Need help with my Health & Medical question – I’m studying for my class.

To explore a futuristic depiction of health care, applying theoretical concepts, examining the nurse as a knowledge worker, as well as the role and competency of the nurse informaticist.

Develop a 750- to 1500-word paper (4 pages), following proper APA format, addressing the points below, being mindful of the scope and standards of the nursing informaticist. Using outside academic research, include at least three scholarly references and in-text citations.

Describe the application of the DIKW paradigm to the case study.
How might nurses in the scenario act as knowledge workers?
Imagine you were a nursing informaticist in this scenario. Choose a minimum of two technologies mentioned. Describe the technology, its purpose, and how your role would support these technologies in practice.

I need help with a Health & Medical question. All explanations and answers will be used to help me learn.

Title: Genitourinary Clinical Case

Patient Setting:

28 year old female presents to the clinic with a 2 days history of frequency, burning and pain upon urination; increase lower abdominal pain and vaginal discharge over the past week.

HPI

Complains of urinary symptoms similar to those of previous urinary tract infections (UTIs) which started approximately 2 days ago; also experiencing severe lower abdominal pain and noted brown fouls smelling discharge after having unprotected intercourse with her former boyfriend.

PMH

Recurrent UTIs (3 year); gonorheax2; chlamydia X1; Gravida IV Para III.

Past Surgical History

Tubal Ligation 2 years ago.

Family/ Social History

Family: Single; history of multiple sexual partners; currently leaves with new boyfriend and two children.

Social: Denies smoking, alcohol and drug abuse.

Medication History

None

Trimethoprim (TOM) Sulfamethoxazole (SMX) rash.

NKAD

ROS

Last pap 6 months ago, Denies breast discharge. Positive for urine to look dark.

Physical exam

BP 100/80,

HR 80,

RR 16,

T 99.7 F,

Wt 120,

Ht 5’0”

Gen: Female in moderate distress.

HEENT: WNL.

Cardio: Regular rate and rhythm normal S1 and S2.

Chest: WNL.

Abd: soft, tender, increase suprapubic tenderness.

GU: Cervical motion tenderness, adnexal tenderness, foul smelling vaginal drainage.

Rectal: WNL.

EXT: WNL.

NEURO: WNL.

Laboratory and Diagnostic Testing

Lkc differential: Neutraphils 68%, Bands 7%, Lymphs 7%, Monos 8%, EOS 2 %

UA: Starw colored. Sp gr 1.015, Ph 8.0, Protein neg, Glucose neg, Ketone neg, Bacteria- many Lcks 10-15, RBC 0-1

Urine gram stain- Gram negatives rods

Vaginal discharge culture: Gram negative diplococci, Neisseria gonorrhoeae, sensitivities pending

Positive monoclonal AB for Chlamydia, KOH preparation, Wet preparation and VDRL negative

Pleased fallow this instructions.

This is the criteria my instructor will use to grade me.

With this case study analyze and create a comprehensive plan of care for acute/chronic care, disease prevention, and health promotion for this patient and disorder for the patient in the clinical case. The care plan should be based on current best practices and supported with citations from current literature, such as systematic reviews, published practice guidelines, standards of care from specialty organizations, and other research based resources. In addition, you will provide a detailed scientific rationale that justifies the inclusion of this evidence in your plan. Your paper should adhere to APA format for title page, headings, citations, and references. The paper should be no more than 3 pages typed excluding title page and references.

Provide at least 3 differentials medical diagnosis and a plan of car for each.

Provide Journals and research articles for current scholarly evidence (no older than 5 years) to support your nursing actions. In addition, consider visiting government sites such as the CDC, WHO, AHRQ, and Healthy People 2020. Provide a detailed scientific rationale justifying the inclusion of this evidence in your plan.

Next determine the ICD-10 classification (diagnoses). The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-10-CM) is the official system used in the United States to classify and assign codes to health conditions and related information.

