Exercise Content

1. Use APA 6 or 7th Edition Format and support your work with at least 3 peer-reviewed references within 5 years of publication. Remember that you need a cover page and a reference page. All paragraphs need to be cited properly. Please use headers.  All responses must be in a narrative format and each paragraph must have at least 4 sentences. Lastly, you must have at least 2 pages of content, no greater than 4 pages, excluding cover page and reference page.

   Week 12 Case Study: Osteoporosis

   J.S., a 72-year-old woman of Asian descent, has just transferred to your practice. She had a hysterectomy 8 years ago and has not been on hormone replacement therapy. She is 5 ft 2 inches tall and weighs 102 lb. She has had a sedentary lifestyle (she was a secretary and retired 2 years ago). She drinks four glasses of wine a day. Her mother died at age 62 from complications of a hip fracture. J.S.’s sister was just diagnosed with metastatic breast cancer. You prescribe a DEXA scan, and the T-score is −2.6 SD.

   Diagnosis: Osteoporosis

   1. List specific goals of therapy for J.S.
   2. What drug therapy would you prescribe? Why?
   3. What are the parameters for monitoring the success of the therapy?
   4. Discuss 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 OTC or alternative medicines might be appropriate for this patient?
   7. What dietary and lifestyle changes might you recommend?
   8. Describe one or two drug–drug or drug–food interactions for the selected agent.

The Assignment: (2- to 3-page Comparison Grid and 1-page Fact Sheet)

Part 1: Agenda Comparison Grid

Based on the presidential administrations you are comparing, complete the Agenda Comparison Grid. Be sure to address the following:

Identify and provide a brief description of the healthcare issue you selected.

Identify which administrative agency would most likely be responsible for helping you address the healthcare issue you selected.

How does the healthcare issue get on the agenda and how does it stay there?

Who was the entrepreneur/champion/sponsor of the healthcare issue you selected?

Assignment: Evidence-Based Project

Is there a difference between “common practice” and “best practice”?

When you first went to work for your current organization, experienced colleagues may have shared with you details about processes and procedures. Perhaps you even attended an orientation session to brief you on these matters. As a “rookie,” you likely kept the nature of your questions to those with answers that would best help you perform your new role.

Over time and with experience, perhaps you recognized aspects of these processes and procedures that you wanted to question further. This is the realm of clinical inquiry.

Clinical inquiry is the practice of asking questions about clinical practice. To continuously improve patient care, all nurses should consistently use clinical inquiry to question why they are doing something the way they are doing it. Do they know why it is done this way, or is it just because we have always done it this way? Is it a common practice or a best practice?

In this Assignment, you will identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices. You will also analyze this research to compare research methodologies employed.

To Prepare:

• Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.
• Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.
• Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research.
• Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected.

Part 1: An Introduction to Clinical Inquiry

Create a 4- to 5-slide PowerPoint presentation in which you do the following:

• Identify and briefly describe your chosen clinical issue of interest. This clinical issue will remain the same for the entire course and will be the basis for the development of your PICOT question
• Describe how you used keywords to search on your chosen clinical issue of interest.
• Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.
• Provide APA citations of the four peer-reviewed articles you selected.

Part 2: Identifying Research Methodologies

After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following:

• The full citation of each peer-reviewed article in APA format.
• A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.
• A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.
• A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.
• A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.

For this assignment, you will research risk management programs for health care facilities or organizations. Review the criteria below in order to select an exemplar that applies to your current or anticipated professional arena. (Note: Select an example plan with sufficient data to be able to complete the assignment successfully.)

TOPIC: Employee Training and Development Programs in Risk Management

In a 1,250 word paper, provide an analysis that includes the following:

1. Brief summary description of  the type of risk management plan you selected (new employee, specific      audience, community-focused, etc.) and your rationale for selecting that example.
2. Description of the recommended administrative steps and processes in a typical health care organization risk management program contrasted with the administrative steps and  processes you can identify in your selected example plan. (Note: Select an example plan with sufficient data to be able to complete the      assignment successfully.)
3. Analyze the key agencies and  organizations that regulate the administration of safe health care and the roles each play in the risk management oversight process. (Occupational Safety and Health Administration) OSHA.
4. Evaluation of the selected exemplar risk management plan regarding compliance with the American Society of Healthcare Risk Management (ASHRM) standards relevant to   privacy, health care worker safety, and patient safety.
5. Proposed recommendations or  changes you would make to your selected risk management program example to      enhance, improve, or to secure compliance standards.

Minimum of three peer-reviewed references. No plagiarism please

Prepare this assignment according to the guidelines found in the APA Style Guide, 

1)Pathogenesis.

2)Organs affected in the body.

3)Chain of infection and its Links associated: Infectious agent, Reservoirs, Portal of Exit, Route of Transmission, Portal of Entry, and Susceptible Host. All must to be defined in the chosen agent.

4)Incidence, Prevalence, and Prevention of this infectious disease.

5)Treatment if possible.

6)Please answer, being a NURSE: “How are you going to break down the chain of infection of the selected microorganism, to avoid Cross Contamination?”