Nursing

Evidence-Based Practice Implementation
Evidence-Based Practice Implementation
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Many social workers attempt to implement an evidence-based practice that seems to be strongly supported by research, only to become frustrated or confused when their efforts do not yield the same positive results as the research. This discrepancy can occur because they failed to recognize the differences between conditions in their practice environment and the conditions of the study. Moreover, they may have failed to consider and adequately plan for issues that arise during implementation.
To prepare for this Assignment, using the resources for evidence-based practices (listed below)
· Promising Practices Network. (n. d.). Programs that work. Retrieved October 8, 2013, from
· Promising Practices Network. (n. d.). Research in brief. Retrieved November 12, 2013, from
· Substance Abuse and Mental Health Services Administration. (2012). A road map to implementing evidence-based programs. Retrieved from
· The Campbell Collaboration. (n. d.). Retrieved October 8, 2013, from
Identify an evidence-based practice that may be applicable to your field of practice (Healthcare Social Worker/Mental Health Social Worker). Review two research articles demonstrating the effectiveness of the evidence-based practice. Note any similarities or differences between the conditions in which the evidence-based practice was implemented in the study and the conditions in which you plan to implement it.
Assignment
Submit a 4- to 5-page paper that analyzes the implementation of the evidence-based practice in your field of practice (Healthcare Social Worker/Mental Health Social Worker) to determine if you can expect similar results to the research. The paper should include the following:
· A description of the evidence-based practice that you selected including:
o The population for which the evidence-based practice is intended
o The problems for which the evidence-based practice is intended to address
o A summary of the evidence from the research articles that demonstrate the evidence-based practice’s effectiveness
· An explanation of any differences between the conditions of the study and the conditions on your practice. Explain the potential impact these differences could have on successful implementation.
· A description of the steps that would be required to implement the evidence-based practice including:
o Any factors that would support each step and how you would leverage them
o Any factors that would limit or hinder each step and how you would mitigate them
· A conclusion that includes:
o Anticipated results of the implementation in your practice setting
o An explanation of whether they will be similar or different from the research results from the articles

Assignment: Model Ecosystems Activity
Assignment: Model Ecosystems Activity
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Complete your answers in the spaces provided. USE YOUR OWN WORDS – Yes even for definitions! Remember to add your last name and first initial to the file name prior to saving and submitting your completed assignment through Canvas.
The lab website has post lab questions – these are not necessary – you only have to complete the questions in this lab assignment document.
Use your textbook, notes and this website to answer the pre lab questions.
Pre Lab Questions:
1. What is the ultimate source of energy for all organisms on this planet?
2. List the biomes of the Earth.
3. What biome do we live in here in Philadelphia?
4. What attributes define a biome?
Click on the link below to access the online lab.
Download and print the instructions for reference as you work through the lab. As you work through the lab fill in the table below. Use this information to answer the questions that follow contained in this document.
5. Complete all five ecosystems and record your data in Table 1. The different ecosystems are listed across the top. Fill in the data for each trophic level for each ecosystem. For the numbers click on the [Pyramid of Numbers] button. Next click on the [Pyramid of Energy] button. Calculate the Energy Conversion Efficiency Ratio (ECE) by dividing the higher trophic level energy by the energy one trophic level down.
List the organisms by name. Provide the number of organisms present. Provide the amount of energy present. Calculate the ECE value. This value will be a decimal value. There is no ECE calculation for producers as you would have to divide the producer energy by the amount of energy provided by the sun. We don’t have that value. I have done the first column for you.
If you have any organisms out of place in the pyramid you will not be able to get the numbers you need to complete the calculations. You need to move the various organisms to their correct positions in order to continue.
Table 1
Deciduous
Forest
Hot Desert Grassland Antarctic
Ocean Shore
Freshwater
Lake
Producers
Organisms
Present
Deciduous
trees ferns wildflowers berry bushes Grasses
Energy: 6011
Numbers: 7996
First Order
Heterotrophs Organisms Present
Chipmunks
Chikadees Insects Rabbits Deer
Energy: 623
Numbers: 4559
E.C.E.*: .103 (A)
Second Order
Heterotrophs Organisms Present
Snakes
Woodpeckers
Opossum
Fox Owls Toads Frogs
Energy: 61
Numbers: 1418
E.C.E.*: .097 (B)
Third Order
Heterotrophs Organisms Present
Wolves
Hawks
Energy: 6
Numbers: 50
E.C.E.*: .098 (C)
Just so you know exactly how to calculate the ECE
A = 623/6011 = .103
B = 61/623 = .097
C = 6/61 = .098
Post Lab Questions
6. What is the relationship of numbers to energy as you go up the trophic levels?
7. From the ecosystems you studied in this lab, which one is the most efficient? Explain how you determined your answer.
8. What would happen to an ecosystem without decomposers?
9. From the ecosystems you studied in this lab, which one is the most productive? (This cannot be the same as question 7) Explain how you determined your answer.

