Week 5 part 2 tiff

Now that you have identified the practice problem and formulated an Aim Statement, the time has come to search the literature to see the range of potential solutions that can be applied to address the problem.

Once you have a good understanding of the potential solutions you will need to consider which might be the best choice for implementation in your practice setting.

For this assignment you will be providing an overview of the strategy, or intervention if you will, that you plan to implement to address the identified problem.

The assignment will be structured in a presentation format with in-text and reference citations formatted consistent with 7th edition APA guidelines.

The presentation needs to include the following:

Slide 1 – Title slide

Slide 2 – The Problem Statement and the Aim Statement from your unit 3 paper assignment.

Slide 3 – An overview of the range of strategies/interventions that you located in the literature that may be reasonable to implement for addressing the problem (supported with references); OR a discussion about a dearth of literature for potential strategies/interventions (supported with references).

Slide 4 – An overview of the strategy/intervention you selected as the best fit for implementation in your practice setting.

NOTE: advanced graduate level scholarship requires a well-articulated and in-depth overview of the strategy/intervention; consider utilizing the ‘Notes’ section of the slide if needed to provide additional details

NOTE: Be sure to support your selected strategy/intervention with scholarly resources.

Slide 5 – Provide a brief rationale as to why you believe your selected strategy/intervention was the best fit for addressing the problem in your practice setting.

Slides 6 – provide an overview of who would be involved in operationalizing the strategy/intervention (e.g. patients, providers, support staff, IT, the management team, etc.)

NOTE: advanced graduate level scholarship requires a well-articulated discussion about who will be involved in operationalizing the strategy/intervention; consider utilizing the ‘Notes’ section of the slide if needed to provide additional details

NOTE: Be sure to support your discussion of who will be involved with operationalizing the strategy/intervention with scholarly resources.

Slide 7 – Reference citations list

Direct access to articles cited is essential for grading. Either upload all evidence along with your presentation or be sure an activated link is provided within your citation so that faculty evaluators can readily access the articles that you are referencing in your paper and add presentation.

Weekly Clinical Experience 3

pediatric patient 14 year old female 

Describe your clinical experience for this week.

• Did you face any challenges, any success? If so, what were they?
• Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales.
• Mention the health promotion intervention for this patient.
• What did you learn from this week’s clinical experience that can beneficial for you as an advanced practice nurse?
• Support your plan of care with the current peer-reviewed research guideline.

Submission Instructions:

• Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources within 5 years. 2020-2025

 Discussion 6

 

Musculoskeletal Function:
G.J. is a 71-year-old overweight woman who presents to the Family Practice Clinic for the first time complaining of a long history of bilateral knee discomfort that becomes worse when it rains and usually feels better when the weather is warm and dry. “My arthritis hasn’t improved a bit this summer though,” she states. Discomfort in the left knee is greater than in the right knee. She has also suffered from low back pain for many years, but recently it has become worse. She is having difficulty using the stairs in her home. The patient had recently visited a rheumatologist who tried a variety of NSAIDs to help her with pain control. The medications gave her mild relief but also caused significant and intolerable stomach discomfort. Her pain was alleviated with oxycodone. However, when she showed increasing tolerance and began insisting on higher doses of the medication, the physician told her that she may need surgery and that he could not prescribe more oxycodone for her. She is now seeking medical care at the Family Practice Clinic. Her knees started to get significantly more painful after she gained 20 pounds during the past nine months. Her joints are most stiff when she has been sitting or lying for some time and they tend to “loosen up” with activity. The patient has always been worried about osteoporosis because several family members have been diagnosed with the disease. However, nonclinical manifestations of osteoporosis have developed.

Case Study Questions

1. Define osteoarthritis and explain the differences with osteoarthrosis. List and analyze the risk factors that are presented on the case that contribute to the diagnosis of osteoarthritis.
2. Specify the main differences between osteoarthritis and rheumatoid arthritis, make sure to include clinical manifestations, major characteristics, joints usually affected and diagnostic methods.
3. Describe the different treatment alternatives available, including non-pharmacological and pharmacological that you consider are appropriate for this patient and why.
4. How would you handle the patient concern about osteoporosis? Describe your interventions and education you would provide to her regarding osteoporosis.

Neurological Function:
H.M is a 67-year-old female, who recently retired from being a school teacher for the last 40 years. Her husband died 2 years ago due to complications of a CVA. Past medical history: hypertension controlled with Olmesartan 20 mg by mouth once a day. Family history no contributory. Last annual visits with PCP with normal results. She lives by herself but her children live close to her and usually visit her two or three times a week.
Her daughter start noticing that her mother is having problems focusing when talking to her, she is not keeping things at home as she used to, often is repeating and asking the same question several times and yesterday she has issues remembering her way back home from the grocery store.

Case Study Questions

1. Name the most common risks factors for Alzheimer’s disease
2. Name and describe the similarities and the differences between Alzheimer’s disease, Vascular Dementia, Dementia with Lewy bodies, Frontotemporal dementia.
3. Define and describe explicit and implicit memory.
4. Describe the diagnosis criteria developed for the Alzheimer’s disease by the National Institute of Aging and the Alzheimer’s Association
5. What would be the best therapeutic approach on C.J.

Submission Instructions:

• You must complete both case studies.
• Your initial post should be at least 500 words per case study, formatted and cited in current APA style with support from at least 2 academic sources.