Capstone Project Paper

1) Present a PICO question (it does not need to be your final PICO question): "Do hospitalized patients who are treated in Magnet-status hospitals have improved patient outcomes as compared to those patients being treated in non-Magnet status hospitals?" 2) Conduct a literature search using your search strategy and guidance from this week 's search tutorials: When conducting the initial literature research the principal databases utilized were PubMed, CINAHL, and Cochrane Database. After reading the "How to search evidence " Power Point, OVID and TRIP was added to the search. 3) Present whether you have to revise your search strategies or not with the reasons: Based upon the knowledge obtained from Research Methodology N5013 and the

This essay uses the book“ The Immortal Life of Henrietta Lacks” by Rebecca Skloot to investigate the requirements of informed consent ,by informing the patients through every steps Henrietta’s story is an example on informed consent. On one hand theorists such as, Dale Keigner argue that informed consent should be notified by the doctor to the patient and the patient should be knowledge on the proceeding that the doctors will maintain. On the other hand , Lewis Soloman contends that the doctors should be able to take any specimens from the patient after operating without consent for scientific reasons and research. . He also asserted that doctors should be able to deduct any specimen that will be able to help in the science research. Others maintain

EHR also know as electronic health records Is the patient health record, recorded electronically, and is up to the present date. The EHR tracks the patents health record and treatment history. However, PM also known as practice management is a software for the staff to manage scheduling appointments , checking on patients and patients, insurance eligibility and is only available to authorized users, such as medical staff. A PM system depends on the EHR application for clinical documentation. All outpatient software vendors end up offering both EHR and PM systems because they need to be together for either of them to work properly.

Outcome three in the Doctor of Nursing Practice (DNP) program has prepared me to use analytic methods to appraise critically existing literature and other evidence to determine and implement the best evidence for practice.(Raup, King, Hughes & Faidley, 2010). For example, at the start of the DNP program, I lacked experience in research and understanding of the literature review, now I have the ability to develop, direct and evaluate quality improvement methodologies to promote safe, timely, effective, efficient, equitable, and patient-centered care. Technology and the database research assisted me in forming my question, proposal, and project by providing evidence-based data and available resources. Two key examples that facilitated my growth

Student Name: Kayla Stradomski Course # and Section/Time: COMM 101 DAH; Monday, 11:00 a.m. - 1:50 p.m. Topic: Alzheimer’s disease General Purpose: To inform Specific Purpose Statement: To educate my audience on the aspects of Alzheimer’s disease. INTRODUCTION Attention Getter: Can you imagine your life if your memories and cognition slowly started deteriorating?

Alternatively, in an emergency, urgent and acute prescribing circumstances, supplementary prescribing is not suitable because the clinical management plan needed to be agreed in-between Independent Prescriber, Supplementary Prescriber and the patient before prescribing (DOH, 2006). However, Nuttall and Rutt-Howard (2011) argued that for long term conditions, non-medical prescribers are able to make an independent prescribing decision. Additionally, they stated that for long term conditions, patients are typical, predictable and their response to treatment is straightforward. But they also suggested that if a patient is presented with a condition in which they are competent to prescribe, then non-medical prescribers should be confident and competent to treat patient. ). Nuttall and Rutt-Howard (2011) states that nurses, midwives and pharmacists are capable to prescribe independently, but allied health professionals are able to prescribe only as a supplementary prescribing who needs a CMP to be in place for the patient they want to prescribe.

VAS-F, had to give a score of average fatigue over the last week on 0-10 4. Hospital Anxiety and Depression Scale 5. European Organization of Research and Treatment of Cancer Quality of Life 6. EORTC Breast Module (BR23) 7. 7 Item Insomnia Severity

The number of persons over the age of 65 will double by 2030. The older population may also present with comorbidities that demand more physician services. Of the 83 million people over age 62, 14 million will have diabetes, and 21 million will be obese. However, first year enrollment in medical schools has declined every year since 1980.Other conditions that will drive demand for physician services include rates of heart disease and cancer, two of the leading causes of death in the U.S. It is projected that the shortage will most affect the primary care sector of physician services.

By 2026, it is estimated that there will be over three million people with disabilities over the age of 65, this is almost double the 1.6 million reported in 2001. Increased disability is often what leads seniors to require long-term care outside of their normal residence. Long-term care facilities, also known as retirement homes charge between $1,700.00-$2,400.00 per month and often have long wait lists to acquire a room. These monthly fees are said to include, a room (often shared with another resident), food, care, laundry, housekeeping and some medical services. The level and quality of care can vary greatly between facilities and the higher the quality usually results in a longer wait list and monthly fees that are on the high end of the cost

This struggle is not unique to nursing but common to all health professions, including medicine. Challenged to address this important issue, an international commitment to evidence-based health care has resulted in a number of initiatives to improve access to research findings such as the Cochrane Collaboration, the Evidence-Based Medicine Working Group, critical appraisal skills teaching programmes, centres for evidence-based practice, research utilisation conferences, and evidence-based journals. Evidence-based nursing leads to “cookbook” nursing and a disregard for individualised patient care In practising evidence-based nursing, a nurse has to decide whether the evidence is relevant for the particular patient.

The elderly in nursing home are at an increased risk for falls, more than any other area. An average of 5% of all persons over the age of 65 reside in nursing homes. On average, over 1,800 people over the age 65 fall while in nursing homes every year and 20% of all fall related deaths occur from falls while living in nursing homes (Centers of Disease Control & Prevention, 2012). Falls result in decrease of quality of care through decline in functional ability, fear, restricted activities, and serious injury (U.S. Department of Health and Human Services, 2014). Not only does falls have an effect the overall quality of the persons whom live there and their families, but it also effects the facility and the staff.

Spay and Neuter Vs. Not to Spay and Neuter The positive effects of a spay and neuter. If a spay is done before approx. two years of age, greatly reduces the risk of some mammary gland tumors, the most common malignant tumors in female dogs and cats.

PSY 350: Experimental Psychology Statistics planning worksheet 1. What is your conceptual IV? That is, what thing do you want to change for participants because you think it will affect an outcome? If you have more than one IV, answer this question for each IV separately. The conceptual independent variable is the emotions of the participants during the experiment. 2.

Al Capone Alphonse Gabriel Capone was an american gangster who lived from 1899-1947. His father was Gabriel Capone, and his mother was Teresa Capone. They were Italian, and immigrated to USA in 1893.

PICOT Question The essentials of doctorate of nursing practices require that the advance practice nurse formulate a framework for operation of evidence-based nursing. To practice evidence-based nursing, however, it is also necessary to develop a properly formulated question about the patient population, the intervention, a comparison, and outcome (Zaccagnini & White 2014). Becoming proficient in the ability to perform this data collection will enhance the advance practice nurse capabilities of appropriately developing an evidence-based study that will bring about an effective change to all in the health care industry.