Anti-inflammatory drugs, such as nonsteroidal anti-inflammatory drugs (NSAIDs) and corticosteroids, are widely used for managing various inflammatory conditions. Discuss the potential challenges and considerations a Nurse Practitioner might face when initiating and monitoring therapy with these medications. Consider factors such as the patient’s renal function, gastrointestinal risk, potential drug-drug interactions, and contraindications to therapy. How can a Nurse Practitioner manage these challenges to ensure the safe and effective use of anti-inflammatory drugs in their patients? 

A 68-year-old client lives alone and is independent with all ADLs, has no restrictions for mobility, and is competent, and oriented x4. The client is on a fixed income, but has enough to manage a modest lifestyle. The client has family and social supports but is very independent and is proud of her self-reliance. The client’s height is 5’ 6”, weight is 210 lb. / 95.25 kg.

Please answer the following:

• What is the client’s BMI?
• Identify what screening tools you would use to assess nutritional and exercise knowledge, and why?
• One Outcome/Intervention/Rationale:
  • Identify one outcome/goal that is reasonable, measurable and realistic. Identify 1 nursing intervention for the outcome and give rationale for the intervention.
• Identify what weakness in the client’s life may be impacting the client’s activity and diet?
• What referrals would you make and why?

(Use references for your responses, not just opinion.)

EVIDENCE-BASED PROJECT, PART 4: RECOMMENDING AN EVIDENCE-BASED PRACTICE CHANGE

The collection of evidence is an activity that occurs with an endgame in mind. For example, law enforcement professionals collect evidence to support a decision to charge those accused of criminal activity. Similarly, evidence-based healthcare practitioners collect evidence to support decisions in pursuit of specific healthcare outcomes.

In this Assignment, you will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach.

To Prepare:

· Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT.

· Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection.

· Consider the best method of disseminating the results of your presentation to an audience. 

The Assignment: (Evidence-Based Project)

Part 4: Recommending an Evidence-Based Practice Change

Create an 8- to 9-slide 
narrated PowerPoint presentation in which you do the following:

· Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)

· Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.

· Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.

· Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.

· Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.

· Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.

· Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.

· Add a lessons learned section that includes the following:

· A summary of the critical appraisal of the peer-reviewed articles you previously submitted

· An explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides)

LEARNING RESOURCES

Required Readings

· Hoffman, T. C., Montori, V. M., & Del Mar, C. (2014). 

The connection between evidence-based medicine and shared decision makingLinks to an external site.
. 
Journal of the American Medical Association, 312(13), 1295–1296. doi:10.1001/jama.2014.10186

· Kon, A. A., Davidson, J. E., Morrison, W., Danis, M., & White, D. B. (2016). 

Shared decision making in intensive care units: An American College of Critical Care Medicine and American Thoracic Society policy statementLinks to an external site.
. 
Critical Care Medicine, 44(1), 188–201. doi:10.1097/CCM.0000000000001396

· Opperman, C., Liebig, D., Bowling, J., & Johnson, C. S., & Harper, M. (2016). 

Measuring return on investment for professional development activities: Implications for practiceLinks to an external site.
. 
Journal for Nurses in Professional Development, 32(4), 176–184. doi:10.1097/NND.0000000000000483

· Schroy, P. C., Mylvaganam, S., & Davidson, P. (2014). 

Provider perspectives on the utility of a colorectal cancer screening decision aid for facilitating shared decision makingLinks to an external site.
. 
Health Expectations, 17(1), 27–35. doi:10.1111/j.1369-7625.2011.00730.xThe Ottawa Hospital Research Institute. (2019). 

Patient decision aidsLinks to an external site.
. Retrieved from https://decisionaid.ohri.ca/

Instructions

Read the article, “Oncologic emergencies in a cancer center emergency department and in general emergency departments countywide and nationwide”.  You may access the article in the resource folder. 

Thoroughly review the complete research article exploring the management of oncologic emergencies in critically ill patients visiting the Emergency Department (ED). Focus on patient characteristics, diagnoses, and factors influencing hospitalization.

Your case study should demonstrate a thorough grasp of the entire article, using specific details to support your points. This assignment aims to assess your ability to distill complex medical information into a focused case study, highlighting essential strategies for managing oncologic emergencies in critically ill patients. 

Please make sure to provide citations and references (in APA, 7th ed. format) for your work.  

Case Study Focus:

Based on your comprehensive reading, create a Case study highlighting key strategies for effectively managing oncologic emergencies in critically ill patients.

Key Points

Resource Optimization: Explain how increased resource utilization and hospitalization rates among cancer patients impact healthcare delivery. Discuss strategies to optimize resources while maintaining high quality care.

Timely Diagnosis: Emphasize the importance of timely diagnosis and intervention. Provide examples from the article illustrating the benefits of early recognition and swift treatment.

Tailored Interventions: Explore the concept of tailoring treatments to individual oncologic conditions. Share insights on customizing interventions based on diagnoses outlined in the article.

Multidisciplinary Collaboration: Discuss the value of multidisciplinary collaboration in managing critically ill patients. Describe how different specialties can work together for comprehensive patient care.

Risk Stratification: Explain the role of risk assessment in identifying high-risk patients and the significance of early interventions to prevent complications.

Education and Training: Address the impact of education and training on enhancing oncologic emergencies management. Highlight the benefits of well informed healthcare professionals.

Conclusion: Summarize key insights from the article and emphasize the patient centered approach to managing oncologic emergencies in critically ill patients.