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Describe how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected.

Advanced practice nurses often treat patients with vein and artery disorders such as chronic venous insufficiency (CVI) and deep venous thrombosis (DVT). While the symptoms of both disorders are noticeable, these symptoms are sometimes mistaken for signs of other conditions, making the disorders difficult to diagnose. Nurses must examine all symptoms and rule out other potential disorders before diagnosing and prescribing treatment for patients. In this Assignment, you explore the epidemiology, pathophysiology, and clinical presentation of CVI and DVT.
To Prepare
• Review the section “Diseases of the Veins” (pp. 598-599) in Chapter 23 of the Huether and McCance text. Identify the pathophysiology of chronic venous insufficiency and deep venous thrombosis. Consider the similarities and differences between these disorders.
• Select a patient factor different from the one you selected in this week’s Discussion: genetics, gender, ethnicity, age, or behavior. Think about how the factor you selected might impact the pathophysiology of CVI and DVT. Reflect on how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected.
• Review the “Mind Maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning Resources. Use the examples in the media as a guide to construct two mind maps—one for chronic venous insufficiency and one for venous thrombosis. Consider the epidemiology and clinical presentation of both chronic venous insufficiency and deep venous thrombosis.
To Complete
APA format, Write a 2–page paper that addresses the following:
• Compare the pathophysiology of chronic venous insufficiency and deep venous thrombosis. Describe how venous thrombosis is different from arterial thrombosis.
• Explain how the patient factor you selected might impact the pathophysiology of CVI and DVT. Describe how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected.
• Construct two mind maps—one for chronic venous insufficiency and one for deep venous thrombosis. Include the epidemiology, pathophysiology, and clinical presentation, as well as the diagnosis and treatment you explained in your paper.


 


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•Explain an overview of one or more interventions that would help address an identified need within a target population and setting.

For the first section of your final capstone project you will develop a proposal for an intervention plan to fulfill a need within a specific population. This assignment is meant to capture your initial thoughts about the need and impacting factors to help focus your in-depth analysis later on in the course. The discussion from Unit 1 will have helped you brainstorm and crystallize some of your ideas for this assignment, specifically ideas around needs, a target population, and some initial support from the literature and other sources of evidence. The problem statement is an important part of your capstone project as it will help illustrate the importance of your project, as well as help to clarify your project’s scope.
Some examples of appropriate projects are:
•Community-based intervention to address teen pregnancy among Native Americans.
•School-based intervention to address adolescent obesity.
•Educational program to help nurses implement IV best practices in the emergency room.
•Policy proposal to remove barriers for government aid recipients to receive breast cancer treatment at a private clinic.
•Training program for new nurses working with the Hmong community.
•Curriculum to educate young Latina women, ages 18–24, about HIV prevention.
•Web site to educate adult patients recently diagnosed with diabetes about proactive self-care.

Instructions

Your problem statement will focus on presenting information related to the problem-intervention-comparison-outcome-time (PICOT) approach to nursing research. You will also present a brief literature review that supports the need you identified in your problem statement and the appropriateness of your broad intervention approach. Provide enough detail so that the faculty member assessing your problem statement will be able to provide substantive feedback that you will be able to incorporate into the other project components in this course, as well as the final draft of your project. At minimum, be sure to address the bullet points below, as they correspond to the grading criteria. You may also want to read the scoring guide and the Guiding Questions: Problem Statement (PICOT) document (both linked in the Resources) to better understand how each criterion will be assessed.

Part 1: Problem Statement (2–3 pages)

Need Statement (1 paragraph).
•Analyze a health promotion, quality improvement, prevention, education, or management need.

Population and Setting (1–2 paragraphs).
•Describe a target population and setting in which an identified need will be addressed.

Intervention Overview (1–2 paragraphs).
•Explain an overview of one or more interventions that would help address an identified need within a target population and setting.

Comparison of Approaches (1 or 2 paragraphs).
•Analyze potential interprofessional alternatives to an initial intervention overview with regard to their possibilities to meet the needs of the project, population, and setting.

Initial Outcome Draft (1 paragraph).
•Define an outcome that identifies the purpose and intended accomplishments of an intervention for a health promotion, quality improvement, prevention, education, or management need.

Time Estimate (1 paragraph).
•Propose a rough time frame for the development and implementation of an intervention to address an identified need.

Part 2: Literature Review (10–15 resources, 3 pages).
•Analyze current evidence to validate an identified need and its appropriateness within the target population and setting.
•Evaluate and synthesize resources from diverse sources illustrating existing health policy that could impact the approach taken to address an identified need.


 


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•Define an outcome that identifies the purpose and intended accomplishments of an intervention for a health promotion, quality improvement, prevention, education, or management need.