SOAP note

Evaluation of priority diagnosis

Facilitators and barriers to disorder management

Assignment Grading Criteria

Introduction

The submission included a general introduction to the priority diagnosis.

Subjective Data

The submission included the patient’s interpretation of current medical problem. It included chief complaint, history of present illness, current medications and reason prescribed, past medical history, family history, and review of systems.

Objective Data

The submission included the measurements and observations obtained by the nurse practitioner. It included head to toe physical examination as well as laboratory and diagnostic testing results.

Assessment

The submission included at least three priority diagnoses. Each diagnosis was supported by documentation in subjective and objective notes and free of essential omissions. All diagnoses were documented using acceptable terminologies and current ICD-10 codes.

Plan of Care

Plan included diagnostic and therapeutic (pharmacologic and non-pharmacologic) management as well as education and counseling provided. The plan was supported by evidence/guidelines, and the follow-up plans were noted.

Evaluation of Priority Diagnosis

The plan chose the priority diagnosis for the patient and differentiated the disorder from normal development. Discussed the physical and psychological demands the disorder places on the patient and family and key concepts to discuss with them. Identified key interdisciplinary team personnel needed and how this team will provide care to achieve optimal disorder management and outcomes.

Facilitators and Barriers

The submission interpreted facilitators and barriers to optimal disorder management and outcomes and strategies to overcome the identified barriers.

Conclusion

The submission included what should be taken away from this assignment.

APA/Style/Format

The submission was free of grammatical, spelling, or punctuation errors. Citations and references were written in correct APA Style.

Utilized proper format with coversheet, header.

This is the care plan template you need to fill it out base on the patient information on the case study.

Provided below. Please try to reword the information, do not use the exact words to fill out the

**Please delete this statement and anything in italics prior to submission to shorten the length of your paper.

Care Plan Template

Patient Initials: J.J

Subjective Data: (Information the patient tells you regarding themselves: Biased Information):

Chief Compliant: (In patient’s exact words)

History of Present Illness: (Analysis of current problems in chronologic order using symptom analysis [onset, location, frequency, quality, quantity, aggravating/alleviating factors, associated symptoms and treatments tried]).

PMH/Medical/Surgical History: (Includes medications and why taking, allergies, other major medical problems, immunizations, injuries, hospitalizations, surgeries, psychiatric history, obstetric and history sexual history).

Significant Family History: (Includes family members and specific inheritable diseases).

Social History: (Includes home living situation, marital history, cultural background, health habits, lifestyle/recreation, religious practices, educational background, occupational history, financial security and family history of violence).

Review of Symptoms: (Review each body system – This section you should place POSITIVE for… information in the beginning then state Denies…). – General:; Integumentary:; Head:; Eyes: ; ENT:; Cardiovascular:; Respiratory: ; Gastrointestinal:; Genitourinary:; Musculoskeletal:; Neurological:; Endocrine:; Hematologic:; Psychologic: .

Objective Data:

Vital Signs: BP – ; P ; R ; T ; Wt. ; Ht. ; BMI .

Physical Assessment Findings: (Includes full head to toe review)

HEENT:

Lymph Nodes:

Carotids:

Lungs:

Heart:

Abdomen:

Genital/Pelvic:

Rectum:

Extremities/Pulses:

Neurologic:

Laboratory and Diagnostic Test Results: (Include result and interpretation.)

Assessment: (Include at least 3 priority diagnosis with ICD-10 codes. Please place in order of priority.)

Plan of Care: (Addressing each dx with diagnostic and therapeutic management as well as education and counseling provided).

References

I don’t understand this Health & Medical question and need help to study.

Identifying Research Components

Week 4 Tasks

Use the Week 4 research template to complete the following assignment tasks.

Choose the assigned research articles from W2 Assignment 2. Describe the sample with demographics, data collection process, and identification of variables; sampling design; instruments, tools, or surveys.
Summarized the discussion about the validity and reliability of the instruments, tools, or surveys.
Discussed legal/ethical concerns.
NOTE: If a component is absent, student receives a zero for that component.
Cite all sources in APA format.