Assignment: Family Therapy Session
ASSIGNMENTS
Select two clients you observed or counseled this week during a family therapy session. Note: The two clients you select must have attended the same family session.
Then, address in your Practicum Journal the following:
· Using the Group Therapy Progress Note in this week’s Learning Resources,
document the family session.
· Describe (without violating HIPAA regulations) each client, and identify any
pertinent history or medical information, including prescribed medications.
· Using the Diagnostic and Statistical Manual of Mental Health Disorders, Fifth
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Edition (DSM-5), explain and justify your diagnosis for each client.
· Explain any legal and/or ethical implications related to counseling each client.
· Support your approach with evidence-based literature.
Assignment: Family Therapy Session
Assignment: Family Therapy Session
SEE ATTACHED SAMPLE OF PRACTICAL JOURNAL
Learning Resources
Required Readings
Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice. New York, NY: Springer.
Chapter 12, “Family Therapy” (pp. 429–468)
Nichols, M. (2014). The essentials of family therapy (6th ed.). Boston, MA: Pearson.
Chapter 3, “Basic Techniques of Family Therapy” (pp. 29–48)
Chapter 4, “The Fundamental Concepts of Family Therapy” (pp. 49–68)
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
L’Abate, L. (2015). Highlights from 60 years of practice, research, and teaching in family therapy. American Journal of Family Therapy, 43(2), 180–196. doi:10.1080/01926187.2014.1002367
Mojta, C., Falconier, M. K., & Huebner, A. J. (2014). Fostering self-awareness in novice therapists using internal family systems therapy. American Journal of Family Therapy, 42(1), 67–78. doi:10.1080/01926187.2013.772870
Nichols, M., & Tafuri, S. (2013). Techniques of structural family assessment: A qualitative analysis of how experts promote a systemic perspective. Family Process, 52(2), 207–215. doi:10.1111/famp.12025
Papero, D. V. (2014). Assisting the two-person system: An approach based on the Bowen theory. Australian & New Zealand Journal of Family Therapy, 35(4), 386–397. doi:10.1002/anzf.1079

Assignment: Discuss Types Prosocial Behavior
Assignment: Discuss Types Prosocial Behavior
need this done in times roman12, double spaced with three scholarly references with permalinks and plagarism free
Visit the website of The Random Acts of Kindness Foundation, an organization dedicated to altruistic pursuits.
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Review the information, literature, and downloadable documents.
Design your own assignment in which you implement five acts of kindness (pro-social behavior). Use your discretion, common sense, and modesty at all times. Do not put yourself in an environment of potential danger or harm to yourself.
Write a paper of 500-750 words in which you describe what you did, how, where, to whom, and what reactions you perceived from others and yourself. What did you learn about prosocial behavior from this exercise in light of the material in this module’s readings and lecture material?
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
need this done in times roman12, double spaced with three scholarly references with permalinks and plagarism free
Visit the website of The Random Acts of Kindness Foundation, an organization dedicated to altruistic pursuits.
Review the information, literature, and downloadable documents.
Design your own assignment in which you implement five acts of kindness (pro-social behavior). Use your discretion, common sense, and modesty at all times. Do not put yourself in an environment of potential danger or harm to yourself.
Write a paper of 500-750 words in which you describe what you did, how, where, to whom, and what reactions you perceived from others and yourself. What did you learn about prosocial behavior from this exercise in light of the material in this module’s readings and lecture material?
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

