CP – Week 3 Discussion 1st REPLY
CP – Week 3 Discussion 1st REPLY
Reply to the following discussion by supporting the post. You will want to focus on their point of view, asking pertinent questions, adding to the responses by including information from other sources. Be objective, clear, and concise.
It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources.
CB Discussion:
Population: The group of patients for this proposal will include patients presenting to a nurse practitioner-run specialty clinic in Tulsa, OK for musculoskeletal pain. Because this clinic does not take insurance and is cash pay only; this group of patients is anticipated to be of higher economic status than average. Also, this group of patients will most likely demonstrate high self-awareness and high health literacy since they are seeking specialty care outside of normal health care networks. Patients with musculoskeletal pain benefit from consistent exercise (Lindsay et al., 2020; Mehri et al., 2020).
Intervention: The intervention of interest is one that would increase patient adherence to a physical conditioning program. The specific conditioning exercises the patient chooses are not the focus of this proposal. The more important aspect is what action by the nurse practitioner is most beneficial to improving adherence to an exercise plan. Health coaching in various patient populations has a positive effect on lifestyle changes such as increasing physical activity. Health coaching is a patient-centered interaction that facilitates a change in behavior. The nurse practitioner and the patient set goals and map out an action plan. As a coach, the nurse practitioner listens, holds space for the patient, facilitates, motivates, provides feedback, and encourages the patient as they make progress along the action plan (Kivelä et al., 2014; Oikarinen et al., 2017). An initial in-person coaching session and weekly telephone calls with the patient by the nurse practitioner is the intervention.
Comparison: the comparison group will be a similar group of patients from the nurse practitioner specialty practice who do not receive the initial or weekly telephone coaching sessions.
Outcome: The outcome of interest is whether or not the patients who participate in health coaching sessions with the nurse practitioner will have better adherence to an exercise plan.
Timeframe: Lifestyle modifications are not easy endeavors to undertake. Habits are hard to break. Therefore, the patients will be evaluated for the outcome at the end of twelve months.
PICOT Question: In patients with musculoskeletal pain seeking care from a nurse practitioner specialty clinic (P), does health coaching and weekly telephone coaching calls by the nurse practitioner (I) compared to no coaching (C) increase adherence to a physical exercise plan (O) over the period of one year (T).
References
Kivelä, K., Elo, S., Kyngäs, H., & Kääriäinen, M. (2014). The effects of health coaching on adult patients with chronic diseases: A systematic review. Patient Education and Counseling, 97(2), 147–157. /orders/doi.org/10.1016/j.pec.2014.07.026
Lindsay, K., Caplan, N., Weber, T., Salomoni, S., De Martino, E., Winnard, A., Scott, J., Young, E., Hides, J., Hodges, P., & Debuse, D. (2020). Effects of a six-week exercise intervention on function, pain and lumbar multifidus muscle cross-sectional area in chronic low back pain: A proof-of-concept study. Musculoskeletal Science and Practice, 49, 102190. /orders/doi.org/10.1016/j.msksp.2020.102190
Mehri, A., Letafatkar, A., & Khosrokiani, Z. (2020). Effects of corrective exercises on posture, pain, and muscle activation of patients with chronic neck pain exposed to anterior-posterior perturbation. Journal of Manipulative and Physiological Therapeutics, 43(4), 311–324. /orders/doi.org/10.1016/j.jmpt.2018.11.032
Oikarinen, A., Engblom, J., Kyngäs, H., & Kääriäinen, M. (2017). A study of the relationship between the quality of lifestyle counseling and later adherence to the lifestyle changes based on patients with stroke and tia. Clinical Rehabilitation, 32(4), 557–567. /orders/doi.org/10.1177/0269215517733794
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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.
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- 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.
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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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