Quantitative Article:

Park, M., Cho, S., & Hong. (2015). Prevalence and perpetrators of workplace violence by nursing unit and the relationship between violence and the perceived work environment. Journal of Nursing Scholarship, 47(1), 87-95. doi: 10.1111/jnu.12112

Qualitative Article:

Turk, M., Fapohunda, A., & Zoucha, R. (2015). Using photovoice to explore Nigerian immigrant’s eating and physical activity in the United States. Journal of Nursing Scholarship, 47(1), 16-24. doi: 10.1111/jnu.12105

Summary of the Article

The study postulates that workplace violence is a universal problem that affects many individuals at multiple levels. The authors, Park, Cho, and Hong assert that workplace violence not only has an impact on a person’s quality of life, but also has the potential to affect their emotional as well as physical wellbeing. Every occupation is affected by workplace violence; however, nurses are at a bigger risk especially of non-physical violence. Researchers believe that there is a relationship between violence and work environment. A cross-sectional study was conducted using data collected over a period of two months from nurses at a university hospital in Seoul, South Korea. The 2nd version of the Copenhagen Psychosocial Questionnaire was utilized to examine the potential factors related to violence. The data was computed to establish the number of nurses exposed to one of the five forms of violence over a period of twelve months. Multiple regression analysis was used to identify a commonality among work demands, trust, and justice existing at the workplace. It was established that 71% of the nurses who took part in the study reported previous exposure to at least one of the five forms of violence. The majority reported exposure to verbal abuse as well as sexual harassment. According to the data, most perpetrators of violence are patients followed closely by physicians and patients’ families. Emotional instability potential increased the risk of workplace violence. Researchers established that more attention must be given to address the high workplace violence by building trust and justice, and having the appropriate workload in the workplace. The researchers concluded that nurses exposed to increasing work demands and minimal trust and justice in their work environment are more likely to experience workplace violence. Therefore, reducing workplace violence creates a better work environment and provides the opportunity for better results.

According to the researchers Turk, Fapohunda, and Zoucha, the population of the African immigrants is one of the fastest growing populations in the United States. Nigeria is one of the most popular countries for African immigrants. It is possible that this population may face barriers, making it difficult to maintain healthy diets and activity levels after migrating to the United States. To more knowledge surrounding the African immigrant population, researchers conducted a qualitative visual ethnography study using Photovoice. The 13 participants were asked to describe their health and life experiences using photographs. The participants had to be at least 18years of age, able to read and write, and must have been an immigrant from the Nigeria to the US. Participants were provided with a digital camera and instructed to takes photos of unhealthy eating habits and physical activity that they perceived to be unhealthy over a two-week period. The participants were instructed to take photos of what they thought as healthy eating habits and physical activity. The top four photos were selected and discussed. A semi structured interview guide was used to ask the participants several questions in relation to the photos that were previously selected. Open ended questions were used by the participants to fully express their perceptions. Through data collection, four themes were identified: moderation is healthy, Nigerian lifestyles are healthy, adapting to the American way is unhealthy, and promoting healthy behaviors involves cultural consideration (Turk, Fapohunda & Zoucha, 2015).

The Problem for each article

Workplace violence has become a global problem affecting numerous individuals on multiple levels. Workplace violence not only has an effect on a person’s quality of life, but also impacts their emotional as well as physical wellbeing. All occupations are affected by workplace violence but nurses are at higher risk. Potential risk factors create avenue for workplace violence by various perpetrators (Park, Cho & Hong, 2015).

The health and wellness of African immigrants in the United States has not been examined. Few studies focus on the heath of this population, as well as the possible impact diet and physical activity can have on Nigerian immigrants to the U.S. There is little information available on their perceptions and behaviors involving eating healthy and increased physical activity.

The purpose statement for each article

According to the authors, the purpose of the article is to identify both the prevalence and perpetrators of workplace violence involving nurses. The article seeks to examine the relationship between work demands, truth, and justice within the workplace and workplace violence (Park, Cho & Hong, 2015).

