Jamie is a 3-month-old female who presents with her mother for evaluation of “throwing up.” Mom reports that Jamie has been throwing up pretty much all the time since she was born. Jamie does not seem to be sick. In fact, she drinks her formula vigorously and often acts hungry. Jamie has normal soft brown bowel movements every day and, overall, seems like a happy and contented baby. She smiles readily and does not cry often. Other than the fact that she often throws up after drinking a bottle, she seems to be a very healthy, happy infant. A more precise history suggests that Jamie does not exactly throw up—she does not heave or act unwell—but rather it just seems that almost every time she drinks a bottle she regurgitates a milky substance. Mom thought that she might be allergic to her formula and switched her to a hypoallergenic formula. It didn’t appear to help at all, and now Mom is very concerned.

Cases like these are not uncommon. The mother was concerned and thinking her daughter may have an allergy; she changed to a different formula. However, sometimes babies have immature GI tracts that can lead to physiology reflux as they adapt to normal life outside the uterus. Parents often do not consider this possibility, prompting them to change formulas rather than seeking medical care. As in the case study above, GI alterations can often be difficult to identify because many cause similar symptoms. This same issue also arises with adults—adults may present with symptoms that have various potential causes. When evaluating patients, it is important for the advanced practice nurse to know the types of questions he or she needs to ask to obtain the appropriate information for diagnosis. For this reason, you must have an understanding of common GI disorders such as gastroesophageal reflux disease (GERD), peptic ulcer disease (PUD), and gastritis.

To Prepare

• Review this week’s media presentation on the gastrointestinal system.
• Review Chapter 35 in the Huether and McCance text. Identify the normal pathophysiology of gastric acid stimulation and production.
• Review Chapter 37 in the Huether and McCance text. Consider the pathophysiology of gastroesophageal reflux disease (GERD), peptic ulcer disease (PUD), and gastritis. Think about how these disorders are similar and different.
• Select a patient factor different from the one you selected in this week’s Discussion: genetics, gender, ethnicity, age, or behavior. Consider how the factor you selected might impact the pathophysiology of GERD, PUD, and gastritis. Reflect on how you would diagnose and prescribe treatment of these disorders for a patient based on this factor.
• 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 a mind map for gastritis. Consider the epidemiology and clinical presentation of gastritis.

To Complete

Write a 2- to 3-page paper that addresses the following:

• Describe the normal pathophysiology of gastric acid stimulation and production. Explain the changes that occur to gastric acid stimulation and production with GERD, PUD, and gastritis disorders.
• Explain how the factor you selected might impact the pathophysiology of GERD, PUD, and gastritis. Describe how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected.
• Construct a mind map for gastritis. Include the epidemiology, pathophysiology, and clinical presentation, as well as the diagnosis and treatment you explained in your paper.

4 References no later than 5years

zero plagiarism 

 

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MotilitJamie is a 3-month-old female who presents with her m 

Motility

Jamie is a 3-month-old female who presents with her mother for evaluation of “throwing up.” Mom reports that Jamie has been throwing up pretty much all the time since she was born. Jamie does not seem to be sick. In fact, she drinks her formula vigorously and often acts hungry. Jamie has normal soft brown bowel movements every day and, overall, seems like a happy and contented baby. She smiles readily and does not cry often. Other than the fact that she often throws up after drinking a bottle, she seems to be a very healthy, happy infant. A more precise history suggests that Jamie does not exactly throw up—she does not heave or act unwell—but rather it just seems that almost every time she drinks a bottle she regurgitates a milky substance. Mom thought that she might be allergic to her formula and switched her to a hypoallergenic formula. It didn’t appear to help at all, and now Mom is very concerned.

Cases like these are not uncommon. The mother was concerned and thinking her daughter may have an allergy; she changed to a different formula. However, sometimes babies have immature GI tracts that can lead to physiology reflux as they adapt to normal life outside the uterus. Parents often do not consider this possibility, prompting them to change formulas rather than seeking medical care. As in the case study above, GI alterations can often be difficult to identify because many cause similar symptoms. This same issue also arises with adults—adults may present with symptoms that have various potential causes. When evaluating patients, it is important for the advanced practice nurse to know the types of questions he or she needs to ask to obtain the appropriate information for diagnosis. For this reason, you must have an understanding of common GI disorders such as gastroesophageal reflux disease (GERD), peptic ulcer disease (PUD), and gastritis.

To Prepare

• Review this week’s media presentation on the gastrointestinal system.
• Review Chapter 35 in the Huether and McCance text. Identify the normal pathophysiology of gastric acid stimulation and production.
• Review Chapter 37 in the Huether and McCance text. Consider the pathophysiology of gastroesophageal reflux disease (GERD), peptic ulcer disease (PUD), and gastritis. Think about how these disorders are similar and different.
• Select a patient factor different from the one you selected in this week’s Discussion: genetics, gender, ethnicity, age, or behavior. Consider how the factor you selected might impact the pathophysiology of GERD, PUD, and gastritis. Reflect on how you would diagnose and prescribe treatment of these disorders for a patient based on this factor.
• 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 a mind map for gastritis. Consider the epidemiology and clinical presentation of gastritis.

