Recruiting participants for EBP |

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Week 8
Written by ooo, Entitled: Health needs for adults with developmental challenges
Sampling Method, Sample, and Setting
Sampling method. In this study, the participants will be recruited by criterion purposive sampling by their doctors/nurses based on their diagnosis with any developmental disability at any hospital and emergency room in Boston MA.
Sample. Inclusion criteria are the following: (1) Diagnosis with one or more developmental disability (2) Parent of a child with developmental disability; (3) Participant will be within the age of 4 and above.
Volunteers will not be eligible for this study if they: (1) do not have developmental disability or have never been diagnosed with a mental health disability (2) if the volunteer is currently residing in a long-term care facility.
The sample size will be about 120 participants. This study tends to rely on a very large sample. Since there is more than one guiding principle for selecting the sample: all participants or family must have experienced the phenomenon and must be able to express what it’s like to have lived the experience. Data will be collected until the sample size is accomplished.
Setting. The proposed setting for this study is mainly at hospitals in Boston which includes Tuft Medical center, Boston Medical Center, Brigham’s and women, Children Hospital, and Mass general Hospital. Boston medical center is a teaching and research Hospital. The hospital offers the highest level of diagnostic and treatment services, with mental health Nurse practitioner, neurologists and other specialists being very experienced in treating patient with mental health issues.
Informed consent and ethical considerations
Before enrolling participants in this study, an informed consent must be signed and approved by the Institutional Review Board. This will be obtained from the (DDS) Department of Developmental Services and Regis College as well. An application and proposal will be sent to the IRB for approval. Since the study has minimal risk to the subjects, an expedited review will be requested (Polit & Beck, 2012). Though There may be risk that the participant may have; such as feelings of discomfort while discussing their personal experiences of taking care of a child with developmental disability.
There are no foreseen ethical issues involved in this research study. The questionnaire will be held in locked files in the office. The results of the interviews will remain confidential, but will be available to the researcher, in order to protect the participants. All participants involved in the study will be clarified of the purpose of the study, the research process, and research results in order to ensure that participants understood the informed consent to participate in the study.
 

organizational characteristics 1

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Respond to the following in a minimum of 175 words:

Think of a current or former workplace. Is it agile, bureaucratic, or does it have characteristics of both? Share examples of how it is agile or bureaucratic and discuss the following:

  • How can agility improve organizational efficiency and effectiveness?
  • How do agility and bureaucracy affect different roles and responsibilities?
  • What are the advantages and disadvantages of bureaucracy?

Reply to at least 2 of your classmates. Be constructive and professional in your responses. I will provide the two students responses.

 

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respond to 2 classmates 8

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1.Everybody needs to be accountable for their actions and abide by the rules. I get it that the rules do suck at times but they also help us stay free as a country. We have these rights for a reason and our forefathers had set us up for success with our constitutional rights and we have to uphold them to a very high standard. I agree with Tawnetta that to truly uphold our constitutional rights we as a society have to hold everybody accountable for their actions no matter how small or big. They are there for a reason, to protect us from abuse of power by our own government and we must know how these rights work as that can be the only way to protect ourselves when times get hard or you happen to get caught up with any form of legal actions, whether it be a divorce, getting served, dealing with a business, especially when it comes to committing a criminal act and face the possibility of imprisonment.

The way that I believe we can improve or strengthen our constitutional rights is to get the people involved, teach it more in schools at a young age so they can understand why we have these rights and how to protect themselves in the future whether or not something happens. That is one thing I do wish I was taught more on in school was our constitutional rights in detail.

2.There are many different ways to ensure that the constitutional rights can be upheld within our society by first holding everyone accountable for their actions. In order to understand what the constitutional rights you must first know what they are and how they apply to you as a person, because the constitutional rights will affect everyone differently. The amendments have been created to make sure that everyone has rights and that they will be treated equally. Even those who are not citizen’s still have to follow the rules. When people commit crimes make them do the time. Freedom of speech allows you to be your own person and speak what’s on your mind.

I would recommend that all citizens are allowed to vote and help improve the rules and laws in our country. I believe if the people felt like they have a voice to stand on that they’d be more likely to follow the rules vs break them. Being more consistent, once a rule is set in place it should apply too all citizens of all races and backgrounds.

