Diabetes Distress in Adults with Type 1 Diabetes Article Summary

Find two primary peer-reviewed journal articles (No meta-analysis or review articles) that examine the same hypothesis, using different study designs. For example, one article may use a cohort design and the other a case-control study, or randomized clinical trial, or cross-sectional, etc..

For each article:

1. State the research objective
2. Describe the study design, including their target population, sampling methodology, sample size, recruiting methods, inclusion/exclusion criteria, etc.
3. Summarize the results, including univariate and multivariate findings, if applicable. What variables did hey control for, and were the findings different after controlling for confounding variables than before they controlled for them?
4. State the article’s conclusions as they relate to the original (null) hypothesis.
5. Discuss the study’s strengths and limitations, including sources of bias or possible confounding. How did they account for these issues, and how might they have affected the results (bias toward vs. away from the null hypothesis)?
6. Were their conclusions generalizable to the overall population? Why or why not?

Finally, compare the two articles.

1. Did they reach the same or different conclusions? If different, what may have contributed to the discrepancy (chance, methodology, bias)?
2. Which study had the superior methodology, and why?
3. Which one are you more likely to believe?
4. How would you design the ideal study to examine this hypothesis?

Write a 5-7 page (Not including title or reference pages) APA formatted paper using scholarly citations/ references . Please remember to proofread paper for grammar, spelling, clarity, and graduate level academic English. Also, make sure to cite your references using APA citation for in-text citations.

Calculations and Questions

1) Different measures of disease are useful to evaluate and assess public health programs and needs in different situations. For each of the following questions, (a) state which measure would best support your goal and (b) explain why you chose that measure. To argue that mortality from HIV infection is a more serious public health problem in one region of the U.S than another. To argue that heart disease should get more funding than HIV.

2) An epidemiologist found five cases of big toe cancer in the Yukon Territory. Because there were only a few cases, the epidemiologist decided to conduct a matched case-control study to determine whether shoe size larger than 9 is a risk factor for big toe cancer. Each case was individually matched to one control for daily activity, history of athlete’s foot, and history of ingrown toenails. The following data were gathered:

Shoe size > 9

3) You are interested in controlling cigarette smoking among women aged 15-24. Describe one primary prevention approach and one secondary prevention approach you would use. Convey your understanding of the difference between primary and secondary approaches in the context of your answer.

4) You have just finished administering a food/drink questionnaire to ill and non-ill participants in a Minnesota summer picnic party. The ill individuals developed moderate to severe diarrhea 16 to 46 hours after the picnic. Six persons experienced vomiting. The following data were collected:

Calculate the Odds ratio for illness for consuming Lemonade.

5) Select a disease and an exposure. It does not have to be one that is unique. However, for your choice you must select a study design, source of the data, potential limitations.

cancer, genetics and genomics

If you were Rachel’s healthcare provider, what would you do? Provide a rationale for your response.

Include the pathological processes associated with breast cancer.

What role does the BRCA1 gene contribute to managing the patient’s care?

Describe and explain the role of the BRCA1 and breast cancer 2, early onset (BRCA2) gene in contribution as a risk factor for breast cancer.

Analyze the risk factors for breast cancer and possible interventions to preventive health management for women and men.

Culture and Ethics

Read the following case study and answer the following questions in APA style, with 4 headings using narrative, not question, format:

1) What are the potential ethical issues for yourself and the patient?

2) What are the unknowns? List all the subjective and objective data you need.

3) Describe the right thing to do in your personal opinion in caring for this patient according to your concentration: considering interventions pertinent to primary care, to patient education or to health care administration. Be specific in your assessment and plan.

4) What would you hope to learn from this encounter? This section is a critically thought out personal reflection (1-2 succinct paragraphs).

A 27-year-old genetic man presents to your clinic wearing women’s clothing. He tells you that from a very young age he has believed he was born with the wrong assigned gender. He also reports that he is most comfortable living life as a woman and that he has done so for the past 6 months. This patient also reports that he is ready for the next step in the process of becoming a woman. He is requesting to be started on female hormones to gain more feminine physical qualities.

Ethical question

Consider the case, Nurses caught between a rock and a hard place.