To Complete

Write a 2- to 3-page paper that addresses the following:

• Describe the normal pathophysiology of gastric acid stimulation and production. Explain the changes that occur to gastric acid stimulation and production with GERD, PUD, and gastritis disorders.
• Explain how the factor you selected might impact the pathophysiology of GERD, PUD, and gastritis. Describe how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected.
• Construct a mind map for gastritis. Include the epidemiology, pathophysiology, and clinical presentation, as well as the diagnosis and treatment you explained in your paper.other for evaluation of “throwing up.” Mom reports that Jamie has been throwing up pretty much all the time since she was born. Jamie does not seem to be sick. In fact, she drinks her formula vigorously and often acts hungry. Jamie has normal soft brown bowel movements every day and, overall, seems like a happy and contented baby. She smiles readily and does not cry often. Other than the fact that she often throws up after drinking a bottle, she seems to be a very healthy, happy infant. A more pt be allergic to her formula and switched her to a hypoallergenic formula. It didn’t appear to help at all, and now Mom is very concerned.

4 references no later than 5years

Zero plagiarism

 

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• Review this week’s media presentation on the gastrointestinal system.
• Review Chapter 35 in the Huether and McCance text.  Identify the normal pathophysiology of gastric acid stimulation and  production.
• Review Chapter 37 in the Huether and McCance text.  Consider the pathophysiology of gastroesophageal reflux disease (GERD),  peptic ulcer disease (PUD), and gastritis. Think about how these  disorders are similar and different.
• Select a patient factor different from the one you  selected in this week’s Discussion: genetics, gender, ethnicity, age, or  behavior. Consider how the factor you selected might impact the  pathophysiology of GERD, PUD, and gastritis. Reflect on how you would  diagnose and prescribe treatment of these disorders for a patient based  on this factor.
• 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 a mind  map for gastritis. Consider the epidemiology and clinical presentation  of gastritis.

To Complete

Write a 2- to 3-page paper that addresses the following:

• Describe the normal pathophysiology of gastric acid  stimulation and production. Explain the changes that occur to gastric  acid stimulation and production with GERD, PUD, and gastritis disorders.
• Explain how the factor you selected might impact the  pathophysiology of GERD, PUD, and gastritis. Describe how you would  diagnose and prescribe treatment of these disorders for a patient based  on the factor you selected.
• Construct a mind map for gastritis. Include the  epidemiology, pathophysiology, and clinical presentation, as well as the  diagnosis and treatment you explained in your paper.

 

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Gathering, Analyzing, and Summarizing Research Literature IV

Introduction

This week you will gather the last four articles pertinent to your research problem and discuss attributes surrounding the problem and your investigation of the problem.  You will again present the studies as a synthesized review in the discussion board.  Your completed synthesized Literature Review assignment is due in Workshop Six day seven.

Upon successful completion of this assignment you should be able to:

• Summarize research literature pertinent to a nursing problem.

Resources

• Textbook: Research Design: Qualitative, Quantitative, and Mixed Method Approaches (2018), Chapter 2, 4
  • PowerPoint: Chapter 2 Review of the Literature  
  • File: Chapter 2 Review of the Literature, Notes 
  • PowerPoint: Chapter 4 Writing Strategies & Ethical Consideration
  • File: Chapter 4 Writing Strategies & Ethical Consideration, Notes  
• Textbook: Practical Research: Planning and Design (2016): Chapter 3, 13
  • PowerPoint: Chapter 3 Review of Related Literature 
  • PowerPoint: Chapter 13 Plan & Prep Final Report
• Textbook: Preparing Literature Reviews: Qualitative and quantitative approaches (2016), Chapters 3, 4, and 5
• Website: IWU Off Campus Library Services
• Website: An Evidence Based Practice Toolkit for Nursing 
• Website: Cochrane Library 
• Website: Agency for Healthcare Research and Quality
• Website: How to Conduct a Literature Search
  http://0-apastylecentral.apa.org.oak.indwes.edu/learn/browse/TUT-10 and/or http://media.indwes.edu/media/Lit+Search+-+how+to+in+OCLS/0_7dn204mb
• File: Sample Spreadsheet of Articles Reviewed 
• File: Spreadsheet of Research Articles Reviewed 
• File: Spreadsheet of Research Study Analysis 
• File: Synthesized Summary-Draft 2.12.2018.docx
• Website: How to Write a Literature Review https://www.youtube.com/watch?v=t2d7y_r65HU   and
  https://www.youtube.com/watch?v=2IUZWZX4OGI Part I
  https://www.youtube.com/watch?v=UoYpyY9n9YQ Part II
  https://www.youtube.com/watch?v=FK6Lsl1tcm0  Part III

Background Information

Research questions often change during the search for current research articles related to the problem.  According to Ling Pan (2016), a search which nets a large number of articles may warrant a narrowing of the question; and a search which nets only a handful of articles may call for a broader question.  There may be other influences as well, i.e., when a previously thoroughly researched topic is now outdated.  Some problems may be acknowledged in the literature, yet there are no current studies addressing the problem or subproblems.  Do not hesitate to contact the OCLS reference librarian, Jule Kind as needed.   Be sure and use the databases in the OCLS and request help so that you get the literature you need.  Also, it is not uncommon to revise the study question as needed to better target the problem.

