Students this project will allow you to formulate and hypothetically develop your own research project. The purpose of this project is for the student to complete an abstract submission to a specific nursing journal.

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Students this project will allow you to formulate and hypothetically develop your own research project. The purpose of this project is for the student to complete an abstract submission to a specific nursing journal. The assignment must be strictly following APA guidelines, points will be deducted if otherwise (See Rubric).

An abstract is a concise summary of a larger project (a thesis, research report, performance, service project, etc.) that concisely describes the content and scope of the project and identifies the project’s objective, its methodology and its findings, conclusions, or intended results.

Abstract Outline:

-Title of Project

-Problem Statement: what is the problem that needs fixing?

-Purpose of the Project

-Research Question(s)

-Hypothesis

-Methodology (Qualitative vs. Quantitative)

-Steps in implementing your project

-Results (Pretend results)

-Conclusion

Follow the following guidelines:

1-Student will think about a problem in their nursing career that needs fixing (Example, Increase number of falls in delirious patients in ICU).

2- Student will select a nursing journal (not medical journal, ex ANA) and review the abstract submission guidelines for that specific journal.

3- Paper: The paper will consist on three sections

1-Introduction: in which the student will reveal the selected journal and reasoning for selecting such journal. And a brief section on the submitting criteria for the journal (DO NOT PLAGARIZE).

2-Research steps: The student will follow the journal’s abstract guidelines and complete the abstract outline steps based on the hypothetically selected problem as above. If the selected journal does not require the steps highlighted, and then follow the highlighted steps.

3-Explain how your hypothetical project will impact the nursing career.

4-Follow APA format, meaning Title page, Abstract, Body and Reference page.

Chronic Back Pain

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Week 9 Discussion

Chronic Back Pain

Patients frequently present with complaints of pain such as chronic back pain. They often seek medical care with the intent of receiving drugs to manage the pain. Typically, for this type of pain, narcotic drugs are often prescribed. This can pose challenges for you as the advanced practice nurse prescribing the drugs. While there is a process for evaluating back pain, it can be difficult to assess the intensity of a patient’s pain because pain is a subjective experience. Only the person experiencing the pain truly knows whether there is a need for drug treatments. This makes it important for you, as the prescriber, to watch for red flags and warning signs of abuse. In this Discussion, you explore the ethical implications of prescribing narcotics to patients with chronic back pain.

To prepare:

  • Review this week’s media presentation on evaluating back pain, as well as Chapter 15 of the Buttaro et al. text in the Learning Resources. Reflect on the evaluation process for a patient with a history of back pain.
  • Consider how you might evaluate a patient that presents with back pain. Think about potential red flags and warning signs of drug abuse.
  • Reflect on the ethical implications of prescribing narcotics for chronic back pain.
  • Think about what you would prescribe and why.

Post on or before Day 3 a description of how you might evaluate a patient who presents with back pain. Then, describe potential red flags and warning signs of drug abuse. Explain the ethical implications of prescribing narcotics for chronic back pain. Finally, explain what you would prescribe for patients and why.

In light of your understanding of the civil and alternative dispute resolution (ADR) process, consider the following scenario: Pete was seriously injured when the four-wheeled all-terrain vehicle (ATV) he was driving through the trails behind his house rolled over

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In light of your understanding of the civil and alternative dispute resolution (ADR) process, consider the following scenario: Pete was seriously injured when the four-wheeled all-terrain vehicle (ATV) he was driving through the trails behind his house rolled over. As a result of his injuries, Pete is unable to work and has incurred $75,000 in medical bills. Pete has filed a lawsuit against the ATV manufacturer to receive compensation for the financial harm resulting from his injuries. Pete claims that the manufacturer defectively designed the ATV, causing it to have a tendency to roll over on rough terrain. The ATV manufacturer claims that the ATV is not defectively designed and that the rollover was caused by Pete driving at an excessive rate of speed around a corner. Consider the steps in civil litigation and ADR, and assess the factors that Pete and the ATV manufacturer will consider when deciding whether they should settle this lawsuit. If you were Pete’s lawyer, what resolution would you advise? Be sure to consider the primary forms of ADR and all ADR factors described in the lesson and textbook. Finally, research and select at least one case from an outside source to support your resolution to the ATV case. Your answer should be a minimum of 500 words. Cite any direct quotes or paraphrased material from these sources. Use APA format to properly reference your information.

