PICOT Statement

PICOT Statement

Question descriptionReview the Topic Materials and the work completed in NRS-433V to formulate a PICOT statement for your capstone project.

A PICOT starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention should be an independent, specified nursing change intervention. The intervention cannot require a provider prescription. Include a comparison to a patient population not currently receiving the intervention, and specify the timeframe needed to implement the change process.

Formulate a PICOT statement using the PICOT format provided in the assigned readings. The PICOT statement will provide a framework for your capstone project.

In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome.

Make sure to address the following on the PICOT statement:

  1. Evidence-Based Solution
  2. Nursing Intervention
  3. Patient Care
  4. Health Care Agency
  5. Nursing Practice

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

 
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What are the parameters for monitoring the success of the therapy?

J.S., age 16, comes to your office for a routine physical examination. You notice that she has facial acne that she is hiding with heavy makeup. She has tried Clearasil inconsistently without relief.

J.S., age 16, comes to your office for a routine physical examination. You notice that she has facial acne that she is hiding with heavy makeup. She has tried Clearasil inconsistently without relief. She works at a fast food restaurant as a cook after school and on the weekends. Her mother has made her stop eating chocolates and greasy foods, but that has not seemed to help her. She is concerned because her prom is in 6 weeks and she wants her face clear. On physical examination, there are open and closed comedones as well as papules on her face and back. No scarring is evident. J.S. confides that she has recently become sexually active.

Answer the following questions and please provide references

1. List specific treatment goals for J.S.

2. What drug therapy would you prescribe? Why?

3. What are the parameters for monitoring the success of the therapy?

4. Describe specific patient education based on the prescribed therapy.

5. List one or two adverse reactions for the selected agent that would cause you to change therapy.

6. What would be the choice for second-line therapy?

7. What over-the-counter or dietary supplement would you recommend to J.S.?

8. What dietary and lifestyle changes should be recommended for J.S.?

9. Describe one or two drug–drug or drug–food interactions for the selected agent.

 
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Introduction that includes who you are (nursing student) and where you practice nursing.

    INTRODUCTION THAT INCLUDES WHO YOU ARE (NURSING STUDENT) AND WHERE YOU PRACTISING NURSING

1. Introduction that includes who you are (nursing student) and where you practice nursing.

2. Definition of Nursing
Why does nursing exist?
Why do you practice nursing?

3. What are your assumptions or underlying beliefs about:
Nurses?
Patients?
Other healthcare providers?
Communities?

4. Definitions and examples of  the major domains (person, health, and environment) of nursing

5. Summary that includes:
a. How are the domains connected?
b. What is your vision of nursing for the future?
c. What are the challenges that you will face as a nurse?
d. What are your goals for professional development?

Write your personal philosophy of nursing. The paper should be 3 pages typewritten double spaced  following APA style guidelines.

The paper will be checked for plagiarism.

 
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Explain the occurrence of birth defects?

Explain the occurrence of birth defects?

 

How can you explain the occurrence of birth defects (caused by altered genes) in children and
grandchildren of WWII atomic bomb victims, when the victims themselves were only mildly
affected?
B.
During the past 50 years, more than 200 species of insects that attack crop plants have become
highly resistant to DDT and other pesticides. Based on what you have learned in this class
regarding evolution, explain the rapid and widespread evolution of resistance. Now that DDT has
been banned in the US, what do you expect to happen to levels of resistance to DDT among
insect populations?


 

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Explain the relationship between cardiovascular disease and healthcare deliver in the United States

Explain the relationship between cardiovascular disease and healthcare deliver in the United States

This week you have a paper due on cardiovascular disease. Please watch the following videos located within this week’s Electronic Reserve Readings: Congestive Heart Failure Physiology Reducing the Risks of Cardiovascular Disease In NO LESS than 1000 words, write an APA formatted paper on cardiovascular disease that includes the following information: The epidemiology of cardiovascular disease; The causes of cardiovascular disease; The symptoms of cardiovascular; The management of cardiovascular disease; The prevention of cardiovascular disease; Lastly explain the relationship between cardiovascular disease and healthcare deliver in the United States; FORMAT: Your paper consistent with APA guidelines. INCLUDE: At least two sources written according to APA guidelines. POST: Your paper as an attachment. RUBRIC: To maximize your points, please review the attached rubric so you know how you will be graded.


