Discuss the Difference Between a Positive Linear Relationship and a Negative Linear Relationship

·         

·         250-word minimum

·         At least 1 outside scholarly reference is required besides the course textbook .

·         Must answer the discussion question and address the topic in the reply

        post.

Must respond to 1 other discussion question. Reply must be a minimum of 100 w

Turnit it similarity maximum 20%

 

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Research class Discussion Board  due date January 11 

The Essentials of Master’s Education in Nursing reelects the profession’s continuing call for imagination, transformative thinking, and evolutionary change. Explain the importance of following the essentials of Master’s Education in Nursing in a clinical nurse practitioner program such as the “Florida National University “? Please select one of the essentials and expand as to why the selected essential is crucial in succeeding in this program. (Essentials I-IX) 

Discussion Rubric

The initial post will be regarding the topic of the week and will be a minimum of 250 words. Make sure you provide appropriate references and utilize APA style.. Each discussion will be allocated to a specific Master’s Essential.

  

 

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APA Format- Essay FOR, SCHOLARLY WITH REFERENCE PAGE

Answer all of the following questions using headers to separate topics.

INSERT Introduction (3 Sentences)

1. Advocates of computers and these online systems speak about the benefits in glowing terms, but few seem to address the changes in workflow and the impact on production during the time it takes to learn and then become skilled at using these systems. Healthcare workers are being asked to do more in less time under the justification that the computer will speed the process. Describe your personal experience with automation and new information systems. How true are the claims about the benefits and the impact on the professionals? (e.g. Did the system turn a world-class healthcare worker into a data entry clerk?)
2. How often are the challenges the authors discuss on page 195 and 196 actually issues? If you were to rewrite that section, what challenges would you include? Be concrete and give examples. 
3. Perform a critique of the three case studies from Chapter 8. How believable are these case studies and the results? What are the key lessons you took away from these case studies and why? (None is an acceptable answer, but you must be explicit about what you found troubling and/or unbelievable about each.
4. Do research to see what has been reported about the longer-term result from these three case studies and write about what you discover. If you are unable to find anything for any of the three, explore the issue of long-term healthcare worker satisfaction with such solutions and see how that data compares to what you found from the case studies.

ADD 3 Sentence ConclusionREFERENCE PAGE

 

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A patient reports having occasional acute constipation with large, hard stools and pain and asks the primary care NP about medication to treat this condition. The NP learns that the patient drinks 1500 mL of water daily; eats fruits, vegetables, and bran; and exercises regularly. How would you address your patient’s concerns?  What medication would you add and why? 

Constipation is among the commonest reason that makes people self medicate (Teri Moser Woo 2016 pp535). It is very common and can be caused by variety of factors ranging from lack of exercise, immobility, neuronal abnormality, iatrogenic causes as well. Appropriate management requires an evaluation for secondary etiologies, such as systemic disorders and drugs. Once secondary causes have been eliminated, idiopathic constipation may be associated with normal or slow colonic transit, defecatory dysfunction (pelvic floor dysfunction), or both. Laboratory work up specifically electrolytes and radiological investigation would be considered for the above mentioned patient. This is after a thorough History and physical exam.

Since the patient above exercises and eats well, I would start with a stimulant Laxative in this case. Stimulant laxatives — Stimulant laxatives such as bisacodyl (e.g., some forms of Dulcolax), Senna (e.g., Senokot), and sodium picosulfate (e.g., Dulcolax drops). According to (Johnson DA, Barkun AN, Cohen LB, et al 2014) A randomized four-week trial of sodium picosulfate (10 mg daily) in 45 patients with chronic constipation demonstrated improved bowel function for those receiving medication compared with placebo

 

                                                                        Senna

Category: Senna is a stimulant laxative, primarily exert their effects via alteration of electrolyte transport by the intestinal mucosa. They also increase intestinal motor activity

Use: Senna is use for constipation, generally causes bowel movement in 6 to 12 hours

Warning and Education: Senna should be used appropriately. Failure to have a bowel movement or occurrence of rectal bleeding after use should be reported to health care provider. It is not recommended for use in patients experiencing stomach pain, nausea, vomiting, or a sudden change in bowel movements which lasts >2 weeks. If constipation did not improve after being on Senna for one week, return to the clinic. Do not use for more than 1 week.

Adverse reaction: Some adverse reaction that can result from Senna use include: abdominal cramps, diarrhea, nausea, vomiting

                                                               

                                                                    References

Anderson PO, Sauberan JB. Modeling drug passage into human milk. Clin Pharmacol Ther. 2016;100(1):42-52. [PubMed 27060684]

Johnson DA, Barkun AN, Cohen LB, et al. Optimizing adequacy of bowel cleansing for colonoscopy: recommendations from the US multi-society task force on colorectal cancer. Am J Gastroenterol, 2014;109(10):1528-1545. [PubMed 25223578]

Woo, T. M. & Robinson, M. V. (2016): Pharmacotherapeutics for Advanced Practice Nurse     

        Prescribers. (4TH ed.). Philadelphia: F. A. Davis Co

Liu Z, Yan S, Wu J, et al. Acupuncture for Chronic Severe Functional Constipation: A Randomized Trial. Ann Intern Med 2016; 165:761.

 

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Clinical discussion online assignment in class

L.N. is a 49-year-old white woman with a history of type 2 diabetes, obesity, hypertension, and migraine headaches. The patient was diagnosed with type 2 diabetes 9 years ago when she presented with mild polyuria and polydipsia. L.N. is 5′4″ and has always been on the large side, with her weight fluctuating between 165 and 185 lb.

Initial treatment for her diabetes consisted of an oral sulfonylurea with the rapid addition of metformin. Her diabetes has been under fair control with a most recent hemoglobin A1c of 7.4%.

Hypertension was diagnosed 5 years ago when blood pressure (BP) measured in the office was noted to be consistently elevated in the range of 160/90 mmHg on three occasions. L.N. was initially treated with lisinopril, starting at 10 mg daily and increasing to 20 mg daily, yet her BP control has fluctuated.

One year ago, microalbuminuria was detected on an annual urine screen, with 1,943 mg/dl of microalbumin identified on a spot urine sample. L.N. comes into the office today for her usual follow-up visit for diabetes. Physical examination reveals an obese woman with a BP of 154/86 mmHg and a pulse of 78 bpm.

Questions

1. What are the effects of controlling BP in people with diabetes?
2. What is the target BP for patients with diabetes and hypertension?
3. Which antihypertensive agents are recommended for patients with diabetes?

 

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