Nurses at Memorial Hospital, a 40 bed rural community hospital, are faced with what seems an impossible dilemma. Their best efforts to advocate for patients are routinely blocked by the hospital’s physicians and senior leadership. Two recent examples: When Mr. Rodriguez, a seasoned surgical nurse, requested time to administer an analgesic before a patient’s painful wound debridement, he was told by the surgeon that no pain medication was necessary. The patient was clearly in distress while the debridement was performed and so was his nurse. When Mr. Rodriguez reported this experience to the supervisor he was told that the nurse’s job is to do what the physician orders.

On another occasion, a woman presented to the emergency room with a fractured distal radius. Because a family member with a similar injury had unsatisfactory results (deformity and pain with movement) when treated by the doctor on call that evening, the woman and her husband requested transport to a larger hospital. The doctor on call insisted that it was important to set the fracture as soon as possible and convinced the couple that he could competently perform the procedure. The nurse had reservations about the doctor’s competence and wanted to counsel the couple to be persistent in seeking transport to another facility, but knew that her job was on the line if she did. When she reports this to her supervisor she is told that her job is not to advocate for patients but to be a loyal employee.

Repeated efforts by nurses to address these sorts of challenges have resulted in the persistent message that they can accept the status quo or leave. The nursing supervisor is tightly allied with medical director and Chief of ED (CEP). The problem for the nurses is that it is a 2 hour drive over the mountain to the nearest hospital and there are no other employment options.

Answer the following questions: 1) Which ethical principles are being violated in this scenario according to the ANA Ethics Definitions? 2) Which Code of Ethics provision best describes the nurse’s dilemma in this situation? 3) Where might the nurses at Memorial Hospital find resources to help in intervening to resolve their moral dilemma?

Key Points:

WK 4 Culture and Ethics

Read the following case study and answer the following questions in APA style, with 4 headings using narrative, not question, format:

1) What are the potential ethical issues for yourself and the patient?

2) What are the unknowns? List all the subjective and objective data you need.

3) Describe the right thing to do in your personal opinion in caring for this patient according to your concentration: considering interventions pertinent to primary care, to patient education or to health care administration. Be specific in your assessment and plan.

4) What would you hope to learn from this encounter? This section is a critically thought out personal reflection (1-2 succinct paragraphs).

A 27-year-old genetic man presents to your clinic wearing women’s clothing. He tells you that from a very young age he has believed he was born with the wrong assigned gender. He also reports that he is most comfortable living life as a woman and that he has done so for the past 6 months. This patient also reports that he is ready for the next step in the process of becoming a woman. He is requesting to be started on female hormones to gain more feminine physical qualities.

Upload your responses to the questions (a 2- to 3-page paper that includes 2-3 references)

Pancreatitis

1. Prepare a Short PowerPoint Presentation APA style  with the following content about pancreatitis:

a. Description

b. Pathophysiology

c. Clinical Manifestations

1.  Why does Pancreatitis happens in that way?

2. Which of those manifestations gives you specific or unique information regarding that condition?

d. What tests and/or diagnostic studies do you perform on a patient with this condition. Why?

Roles & Responsibilities Of The Advanced Nurse Practitioners

What are the roles and responsibilities of the advanced nurse practitioners in prescribing?

Should be formatted per current APA and 2-3 pages in length, excluding the title, abstract and references page. Incorporate a minimum of 3 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.

Women Health – Week 8 Discussion 1st REPLY

Discussion:

Article 1

Landry, J. (2017). Delivering Culturally Sensitive Care to LGBTQI Patients. The Journal for

Nurse Practitioners (JNP), 13(5), 342-348.

The main purpose of this article is to examine how culturally sensitive care may be delivered to LGBTQI patients. Several vital points are brought out by Landry (2017) in the study. Firstly, Landry (2018) argues that the challenges faced by nurse practitioners in the delivery of culturally sensitive care are not due to the nurses’ aversion or unwillingness to offer such care but rather because of their lack of knowledge and inexperience regarding the health care needs of LGBTQI patients. Secondly, the lack of awareness by health care professionals regarding the health care needs of LGBTQ1 patients exposes them to considerable degrees of bias, intolerance, and discrimination from the health care system. Thirdly, the discrimination experienced by this group of patients from the health care system affects them adversely because it reduces their health care outcomes and increases the health care that exists between mainstream and transsexual patients (Landry, 2018). After I become a nurse practitioner, my positive impact on the health of transsexual patients will be through developing awareness and increasing knowledge regarding the health care needs of the groups to deliver quality care. I will endeavor to interact with LGBTQ1 patients as much as possible to understand them better. Some of the attitudes and behaviors that I need to succeed in this venture include patience, tolerance, empathy, compassion, and inclusivity. When dealing with the patients, I will also communicate in a considerate manner and avoid judgmental or stereotypical assertions or assumptions. The specific screenings or interventions I will incorporate into practice when caring for the patients include cervix examination and screening for retained body organs (Landry, 2018).