Instructions

1. Read chapters 2 and 4 in Research Design, chapters 3 and 13 in Practical Research: Planning and Design, and chapters 3, 4, and 5 in Preparing Literature Reviews: Qualitative and Quantitative Approaches. Review all materials listed.
2. Navigate to the threaded discussion and post your quantitative research question.
3. This discussion has three components:
   1. Gathering Research Literature IV
      1. In the OCLS, find four research studies which pertain to your topic/problem/ research question.  (Your search results should provide additional articles.  Save this search as you will be reviewing a total of 16 articles over the course of this class.)  Ensure that your articles are within the past 4 or 5 years.  If you cannot find more than 25 current articles related to your problem / question on this first search, let your instructor know immediately. 
      2. Complete the information requested on the spreadsheet entitled, Spreadsheet of Articles Reviewed for four articles and attach it to this discussion.  The completed spreadsheet with 16 articles will be due with your final synthesized Literature Review due in Workshop Six day seven.
   2. Analyzing Research Literature IV – Complete the information requested on the spreadsheet entitled, Spreadsheet of Research Study Analysis for each of the four studies for this week and attach to this discussion.
   3. Summarizing Research Literature IV
      1. Use the template entitled, Synthesized Summary-Draft 2.12.2018, to compare and contrast this week’s studies/articles on the points of research question, variables, study design, use of a theory, sample population, statistics, findings, and other key points as pertinent to your study. The synthesis should use scholarly and scientific writing with use of APA style. Copy and paste your synthesized summary into the discussion board.  Please do not attach.
      2. Your full synthesized Literature Review of a minimum of 16 articles will be due in Workshop Six day seven.

Navigate to the threaded discussion here.

Assessment Criteria

Criteria

15 Points

12 Points

9 Points

6 Points

Quality

Your postings are well developed and answers provide clear evidence of critical thinking.

Your questions or observations add greater depth to the discussion by introducing new ideas.

Your postings show some development and some critical thinking is evident in your answers.

Your questions and observations add to the discussion by expanding the ideas of others.

Your postings show nominal development and only the beginnings of critical thinking.

Your contributions (questions or observations) do not clearly add to the discussion.

Your postings show no development and are mostly a reiteration of what the textbook or others have said.

Your questions and observations detract from the discussion.

Criteria

6 points

5 Points

3 Points

0 Points

Timeliness

Your initial posting to the question or topic assigned in the workshop activity is made by day five of the workshop.

Your initial posting to the question or topic assigned in the workshop activity is made by the day six of the workshop.

Your initial posting to the question or topic assigned in the workshop activity is made by day seven of the workshop.

No initial post was made.

Criteria

9 Points

6 Points

3 Points

0 Points

Interaction

You respond to a minimum of two other classmates as well as all follow-up faculty questions directed to you. 

You are clearly collaborative by taking the initiative to respond to classmates’ questions, providing clarification and insight on issues in the discussion. 

You respond to two classmates and some of the faculty follow-up questions directed to you. 

You are collaborative in some situations and show some initiative in workshop discussions.

You respond to two classmates but do not respond to faculty follow-up questions directed to you. 

You show little initiative in discussions and your presence is not collaborative.

You do not respond to the postings of others in the discussion. 

Criteria

25 Points

19 Points

14 Points

9 Points

Spreadsheet of Articles Reviewed

Information for all four studies is complete. Accurate. Current. Well targeted. Peer reviewed.

Few missing items or information not fully reflective of the article. Current. Closely targeted. Peer reviewed.

Missing items. Or less than four articles.  Information not fully reflective of the article. Outdated. Marginally targeted. Peer reviewed.

Information incomplete or less than four articles.  Information not fully reflective of the article. Outdated. Does not address topic.

Criteria

25 Points

19 Points

14 Points

9 Points

Spreadsheet of Research Study Analysis

Information for all four studies is complete. Accurate. Current. Well targeted. Peer reviewed.

Few missing items or information not fully reflective of the article. Current. Closely targeted. Peer reviewed.

Missing items. Or less than four articles.  Information not fully reflective of the article. Outdated. Marginally targeted. Peer reviewed.

Information incomplete or less than four articles.  Information not fully reflective of the article. Outdated. Does not address topic.

Total Points

8

 

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 List 5 things you learned from the McCarthy’s marriage video that you did not know and explain why you agree or disagree with these statements. 

 

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