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The 57-year-old patient noted urinary hesitancy and a decrease in the force of his urinary stream for several months. Both had progressively become worse. His physical examination was essentially negative except for an enlarged prostate, which was bulky and soft.
Studies
Results
Routine laboratory studies
Within normal limits (WNL)
Intravenous pyelogram (IVP)
Mild indentation of the interior aspect of the bladder, indicating an enlarged prostate
Uroflowmetry with total voided flow of 225 mL
8 mL/sec (normal: >12 mL/sec)
Cystometry
Resting bladder pressure: 35 cm H2O (normal: <40 cm H2O)
Peak bladder pressure: 50 cm H2O (normal: 40-90 cm H2O)
Electromyography of the pelvic sphincter muscle
Normal resting bladder with a positive tonus limb
Cystoscopy
Benign prostatic hypertrophy (BPH)
Prostatic acid phosphatase (PAP)
0.5 units/L (normal: 0.11-0.60 units/L)
Prostate specific antigen (PSA)
1.0 ng/mL (normal: <4 ng/mL)
Prostate ultrasound
Diffusely enlarged prostate; no localized tumor
Diagnostic Analysis
Because of the patient’s symptoms, bladder outlet obstruction was highly suspected. Physical examination indicated an enlarged prostate. IVP studies corroborated that finding. The reduced urine flow rate indicated an obstruction distal to the urinary bladder. Because the patient was found to have a normal total voided volume, one could not say that the reduced flow rate was the result of an inadequately distended bladder. Rather, the bladder was appropriately distended, yet the flow rate was decreased. This indicated outlet obstruction. The cystogram indicated that the bladder was capable of mounting an effective pressure and was not an atonic bladder compatible with neurologic disease. The tonus limb again indicated the bladder was able to contract. The peak bladder pressure of 50 cm H2O was normal, again indicating appropriate muscular function of the bladder. Based on these studies, the patient was diagnosed with a urinary outlet obstruction. The PAP and PSA indicated benign prostatic hypertrophy (BPH). The ultrasound supported that diagnosis. Cystoscopy documented that finding, and the patient was appropriately treated by transurethral resection of the prostate (TURP). This patient did well postoperatively and had no major problems.
Critical Thinking Questions
1. Does BPH predispose this patient to cancer?
2. Why are patients with BPH at increased risk for urinary tract infections?
3. What would you expect the patient’s PSA level to be after surgery?
4. What is the recommended screening guidelines and treatment for BPH?
5. What are some alternative treatments / natural homeopathic options for treatment?
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You are a state court judge who has been presented with the following facts. A criminal defendant was stopped by police after an officer observed him speeding. A computer check showed that the man had an outstanding misdemeanor warrant for his arrest. While he was being arrested, a marijuana joint fell from his pocket. The officer searched his car and found additional illegal drugs. The warrant information was subsequently discovered to be inaccurate in the computer system- it had been dismissed. The defendant files a motion to suppress the drug evidence.
In a 1 page essay, describe how would you rule on this motion. Please explain with supporting reasons. Be sure to cite any outside sources used in your work, and follow APA guidelines
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Directions:This
checklist is provided to assist your group in selecting an appropriate research
article to complete the weekly Critical Thinking/Research Critique assignments.
This checklist serves as a valuable guide as
your group searches for an appropriate article for this assignment. Your coach
will not be grading the actual checklist but will use it in approving your
submitted publication. Submit the completed checklist with your article you are
submitting for faculty approval.
Instructions:
All members of the
group should select an article meeting the criteria, then as a group, select
one of the group member’s article. It is suggested you keep the other articles
just in case you need to resubmit a second article. Establish a deadline for
the selection of an article keeping in mind the need to address some specific
questions related to the article and meet the established deadline.
Please review this
checklist as a group prior to submitting your group selected research article
for this assignment.
When allthe group membersparticipating
in this assignment believe ALLthe
stated criteria has been met, please place a checkmark in the provided box.
Submit this checklist
with the full text selected
article in PDF formatin the
provided dropbox along with the Module 1 document.
Do not submit a web
link to the selected article as this will result in a deduction on your first
critical thinking submission.
Checklist Criteria for your Article
Selection:
Met
Not Met
Our group selected a quantitativeprimary (data-basedresearchstudy,written bytheresearchers*whoconducted
thestudy)research article (you may select a pilot/feasibility study as long
as it meets other checklist criteria)(You may or may not find words in
the abstract such as study, investigation, the aim of this study; look for
headings such as Method/Design, Sample/Participants, Data Analysis, Findings
etc).
