Discussion: Change Proposal Capstone Project

Discussion: Change Proposal Capstone Project ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON Discussion: Change Proposal Capstone Project In this assignment, students will pull together the capstone project change proposal components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. For this project, the student will apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice. Discussion: Change Proposal Capstone Project Develop a 1,250-1,500 written project that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal: Background Clinical problem statement. Purpose of the change proposal in relation to providing patient care in the changing health care system. PICOT question. Literature search strategy employed. Evaluation of the literature. Applicable change or nursing theory utilized. Proposed implementation plan with outcome measures. Discussion of how evidence-based practice was used in creating the intervention plan. Plan for evaluating the proposed nursing intervention. Identification of potential barriers to plan implementation, and a discussion of how these could be overcome. Appendix section, if tables, graphs, surveys, educational materials, etc. are created. Please incorporate that the planned change would include making a order set easily available for pediatric patients that come in for fever that consists of Tylenol or ibuprofen depending on allergies and if they already got one at home, a chest X-ray and a flu swab to initiate care meanwhile we wait for the doctor. Review the feedback from your instructor on the Topic 3 assignment, PICOT Question Paper, and Topic 6 assignment, Literature Review. Use this feedback to make appropriate revisions to these before submitting. 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. Discussion: Change Proposal Capstone Project pediatric_picot.docx literature_analysis_f Running head: PEDIATRIC PICOT 1 Pediatric PICOT Jonathan Garcia Grand Canyon University 06/21/20 PEDIATRIC PICOT 2 Pediatric PICOT Problem Statement The healthcare system has outlined strategies and medical procedures that are deemed useful in the treatment and prevention of fever in children. Fever is a medical condition that affects a child’s health by increasing their temperatures above 39°C. High fever is considered risky when children have other health conditions such as lung, heart, and chronic disorders. Parents and guardians have a belief that acetaminophen and Ibuprofen are useful in the treatment of high fevers (Harrison, 2017). Both are useful but require medical professional’s prescriptions and instructions. However, Ibuprofen has immediate impacts on the treatment of fever when compared to acetaminophen. Therefore, the research identifies the PICOT question in determining the effectiveness of Ibuprofen when compared to acetaminophen. “Do pediatric patients respond to Ibuprofen easily when compared to acetaminophen in the treatment of high fever?” Evidence-Based Solution High fevers in children are deemed frequent and regular. The condition is linked to changes in weather and diet. Many parents choose over-the-counter medication as the proposed medicines for treating and reducing high fevers are available in many pharmaceuticals. For instance, Ibuprofen and acetaminophen are readily available as they are believed to help in lowering the temperature in children (Chiappini et al., 2017). High fever is linked to coughs, colds, earaches, teething, and discomfort. Evidence-based practice has outlined the implications of over-the-counter medications, but Ibuprofen is considered adequate when compared to acetaminophen. For instance, the medical research indicates that acetaminophen are useful in the treatment of mild fever and pains while Ibuprofen is useful as it helps in reducing fever, pain, PEDIATRIC PICOT 3 inflammation, and it is a non-steroidal anti-inflammatory (Harrison, 2017). The aspect helps in declaring the effectiveness of Ibuprofen when compared to acetaminophen. Nursing Intervention Nursing professionals have the mandate of protecting children and reducing the risk of children with high fevers. Nurses should incorporate the diagnosis of the causes of fever before administering medicine prescriptions (Chiappini et al., 2017). For instance, recording the temperature of children with fever should be prioritized as a way of understanding the cause of high fevers. Nurses also participate in assessing the history of a child’s medication as it helps in evaluating the medicines that had been used before the clinical visit. The use of acetaminophen and Ibuprofen can have different results, and the nurse has the role of evaluating the magnitude of the fever of a patient. For instance, if fever is linked with pain, then Ibuprofen should be prescribed. Patient Care The healthcare system describes interventions that are vital in reducing fever in children. Some of the intervention strategies involve the use of home remedies for lowering the temperature. For instance, apart from using acetaminophen and Ibuprofen medications, pediatric professionals recommend parents to dress the children lightly as a way of avoiding the risks of high temperatures. Also, pediatrics encourages parents to offer plenty of drinks such as water to the children, the use of the lukewarm