Assignment: New Referral Form
Assignment: New Referral Form
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Select and review a case study scenario from the Case Study Scenarios. Feel free to embellish the scenario with additional details, as needed.
Complete the New Referral or Inquiry Form based on your selected case study scenario.
Case Studie
Scenario One: Belinda
Belinda is an 18-year-old woman and is pregnant with her second child. Belinda believes she is 8.5 months pregnant, but she is not really sure. She has not seen a doctor since her initial doctor visit when she took the pregnancy test. She has not had any prenatal care during her pregnancy. Belinda’s first child, Benny, was delivered by cesarean section and is now 16 months old.
Belinda is an American Indian and has a Certificate of Degree of Indian Blood (CDIB) for both Muscogee Creek Nation and Cheyenne and Arapaho Tribes. Belinda is currently living in an apartment with her children’s father, but she suspects that they will be evicted soon for not paying rent. Neither Belinda nor the children’s father has a job, and both have been unemployed for several months. Belinda and her boyfriend do not have transportation. Additionally, neither has any personal identification documents—such as a social security card, birth certificate, or driver’s license—other than a CDIB card.
Belinda would like to become a nurse, but she dropped out of high school half way through the ninth grade.

Evidence-Based Solution Nursing Intervention
Evidence-Based Solution Nursing Intervention
Review the Topic Materials and the work completed in NRS-433V to formulate a PICOT statement for your capstone project.
A PICOT starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention should be an independent, specified nursing change intervention. The intervention cannot require a provider prescription. Include a comparison to a patient population not currently receiving the intervention, and specify the time frame needed to implement the change process.
Formulate a PICOT statement using the PICOT format provided in the assigned readings. The PICOT statement will provide a framework for your capstone project.
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In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome.
Make sure to address the following on the PICOT statement:
Evidence-Based Solution
Nursing Intervention
Patient Care
Health Care Agency
Nursing Practice
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 Turnitin
Review the Topic Materials and the work completed in NRS-433V to formulate a PICOT statement for your capstone project.
A PICOT starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention should be an independent, specified nursing change intervention. The intervention cannot require a provider prescription. Include a comparison to a patient population not currently receiving the intervention, and specify the time frame needed to implement the change process.
Formulate a PICOT statement using the PICOT format provided in the assigned readings. The PICOT statement will provide a framework for your capstone project.
In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome.
Make sure to address the following on the PICOT statement:
Evidence-Based Solution
Nursing Intervention
Patient Care
Health Care Agency
Nursing Practice
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 Turnitin