Our group selected a peer review quantitative
research published between
May, 2018 and July, 2019 or if it is a quarterly publication, starting
January, 2019-to current date).Do not submit an accepted
draft of an article/manuscript. It must already be published in a nursing
professional journal and can be located within the specific publication.
Our group selected a study whose firstauthor
is a registered nurse (you should see RN behind the
first author’s name or there may be an identification within the article that
the first author is a registered nurse-typically on the first or last page of
the publication. If the credentials of the author are not identified, then
you will need to select another article)
Our
groupselected a study published ina peer reviewed NURSINGjournal(i.e.nursesaretheprimaryaudienceforthejournal; journal for nurses usually (but not
always) have nurse/nursing in the title).
Our groupselected a study from either a national
or international journal; however, the entire study must be written in
Englishincluding
references.If you select an article from the Journal of Nursing UFPE
on line-while the text of the article is in English, frequently some of the
references are not in English. This would not be appropriate for this
assignment unless the references are also provided in English.
Our groupselected a study that includes a population/sample
thatuses human subjects/participants. (Animal research is not appropriate for
this assignment unless it is a study with humans engaged in animal therapy etc.).
Our
groupselected a study with descriptive statistics related to data analysis
and answered the question below:
7a)Descriptive statistics were
identified on page_____Please note: if the term “power
analysis” is present, it does not
address this criterion; it is another research concept and does not address
either descriptive and/or inferential statistics
7b) An example of a descriptive statistic found in
the study was_________
Our group selected a study with inferential
statistics (but not advanced statistics-we did not select a study that used the
following for statistical analysis: path analysis, modeling or uses the word
“model” in the analysis technique like causal modeling, multiple regression,
factor analysis, linear models, time series, data mining techniques,
odds-ratio and logistic regression, plots, plotting or plot method-refer to
page 299 of your text ) related to data analysis and answered
question 8a below
8a)Inferential statistic(s) were found on page______
8b) An example of an inferential statistic found in
the study was_________
Additional Resources to assist if needed:
View your statistics notes, or LoBiondo-Wood
& Harper textbook for the class(Chapters 9 and 10 may be helpful)Read pages 327-328 (8th edition) and
page 299 in the 9th edition, avoid these advanced statisticsData Analysis may also include descriptive
statistics but may not solely use this type of statistics.
Please
note: if you read the words “power analysis” it does
not address this criterion
Our
groupreviewed Library Guides found under Course Orientation and Overview; or
accessed the following website:
http://guides.pnw.edu/nur390selecting_research_article
If
needed,our groupor select group members contacted the PUC Library Scientist,
to assist with searching. (Please note: The librarian is not responsible for
finding your articles, approving your article, and /or APA format; only your
course coach/faculty will approve your article.
For
students previously enrolled in the class, no group members have used this
article for this assignment previously even if assigned to another
coach/faculty for this class.
We are
aware points will be deducted from our /myModule 1 Article
Document assignments that does not meet all of these checklist criteria. Hint: Please be sure your
selected publication refers to both descriptive and
inferential statistics-this is where groups frequently experience the point(s)
deduction.
We have reviewed all the criteria, the DO NOT
choose list below and the article we are submitting for faculty approval in
pdf format meets all the criteria listed above. Type your group letter/number
assigned to your groupin this box. Name of group member(s) who specifically
participated in this assignment:
Name
of Group member(s) who did NOT participate in this assignment:
_______________________________________ (a zero (0) grade will be earned on this Module 1Research Article Document assignment
for any group member who did not participate in this assignment after faculty
verification.)
For the“Selection of aResearchArticleAssignment”,
please DONOTchoose anyofthefollowingtypesof
researchstudiesor
articles forthis assignment:
Qualitative research
article
Informative article
Concept Analysis
Quality Improvement Project
(avoid studies that indicate it is project)
Project
Development/Implementation (Project/
Observational study that discusses a project (many
times these are identified as projects for Doctorate of Nursing Practice
requirements, you may find the credential DNP behind the first authors name;
however, some authors with DNP credentials may engage in primary research so
look for the word “Project” in the article, sometimes found in the abstract or
under the heading “Methods”
The title or purpose of the article states “Reviewofthe
literatureORnarrative article OR
integrated/integrative reviews OR systematic review of the literature”.(Please note: the review of the
literature is a step in the nursing research process, so you may find review of
the literature as a heading in the text of an appropriate research article but
avoid if it is in the title or purpose of the article.)
