What methods can be used to assess nutritional status?

Purpose

NR449 Evidence-Based Practice

Skills Module: Nutrition

To encourage critical thinking, problem solving, and collaboration through the use of evidence-based practice studies.

Course outcomes: This assignment enables the student to meet the following course outcomes. CO 1: Examine the sources of knowledge that contribute to professional nursing practice. (PO 7)

CO 2: Apply research principles to the interpretation of the content of published research studies. (POs 4 and 8) CO 3: Identify ethical issues common to research involving human subjects. (PO 6)

CO 4: Evaluate published nursing research for credibility and clinical significance related to evidence-based practice. (POs 4 and 8)

CO 5: Recognize the role of research findings in evidence-based practice. (POs 7 and 8)

Due date: Your faculty member will inform you when this assignment is due. The Late Assignment Policy applies to this assignment.

Total points possible: 100 points

Preparing the assignment

Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions.

1. Computer with internet access.

2. Recommend using Firefox browser and clearing your cookies and cache if you are accessing ATI on laptop or desktop computer.

3. Log into ATI, “My ATI”, and select the “Apply” tab. Click on Skills Module 3.0 and title “ Nutrition.” Click on

the “Begin Lesson” tab. Open the “Evidence-Based Research” tab on the left side.

4. There is one (1) study under the Evidence-Based Practice tab. You may review the entire module, but this is not a priority for this assignment. Other main topics and accompanying studies are listed in the table below.

5. Choose one of the main topics from the table and then choose one (1) article for review under that main topic.

Read the article chosen from the table below and answer one (1) of the topic questions listed.

a. What methods can be used to assess nutritional status?

b. What methods can be used to identify those at risk for malnutrition?

c. What specific health conditions increase the risk of malnutrition?

d. What associations exist between nutritional status and health outcomes?

e. What type of interventions improve adherence to recommendations on nutritional intake?

Create a 2-3 page scholarly paper which supports the topic question you selected. Search for a current research article (less than 5 years) to support the topic question selected. The 2-3 page limit does not include title and reference pages.

Is the assessment supported by the subjective and objective information? Why or why not?

ABDOMINAL ASSESSMENT

Abdominal Assessment

Subjective:

CC: “My stomach has been hurting for the past two days.”

HPI: LZ, 65 y/o AA male, presents to the emergency department with a two days history of intermittent epigastric abdominal pain that radiates into his back. He went to the local Urgent Care where was given PPI’s with no relief. At this time, the patient reports that the pain has been increasing in severity over the past few hours; he vomited after lunch, which led his to go to the ED at this time. He has not experienced fever, diarrhea, or other symptoms associated with his abdominal pain. 

PMH: HTN

Medications: Metoprolol 50mg

Allergies: NKDA

FH: HTN, Gerd,  Hyperlipidemia

Social Hx: ETOH, smoking for 20 years but quit both 2 years ago, divorced for 5 years, 3 children, 2 males, 1 female 

Objective:

· VS: Temp 98.2; BP 91/60; RR 16; P 76; HT 6’10”; WT 262lbs

· Heart: RRR, no murmurs

· Lungs: CTA, chest wall symmetrical

· Skin: Intact without lesions, no urticaria

· Abd: abdomen is tender in the epigastric area with guarding but without mass or rebound.

· Diagnostics: US and CTA 

Assessment:

1. Abdominal Aortic Aneurysm (AAA)

2. Perforated Ulcer

3.  Pancreatitis

· Consider what history would be necessary to collect from the patient in the case study.

The Assignment

(In the past some students have listed each question that needs to be answered and then wrote there narrative under each question). This is easier for some students.

1. Analyze the subjective portion of the note. List additional information that should be included in the documentation.

2. Analyze the objective portion of the note. List additional information that should be included in the documentation.

3. Is the assessment supported by the subjective and objective information? Why or why not?

4. What diagnostic tests would be appropriate for this case, and how would the results be used to make a diagnosis?

5. Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature.

6. Identify  at least five possible conditions that may be considered in a differential diagnosis for the patient.

How could police reduce the time they spend on some of these other types of calls?

Case Study – Chapter 3

Read the Case Study entitled: The role of crime in the work of the Philadelphia Police on Page 35 in the text.

1. What do you think about the article?
2. Should we gauge police effectiveness on Part 1 violent crimes?
3. Do you think the police should change the way they respond to calls?
4. How could police reduce the time they spend on some of these other types of calls?

What do you think about the issue of police agencies being fragmented. 

Read the Viewpoint article:  Fragmented policing and the role of fusion centers by Lt. Ray Guidetti. on page 20-21 in the text.

1. What do you think about the issue of police agencies being fragmented. 
2. What is your opinion about what the author is saying?
3. What is you opinion of the concept of a fusion center?
4. Do you think this would be as much of an issue where you live?

Evaluate economic conditions that influence company performance.

