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The textbook definition of evidence-based practice (EBP) is “the conscientious integration of best research evidence with clinical expertise and patients’ values and needs in the delivery of high-quality, cost-effective health care” (Burns, 2015, p. 503).Evidence-based practice is seen in all nursing settings.  It provides safety and the best possible care we can give our patients.  Evidence-based practice is used in every aspect of being in the nursing profession.  It is used with policies, procedures and guidelines we follow being a nurse.  I work in the ICU and see it being used to prevent VAP’s, CAUTI’s, falls, medication errors, sepsis alerts, central line infections, rapid response teams, CAM scores (assessing if delirium is present) and many more.  We have certain bundles that we follow when it comes to prevention of patient falls, urinary tract infection, central line infections, and keeping track of these topics and also seeing who needs restraints.  These bundles are developed from EBP and are used for prevention and safety of patients.  As nurses it is our responsibility to provide and give the best patient care we can give.  EBP is used in all different types of nursing from home care, hospital, nursing homes, extended care facilities, community health nursing.  Nursing practitioners also rely on EBT in their profession as well as all other health care providers. ReferenceGrove, S., Gray, J., & Burns, N. (2015).  Understanding nursing research:  Building an evidence-based practice (6th ed.). St. Louis, MO:  Elsevier/Saunders.  Retrieved from http://pageburst.elsevier.com/#/books/9781455770601/pages/177890842

Argumentative Reseach Paper

FOR KELLY JACOBSWrite an argumentative research paper on a managed care-related topic, assumption or myth; thoroughly explaining what it is, why it’s important, and how it fundamentally impacts the managed care system today. You will gather evidence on present a well-reasoned argument or debatable issue. The goal of an argumentative paper is to show that your perspective is valid. You are to form reasons, draw conclusions and apply them to your findings. The purpose is not to completely prove your point, but to convince readers, with your evidence, that your argument or position has merit.You will be evaluated according to your topic selection, thesis and outline, annotated bibliography, peer review, and final paper delivered in proper format as follows:Final PaperFollows all Project assignment details and technical requirements, presenting “a managed care-related topic, thoroughly explaining what it is, why it’s important, and how it fundamentally impacts the managed care system today.”Presents an argumentative paper with reasoning and evidence of debatable issue.Incorporates suggestions as needed from peer review.Incorporates key elements of a quality research paper:Strong thesis statement that states the main point of your project and suggests the path that your project will follow.Attention-getting introduction moving into quick transition that leads into thesis. Captures readers’ attention.Topic sentences relate back to thesis statement. All information is relevant to thesis.Logical transitions between paragraphs and ideas provide unity and coherence to the whole. Clear organization.Concluding paragraph sums up information and reiterates thesis.Mechanics follow required standards. (Spelling, grammar, sentences written according to Standard English.)Technical RequirementsAn original research paper with a body of 6-8 pages. In general, your paper should consist of the following pages:Title Page – captivating title, your name, title of the course, dateBody – 6-8 pages of introduction, background on your topic, research support, personal evaluation, strong conclusion. Body should be organized with a minimum of the following titlesIntroductionThesis or PositionReasonsObjectionsSupport of ResponsesConclusionReferences Cited page – in APA format.Research and Writing Requirements include:Proper mechanics: clear, concise, complete sentences and paragraphs, proper spelling, grammar and punctuation. (See style handbooks recommended by your college’s Online Library, which you can access through the Resources tab.)Five or six sources for the paper from your research. Your textbook is a good resource. Internet resources should be reliable as at a university or government website. Please use one or two sources as available from your college’s Online Library. Use statements and ideas that you have come up with on your own and blend these in with your research. Do not plagiarize. If you want to use actual words from a source, put them in quotation marks with the source.Follow APA format for citing your sources. For APA guidelines, go to your college’s online library which you can access through the Resources tab.