The purpose of the study were to (a) explore the perceptions and practices of Nigerian immigrants regarding healthy eating and physical activity in the United States; (b) assess the influence of cultural beliefs of Nigerian immigrants on eating and physical activity; (c) describe the role that healthcare providers can play in helping to promote healthy eating and physical activity; and (d) evaluate the feasibility and efficacy of using Photovoice to collect data on the perceptions and practices of Nigerian immigrants regarding healthy eating and physical activity” (p. 16).

The hypothesis and/or

Research questions depending on the methodology used in the articles.

There is a relationship between violent occurrences and the work environment; specifically, the existence of trust and justice when such events occur and the demands of the work environment.

Because this is a qualitative study, there is no specified hypothesis. The study addresses the following questions:

What are the perceptions and practice regarding healthy eating habits and physical activity for the Nigerian population? What role do cultural beliefs play in healthy eating and physical activity? What is the role of the healthcare provider in ensuring healthy behaviors regarding eating and physical activity among the Nigerian immigrant population?

The significance of each article to nursing practice.

It is evident in this article that work place violence exists in different forms in almost every aspect of nursing. In order to reduce these patterns, awareness must be raised on workplace violence and possible contributors. The study highlights that apprentice nurses have a higher risk of experiencing violence from their colleagues and shows that it is imperative for professional nurses to get more intentional in eliminating these patterns that undermine the environment of trust and justice (Park, Cho & Hong, 2015).

As professional nurses, it is crucial to understand behavior and health beliefs associated with other cultures. Understanding these cultural behaviors and beliefs allows enhanced communication and education with culturally diverse populations, a vital element in the nursing practice and in enhancing cultural competence. Without having a cultural understanding, it becomes difficult to provide quality patient care. This study revealed that cultural context is an important aspect in promoting healthy behaviors (Turk, Fapohunda & Zoucha, 2015). In order to promote these healthy behaviors, as professional nurse we must take the time to become more culturally aware.

Details supporting whether the study is quantitative or qualitative

Used a structured technique of collecting data; in this case, the questionnaire.

Utilized numeric information for its statistical variables to form conclusive and descriptive analysis.

The authors assert that the research is a “Qualitative visual ethnography using Photovoice.” (p. 16).

In this article, photos were selected and the participants provided descriptions about their experiences regarding the photos. Participants provided descriptions through a series of questions provided during the interview.

The study involved live experiences regarding perceptions and practices relating to healthy eating habits and physical activity of the Nigerian immigrants.

References

Park, M., Cho, S., & Hong. (2015). Prevalence and perpetrators of workplace violence by nursing unit and the relationship between

violence and the perceived work environment. Journal of Nursing Scholarship, 47(1), 87-95. doi: 10.1111/jnu.12112

Turk, M., Fapohunda, A., & Zoucha, R. (2015). Using photovoice to explore Nigerian immigrant’s eating and physical activity in the

United States. Journal of Nursing Scholarship, 47(1), 16-24. doi: 10.1111/jnu.12105

Park, M., Cho, S., & Hong, H. (2015). Prevalence and perpetrators of workplace violence by nursing unit and the relationship between violence and the perceived work environment. Journal of Nursing Scholarship, 47(1), 87-95. doi: 10.1111/jnu.12112

Turk, M., Fapohunda, A., & Zoucha, R. (2015). Using photovoice to explore Nigerian immigrants’ eating and physical activity in the United States. Journal of Nursing Scholarship, 47(1), 16-24. doi: 10.1111/jnu.12105

***In the template, any direct quotes from the articles needs to only include the page number.

Week 4 Template

Quantitative Article

Qualitative Article

Identify and describe the sample including demographics, in the studies chosen in W2 Assignment 2

Discuss the steps of the data collection process used in the studies

Identify the study variables (independent and dependent)

Identify the sampling design

Describe the instrument, tool, or survey used in each

article.

