walden_nurs6051_week_3_discussion_latest_2017_october_.docx (88.91 KB)

Week 3 discussion Standardized Coding Systems
As a result of the fragmented nature of the health care
system, professionals in various specialty areas of medicine have developed
their own unique sets of terminology to communicate within that specialty. In
the past, limited attention has been given to codifying practices in order for
them to be understood and utilized across disciplines or through different
information technology systems. The implementation of a federally mandated
electronic medical records system, therefore, poses a challenge to nursing
professionals and others who must be prepared to utilize standardized codes for
the new system. Why are coding standards important for promoting consistent,
high-quality care?
According to Rutherford (2008, para. 15), “Improved
communication with other nurses, health care professionals, and administrators
of the institution in which nurses work is a key benefit of using a
standardized nursing language.” In this Discussion you consider the reasoning
behind and the value of standardized codification.
To prepare:
Review the information in Nursing Informatics: Scope and
Standards of Practice. Determine which set of terminologies are appropriate for
your specialty or area of expertise.
Reflect on the importance of continuity in terminology and
coding systems.
In the article, “Standardized Nursing Language: What Does It
Mean for Nursing Practice?” the author recounts a visit to a local hospital to
view its implementation of a new coding system. One of the nurses commented to
her, “We document our care using standardized nursing languages but we don’t
fully understand why we do” (Rutherford, 2008, para. 1). Consider how you would
inform this nurse (and others like her) of the importance of standardized
nursing terminologies.
Reflect on the value of using a standard language in nursing
practice. Consider if standardization can be limited to a specialty area or if
one standard language is needed across all nursing practice. Then, identify
examples of standardization in your own specialty or area of expertise. Conduct
additional research using the Walden Library that supports your thoughts on
standardization of nursing terminology.
By Day 3
Post an explanation of why nurses need to document care
using standardized nursing languages and whether this standardization can be
limited to specialty areas or if it should be across all nursing practice.
Support your response using specific examples from your own specialty or area
of expertise and using at least one additional resource from the Walden
Library.
Read a selection of your colleagues’ responses.
By Day 6
Respond to at least two of your colleagues on two different
days using one or more of the following approaches:
Ask a probing question, substantiated with additional
background information, evidence or research.
Share an insight from having read your colleagues’ postings,
synthesizing the information to provide new perspectives.
Offer and support an alternative perspective using readings
from the classroom or from your own research in the Walden Library.
Validate an idea with your own experience and additional
research.
Make a suggestion based on additional evidence drawn from
readings or after synthesizing multiple postings.
Expand on your colleagues’ postings by providing additional
insights or contrasting perspectives based on readings and evidence.

week_2_project_.doc (66 KB)