Assignment: AsthmaComplications of asthma can be sudden. Consider the case of Bradley Wilson, a young boy who had several medical conditions. He appeared in good health when he went to school, returned home, and ate dinner. However, when he later went outside to play, he came back inside wheezing. An ambulance took him to the hospital where he was pronounced dead (Briscoe, 2012). In another case, 10-year-old Dynasty Reese, who had mild asthma, woke up in the middle of the night and ran to her grandfather’s bedroom to tell him she couldn’t breathe. By the time paramedics arrived, she had passed out and was pronounced dead at the hospital (Glissman, 2012). These situations continue to outline the importance of recognizing symptoms of asthma and providing immediate treatment, as well as distinguishing minor symptoms from serious, life-threatening symptoms. Since these symptoms and attacks are often induced by a trigger, as an advanced practice nurse, you must be able to help patients identify their triggers and recommend appropriate treatment options. For this reason, you need to understand the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation.To PrepareReview “Asthma” in Chapter 26 of the Huether and McCance text. Identify the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation. Consider how these disorders are similar and different.Select a patient factor different from the one you selected in this week’s Discussion: genetics, gender, ethnicity, age, or behavior. Think about how the factor you selected might impact the pathophysiology of both disorders. Reflect on how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected.Review the “Mind maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning Resources. Use the examples in the media as a guide to construct two mind maps—one for chronic asthma and one for acute asthma exacerbation. Consider the epidemiology and clinical presentation of both chronic asthma and acute asthma exacerbation.To CompleteWrite a 2- to 3-page paper that addresses the following:Describe the pathophysiological mechanisms of chronic asthma and acute asthma exacerbation. Be sure to explain the changes in the arterial blood gas patterns during an exacerbation.Explain how the factor you selected might impact the pathophysiology of both disorders. Describe how you would diagnose and prescribe treatment for a patient based on the factor you selected.Construct two mind maps—one for chronic asthma and one for acute asthma exacerbation. Include the epidemiology, pathophysiology, and clinical presentation, as well as the diagnosis and treatment you explained in your paper.By Day 7This Assignment is due.Note: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available athttp://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting.Reference
Briscoe, K. (2012, May 12). Thetford: mother of Bradley Wilson, who died of asthma attack, told there was nothing she could have done. East Anglian Daily Times. Retrieved fromhttp://www.eadt.co.uk/news/thetford_mother_of_bradley_wilson_who_died_of_asthma_attack_told_there_was_nothing_she_could_have_done_1_1375128 

Glissman, B. (2012, May 21). Girl’s death puts focus on asthma’s broader grip. Omaha World-Herald. Retrieved from http://www.omaha.com/article/20120521/LIVEWELL01/305219975


Annabelle, age 34, is four months pregnant with her first child. Annabelle was obese (BMI=32) at the beginning of her pregnancy.  While pregnant, she started to develop mild hypertension (145/95) and an abnormally high fasting blood glucose (128 mg/dl).  Using 12-point font, double spaced in approximately 1-2 pages  evaluate her situation and make recommendations for Annabelle’s healthy pregnancy outcome. Find, cite, evaluate, and specifically discuss at least TWO sources of information (other than the textbook) that support these recommendations for a healthy pregnancy outcome.  State your conclusion after discussing these articles.

Discusion board, 8 hours

Part AWhat is the difference between model, theory, framework, and philosophy? How are they related? (Discriminate between the concepts.)Part BDifferentiate between specialty nursing practice and advanced practice nursing by comparing and contrasting these levels of practice in the following dimensions: knowledge base, scope of practice, credentialing, and regulation.(400 WORDS both)

Aspiration Pneumonia

Topic: Aspiration PneumoniaTask: PosterReference style: HarvardDuration: 15 HoursTask Description For this task, you are required to access poster example, poster template and abstract. These will guide you to writing the poster in a much easier manner. This is purely data entry once you have gathered required sources needed to do filling. Please include pictures and their links too. Insert link below every picture you pick off the internet. Access the zip below for additional materials that you may need to complete this task in kind.  FIND ZIP ATTACHED AND ADDRESS THE CONCERNS RAISED IN KIND.   Regards