bath and placing cold washcloths over the body of a child (El-Radhi, 2018). Pediatrics also recommends the use of Ibuprofen in cases of high fever and mild pains for children. Parents are advised to measure the temperature of children and seek further medication in case the fever does not slow after the medication. Health Care Agencies PEDIATRIC PICOT 4 The healthcare system has guidelines and regulations for the use of over-the-counter medications. Proper prescription is required when dealing with children’s medication. Fever is a medical condition that constitutes more than 30% of primary care and pediatric emergency department visits (El-Radhi, 2018). Fever has become a concern for the healthcare system, and the recommendations of using over-the-counter medication such as Ibuprofen has helped in reducing medical visits. Also, healthcare agencies collaborate with nurses, physicians, parents, and pharmacists in delivering advice and pediatric services in fever treatment. Nursing Practice Nurses recommend for medical attention for different categories of fever. Regular high fevers in children are a sign of other health conditions or infections. Nurses help in admitting children with fever based on the evaluation of temperature changes, monitoring of other symptoms, and the effectiveness of the medication. Pediatric professionals also consider the use of antipyretics, such as Ibuprofen and acetaminophen (Trippella et al., 2019). These medications are useful in the reduction of fever and the treatment of mild pains. However, Ibuprofen is considered more effective due to its aspect of non-steroidal anti-inflammatory. Therefore, Ibuprofen has more benefits in the treatment of fever in children when compared to acetaminophen. PEDIATRIC PICOT 5 References Chiappini, E., Venturini, E., Remaschi, G., Principi, N., Longhi, R., Tovo, P. A., … & Galli, L. (2017). 2016 update of the Italian pediatric society guidelines for Management of Fever in children. The Journal of pediatrics, 180, 177-183. El-Radhi, A. S. (2018). Management of Fever (Antipyretics). In Clinical Manual of Fever in Children (pp. 225-251). Springer, Cham. Harrison, M. R. (2017). 15 Nurses’ management of fever in children: rituals or evidence-based practice?. Evidence-based Child Health Care: Challenges for Practice, 262. Trippella, G., Ciarcià, M., de Martino, M., & Chiappini, E. (2019). Prescribing controversies: an updated review and meta-analysis on combined/alternating use of ibuprofen and acetaminophen in febrile children. Frontiers in pediatrics, 7, 217. Running head: LITERATURE ANALYSIS FOR PICOT PROBLEM Literature Analysis for PICOT Problem Jonathan Garcia Grand Canyon University 07/10/20 1 LITERATURE ANALYSIS FOR PICOT PROBLEM 2 Literature Analysis for PICOT Problem Introduction Fever in children is a medical condition that has threatened the lives of children in many healthcare settings. Fever is a simple health illness but can be termed critical if it exceeds a temperature of above 39 degrees. Two medical procedures are considered useful in the treatment of febrile illness in children. For instance, acetaminophen and Ibuprofen are active in slowing the temperatures of children suffering from high fevers. However, medical professionals argue whether each medication is better compared to the other. Therefore, the understanding of the arguments placed by pediatrician claims that children respond efficiently and quickly to Ibuprofen when compared to acetaminophen. Discussion: Change Proposal Capstone Project The research analysis will also help in understanding the research questions used, the sample populations in research, the limitations of the study, and the recommendations towards the management of high fever in kids. Therefore, the literature analysis will evaluate data and supportive information that portrays the usefulness of the use of Ibuprofen than acetaminophen. Comparison of Research Questions Ibuprofen is a medical procedure used to treat febrile children with high fever conditions. The medicine is also combined with paracetamol to treat cases of high fever, which are considered adequate when combines or interchanged. Both medicines, together with acetaminophen, are efficient in their intended work. For instance, Trippela et al. (2019) conducted research in studying the importance of both drugs when combined. The research focused on questions such as; what are the safety measures required before the combination or interchanging the usage of Ibuprofen and paracetamol in children with high fevers? Also, what are the different outcomes when the pooled or interchanging therapy does it portray with LITERATURE ANALYSIS FOR PICOT PROBLEM 3 antipyretics in febrile? Chiappini et al. (2017) also discuss the importance of antipyretics in the management of severe fevers. The oral administration is considered adequate when compared to the rectal administration of drugs such as Ibuprofen and acetaminophen. The author focuses on answering a research question such as; what are the main aims of administering antipyretics in controlling a child’s uneasiness? Also, Chiappini et al. (2017) focus on the evaluation of the question; what will be the recommended use of antipyretics in children with extreme febrile conditions? El-Radhi, (2018) further questions the research procedures such