Summarize the discussion about the validity and reliability of the instruments, tools, or surveys used in each article

Identify the legal and ethical concerns for each article, including informed consent and IRB approval

W4A2 Rubric

Unsatisfactory

1

Emerging

2

Proficient

3

Exemplary

4

Score

Assignment Components

Identify and describe the sample with demographics in the studies chosen in W2 Assignment 2.

Report included minimal information about the sample in the studies chosen in W2 Assignment 2.

Report described a few details about the sample in the studies chosen in W2 Assignment 2.The description was short and missed several details.

Report described the sample in the studies chosen in W2 Assignment 2 accurately. More details could have been provided.

Report described the sample in the studies chosen in W2 Assignment 2 well. Accurate and adequate details were provided.

[Score x 10 = 24 pts]

Discussed the steps for the data collection process used in the studies.

Minimal discussion was provided on the data collection process in the studies.

The discussion included an outline of the data collection process used in the studies.

The discussion included a clear and completedata collection process used in the studies.

The discussion included a clear, detailed, and complete data collection process used in the studies.

[Score x 4 = 16 pts]

Identified the variables (independent and dependent)

Variables were listed with no detail.

Those variables identified were correct but incompletely identified..

The identified variables were correct but lacked detail.

The variables for the studies were all identified and clearly described.

Score x 4 = 16 pts]

Identified the sampling design for each study.

The identified sampling design is incomplete for each study

The identified sampling design is somewhat clear and correct for each study.

The identified sampling design is clear and correct for each study.

The identified sampling design is clear and detailed and demonstrates a deep understanding of the studies.

[Score x 3 = 12 pts]

Described the instrument or tool or survey used in each article.

Minimal or no description was included about the instrument, tool, or survey in each article.

Description was included on the instrument, tool, or survey. However, the description missed several details in each article.

Description was included on the instrument or tool or survey. The description included most details in each article.

A clear and detailed description was included on the instrument, tool, or survey in each article.

[Score x 3 = 12 pts]

Summarized the discussion regarding the validity and reliability of the instrument for each article.

Vaguely summarized the discussion of the reliability and validity of the instrument for each article.

Summarized the discussion of the reliability and validity of the instrument with minimum details for each article.

Summarized the discussion of the reliability and validity of the instrument with most details for each article.

Summarized the discussion of the reliability and validity of the instrument with completeand well- supported details for each article.

[Score x 5 = 20 pts]

Discussed the legal and ethical concerns from each research article. Included IRB approval and informed consent.

Ineffectively defined the legal and ethical concerns from each research article. Did not include IRB approval or informed consent.

Defined legal and ethical concerns from each research article. Provided some aspects of IRB approval and informed consent.

Defined legal and ethical concerns from each research article which included some aspects of IRB approval and informed consent. Specific examples and resources are used in support.

Defined legal and ethical concerns from each research article which included all aspects of IRB approval and informed consent. Specific, unique examples and resources are used in support.

[Score x 3 = 12 pts]

Written Components

Organization

Did not follow template format

Followed format of template for some criteria

Followed format of template for most criteria

Followed format of template

[Score x 1 = 4 pts]

Usage and Mechanics

Grammar

Spelling

Sentence structure

Writing contains numerous errors in spelling, grammar, and/or sentence structure that severely interferes with readability and comprehension.

Errors in spelling and grammar exist that somewhat interfere with readability and/or comprehension.

Writing follows conventions of spelling and grammar throughout. Errors are infrequent and do not interfere with readability or comprehension.

The paper is basically error free in terms of mechanics. Grammar and mechanics help establish a clear idea and aid the reader in following the writer’s logic.

[Score x 4 =16 pts]

APA Elements

Attribution

Paraphrasing

Quotations

No attempt at APA format.

APA format is attempted to paraphrase, quote, and cite, but errors are significant.

Using APA format, accurately paraphrased, quoted, and cited in many spots throughout when appropriate or called for. Errors present are somewhat minor.

