showing strengths, weaknesses, and conditions
3. The student identifies one or two community health problems which represent a particular aggregate at-need or at-risk. Be sure to include citations and a reference list to support the identified problem and need for this intervention. (25 points)
4. Identify an activity or service you can provide to meet this need and your target audience. Projects must have a community focus. (25 points)
5. The student will then collaborate with a community agency to plan and implement a health promotion project to address the problems and needs of the aggregate. This can be a church, educational facility, community center, or community group in your community. Students MAY NOT complete clinical projects in their place of employment. (25 points)

I attached the documents. You can used as many references as needed, no older than 5 years.
thank you

Chosen Practice problem Mental health disorder, moreso depression as a global burden of disease.
See assignment direction below- need 6 pages including intext and reference list-use articles 1 and 2 on appendix G and article below for this paper plus add other non-research evidence to complete, APA format, grammar and plagiarism check
1. Review the directions for completing each column of the Johns Hopkins Individual Evidence Summary Tool (located in the Week 2 lesson).
2.
3. Use the above quantitative research studies from NR715 that are already on your expanding Johns Hopkins Individual Summary Tool. Add the quantitative research study appraised in Week 1 of this course to your Johns Hopkins Individual Evidence Summary Tool. All articles must be recent research articles less than 5 years old, and be related to your selected National Practice Problem. Two of the quantitative research studies support your introduction and analysis of the selected practice problem. The quantitative study appraised in NR716 has tested the evidence-based intervention.
a. If any of your quantitative research studies do not meet these requirements, you need to find replacement quantitative research studies and update the Johns Hopkins Evidence Summary Tool after you appraise, level the evidence, and grade the quality of the replacement study or studies.
4. Locate three non-research evidence sources to support the introduction and analysis of the practice problem.
5. Use a synthesis style of writing in every section (1, 2, 3, & 4) of the paper when incorporating research evidence and non-research evidence.
6. Use the most current version of Microsoft Word
The assignment includes the following components:
1. Introduction
a. Use a synthesis of research evidence and non-research evidence when writing this section of the paper.
b. Write a one-sentence purpose statement.
c. Introduce the practice problem.
d. Introduce an evidence-based intervention using research evidence to support the intervention.
2. Analysis of the Practice Problem (1-2 paragraphs)
i. Significance
ii. Prevalence
iii. Mortality
iv. Economic ramifications of the practice problem
e. Use a synthesis of research evidence and non-research evidence when writing this section of the paper.
f. Present the following at the national and local levels:
3. Evidence Synthesis (minimum of 3 quantitative research articles)
a. Use a synthesis of research evidence when writing this section of the paper.
b. Identify the main themes and salient points that emerge from a synthesis of research evidence.
c. Compare and contrast the main points from a synthesis of research evidence.
d. Present an objective overarching synthesis of the research intervention.
4. Conclusion
a. Use a synthesis of research evidence and non-research evidence when writing this section of the paper.
b. Write one concise paragraph providing a clear and logical summation of the paper.
5. References
a. Include a list of all references in APA format.
b.
6. writing a one sentence clear and concise practice question (In adults receiving MH treatment, does the routine use of PHQ-9 screening tools during sessions improve early detection of depression enhance suicidal prevention and lead to better overall health outcome compared to standard practice without screening over a period of 6-12 weeks?)
7. identifying and presenting a translation science theory or model (please use Knowledge to Action KTA theoretical framework) to serve as the framework for a practice change project.
Selection of a Translation Science Theory or Model (2-3 paragraphs)
a. Apply a translation science theory or model to support the practice change project.
b. Determine how the identified translation science theory or model serves as the framework for the design, implementation, evaluation and dissemination phases of a practice change project.
c. Propose how stakeholders are integrated into the phases of the selected theory or model.
2. Conclusion
a. Use a synthesis of research evidence and non-research evidence when writing this section of the paper.
b. Write one concise paragraph providing a clear and logical summation of the paper.
.
Hahn, E. E., Munoz-Plaza, C. E., Pounds, D., et al. (2022). Effect of a community-based
medical oncology depression screening program on behavioral health referrals among
patients with breast cancer: A randomized clinical trial. JAMA, 327(1), 41–49.
https://doi.org/10.1001/jama.2021.22596
https://jamanetwork-com.chamberlainuniversity.idm.oclc.org/journals/jama/article-
Use this article as Number 1 and in addition to article 1 and 2 from appendix G you completed from first order for this paper
Add a list of reference

Select ONE electrolyte from the list. Using references that you may already have identified, indicate conditions caused by too much or too little of that electrolyte. List: PotassiumSodiumCalciumMagnesiumPhosphorusUSE BRIEF BULLET POINTS.Include:•An APA style title page,•The Electrolyte Form (provided) •Including at least 1 in-text citation (authors last name, publication year) For example (Story, 2020)•an APA style Reference page.Alphabetical order No more than 5 years oldScholarly references- no .org, .com, .gov, or .eduComplete the attached table, with the following information for the electrolyte you selected.•Normal range of the lab value •Causes of excess (hyper) and deficiency (hypo)•Signs and symptoms of excess (hyper) and deficiency (hypo)Use at least one scholarly source to support your findings. Examples of scholarly sources include academic journals, textbooks, reference texts, and CINAHL nursing guides. Be sure to cite your sources in-text and on a Reference page using APA format.You can find useful reference materials for this assignment, such as a lab values book, in the School of Nursing guide: https://guides.rasmussen.edu/nursing/referenceebooksHave questions about APA? Visit the online APA guide: https://guides.rasmussen.edu/apa

For this assignment, please review the Case Scenario on page 112 and Case Scenario 1 on page 131 (Kersey-Matusiak, 2019). Reflect on your attitudes, beliefs, and practices as they apply to each case scenario. This assignment requires you to address your personal feelings about culturally and linguistically appropriate service and care for the terminally ill. Remember, answer these questions from your unique perspective, so there is no right or wrong response. You must address each problem.
For this assignment, create a 1250-1500-word essay based on the following case studies.
Read the following two Case Studies and answer the questions presented below.
1. Case Scenario: Mrs. Garcia is located in Chapter 6 on page 112.
Questions:
• Where are you on the Cultural Competency Staircase regarding this patient’s language and culture? How will you progress to the next level? (Review Chapter 1 and the Staircase Model).
• What knowledge do you need to have about this patient, including cultural/language needs, to provide this patient with culturally sensitive care?
• What would you personally do to address the needs of this patient?
• What resources do you need, and how would you obtain them?
• What cultural assessment model would you plan to use to assess this patient?
2. Case Scenario 1: Ms. Vera Talsford located in Chapter 7 page 131
Questions:
• Have you considered the significance of your death?
• Do you believe in life after death?
• Where are you on the Cultural Competency Staircase when caring for patients who are terminally ill? How will you progress to the next level?
• How comfortable are you caring for this patient and discussing issues related to her and her family’s death and dying process?
• What cultural information about the patient will you need to obtain culturally sensitive care during the EOL?
• What kinds of psychological, emotional, and spiritual support would you need if given a similar diagnosis?