What pain medication would you provide to this patient? Why would you choose this medication? (2 pts)

/in /by

A 56-year-old male was brought to the emergency room with a chief complaint was right flank pain.

History of present Illness:

One day prior to admission, the patient developed a change in the color of his urine from pale yellow to red in color. There was no associated fever, painful urination, or penile discharge. He decided to consult with his primary physician the following day.

One hour prior to admission, the patient developed severe right flank pain associated with nausea. Upon admission, the patient was noted by the ER physician to be in severe pain, with a pain scale of 9 from a visual analog pain scale from 1  to 10. On physical exam, patient had the following findings:

  • Vital Signs BP: 140/90 mm Hg
  • Heart rate: 110 bpm
  • Respiration rate: 15 breaths per minute patient
  • Temperature: 98.6 deg C
  • All exam findings for the head, neck, heart, lungs, and abdomen were normal.
  • On examination of the back, patient had tenderness on the right flank upon palpation.
  • On examination of the genitalia, there was no penile discharge.
  • Note of a 1 x 1 cm tophus on right big toe.

The following diagnostic exams were ordered

  • CBC with WBC differential count
  • Urinalysis
  • Serum uric acid
  • KUB x-ray
  • MRI Scan abdominopelvic area

Past Medical History:

  • Diagnosed with gout one year prior to admission
  • On medication with allopurinol
  • No heart and lung disease
  • No diabetes or hypertension

Click here to review the results of the diagnostic exam.

Questions and topics for discussion:

  1. After considering his signs, symptoms, findings, and diagnostic exams, what would be the clinical diagnosis in this patient? (1 pt)
  2. What is causing the hematuria to occur?  (1 pt)
  3. Why are his vitals (BP, HR, breathing) elevated? (1 pt)
  4. What is causing the severe right flank pain? (1 pt)
  5. How are the elevated levels of serum uric acid and positive uric acid crystals in the urinalysis related to your diagnosis? (1 pts)
  6. What pain medication would you provide to this patient? Why would you choose this medication? (2 pts)
  7. What treatment would you recommend for removing the cause of his pain?  Explain your answer.  (3 pts

Using a Health Policy Model to Develop a Change in Policy to Improve the Public’s Health

/in /by

Using a Health Policy Model to Develop a Change in Policy to Improve the Public’s Health

This assignment focuses on the methods to develop a change in policy to improve the public’s health by using a health policy model.

Tasks:

Suppose you want to initiate a policy of taxing sugared sodas/pop/beverages in your community. Use the Longest’s policy cycle model to ponder the following questions:

  • What arguments would you use to make the case for the policy?
  • What argument(s) would your opponents make?
  • How would you go about getting buy-in for your proposed policy?
  • What stakeholder groups need to be involved in promoting your policy?

Submission Details:

  • Submit your response in a 2-page Microsoft Word document (500 words).
  • Name your document SU_NSG4068_W1_Project_LastName_FirstInitial.doc.
  • Submit your document to the Submissions Area by the due date assigned.
  • Cite sources in the APA format on a separate page.

Identify whether the research study design is experimental, quasiexperimental, or nonexperimental. Provide the rationale for your answer.

/in /by
Report Issue

Elements of Quantitative Research: Design and Samplin

The focus of the Week 3 discussion is on two important elements of quantitative research studies- design and sampling. The approach or design, quantitative or qualitative, also applies to EBP projects. Both quantitative and qualitative have different designs or traditions that fall under these two broad categories.

Select a single-study quantitative research study article related to your specialty track and provide the permalink to the article. Then discuss each of the following items.

  • Identify whether the research study design is experimental, quasiexperimental, or nonexperimental. Provide the rationale for your answer.
  • Identify the appropriate representation for the research study article you selected using the nomenclature of X for intervention, O for observation and data collection, and R for random a assignment to a research study group.
  • Identify the type of sampling (probability vs. nonprobability) that was used in the research study article you selected.
  • Identify one advantage and one disadvantage to the sampling type used (probability vs. nonprobability).
  • Identify whether there was random assignment to research study groups in the research study article you have selected.
  • If random assignment to groups was used, how does this strengthen the research study design?

Complete a critique of the quantitative and qualitative articles that were submitted in Topic 4. 

/in /by

 Below I have attached the instructions and the previous essay Critique studies part 1 topic 4. APA Format, at least 1000 word, references

Critique of Research Studies Instructions

Directions:

Complete a critique of the quantitative and qualitative articles that were submitted in Topic 4.

This assignment will be completed in three parts. Refer to the information below as a guide to the information that should be included in each part.

Follow the guidelines for the quantitative and qualitative article critiques in Box 5.2: Guide to an Overall Critique of a Quantitative Research Report, and Box 5.3: Guide to an Overall Critique of a Qualitative Research Report, in Chapter 5 of the Nursing Research: Generating and Assessing Evidence for Nursing Practice textbook.

1. Utilize a central heading to indicate that what follows is the critique of the articles.

2. The side headings of the critique for each article should follow the headings in Box 5.2 and Box 5.3 in Chapter 5 of the Nursing Research: Generating and Assessing Evidence for Nursing Practice textbook.