Researchreportin asecondarysource(i.e.notwrittenbytheresearchersthatconductedtheactual study) or secondary analysis
A researchreportpublished aspartofan
article/moduleforcontinuingeducationunits (you may find “CEU” or “CU” on the first
page of the publication and may have a short quiz at the end of the article)
Mixed method(multi-methods)design(i.e.bothqualitativeANDquantitative
processes used in the study.
Clinical
Guidelines
Systematicreviews
Secondary analysis
Meta-analysis
Meta-synthesis
Meta-aggregate
Program/Project
Evaluation-***this is a common error that has been made in the past; please
make sure your selected article is not a program or project evaluation.
A survey/tool/questionnaire/instrumentdevelopmentstudy (typically the article will indicate that the
research focus is tool development in the title or purpose of the study. The
purpose may state: The purpose of this research is to test/develop a
survey/tool/ questionnaire/measurement/instrument to measure____ or something
similar)
**Faculty highly recommends that you avoidstudies with large data sets(refer
to page 299 of your text )multiple variables (multivariate analysis with
resultant data) or higher level statistical analysis. Previous students seem to
be more challenged when choosing studies with large data sets. Your faculty may
notify you that your selected article has a more challenging data analysis
procedure and to submit another article. However, your group may have an
advanced statistical background and may select not to submit another article.
If this is the case for your group, please discuss this with your assigned
coach.
Do not
select these articles (Please note: if you select one of the following
articles it will not be approved and result in a 2-point deduction (please do
not request an exception as this will not be given):
Ahmadi, M., Bagheri-Saweb, M.I.,
Nouri, B., Mohamadamini, O., &Valiee, S. (2019). Effect of Interventional Educational Programs
on Intensive Care Nurses’ Perception, Knowledge, Attitude, and Practice About
Physical Restraints: A Pre-/Post-Clinical
Trial. Critical Care Nursing. 42, 106-116.
doi: 10.1097/CNQ.0000000000000244106
Alenezi, A. M., Aboshaiqah, A.,
& Baker, O. (2018). Work-related stress among nursing staff working in
government hospitals and primary health care centres. International Journal
of Nursing Practice,24(5), 1-8. doi:10.1111/ijn.12676
Aloush, S.M., Abdelkader, F.,
Al-Sayaghi, K., Tawclbeh, L., Suliman, M., Al Bashtawy, M., & Shaban, I. (2018). Compliance of nurses and hospitals with
ventilator-associated pneumonia prevention guidelines: A Middle Eastern survey.
Journal of Nursing Care Quality, 33(3), E8-E14. doi: 10.1097/NCQ.000000000000028.
Aliyu, S. P., Furuya, Y. M., & Larson, E. R. (2019). Risk
of subsequent health care−associated infection among patients with a blood
stream infection present on hospital admission. American Journal of
Infection Control, 47(2), 196-200. Retrieved from
https://www-sciencedirect-com.pnw.idm.oclc.org/science/article/pii/S0196655318311416
Anderson, C.A., & Connolly, J.P.
(2018). A model to predict birth stress in adolescents within 72 hours of
childbirth. Advances in Nursing Science, 41(3), 216-229. Retrieved from https://journals.lww.com/advancesinnursingscience/pages/default.aspx
Arslan, D. E., Kutlutürkan, S., & Korkmaz, M.
(2019). The effect of aromatherapy massage on knee pain and functional status
in participants with osteoarthritis. Pain
Management Nursing, 20(1), 62-69.
https://doi.org/https://doi.org/10.1016/j.pmn.2017.12.00
Bell,
M., Bogar, C., Plante, J., Rasmussen, K., & Winters, S. (2018, November).