Week 2 project Introduction to Course Project
Evidence-based practice involves
a great deal more than simply reading nursing periodicals on a regular basis.
Nurses can take a more proactive approach to evidence-based practice by
identifying authentic problems and concerns, and then using that to guide their
inquiries into current research. In this way, nurses can connect the results of
relevant research studies to their nursing practice.
For the Course Project, you
identify and apply relevant research to a specific nursing topic or problem.
You begin by formulating an answerable question that is relevant to nursing and
evidence-based practice. In later weeks of this course, you continue the Course
Project by conducting a literature review and then determining how the evidence
from the literature can be applied to nursing practice.
Before you begin, review the
Course Project Overview document located in this week’s Learning Resources.
Note: This Course Project will
serve as the Portfolio Assignment for the course. In addition to submitting
portions of this Project in Weeks 2 and 5, you will turn in all three
deliverables in Week 10.
Course Project: Part
1—Identifying a Researchable Problem
One of the most challenging
aspects of EBP is to actually identify the answerable question.
—Karen Sue Davies
Formulating a question that
targets the goal of your research is a challenging but essential task. The
question plays a crucial role in all other aspects of the research, including
the determination of the research design and theoretical perspective to be
applied, which data will be collected, and which tools will be used for
analysis. It is therefore essential to take the time to ensure that the
research question addresses what you actually want to study. Doing so will
increase your likelihood of obtaining meaningful results.
In this first component of the
Course Project, you formulate questions to address a particular nursing issue
or problem. You use the PICOT model—patient/population, intervention/issue,
comparison, and outcome—outlined in the Learning Resources to design your questions.
To prepare:
Review the article, “Formulating
the Evidence Based Practice Question: A Review of the Frameworks,” found in the
Learning Resources for this week. Focus on the PICOT model for guiding the
development of research questions.
Review the section beginning on
page 71 of the course text, titled, “Developing and Refining Research Problems”
in the course text, which focuses on analyzing the feasibility of a research
problem.
Reflect on an issue or problem
that you have noticed in your nursing practice. Consider the significance of
this issue or problem.
Generate at least five questions
that relate to the issue which you have identified. Use the criteria in your
course text to select one question that would be most appropriate in terms of
significance, feasibility, and interest. Be prepared to explain your rationale.
Formulate a preliminary PICO
question—one that is answerable—based on your analysis. What are the PICO
variables (patient/population, intervention/issue, comparison, and outcome) for
this question?
Note: Not all of these variables
may be appropriate to every question. Be sure to analyze which are and are not
relevant to your specific question.
Using the PICOT variables that
you determined for your question, develop a list of at least 10 keywords that
could be used when conducting a literature search to investigate current
research pertaining to the question.
To complete:
Write a 3- to 4-page paper that
includes the following:
A summary of your area of
interest, an identification of the problem that you have selected, and an
explanation of the significance of this problem for nursing practice
The 5 questions you have
generated and a description of how you analyzed them for feasibility
Your preliminary PICOT question
and a description of each PICOT variable relevant to your question
At least 10 possible keywords
that could be used when conducting a literature search for your PICOT question
and a rationale for your selections
By Day 7
Submit your Project. It will also
be a component of your Portfolio Assignment for this course, which is due by
Day 7 of Week 10.
Reference:
Davies, K. S. (2011). Formulating
the evidence based practice question: A review of the frameworks. Evidence
Based Library and Information Practice, 6(2), 75–80. Retrieved from
/orders/ejournals.library.ualberta.ca/index.php/EBLIP/article/viewFile/9741/8144
Submission and Grading
Information
To submit your completed Project
for review and grading, do the following:
Please save your Project using
the naming convention “WK2Proj+last name+first initial.(extension)” as the
name.
Click the Week 2 Project Rubric
to review the Grading Criteria for the Project.
Click the Week 2 Project link.
You will also be able to “View Rubric” for grading criteria from this area.
Next, from the Attach File area,
click on the Browse My Computer button. Find the document you saved as
“WK2Proj+last name+first initial.(extension)” and click Open.
If applicable: From the
Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to
the Global Reference Database.
Click on the Submit button to complete your submission.

week_10_project_.doc (76 KB)

Week 10 course project Course Project: Part 3—Translating Evidence Into Practice
In Part 3 of the Course Project,
you consider how the evidence you gathered during Part 2 can be translated into
nursing practice.
Now that you have located
available research on your PICOT question, you will examine what the research
indicates about nursing practices. Connecting research evidence and findings to
actual decisions and tasks that nurses complete in their daily practice is
essentially what evidence-based practice is all about. This final component of
the Course Project asks you to translate the evidence and data from your
literature review into authentic practices that can be adopted to improve
health care outcomes. In addition, you will also consider possible methods and
strategies for disseminating evidence-based practices to your colleagues and to
the broader health care field.
To prepare:
Consider Parts 1 and 2 of your
Course Project. How does the research address your PICOT question?
With your PICOT question in mind,
identify at least one nursing practice that is supported by the evidence in two
or more of the articles from your literature review. Consider what the evidence
indicates about how this practice contributes to better outcomes.
Explore possible consequences of
failing to adopt the evidence-based practice that you identified.
Consider how you would disseminate
information about this evidence-based practice throughout your organization or
practice setting. How would you communicate the importance of the practice?
To complete:
In a 3- to 4-page paper:
Restate your PICOT question and
its significance to nursing practice.
Summarize the findings from the
articles you selected for your literature review. Describe at least one nursing
practice that is supported by the evidence in the articles. Justify your
response with specific references to at least 2 of the articles.
Explain how the evidence-based
practice that you identified contributes to better outcomes. In addition,
identify potential negative outcomes that could result from failing to use the
evidence-based practice.
Outline the strategy for
disseminating the evidence-based practice that you identified throughout your
practice setting. Explain how you would communicate the importance of the
practice to your colleagues. Describe how you would move from disseminating the
information to implementing the evidence-based practice within your
organization. How would you address concerns and opposition to the change in
practice?
By Day 7 of Week 10
This part of the Course Project is
due. It should be combined with the other two components of the Course Project
and turned in as your Portfolio Assignment for this course.
Note: In addition, include a
1-page summary of your project.
For this final iteration, you will
need to:
Submit your paper to Grammarly and
SafeAssign through the Walden Writing Center. Based on the Grammarly and
SafeAssign reports, revise your paper as necessary.
Reminder: The School of Nursing
requires that all papers submitted include a title page, introduction, summary,
and references. The School of Nursing Sample Paper provided at the Walden
Writing Center provides an example of those required elements (available from
the Walden University website found in this week’s Learning Resources). All
papers submitted must use this formatting.