Using APA format, accurately paraphrased, quoted, and cited throughout the presentation when appropriate or called for. Only a few minor errors present.

[Score x 2 = 8 pts]

Subtotal

Timeliness

Late Work penalty:

Total Score

/ 140

I’m working on a Health & Medical exercise and need support.

Instructions: Review the following articles and, based on your review, answer questions 1-10 from Sections 1 & II. Develop your answers to these questions before you begin the assessment. Once you are ready with the answers, begin the quiz and type or copy your answers in one attempt. There is no word limit for each answer. However, be sure to include key areas to get full credit. Each question is worth 5 points (Total Points: 10 questions x 5 = 50 points).

Qualitative Article: Temple, J., Miller, M. M., Banford Witting, A., & Kim, A. B. (2017). “We walk on eggshells”: A phenomenological inquiry of wives’ experiences of living with active-duty marine husbands with PTSD. Journal of Family Social Work, 20(2), 162. doi:10.1080/10522158.2017.1279579

Quantitative Article: McLean, S. A., Wertheim, E. H., Masters, J., & Paxton, S. J. (2017). A pilot evaluation of a social media literacy intervention to reduce risk factors for eating disorders. The International Journal of Eating Disorders, 50(7), 847-851. doi:10.1002/eat.22708 [doi]

Systematic Review Article. Collese, T. S., Nascimento-Ferreira, M. V., de Moraes, Augusto Cesar Ferreira, Rendo-Urteaga, T., Bel-Serrat, S., Moreno, L. A., & Carvalho, H. B. (2017). Role of fruits and vegetables in adolescent cardiovascular health: A systematic review. Nutrition Reviews, 75(5), 11. doi:10.1093/nutrit/nux006

Section 1. Review the quasi-experimental study entitled, “A pilot evaluation of a social media literacy intervention to reduce risk factors for eating disorders” and the phenomenological article entitled, “We walk on eggshells”: A phenomenological inquiry of wives’ experiences of living with active duty Marine husbands with PTSD.” Based on your review, answer the following questions.

As you read the content, do you see more differences or similarities in these articles? Explain.
In your opinion, why is the quantitative research study titled “A pilot evaluation of a social media literacy intervention to reduce risk factors for eating disorders” labeled as quasi-experimental research, instead of experimental research? Explain.
In the quasi-experimental article, on pg. 849, the author has mentioned the term “measures.” In other words, those were the outcome measures after implementing the social media literacy program. Outcome measures (outcome variables) are known as dependent variables. As a student researcher, you would be interested in knowing the meaning of treatment or intervention (independent) variable(s). Describe the independent and dependent variable(s) used by the researcher in this study.
The research study article titled “We walk on eggshells” A phenomenological inquiry of wives’ experiences of living with active duty Marine husbands with PTSD” has used a phenomenological approach. In your opinion, did the researcher use the right research approach vs. other qualitative approaches? Describe in relation to other approaches OF qualitative studies.
Review the steps of the research process in module 2 and module 3 in Sakai and from Grove, Gray & Burns textbook (Chapters 2, 3). Examine the steps in relation to the quasi-experimental article (A pilot evaluation of a social media literacy intervention to reduce risk factors for eating disorders). Did the author deviate from the steps of research process? Explain.
Explain in your own terms how the results/analyses sections are different in these two (quantitative and qualitative) articles.
Section II. Review the systematic review article titled, “Role of fruits and vegetables in adolescent cardiovascular health: a systematic review” and answer the following questions.

What was the purpose/rationale for the systematic review? Was the rationale and importance for the review stated in relation to previous research and reviews? Explain.
Did the author use a P-I-C-O research question to guide the systematic review? Based on the EBP module review, mention the PICO components that you infer from this article.
What databases and resources were used for retrieving the data? Was the search strategy adequate and appropriate for the review question?
What were the inclusion/exclusion criteria for selecting studies in generating high level of evidence? Why do researchers include inclusion/exclusion criteria in systematic reviews?