as; what is the use of antipyretics in lowering the thermoregulatory set-points of the hypothalamic center? And what are the implications of antipyretics in preventing PG effects on pain receptors? The research questions have helped in identifying the use and benefits of different antipyretics in treating severe febrile conditions. Comparison of Sample Populations Ibuprofen is among other antipyretic medications that are deemed useful in the managing febrile illnesses. Ibuprofen is, however, deemed more considerable when compared to other antipyretics such as acetaminophen and paracetamols based on the implications of medical complications. For instance, Barbagallo & Sacerdote (2019) focused on outlining the safety benefits of Ibuprofen, such as the renal effects, gastrointestinal tolerability, asthma intervention, and hepatotoxicity. Ibuprofen also helps in reducing inflammation and pain, fever management, and acts as an analgesic. Barbagallo & Sacerdote (2019) focused on the evaluation of the effectiveness of Ibuprofen using 336 children aged between 6 – 17 years for a study of 48 hours. The study helped in understanding the benefits and competence of Ibuprofen when compared to other antipyretics. Also, Luo et al. (2017) focused on the implications of interchanging the use of acetaminophen and Ibuprofen when compared to the impacts of monotherapies of both LITERATURE ANALYSIS FOR PICOT PROBLEM 4 medicines. The research sample involved 474 febrile children for a three-day study (Luo et al., 2017). Trippela et al. (2019) evaluate 2026 children with the administration of different types of antipyretics, either combined or monotherapy aspects. Therefore, the research procedures have identified the implications of antipyretics in children with febrile conditions. Comparison of the Limitation Studies The study focuses on evaluating the effectiveness and the comparison of different types of antipyretics in the management of febrile conditions. The research has identified various limitations that require future extensive research processes. For instance, Trippela et al. (2019) have identified limitations of the study based on the sampling of age, doses used, and the smaller numbers of trials that could portray different results of the comparison of the different types of antipyretics. Also, Chiappini et al. (2017) indicate the limitation of the antipyretic drugs used based on its lower accurateness in the incidence of irritability and sweating, which have been common in kids with febrile conditions. The study also portrays conflicting results depending on the child’s age and the severity of the fever (Chiappini et al., 2017).Discussion: Change Proposal Capstone Project El-Radhi (2018) further demonstrates the arguments and limitations of the study based on the negative perceptions of using antipyretics for children as well as the diversity of concepts among the medical practitioners. Barbagallo & Sacerdote (2019) offers the limitation of the understanding of the difference between the use of Ibuprofen and morphine in a pain reduction in children with high fevers. Therefore, the limitations of the study indicate the need for further research in identifying the optimum medication suitable for febrile conditions. Conclusion and Commendations The use of antipyretics has been endorsed by health experts in the management of febrile children. Febrile treatment will incorporate the use of different types of antipyretics, which can LITERATURE ANALYSIS FOR PICOT PROBLEM 5 include acetaminophen, Ibuprofen, and paracetamols. However, Ibuprofen is more effective when compared to others, and studies have been used to support the claim. Therefore, physicians indicate the importance of the combination of both antipyretics in monotherapy procedures. In contrast, others deter the combination and recommend the use of Ibuprofen depending on the severity of the febrile conditions. Therefore, Ibuprofen has more benefits to a child when compared to acetaminophen. LITERATURE ANALYSIS FOR PICOT PROBLEM 6 References Barbagallo, M., & Sacerdote, P. (2019). Ibuprofen in the treatment of children’s inflammatory pain: a clinical and pharmacological overview. Minerva Pediatr, 71(1), 82-99. Chiappini, E., Venturini, E., Remaschi, G., Principi, N., Longhi, R., Tovo, P. A., … & Galli, L. (2017). 2016 update of the Italian pediatric society guidelines for Management of Fever in children. The Journal of pediatrics, 180, 177-183. El-Radhi, A. S. (2018). Management of Fever (Antipyretics). In Clinical Manual of Fever in Children (pp. 225-251). Springer, Cham. Harrison, M. R. (2017). 15 Nurses’ management of fever in children: rituals or evidence-based practice?. Evidence-based Child Health Care: Challenges for Practice, 262. Luo, S., Ran, M., Luo, Q., Shu, M., Guo, Q., Zhu, Y., … & Wan, C. (2017). Alternating acetaminophen and ibuprofen versus Monotherapies in improvements of distress and reducing refractory fever in febrile children: a randomized controlled trial. Pediatric Drugs, 19(5), 479-486. Trippella, G., Ciarcià, M., de Martino, M., & Chiappini, E. (2019). Prescribing controversies: an updated review and meta-analysis on combined/alternating use of ibuprofen and acetaminophen in febrile children. Frontiers in pediatrics, 7, 217. … Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10