week_7_Assessing_and_Treating_Clients_With_Pain.doc (56 KB)

Week 7 assignment
Assignment: Assessing and Treating Clients With Pain
Pain can greatly influence an individual’s quality of life,
as uncontrolled pain negatively impacts mood, concentration, and the overall
physical and mental well-being of clients. Although pain can often be
controlled with medications, the process of assessing and treating clients can
be challenging because pain is such a subjective experience. Only the person
experiencing the pain truly knows the intensity of the pain and whether there
is a need for medication therapies. Sometimes, beliefs about pain and
treatments for pain can have an adverse effect on the provider-client
relationship. For this Assignment, as you examine the interactive case study
consider how you might assess and treat clients presenting with pain.
Learning Objectives
Students will:
Assess client factors and history to develop personalized
therapy plans for clients with pain
Analyze factors that influence pharmacokinetic and
pharmacodynamic processes in clients requiring therapy for pain
Evaluate efficacy of treatment plans for clients presenting
for pain therapy
Analyze ethical and legal implications related to
prescribing therapy for clients with pain
Learning Resources
Note: To access this week’s required library resources,
please click on the link to the Course Readings List, found in the Course
Materials section of your Syllabus.
Required Readings
Note: All Stahl
resources can be accessed through the Walden Library using this link. This link
will take you to a log-in page for the Walden Library. Once you log into the
library, the Stahl website will appear.
Stahl, S. M. (2013).
Stahl’s essential psychopharmacology: Neuroscientific basis and practical
applications (4th ed.). New York, NY: Cambridge University Press.
To access the following chapters, click on the Essential
Psychopharmacology, 4th ed tab on the Stahl Online website and select the
appropriate chapter. Be sure to read all sections on the left navigation bar
for each chapter.
Chapter 10, “Chronic Pain and Its Treatment”
Stahl, S. M., & Ball, S. (2009a). Stahl’s illustrated
chronic pain and fibromyalgia. New York, NY: Cambridge University Press.
To access the following chapter, click on the Illustrated
Guides tab and then the Chronic Pain and Fibromyalgia tab.
Chapter 5, “Pain Drugs”
Stahl, S. M. (2014b). The prescriber’s guide (5th ed.). New
York, NY: Cambridge University Press.
To access information on the following medications, click on
The Prescriber’s Guide, 5th ed tab on the Stahl Online website and select the
appropriate medication.
Review the following medications:
For insomnia
amitriptyline
amoxapine
carbamazepine
clomipramine
clonidine (adjunct)
desipramine
dothiepin
doxepin
duloxetine
gabapentin
imipramine
lamotrigine
levetiracetam
lofepramine
maprotiline
memantine
milnacipran
nortriptyline
pregabalin
tiagabine
topiramate
trimipramine
valproate (divalproex)
zonisamide
American Psychiatric Association. (2013). Diagnostic and
statistical manual of mental disorders (5th ed.). Washington, DC: Author.
Note: Retrieved from Walden Library databases.
National Institute of
Neurological Disorders and Stroke. (2016). Pain: Hope through research.
Retrieved from
http://www.ninds.nih.gov/disorders/chronic_pain/detail_chronic_pain.htm#3084_2
Required Media
Laureate Education
(2016a). Case study: A Caucasian man with hip pain [Interactive media file].
Baltimore, MD: Author
Note: This case study will serve as the foundation for this
week’s Assignment.
To prepare for this Assignment:
Review this week’s Learning Resources. Consider how to
assess and treat clients requiring therapy for pain and sleep/wake disorders.
The Assignment
Examine Case Study: A Caucasian Man With Hip Pain. You will
be asked to make three decisions concerning the medication to prescribe to this
client. Be sure to consider factors that might impact the client’s
pharmacokinetic and pharmacodynamic processes.
At each decision point stop to complete the following:
Decision #1
Which decision did you select?
Why did you select this decision? Support your response with
evidence and references to the Learning Resources.
What were you hoping to achieve by making this decision?
Support your response with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve
with Decision #1 and the results of the decision. Why were they different?
Decision #2
Why did you select this decision? Support your response with
evidence and references to the Learning Resources.
What were you hoping to achieve by making this decision?
Support your response with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve
with Decision #2 and the results of the decision. Why were they different?
Decision #3
Why did you select this decision? Support your response with
evidence and references to the Learning Resources.
What were you hoping to achieve by making this decision?
Support your response with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve
with Decision #3 and the results of the decision. Why were they different?
Also include how ethical considerations might impact your
treatment plan and communication with clients.