Effectiveness of a novel specimen collection system in reducing blood culture
contamination Rates. Journal of Emergency Nursing, 44(6), 570-575. Retrieved
April 4, 2019, from
https://www.jenonline.org/article/S0099-1767(17)30148-4/fulltext
Bergomi,
P., Scudeller, L., Pintaldi, S., & Dal Molin, A. (2018). Efficacy of
non-pharmacological methods of pain management in children undergoing
venipuncture in a pediatric outpatient clinic: A randomized controlled trial of
audiovisual distraction and external cold and vibration. Journal of Pediatric Nursing, 42, e66-e72. https://doi.org/10.1016/j.pedn.2018.04.011
Brownie, S., Wahedna, A. H., &
Crisp, N. (2018). Nursing as a pathway to women’s empowerment and
intergenerational mobility. Journal of
Clinical Nursing, 27(21–22), 4050–4057. Retrieved from https://doi-org.pnw.idm.oclc.org/10.1111/jocn.14540
Chou, P.,
Fang,S., Sun, J. & Rau, K. (2018). Gender difference in cancer patients’
adherence to analgesics and related outcomes of pain management. Cancer Nursing. 41(6). 11-18.
Ciftci,
B., Avsar, G., Aydın, E., &KaramanOzlu, Z. (2018). Assessment of the effect
of nipple care with honey on nipple cracking. International Journal of
Caring Sciences, 11(3),
1881–1889. Retrieved from
http://www.internationaljournalofcaringsciences.org/docs/62_avsar%20_original_11_3.pdf
Engström, Å, & Forsberg, A. (2019). Peripheral
intravenous catheter difficulty – A clinical survey of registered nurse and
critical care nurse performance. Journal
of Clinical Nursing. doi:10.1111/jocn.14668
Evans, S., Yager, E., Sutherland, L.,
& Downey, M. (2018). Getting your grumble back. Journal of Holistic
Nursing, 36(3), 255–261. https://doi-
org.pnw.idm.oclc.org/10.1177/0898010116672338
Finch,
K., Osseiran-Moisson, R., Carville, K., Leslie, G., & Dwyer, M. (2018).
Skin tear prevention in elderly patients using twice-daily moisturiser. Wound
Practice andResearch, 26, 99-109. Retrieved from
Henson,
K., Thomley, J., Lowrie, L., & Walker, D. (2019). Comparison of selected
outcomes associated with two postoperative analgesic approaches in patients
undergoing total knee arthroplasty. American Association of Nurse
Anesthetists, 87(1), 51-57. Retrieved from https://tinyurl.com/y5z9pvfa
Herrera-Gómez, A., De Luna-Bertos,
E., Ramos-Torrecillas, J., Ocaña-Peinado, F. M., Ruiz, C., &
García-Martínez, O. (2018). Risk assessments of epidural analgesia during labor
and delivery. Clinical Nursing Research, 27(7), 841–852.
Horne, C. E., Johnson, S., & Crane,
P. B. (2019). Comparing comorbidity measures and fatigue post myocardial
infarction. Applied Nursing Research, 45, 1-5. doi: 10.1016/j.apnr.2018.11.004.
Huthaifah1 Ibrahim, K. (2018). Quality of life determinants among
lung cancer patients near end of life. International
Journal of Caring Sciences, 11(3),
1580–1587.
Jenita, E., &Pushpakala, E.
(2019). Effect of early ambulation versus late ambulation on patients’ outcome
among patients underwent transfemoral coronary procedures. International Journal of Nursing Education, 11(1), 74–78.
https://doi- org.pnw.idm.oclc.org/10.5958/0974-9357.2019.00016.3
Keskin, G., Gümüş, A. B.,
&Yiğitoğlu, G. T. (2019). Sexual dysfunctions and related variables with
sexual function in patients who undergo dialysis for chronic renal
failure. Journal of Clinical Nursing. doi:10.1111/jocn.14602
Lamont, S., &Brunero, S. (2018).
The effect of a workplace violence training program for generalist
nurses in the acute hospital setting: A quasi-experimental study. Nurse Education Today, 68, 45-52.
Mathew, S.M., & Sujatha, R. (2018).
Effectiveness of Child To Child Approach on Practice of Hand Washing Among
School Children in a Selected School at Mangalore.Nitte University Journal of Health Science. Retrieved from:
http://web.a.ebscohost.com.pnw.idm.oclc.org/ehost/pdfviewer/pdfviewer?vid=3&sid=a80216fe-6975-41ef-8447-6d2863c4ade8%40sdc-v-sessmgr01
McAdam,
J. L., & Puntillo, K. (2018). Pilot study assessing the impact of
bereavement support on families of deceased intensive care unit patients. American Journal of Critical Care, 27(5),
372-380.