High intracellular concentration of glutamate
High intracellular concentration of glutamate
FNU Pathophysiology Quiz-2
Question 1
A 70-year-old woman has received a diagnosis of chronic myelogenous leukemia (CML) after a clinical investigation sparked by the presence of leukocytosis in her routine blood work. What clinical course should her care provider tell her to expect?
Answers:
A. “It’s likely that this will give you chronic fatigue and malaise for the rest of your life, but that will probably be the extent of your symptoms.”
B. “Unfortunately, your leukemia will likely enter a crisis mode within a few weeks if we don’t treat it immediately.”
C. “You could remain the chronic stage of CML for several years before it accelerates and culminates in a crisis.”
D. “You can expect your blood results, fatigue, and susceptibility to infection to gradually worsen over a few years.”
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Question 2
Following an injury resulting in a small cut from a knife, the first cells to go to the area of the cut would be the
Answers:
A. erythrocytes.
B. basophils.
C. neutrophils.
D. albumin.
Question 3
Which of the following diagnostic findings is likely to result in the most serious brain insult?
Answers:
A. Moderate decrease in brain tissue volume secondary to a brain tumor removal
B. High intracellular concentration of glutamate
C. Increased ICP accompanied by hyperventilation
D. Mean arterial pressure (MAP) that equals intracranial pressure (ICP)
Question 4
Which of the following patients would be most likely to be experiencing an increase in renal erythropoietin production?
Answers:
A. A 70-year-old woman admitted with dehydration secondary to an overdose of her potassium-wasting diuretic
B. A 21-year-old man with acute blood loss secondary to a motor vehicle accident 3 hours prior
C. A 68-year-old man with a long-standing diagnosis of polycythemia vera
D. A 71-year-old smoker admitted to hospital with exacerbation of his chronic obstructive pulmonary disease (COPD)
Question 5
A college student has been experiencing frequent headaches that he describes as throbbing and complaining of difficulty concentrating while studying. Upon cerebral angiography, he is found to have an arteriovenous malformation. Which of the following pathophysiological concepts is likely responsible for his symptoms?
Answers:
A. Localized ischemia with areas of necrosis noted on CT angiography
B. High pressure and local hemorrhage of the venous system
C. Hydrocephalus and protein in the cerebral spinal fluid
D. Increased tissue perfusion at the site of the malformation
Question 6
A group of nursing students were studying for their pathophysiology exam by quizzing each other about disorders of WBCs and lymphoid tissue. When asked what the first chromosomal abnormality that identified cancer was, one student correctly answered Answers:
A. interleukin cells.
B. Philadelphia.
C. PSA.
D. BRCA-1.
Question 7
A 47-year-old woman was diagnosed with amyotrophic lateral sclerosis 3 years ago and has experienced a progressive onset and severity of complications. She has been admitted to a palliative care unit due to her poor prognosis? What assessments and interventions should the nursing staff of the unit prioritize in their care?
Answers:
A. Regular pain assessment and administration of opioid analgesics as needed
B. Cardiac monitoring and administration of inotropic medications
C. Assessment and documentation of cognitive changes, including confusion and restlessness
D. Assessment of swallowing ability and respiratory status

Mental Illness Is Social Construction
Mental Illness Is Social Construction
1. What is meant by the notion that mental illness is a social construction? How does cross-cultural research suggest that psychopathology is universal rather than a social construction?
2. It is widely recognized that people with autism spectrum disorder display deficits in communication and social behavior. It is perhaps less often noted that in some areas, their abilities may surpass those of people without autism spectrum disorder. What is your understanding if this theory? How do the enhanced abilities of those with autism spectrum disorder lend credence to an evolutionary approach to psychopathology?
3. Phrases such as “broken hearts” and “hurt feelings” liken emotional pain to physical pain. To what extent is the metaphor implied in these phrases supported neuroscientifically?
4. The role of trauma and the experience of unusual states of awareness or identity in the dissociative disorders have led psychologists to explore the relationship between dissociation and post-traumatic stress, on the one hand, and hypnosis, on the other. Briefly summarize the results of this research.
5. Discuss some of the reasons why the treatment of substance-related and addictive disorders is especially challenging. Addiction to methamphetamine is particularly difficult to treat. Review some of the cognitive deficits seen in methamphetamine addiction and explain how these deficits complicate efforts to treat the addiction.
6. Outline the neurodevelopmental hypothesis of the etiology of schizophrenia. In what way does schizophrenia represent a paradox from an evolutionary standpoint?
7. Discuss the evidence for genetic and environmental contributions to personality disorders. Identify the specific experiences that seem to underlie personality disorders. Which personality disorder seems the most genetic?
8. Highlight the beneficial effects of physical exercise not only on preventing cognitive impairment among older adults without neurocognitive disorders but also on reversing decline among those with mild neurocognitive impairment.
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Assignment Outcomes
Analyze the physical, cognitive, social and personality aspects of abnormal psychology and implications across the life span
Examine the major diagnostic domains and specific criteria associated with DSM-5 disorders.
Evaluate legal and ethical issues in mental health treatment
Develop an awareness of diversity and cross-cultural perspectives in abnormal psychology.
Explore available treatment and interdisciplinary services for community members experiencing mental health disorders.
Identify the barriers associated with seeking and receiving therapeutic services.