3. Note that within these basic guidelines, there are additional references to Detailed Critiquing Guidelines found in additional boxes in other chapters of the Nursing Research: Generating and Assessing Evidence for Nursing Practice textbook focused on the various elements of a research study report. Use these to expand the research study and to learn specific terminology appropriate to the critique of research.

When turning in the final submission, please put the elements in the following order: Quantitative Article Critique, Qualitative Article Critique, References (which should include the two articles, the text, and any other additional sources).

Critique of Research Studies – Part 2: Due Topic 6

For Part 2 of the critique, focus only on the following segments for each article:

 

Quantitative

 

· Method

 

o Protection of human rights

 

o Research design

 

o Population and sample

 

o Data collection and measurement

 

o Procedures

 

Qualitative

 

· Method

 

o Protection of participants’ rights

 

o Research design and research tradition

 

o Sample and setting

 

o Data collection

 

o Procedures

 

o Enhancement of trustworthiness

 

Research Studies

Diane Boll

Grand Canyon University: NUR 504

10-18-2017

Quantitative Article Critique

Study on Condom Use Behaviors

Introduction

The study was to result in some pilot tests that would be eventually get used in showing how condoms are normally put into use by the male gender. These males were supposed to get aged between eighteen to twenty-four years in order for the study to be able to come up with the desired results. For this research, the individuals were supposed to be people who only fell in the ages of 18-24. Another important factor for this study is that the individuals were people that had previously been able to have visited a health facility in the state of South Chicago. For this research to be undertaken, the participants were supposed to be people who were prone to HIV/AIDS and those that might have taken part in sex that is not safe with a lot of partners in a period of 3-6 months (Stephen et al,2007).

Statement of the Problem

The purpose of this study was to come up with a pilot test that would be used to look at the culture of how condoms are used among the males who are aged between the ages of eighteen and twenty-four years. The purpose of the study will be used to answer the following questions;

1.Which group of people is most likely to be infected with HIV/AIDS that is, Africans or Americans.

2.Which group mostly engages in risky behaviors like substance or even drug use (Patten & Newhart,2017).

Research Questions

1.How many African Americans get infected with HIV/AIDS as compared to other groups?

2.How many African Americans get involved with risky behaviors like drug abuse or alcohol abuse leading to the acquisition of HIV/AIDS?

Literature Review

In the world of technology today, a lot of young people especially the college going students get involved with behavior that is not good at all. These bad behaviors will be inclusive of partying where the youth will always get engaged in sex and which will normally expose them to the dangerous HIV/AIDS. This will also normally result due to the use of dangerous drugs or even excess intake of alcohol. The study has shown that the group that will normally be exposed to HIV/AIDS is the African Americans. This is because of their exposure to drugs or alcohol (Stephen et al,2007).

Theoretical Framework

Risky behavior is defined as engaging in activities that are harmful and which will lead to harmful effects. For instance, the use of drugs in order to party. One will later find themselves in difficult situations as there will be risks of getting affected with HIV/AIDS (Patten &Newhart,2017).

Drug abuse is defined as the use of drugs which will have an effect on the normal working of the body and which can lead to some diverse effects like insomnia, headaches among others. A good example is the use of Cocaine in excess which has some adverse negative effects on the body.

Qualitative Article Critique

Qualitative Study on Home Cares

Introduction

It has come to the attention of most experts that most people who are normally exposed to home care will normally end to the hospitals or even the referrals. As a result, it has been identified that the aspect becomes very expensive and that leads to the increase of predisposing factors on the given illnesses. This research dwelt more on the people that were suffering from infections that result from pneumonia. The participants of the study were mostly family members of the local communities that were picked randomly. The research was undertaken by use of 14 questions that were of the interview.

Statement of the Problem

The purpose of this study was to examine the extent to which pneumonia is covered when the patients have been taken to home care and later transferred to the hospitals or the referrals. The research was to find out the extent to which the pneumonia patients get affected by the infections from the disease.

Research Questions

1.To what extent are the patients that are taken to the referrals suffer from pneumonia infections as compared to those in-home cares?

2.What is the level of quality of healthcare that is offered in the nursing homes when compared to referrals or hospitals (Patten & Newhart,2017)?

Literature Review

Treatment of pneumonia has always been considered to be critical mostly when it is to be offered when it is in the critical stages. There are tendencies of the hospitals or even the referrals not giving the best treatment when the pneumonia is in the critical stages (Soo et al,2006). In regards to this, it is advisable that the ailment gets diagnosed in the nursing homes as that is the place where treatment will be great without risks of infections.

Theoretical Framework

The local community is defined as a population of people that lives in a given area. These are the people that will normally participate in the way things are in a given locality without a lot of problems.

The local community can also be termed as a people who are of shared values and who are motley ready to help the others when there are issues that do disturb the community which can be like health matters or even societal difficulties like thuggery (Soo et al,2006).

References

Stephen K, Sherry N, Jeffrey A et al (2007) A Quantitative Study on the Condom-

Use Behaviors of Eighteen- to Twenty-Four-Year-Old Urban African American

Males retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1950730/

on 28th Sep 2017

Soo C, Mark L. & Lynne L., (2006) Pneumonia care and the nursing home: a

qualitative descriptive study of resident and family member perspectives

retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1379645/ on

28th Sep 2017

Patten, M. L., & Newhart, M. (2017). Understanding research methods: An overview of the essentials. Taylor & Francis.