Research your company’s (CVS) financial reports for 2017.

Complete a 2- to 3-page FAQ/Shareholder Analysis.

Evaluate economic conditions that influence company performance. Consider political, environmental, currency (money), global economics, and government influences on economic conditions.

Compare market conditions with the company’s performance for 2017. Conclude how the market conditions that year influenced the company’s performance, such as interest rates, Federal Reserve Bank monetary policy changes, or other market conditions relevant to the company you selected.

Analyze year-over-year performance from 2016 and 2017. Consider key metrics or ratios such as trailing PE ratio, forward PE ratio, price to book, return on assets, and return on equity in your conclusions.

Cite references to support your assignment.

Based on the article, what do you believe is the essential element of how mobile design influences consumer shopping?

After reading the journal article entitled The Effect of Mobile Marketing Design on Consumer Mobile Shopping, provide an overview and answer to the following discussion prompt:

1) Based on the article, what do you believe is the essential element of how mobile design influences consumer shopping?

2) Pick a mobile retail app of your choice as an example and relate it to the article. What of this mobile app design do you think this retailer does well to engage consumer shopping well? What could they do better?

Identify at least three innovations that are currently disrupting an existing market. Write a 250-word summary (750 words total) describing each innovation, how it is changing the market, and the benefit it will provide.

The purpose of this assignment is to identify and research a potential problem that technology could help to solve. The ultimate goal is to imagine where technology will be in 18-36 months and how it will solve problems. Technology is constantly growing exponentially. As entrepreneurs, you have opportunities to use this technology to solve grand problems within the world that would better the human condition.

Part 1

Identify at least three innovations that are currently disrupting an existing market. Write a 250-word summary (750 words total) describing each innovation, how it is changing the market, and the benefit it will provide. Include the following items:

1. Describe the innovation and how it is disrupting the market.
2. Explain what benefit the innovation provides.
3. Describe what barriers limit the adoption of this new technology.
4. Explain how many people are affected by the problem.

Part 2

Write about three future potential disruptions. Identify at least three new technologies, such as artificial intelligence (AI), robotics, social media aggregation, self-driving cars, or improved battery technology, that could disrupt a market in the future and improve the human condition. Examples of how a technology change could impact existing markets include:

1. Significant reduction in cost.
2. New way of delivering a product or service.
3. Improved service.
4. Product performance improvements.

Write three descriptions, one for each of the new technologies. Each of the three descriptions should be 250 words (750 words total) addressing the following three items:

1. Describe the innovation.
2. Describe the market and explain how it is changing.
3. Explain how the innovation will disrupt the market.
4. Explain the benefit it will be providing to customers.

General Requirements

During the construction of this assignment, consider the personas of the specific population. Contemplate demographics, such as marriage status, age, socioeconomic status, etc.

Prepare this assignment according to the  APA Style guidelines.

Describe pain and suffering within context of faith

1. Euthanasia
   • Medical / Generic definition
   • Bioethical definition.
2. Describe pain and suffering within context of faith
3. Physician Assisted Suicide / Death ( PAS / PAD)
   • Definition
   • Is it ethical?
   • Should we have the right to end our lives? Why yes or why not?
4. Better alternatives to PAS; compare and contrast each:
   • Hospice
   • Palliative care / Terminal sedation
5. Case studies. Brief summary of:
   • Hemlock Society
   • Jacob Kevorkian
   • Britanny Maynard
6. Read and summarize ERD paragraphs #:  59, 60, 61.

Discuss what authentic leadership means to you, and describe two (2) strategies a leader can use for authenticity 

A) Compare and contrast the practical and theoretical approaches to Authentic Leadership identifying similarities and differences. Discuss what authentic leadership means to you, and describe two (2) strategies a leader can use for authenticity 

B) 

Respond to all three questions supporting each with a specific example.

• Why isn’t Servant Leadership a theory or formula for leadership success but a mindset – a way of being as a leader?
• According to Robert Greenleaf, a great leader is a servant first. What does this mean to you, and what contemporary leaders exhibit this way of leading?
• How does or could Servant Leadership transform the follower, the leader, and the organization? Be specific

Do you think you will refer your patient to this group? Why or why not.

Attend a patient self-help group where an NP in practice may refer her/his patients.  Write a detailed summary (details of what is to be included on BB and syllabus) of this meeting and post it in the assignment tab for a grade(5%).  

Project #1 Guidelines

Attend a patient self-help group to which an NP in practice may refer her/his patients, and write a summary of your OPINION of the meeting as a whole—including the general purpose of the meeting, targeted audiences, the location, accommodations, professionalism, quality of the business meeting, quality (not content) of the speaker, audience involvement, etc. Do you think you will refer your patient to this group? Why or why not. Submit a response via Blackboard on the due date listed. Be prepared to discuss details in class.

—–ALWAYS USE NEW YORK CITY