Diagnosing Gastrointestinal Disorders

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Week 6 Discussion

Diagnosing Gastrointestinal Disorders

In primary care settings, patients often present with abdominal pain. Although this is frequently a sign of a gastrointestinal (GI) disorder, abdominal pain could also be the result of other systemic disorders, making this type of pain difficult to assess. While abdominal pain is most common, many other GI symptoms also overlap multiple disorders, further increasing the difficulty in diagnosing and treating patients. This makes provider-patient communication essential. You must be able to formulate questions that will prompt the patient to provide the necessary information, as this will guide your assessment and diagnosis. For this Discussion, consider potential diagnoses for the patients in the following case studies.

Case Study 1:
A 49-year-old man presents to the office complaining of vague abdominal discomfort over the past few days. He states he does not feel like eating and has not moved his bowels for the last 2 days. His patient medical history includes an appendectomy at age 22 and borderline hypertension, which he is trying to control with diet and exercise. He takes no medications and has no known allergies. Positive physical exam findings include a temperature of 99.9 degrees Fahrenheit, heart rate of 98, respiratory rate of 24, and blood pressure of 150/72. The abdominal exam reveals abdominal distention, diminished bowel sounds, and lower left quadrant tenderness without rebound.

Case Study 2:
A 40 year-old female presents to the office with the chief complaint of diarrhea. She has been having recurrent episodes of abdominal pain, diarrhea, and rectal bleeding. She has lost 9 pounds in the last month. She takes no medications, but is allergic to penicillin. She describes her life as stressful, but manageable. The physical exam reveals a pale middle- aged female in no acute distress. Her weight is 140 pounds (down from 154 at her last visit over a year ago), blood pressure of 94/60 sitting and 86/50 standing, heart rate of 96 and regular without postural changes, respiratory rate of 18, and O2 saturation 99%. Further physical examination reveals:
Skin: w/d, no acute lesions or rashes
Eyes: sclera clear, conj pale
Ears: no acute changes
Nose: no erythema or sinus tenderness
Mouth: membranes pale, some slight painful ulcerations, right buccal mucosa, tongue beefy red, teeth good repair
Neck: supple, no thyroid enlargement or tenderness, no lymphadenopathy
Cardio: S1 S2 regular, no S3 S4 or murmur
Lungs: CTA w/o rales, wheezes, or rhonchi
Abdomen: scaphoid, BS hyperactive, generalized tenderness, rectal +occult blood

Case Study 3:
A 52-year-old male presents to the office for a routine physical. The review of symptoms reveals anorexia, heartburn, and weight loss over the past 6 months. The heartburn is long standing, occurring most days during the week. He takes TUMS or Rolaids to relieve the discomfort. The patient describes occasional use of ibuprofen for back pain, but denies other medications including herbals. He has no known allergies. He was adopted so does not know his family history. Social history reveals that, although he stopped smoking ten years ago, he smoked for 20 years. He occasionally consumes alcohol on the weekends only. The only positive physical exam finding for this patient was slight epigastric tenderness. The remainder of his exam was negative and the rectal exam was negative for blood.

To prepare:
•Review this week’s media presentations and Part 12 of the Buttaro et al. text in the Learning Resources.
•Select one of the three case studies listed above. Reflect on the provided patient information including history and physical exams.
•Think about a differential diagnosis. Consider the role the patient history and physical exam played in diagnosis.
•Reflect on potential treatment options based on your diagnosis.

Post on or before Day 3 an explanation of the differential diagnosis for the patient in the case study that you selected. Describe the role the patient history and physical exam played in the diagnosis. Then, suggest potential treatment options based on your patient diagnosis.