 

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Discuss some potential areas where the theory seems particular weak or biased. More specifically, are there any “weak links” in the theory or areas that the theory does not address?

Your initial post should begin with a brief summary of the assigned theory. Your instructor may reassign theories as needed for this discussion. Be sure to check the announcements in case your instructor has reassigned any theories.
Consider the following in your initial post:

  • Discuss some potential areas where the theory seems particular weak or biased. More specifically, are there any “weak links” in the theory or areas that the theory does not address?
  • Is there any bias in how the theory explains personality?
  • As you discuss the weaknesses and biases of your assigned theory, also discuss any other theories that may address the weaknesses or biases of your assigned theory.

my assigned theory is Banduri social learning theory

  • Discuss which course activities and readings were most helpful to you:
    • What useful career information did you came away with?
    • How do you think you will use critical thinking, research skills, and competencies that were emphasized in the course when you are working as a psychologist?
    • How do you think you might use the services of Capella’s Career Center to help you stay focused on your professional goals, now and throughout your program?
  • Discuss how your interests in psychology, career vision, and professional perspective have changed during this course.
  • Identify the greatest challenges you see that lie ahead for you. How will you deal with those challenges?
  • Include what you have learned about yourself throughout this course.
  • Include what you are most excited about related to your career plan.
  • Explain how you will contribute to your field and the welfare of your clients when you are a working psychologist.
  • Specify ways in which you envision yourself giving back to your community beyond practicing in field.
  • Look ahead to the end of your career, and identify what you would like your legacy to be.

Be sure to cite course readings to support your statements.

 
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The lesson on intelligence

Assignment 1

Link-https://my.tccd.edu/bbcswebdav/pid-6869216-dt-content-rid-33784017_1/xid-33784017_1

The lesson on intelligence presents the range of intelligence quotient scores in relation to the Normal Distribution and discusses the extremes of intelligence on either side of the curve.  While we hear a lot about ‘gifted and talented’ programs in school, we don’t hear much about it after one graduates from high school or college.  For this assignment, you will visit a website devoted to an organization for people solely with high I.Q. scores. You will then submit your own thoughts on intelligence in general as well as what you’ve learned about this group.

  1. Visit the “Mensa” website (http://www.mensa.org). Explore the various links and read about its mission, who it serves, qualification for membership, etc.
  2. Provide a summary of what you’ve found and your thoughts on the organization.
  3. Next, discuss your own views on intelligence – what were your thoughts on the various theories presented in the textbook/lesson?   Be sure to link material you’ve learned in this lesson to demonstrate your ability to appropriately apply information.
  4. Your summary should be comprehensive and more than just a paragraph in length. It should demonstrate thoughtful dialogue and critical thinking.
  5. You must cite all of your sources appropriately in APA format and include references.

Assignment 2

Link-https://my.tccd.edu/bbcswebdav/pid-6869222-dt-content-rid-33783595_1/xid-33783595_1

Several years ago, Lenore Skenay made headlines when she submitted an editorial detailing an experience that she granted her son. Access the following:

  1. The editorial:  9 Year Old Rides Subway Alone
  2. The website: Free Range Kid
  3. If you are unable to access the links use Google to search for the article.
  4. After having read the textbook and viewing these additional readings, reflect on your own thoughts about this.
  5. Summarize, in general, what this mom did. Then, provide your own opinion.  You are free to voice whatever opinion you have, but make sure you back it up with support from our text or other sources (make sure you cite your source).  (This is worth 20 points)
 
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Diagnosis or diagnostic test