Discussion: Assessing the Ears Nose and Throat
Discussion: Assessing the Ears Nose and Throat
Most ear, nose, and throat conditions that arise in non-critical care settings are minor in nature. However, subtle symptoms can sometimes escalate into life-threatening conditions that require prompt assessment and treatment. Nurses conducting assessments of the ears, nose, and throat must be able to identify the small differences between life-threatening conditions and benign ones. For instance, if a patient with a sore throat and a runny nose also has inflamed lymph nodes, the inflammation is probably due to the pathogen causing the sore throat rather than a case of throat cancer. With this knowledge and a sufficient patient health history, a nurse would not need to escalate the assessment to a biopsy or an MRI of the lymph nodes, but would probably perform a simple strep test.
In this Discussion, you consider case studies of abnormal findings from patients in a clinical setting. You determine what history should be collected from the patients, what physical exams and diagnostic tests should be conducted, and formulate a differential diagnosis with several possible conditions.
Note: By Day 1 of this week, your Instructor will have assigned you to one of the following specific case studies for this Discussion. Also, your Discussion post should be in the Episodic/Focused SOAP Note format, rather than the traditional narrative style Discussion posting format. Refer to Chapter 2 of the Sullivan text and the Episodic/Focused SOAP Template in the Week 5 Learning Resources for guidance. Remember that all Episodic/Focused SOAP notes have specific data included in every patient case.
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Case 1: Nose Focused Exam
Richard is a 50-year-old male with nasal congestion, sneezing, rhinorrhea, and postnasal drainage. Richard has struggled with an itchy nose, eyes, palate, and ears for 5 days. As you check his ears and throat for redness and inflammation, you notice him touch his fingers to the bridge of his nose to press and rub there. He says he’s taken Mucinex OTC the past two nights to help him breathe while he sleeps. When you ask if the Mucinex has helped at all, he sneers slightly and gestures that the improvement is only minimal. Richard is alert and oriented. He has pale, boggy nasal mucosa with clear thin secretions and enlarged nasal turbinates, which obstruct airway flow but his lungs are clear. His tonsils are not enlarged but his throat is mildly erythematous.
Case 2: Focused Throat Exam
Lily is a 20-year-old student at the local community college. When some of her friends and classmates told her about an outbreak of flu-like symptoms sweeping her campus over the past two weeks, Lily figured she shouldn’t take her three-day sore throat lightly. Your clinic has treated a few cases similar to Lily’s. All the patients reported decreased appetite, headaches, and pain with swallowing. As Lily recounts these symptoms to you, you notice that she has a runny nose and a slight hoarseness in her voice but doesn’t sound congested.

Assign: Healing and Autonomy
Assign: Healing and Autonomy
Write a 1,200-1,500 word analysis of “Case Study: Healing and Autonomy.” In light of the readings, be sure to address the following questions:
Under the Christian narrative and Christian vision, what sorts of issues are most pressing in this case study?
Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James?
According to the Christian narrative and the discussion of the issues of treatment refusal, patient autonomy, and organ donation in the topic readings, how might one analyze this case?
According to the topic readings and lecture, how ought the Christian think about sickness and health? What should Mike as a Christian do? How should he reason about trusting God and treating James?
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 Turnitin. Please refer to the directions in the Student Success Center.
Write a 1,200-1,500 word analysis of “Case Study: Healing and Autonomy.” In light of the readings, be sure to address the following questions:
Under the Christian narrative and Christian vision, what sorts of issues are most pressing in this case study?
Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James?
According to the Christian narrative and the discussion of the issues of treatment refusal, patient autonomy, and organ donation in the topic readings, how might one analyze this case?
According to the topic readings and lecture, how ought the Christian think about sickness and health? What should Mike as a Christian do? How should he reason about trusting God and treating James?
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
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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 Turnitin. Please refer to the directions in the Student Success Center.