 

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Select any three (3) questions from Case Study # 1 or from Case Study # 2, and discuss the rationale by posting/ responding in the online learning activity/ discussion forum

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Caring for Clients with common Digestive/ Gastrointestinal Health Challenges.
Select any three (3) questions from Case Study # 1 or from Case Study # 2, and discuss the rationale by posting/ responding in the online learning activity/ discussion forum. Please identify the case study selected and copy the three questions chosen directly into the post. Include and properly reference information taken from the course readings to support your ideas.
CASE STUDY #2
(must be 3 pages with at least 5 references no older than 5 years)
Joshua Phelps, 37, arrives at the ED complaining of right lower quadrant abdominal pain. You obtain his vital signs and find out that he has no known allergies and takes no medications. His BP is 156/ 94; pulse, 100 and regular; respirations, 20; and temperature, 99.6 F (37.6 C).
What is the next step in investigating his problem?Mr. Phelps’ pain began last evening and is associated with nausea, but he hasn’t vomited. Eating doesn’t seem to affect the pain, and he hasn’t had any bowel or bladder changes.
In assessing Mr. Phelps’s pain, what information should you obtain?Mr. Phelps describes his pain as constant, deep and achy, and worse with movement. On a pain scale of 0- to 10, with 10 being the worst pain he has ever experienced, he rates the pain at a 7. He doesn’t want to lie supine and is guarding his right lower quadrant.
When assessing Mr. Phelps’ abdomen, describe the order and specifics associated with the assessment?Abdominal assessment shows a normal inspection, normoactive bowel sounds, and no masses, enlargement, or tenderness of the liver or spleen. However, Mr. Phelps did display rebound tenderness and positive obturator and iliopsoas signs. Based on his history and physical assessment, the healthcare provider orders a complete blood cell count and urinalysis. The results indicate a total white blood cell (WBC) count elevation with 96% neutrophils. The urinalysis is normal.
Mr. Phelps’ signs and symptoms, history, physical assessment, and lab findings suggest which diagnosis? Explain your rationale.Abdominal aortic dissection.Acute appendicitis.Renal calculi.Acute Cholecystitis.
ONE PAGE OF SELF REFLECTION onWhat is my knowledge concerning providing care for and with clients experiencing digestive and gastrointestinal challenges? (i am a community rpn)
ONE PAGE OF REFLECTION ON MY PEER WORK ( TWO REFERENCES)Case Study #21) In assessing Mr. Phelps’s pain, what information should you obtain?The information that should be obtained about Mr. Phelps’s pain include:Character of the pain: deep and achyDuration: States it’s constantFrequencyWhat makes the pain worse or better: movement makes it worse, lying supineLocation: right lower quadrantDistribution of referred painTime pain started: last evening
2) When assessing Mr. Phelps’ abdomen, describe the order and specifics associated with the assessment?
Start with inspecting the abdomen noting colour, contour, symmetry, the umbilicus is midline etc.Next we would auscultate because “percussion and palpation can increase peristalsis which would give a false interpretation of bowel sounds” (Jarvis, 2014). During auscultation we listen for bowel sounds(character and frequency) and vascular sounds.Percussion comes next “to assess the relative density of abdominal contents, to locate organs, and to screen for abdominal fluid or masses”(Jarvis, 2014).Palpation is last. You note whether their is tenderness, masses, involuntary rigidity, guarding etc.
3) Mr. Phelps’ signs and symptoms, history, physical assessment, and lab findings suggest which diagnosis? Explain your rationale.
Mr. Phelps’s assessments suggest acute appendicitis based on the following findings:positive obturator and iliopsoas sign, pain in RLQ. “when the iliopsoas muscle is inflamed (which occurs with an inflamed or perforated appendix) pain is felt in the RLQ” (Jarvis, 2014)Rebound tenderness Pain aggravated by movementNauseaFeverTotal white blood cell count elevation with 96% neutrophils 
References
Jarvis, C. (2014). The Abdomen, Physical Examination and Health Assessment (2nd CanadIan ed., pp 557-569). Toronto, ON: Elsevier Canada.
ALSO SEND ME A COPY OF THE REFERENCES THAT YOU WILL USE