P: Population/disease ( i.e. age, gender, ethnicity, with a certain disorder)
I: Intervention or Variable of Interest (exposure to a disease, risk behavior, prognostic factor)
C: Comparison: (could be a placebo or “business as usual” as in no disease, absence of risk factor, Prognostic factor B )
O: Outcome: (risk of disease, accuracy of a diagnosis, rate of occurrence of adverse outcome)
Time: The time it takes to demonstrate an outcome (e.g. the time it takes for the intervention to achieve an outcome or how long participants are observed).
Note: Not every question will have an intervention (as in a meaning question) or time (when it is implied in another part of the question) component.
For an intervention/therapy:
In _______(P), what is the effect of _______(I) on ______(O) compared with _______(C) within ________ (T)?
For etiology:
Are ____ (P) who have _______ (I) at ___ (Increased/decreased) risk for/of_______ (O) compared with ______ (P) with/without ______ (C) over _____ (T)?
Diagnosis or diagnostic test:
Are (is) _________ (I) more accurate in diagnosing ________ (P) compared with ______ (C) for _______ (O)?
Prevention:
For ________ (P) does the use of ______ (I) reduce the future risk of ________ (O) compared with _________ (C)?
Prognosis/Predictions
Does __________ (I) influence ________ (O) in patients who have _______ (P) over ______ (T)?
Meaning
How do ________ (P) diagnosed with _______ (I) perceive ______ (O) during _____ (T)?
Based on Melnyk B., & Fineout-Overholt E. (2010). Evidence-based practice in nursing & healthcare. New York: Lippincott Williams & Wilkins.
Examples of Evidence-Based PICOT Questions
1. Population: Bariatric adolescents considering or undergoing gastric bypass surgery.
Intervention: The nurse’s role as a primary member of the multidisciplinary team regarding perioperative care of the bariatric adolescent patient.
Comparison: The nurse’s role as a secondary member of the multidisciplinary team without any specialized training and is only involved in perioperative care of the bariatric adolescent patient.
Outcome: When the nurse is involved as one of the primary members in the multidisciplinary team approach, the bariatric adolescent patient has better continuity of care.
Time: perioperative including the 6 weeks post recovery.
PICOT Question: Does the bariatric adolescent patient undergoing gastric bypass have better continuity of care perioperatively and postoperatively when the nurse is a primary member of the multidisciplinary team versus when the nurse is a secondary member whose only role is in providing perioperative care and has no specialized training?
2. Intervention PICOT Question: An Intervention example: In adult patients with total hip replacements (Patient population) how effective is PCA pain medication (Intervention of interest) compared to prn IM pain medication (Comparison intervention) in controlling post operative pain (Outcome) during the perioperative and recovery time? Note: The IM pain medication would be called the control group. It would be unethical to have a control group that received NO pain medication. Many times the control group means they get “business as usual!” or the current standard of care.

3. Therapy PICOT Question: A non-intervention example: What is the duration of recovery (O) for patients with total hip replacement (P) who developed a post-operative infection (I) as opposed to those who did not (C) within the first six weeks of recovery (T)?
4.  Etiology PICOT Question: Are kids (P) who have obese adoptive parents (I) at Increased risk for obesity (O) compared with kids (P) without obese adoptive parents (C) during the ages of five and 18 (T)?
5. Diagnostic PICOT Question: Is a PKU test (I) done on two week old infants (P) more accurate in diagnosis inborn errors in metabolism (O) compared with PKU tests done at 24 hours of age (C)? Time is implied in two weeks and 24 hours old.
6. Prevention PICOT Question: In OR nurses doing a five minute scrub (P) what are the differences in the presence and types of microbes (O) found on natural polished nails and nail beds (I) and artificial nails (C) at the time of surgery (T)?
7. Prognosis/Prediction PICOT question: Does telelmonitoring blood pressure (I) in urban African Americans with hypertension (P) improve blood pressure control (O) within the six months of initiation of the medication (T)?
8. Meaning PICOT Question: How do pregnant women (P) newly diagnosed with diabetes (I) perceive reporting their blood sugar levels (O) to their healthcare providers during their pregnancy and six weeks postpartum (T)?

