Think about your own community.
Goal:
6501 Summer 2024
Week 1 Discussion Case
Dr. Holbrook
Scenario:
An 83-year-old resident of a skilled nursing facility presents to the emergency department with generalized edema of extremities and abdomen. History obtained from staff reveals the patient has a history of malabsorption syndrome and difficulty eating due to a lack of dentures. The patient has been diagnosed with protein malnutrition.
By Day 3 of Week 1
Post an explanation of the disease highlighted in the scenario you were provided. Include the following 5 points in your explanation, usually a paragraph with citation(s) should suffice to cover each point. Citations would reflect classroom textbook, primary, current peer-reviewed journal articles (published in last 5 yr.) usually, 3 references will support your points.
The scenario reflects this to be an unidentified race, so if this patient was African American would this create characteristics influenced by race? It may or may not just support your point with a citation.
In this elderly female, there are several contributing factors for her presenting with these symptoms.
If you do not find any genetic factors contributing, provide a citation supporting this. As a student, be sure to support your points until you become the expert. Reading and providing rigorous, valid references starts the advanced practice journey from writing up a case study to actual patient management.
In many realms of medicine, objective diagnoses can be made: A clavicula is broken. An infection is present. TSH levels meet the diagnostic criteria for hypothyroidism. Psychiatry, on the other hand, deals with psychological phenomena and behaviors. Can these, too, be “defined objectively and by scientific criteria (Gergen, 1985), or are they social constructions?” (Boland, Verduin, & Ruiz, 2022).
Thanks to myriad advances during recent decades, we know that psychopathology is caused by many interacting factors. Theoretical and clinical contributions to the field have come from the neural sciences, genetics, psychology, and social-cultural sciences. How do these factors impact the expression, classification, diagnosis, and prevalence of psychopathology, and why might it be important for a nurse practitioner to take a multidimensional, integrative approach?
Explain the biological (genetic and neuroscientific); psychological (behavioral and cognitive processes, emotional, developmental); and social, cultural, and interpersonal factors that influence the development of psychopathology.
I attached the following:
Directions
Case problems 1 and 2
Example of how the assignment is supposed to look like and a template
Rubric
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Citation in APA |
Purpose Statement |
Research Question |
Study Method and Level of Evidence – Appraisal |
Population/Sample |
Findings/Outcomes |
Recommendations for Future Research |
,
Literature Review Matrix
|
Citation in APA |
Purpose Statement |
Research Question |
Study Design/Level of Evidence/Appraisal |
Population/Sample |
Findings/Outcomes |
Recommendations for Future Research |
|
Fong, B., Woo, Y., Lee, J., X., & Tam, W., W. (2017). The impact of the advanced practice nursing role on quality of care, clinical outcomes, patient satisfaction, and cost in the emergency and critical care settings: A systematic review. Human Resources Health, 15(1), 9. |
Evaluate the impact of increasing the autonomy of nurses assuming advanced practice roles in emergency and critical care settings on patient outcomes. |
What is the best available evidence on the impact of advanced practice nursing on quality of care, clinical outcomes, patient satisfaction, and cost in emergency and critical care settings? |
Method = Systematic Review – Level 1 |
Electronic database review of journals from 2006-2016/15 |
The involvement of nurses in advanced practice in emergency and critical care improves the length of stay, time to consultation/treatment, mortality, patient satisfaction, and cost savings. |
The transformation of healthcare delivery through effective utilization of the workforce may alleviate the impending rise in demand for health services. Nevertheless, it is necessary to first prepare a receptive context to effect sustainable change. |
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Prem, V., Karvannan, H., Karthibabu, S., Syed, N., & Sisodia, V. (2014). Study of nurses’ knowledge about Palliative Care: A Quantitative Cross-Sectional Survey. Indian Journal of Palliative Care, 18(2), 122-127. |
Assess the knowledge about palliative care amongst nursing professionals using the palliative care knowledge test (PCKT). |
Using a Palliative care knowledge test, what is the level of knowledge of nurses who provide palliative care? |
Method Quantitative Cross-Sectional Level 3 |
Palliative Care Nurses/363 |
Overall level of knowledge about palliative care was poor, and nurses had a greater knowledge about psychiatric problems and philosophy than the other aspects indicated in PCKT |
Future studies could focus on different ways of knowing, and the methods of knowledge constructions, the inter-relationship with practice and research, and the influence of evidence-base, and cultural competence in evidence-based palliative care nursing |
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Skagerstrom, J., Ericsson, C., Nilsen, P., Ekstedt, M., & Schildmrjer, K. (2017). Patient involvement for improved patient safety: A qualitative study of nurses’ perceptions and experiences. Nurse Open, 4(4), 230-239. |
Explore nurses’ perceptions and experiences of patient involvement relevant to patient safety. |
What are nurses’ perceptions and experiences of patient involvement related to patient safety? |
Method = Qualitative Level 6 |
RNs/11 |
According to the nurses, involvement can be hindered by factors related to the patient, the healthcare provider and the healthcare system. However, respondents expressed that patient involvement can lead to safer care and benefits for individual patients. |
More studies with larger sample. Ensure future research includes a standard example of patient safety |