For the first section of your final capstone project you will develop a proposal for an intervention plan to fulfill a need within a specific population. This assignment is meant to capture your initial thoughts about the need and impacting factors to help focus your in-depth analysis later on in the course. The discussion from Unit 1 will have helped you brainstorm and crystallize some of your ideas for this assignment, specifically ideas around needs, a target population, and some initial support from the literature and other sources of evidence. The problem statement is an important part of your capstone project as it will help illustrate the importance of your project, as well as help to clarify your project’s scope.
Some examples of appropriate projects are:
•Community-based intervention to address teen pregnancy among Native Americans.
•School-based intervention to address adolescent obesity.
•Educational program to help nurses implement IV best practices in the emergency room.
•Policy proposal to remove barriers for government aid recipients to receive breast cancer treatment at a private clinic.
•Training program for new nurses working with the Hmong community.
•Curriculum to educate young Latina women, ages 18–24, about HIV prevention.
•Web site to educate adult patients recently diagnosed with diabetes about proactive self-care.

Instructions

Your problem statement will focus on presenting information related to the problem-intervention-comparison-outcome-time (PICOT) approach to nursing research. You will also present a brief literature review that supports the need you identified in your problem statement and the appropriateness of your broad intervention approach. Provide enough detail so that the faculty member assessing your problem statement will be able to provide substantive feedback that you will be able to incorporate into the other project components in this course, as well as the final draft of your project. At minimum, be sure to address the bullet points below, as they correspond to the grading criteria. You may also want to read the scoring guide and the Guiding Questions: Problem Statement (PICOT) document (both linked in the Resources) to better understand how each criterion will be assessed.

Part 1: Problem Statement (2–3 pages)

Need Statement (1 paragraph).
•Analyze a health promotion, quality improvement, prevention, education, or management need.

Population and Setting (1–2 paragraphs).
•Describe a target population and setting in which an identified need will be addressed.

Intervention Overview (1–2 paragraphs).
•Explain an overview of one or more interventions that would help address an identified need within a target population and setting.

Comparison of Approaches (1 or 2 paragraphs).
•Analyze potential interprofessional alternatives to an initial intervention overview with regard to their possibilities to meet the needs of the project, population, and setting.

Initial Outcome Draft (1 paragraph).
•Define an outcome that identifies the purpose and intended accomplishments of an intervention for a health promotion, quality improvement, prevention, education, or management need.

Time Estimate (1 paragraph).
•Propose a rough time frame for the development and implementation of an intervention to address an identified need.

Part 2: Literature Review (10–15 resources, 3 pages).
•Analyze current evidence to validate an identified need and its appropriateness within the target population and setting.
•Evaluate and synthesize resources from diverse sources illustrating existing health policy that could impact the approach taken to address an identified need.


 


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discuss the appropriate timeline and chain of command for evaluating and revising the policy related to the quality improvement process.

Demonstrate the ability to identify a quality improvement need.

2. Demonstrate the ability identify the appropriate target population for the need.

3. Assess the target populations needs regarding the identified quality improvement.

4. Discuss the appropriate process for developing the policy related to the quality improvement.

5. Identify the appropriate chain of command for implementing a policy regarding the quality improvement process.

6. Discuss the appropriate timeline and chain of command for evaluating and revising the policy related to the quality improvement process.

Look around your place of work. There are usually many procedures and policies regulating the actions of staff for patient safety. Polices attempt to standardize care and help drive positive outcomes for the organization and most importantly for the patients. Policies are stated in the absolute; shall or will. They are directives. Your organization will have several policies. In this course, you are to explore the process required in developing good policies and getting them implemented. This is similar to the process for developing laws as explained in your textbook. Think of the nursing process: Assess, Diagnose, Plan, Implement, and Evaluate. In developing a policy, nurses follow this pattern. In this assignment, you will delineate this process for a particular nursing topic.

Final Project Instructions:

Your assignment is to write a paper on how you would develop a policy (new or revised policy) to address an issue identified in a practice setting:

A)You may use as many references as you need to for this document to bring the best EBP to your project.

B)This writing assignment should adhere to APA style.

C)Project must be between 3-5 pages NOT including the title page and reference list.

1) You are to delineate processes for getting the policy adopted and implemented within that practice setting. Using these “steps” as headings for your paper elaborated on the required items listed here.

2) The introduction is to cover basic information about the topic supported by research and the need for such a policy. Consider and include, at a minimum, potential issues related to safety, culture, collaboration, finances, information management, and resource utilization, if applicable, when writing this assignment.

A. Who are the people directly addressed in the policy? Includes internal and external people:

Internal=within the organization.

External=Those coming into the organization such as vendors.

B. What are the needs/wants of the identified people? How will you identify their needs/wants?

C. How will the policy respond to their needs/wants? What does the policy and/or procedure provide for these people?

D. What processes and/or procedures will be needed to produce results to meet the need for the identified people.

E. Who will be responsible for implementing this policy – What is your institution’s process for policy development and revision?


 


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