 
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Create a "researchable" question, i.e., one that can be answered by collecting numerical data (using a survey)

  • The purpose of this lab is to have you post a potential research topics for your term project.
  • Create a “researchable” question, i.e., one that can be answered by collecting numerical data (using a survey) and using the notions of hypothesis testing and Inferential Statistics; e.g., the dependent variable needs to be a numerical measure, which is at least at the Interval or Ratio level. and the independent variable should be a categorical variable with at least two levels at the Nominal or Ordinal level (unless you plan to do a Pearson Correlation).  Your researchable question should be designed as an If…then statement.  For example, if gender influences emotional behavior, then males will demonstrate different emotional responses to similar situations than women will.

example:
“Research question: If the perceived needs of users or patients of palliative care services are being met, then there will be few complaints relating to the services.
Hypothesis: The perceived needs of users or patients of palliative care are not being met properly.”
Pick a research topic related to psychology and easy for you to work on it for next hw and you will SPSS on it next week.

 
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Assessment Critique Assignment

 
Assessment Critique Assignment
This assignment is somewhat of a research assignment. You will be responsible for researching an assessment and reporting what you have learned about that assessment.  Present the information in paragraph format (be sure to include AT LEAST 4-6 sentences per paragraph, per APA style format). Please be sure to use empirically supported and professional articles and sources for your research. Because a lot of the background information will come from other sources, please be sure to provide citations accordingly. However, don’t rely heavily on citations or direct quotations without putting the information in your own words. Choose one of the assessments that are discussed in the course textbook (for example, the Stanford-Binet, Wechsler Individual Achievement Test, Myers Brigg Type Indicator). Address the following items regarding the assessment. Include a title page and a reference page that adheres to APA style and include each of the following areas, as well as your responses.  This assignment is worth 100 points and should be 3-5 pages.This assignment is due by 11:59 PM on 6/24/18 and must be submitted on Blackboard. This is located under the Course Information tab on Blackboard, at the bottom of the page.
1. Provide a description of the assessment.
a. Discuss what the assessment is (the name of the assessment, how many items are on the assessment, etc.), what it is intended to measure (depression, alcoholism, intelligence, etc.), and what is included in/on the assessment (questionnaire, scales, open-ended questions, etc.).
b. Briefly discuss the validity/reliability of the assessment.
c. Briefly discuss how the assessment is scored (by hand, using a computer, scanning).
d. Briefly discuss the administrative and reporting procedures (how is the assessment administered to participants and how are the results reported).
2. Provide a brief historical background of the assessment.
a. Who created the assessment?
b. When was the assessment created?
c. Where was the assessment created?
d. Why was the assessment created?
3. Explore the strengths and weaknesses of the assessment. 
4. Choose one article that addresses the use of the assessment on a specific population.
a. Provide a brief summary of the article.
b. Briefly describe how the assessment was used.
c. Briefly describe the results of the article/study. 
5. Provide a conclusion regarding whether the assessment is an adequate measure of what it is intended to measure (personality, behavior, intelligence, etc.).
ASSESSMENT CRITIQUE POINT DISTRIBUTION:
Format Requirements: APA Guidelines: 5
Title Page/Reference Page /2
Header/Page Numbers /2
Spacing/Indentations /1
Evidence of Scholarly Writing/Syntax: 15
Grammar/Sentence Structure/Tense /15

Follow Instructions for the Assignment: 10

Addressed Each Area of the Assignment  /2
Used Paragraph Format /2
Used Times New Roman, 12-Point Font /2
Page Length of 3-5 Pages /2
Double-Spaced Paper/1-Inch Margins /2
Depth, Knowledge, Understanding, and Extensiveness of the Material Covered: 70
Description of the Assessment /20
Historical Background of the Assessment /5
Strengths and Weaknesses of the Assessment /20
Article Addressed Use of the Assessment  /20

 
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