Menegueti,
M. G., Araújo, T. R., Laus, A. M., Martins-Filho, O. A., Basile-Filho, A.,
&Auxiliadora-Martins, M. (2019). Resting energy expenditure and oxygen
consumption in critically ill patients with vs without sepsis. American Journal of Critical Care,28(2),
136-141. doi:10.4037/ajcc2019168
Mortimer-Jones,
S. M., Wall, P. G., & Russell, S. (2018). Quantitative analysis of
anxietylevels of nursing students studying bioscience in Australia. Nursing & Health Sciences.
doi:10.1111/nhs.12535.
Mrayan, L., Abujbil, S.,
Abuidhail, J., Yassein, M. B., & Al-Modallal, H. (2019). Couvade syndrome among
Jordanian expectant fathers. American
Journal of Men’s Health, 1-9. doi:10.1177/1557988318810243
Nirmala, V., J. Silvia Edison,
Vijayaraghavan&Suni, M. S. (January- March 2019). Effectiveness of the
comprehensive intervention package on the psychological variables among
adolescents. International Journal of
Nursing Education, 11(1), 102- 108.
Oner,
U., &Coban, G. I. (2018). Satisfaction Levels of Cardiac Patients From Oral
Anticoagulant Treatment. International Journal of Caring Sciences, 11(3),
1789–1801.
Orinovsky, I., Raizman, E. (2018). Improvement of
nutritional intake in intensive care unit patients via a nurse -led enteral
nutrition feeding protocol. Critical Care
Nurse. 28(3),38-44. doi:10.4037/ccn2018433
Ota, M., Peck, B., & Porter, J.
(2018). Evaluating a blended online learning model among undergraduate Nursing
Students. CIN: Computers, Informatics, Nursing, 1.doi:10.1097/cin.0000000000000456
Pandian, V., Datta, M., Nakka, S., Tammineedi, D.
S., Davidson, P. M., & Nyquist, P. A. (2019). Intensive care unit
readmission in patients with primary brain injury and tracheostomy. American
Journal of Critical Care, 28(1), 56-63. doi:10.4037/ajcc2019883
Peršolja, M.
(2018). The effect of nurse staffing patterns on patient satisfaction and
needs: a cross-sectional study. Journal
of Nursing Management, 26(7), 858-865. https://doi.
org/10.1111/jonm.12616.
Piasai, K., Phumdoung, S.,
Wiroonpanich, W., &Chotsampancharoen, T. (2018). A randomized control trial
of guided-imagination and drawing-storytelling in children with cancer. Pacific Rim International Journal of Nursing
Research, 22(4), 386-400. Retrieved
from https://www.tci-thaijo.org/index.php/PRIJNR/article/view/99745.
Punthmatharith,
B., & Mora, J. (2018). Effects of positioning on respiration rate, heart
rate, and oxygen saturation in preterm infants during feeding: A cross-over
design. Pacific Rim International
Journal of Nursing Research, 22(3), 187-199.
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Sleutel, M.R., True, B., Gustus, H.,
Baldwin, K. & Early, B. (2018). Response to a national issue: Moving beyond
“back to sleep” at three hospitals. Journal
of Pediatric Nursing, 43,16-22. doi:10.1016/j.pedn.2018.07.013.
VonStein, M., Buchko, B., Millen, C., Lampo, D.,
Bell, T., & Woods, A. (2019). Effect of a scheduled nurse intervention on
thirst and dry mouth in intensive care patients. American Journal of Critical Care. 28(1). DOI: https://doi.org/10.4037/ajcc2019400.
Winkelman, C., Sattar, A., Momotaz,
H., Johnson, K., Morris, P., Rowbottom, J., … Levine, A. (2018). Dose of
early therapeutic mobility: Does frequency or intensity matter? Biological
Research of Nursing, 20(5), 522-530.
http://dx.doi.org/10.1177/1099800418780492
Young, C. C., Minami, H., Aguilar,
R., & Brown, R. A. (2018). Testing the feasibility of a mindfulness-based
intervention with underserved adolescents at risk for depression. Holistic Nursing Practice, 32(6), 316–323.
https://doi-org.pnw.idm.oclc.org/10.1097/HNP.0000000000000295
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https://academicheroes.com/wp-content/uploads/2020/12/logo.png00adminhttps://academicheroes.com/wp-content/uploads/2020/12/logo.pngadmin2019-06-25 23:44:532019-06-25 23:44:59Submission of a Selected Research Article, Checklist and Module 1 Article Document