Article 2

Paradiso, C. and Lally, R. M. (2018). Nurse Practitioner Knowledge, Attitudes, and Beliefs When Caring for Transgender People. Transgender Health, 3(1), 46-57.

The main objective of this investigative study by Paradiso and Larry (2018) was to evaluate and discuss the attitudes, beliefs, and knowledge that nurse practitioners have regarding caring for transgender individuals. Several essential takeaway thoughts can be deduced from the article. Firstly, these researchers argue that a considerable percentage of transgender individuals are discriminated against by the health care system due to the stigmatization and stereotyping they face from health care professionals who find it awkward to discuss a patient’s sexual preference or identity (Paradiso and Larry, 2018). Secondly, this article defines the kind of health care which may be described as adequate for transgender populations; such care is safe and delivered using a holistic approach to increase transgender individuals’ access to quality health care. I will positively influence the care offered to transgender individuals by making sure that the clinic environment is welcoming, comfortable, and convivial for them. I will also be tolerant towards them and develop a commitment to comprehend the different biological, social, and cultural issues which influence their sexual identity or orientation (Paradiso and Larry, 2018). To achieve this objective, I must develop and cultivate attitudes, behaviors, and beliefs such as inclusivity, tolerance, empathy, understanding, and accommodating of the patient and their needs. A helpful intervention/screening tool is the gender assessment questionnaire, which will allow patients to voice their genders identities and the names/titles or pronouns they wish to be used when addressing them. This will make the transgender individuals feel welcome and respected by the health care system and reduce the level of discomfort that a nurse practitioner may experience when delivering care to such a patient.

References

Landry, J. (2017). Delivering culturally sensitive care to LGBTQI patients. The Journal for Nurse Practitioners (JNP), 13(5), 342-348.

Paradiso, C. and Lally,  R. M. (2018). Nurse practitioner knowledge, attitudes, and beliefs when caring for transgender people. Transgender Health, 3(1), 46-57.

Week 5: Online Class Activity

Locate and post a YouTube video of no more than 5-minutes that exemplifies interprofessional collaboration and communication in nursing to improve health outcomes. No repeat videos please.

• Post the link or video to the discussion board
• Discuss two barriers the advanced practice nurse may encounter in working with health care professionals for improving health outcomes
• Examine how nurses demonstrates effective versus non-effective communication skills in the video
• Initial post due by Thursday and one reply by Sunday
• See instructions following the grid
• apa format
  

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  Who We Are 

  We are a professional custom writing website. If you have searched for a question and bumped into our website just know you are in the right place to get help with your coursework.

  Do you handle any type of coursework?

  Yes. We have posted our previous orders to display our experience. Since we have done this question before, we can also do it for you. To make sure we do it perfectly, please fill out our Order Form. Filling the order form correctly will assist our team in referencing, specifications, and future communication.

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  • 1. Click on “Order Now” on the main Menu and a new page will appear with an order form to be filled.
  • 2. Fill in your paper’s requirements in the “PAPER INFORMATION” section and the system will calculate your order price/cost.
  • 3. Fill in your paper’s academic level, deadline, and the required number of pages from the drop-down menus.
  • 4. Click “FINAL STEP” to enter your registration details and get an account with us for record-keeping and then, click on “PROCEED TO CHECKOUT” at the bottom of the page.
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  • Discussion Questions (DQ)

  Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

  • Weekly Participation

  Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

  • APA Format and Writing Quality

  Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

  • Use of Direct Quotes

  I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

  • LopesWrite Policy

  For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

  • Late Policy

  The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

  • Communication

  Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

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