In patients with central lines, what is the effectiveness of daily chlorhexidine bath compared to weekly or as needed dressing changes to reduce infection?

Formulate a research question that you would like answered for your Literature Review Paper.

Conduct a literature search for your research question using the Individual Literature Search Worksheet Preview the documentprovided. Document your systematic search on the form, covering all steps listed below

STEP 1: Think About the Best Way to Search

STEP 2: Plan Your First Search

STEP 3: Begin Your Search

STEP 4: Refine Your Search

STEP 5: Refine Your Search Again

STEP 6: Search another Database

STEP 7: Reflection

Submit your detailed literature review worksheet.

Remember: Read through the articles carefully. Eliminate those not appropriate. It is suggested that you create a summary table. There is an example in the course text to help you organize your thoughts. Synthesize twelve or more full text research articles, beyond your textbooks, that are relevant to your research. Summarize what the studies reveal about your selected topic. Are there consistencies? Are there inconsistencies or “gaps?” Be sure to keep the table of information you developed and the twelve or more articles as you build on the course assignments. The table itself will not be part of the content in your paper; it may be included as Appendix A.

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Students much review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references. Answer both case studies on the same document and upload 1 document to Moodle.   Case Studies will be uploaded to Moodle and put through TURN-It-In (anti-Plagiarism program)   Turn it in Score must be less than 50% or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 50%. Copy paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement.

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review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references. 

Turn it in must be 30% or less. 

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 A 38-year-old male had a 3-week history of fatigue and lethargy with intermittent complaints of headache, fever, chills, myalgia, and arthralgia. According to the history, the patient’s symptoms began shortly after a camping vacation. He recalled a bug bite and rash on his thigh immediately after the trip. The following studies were ordered: 

Studies Results Lyme disease test, Elevated IgM antibody titers against Borrelia burgdorferi (normal: low) Erythrocyte sedimentation rate (ESR), 30 mm/hour (normal: ≤15 mm/hour) Aspartate aminotransferase (AST), 32 units/L (normal: 8-20 units/L) Hemoglobin (Hgb), 12 g/dL (normal: 14-18 g/dL) Hematocrit (Hct), 36% (normal: 42%-52%) Rheumatoid factor (RF), Negative (normal: negative) Antinuclear antibodies (ANA), Negative (normal: negative) 

Diagnostic Analysis Based on the patient’s history of camping in the woods and an insect bite and rash on the thigh, Lyme disease was suspected. Early in the course of this disease, testing for specific immunoglobulin (Ig) M antibodies against B. burgdorferi is the most helpful in diagnosing Lyme disease. An elevated ESR, increased AST levels, and mild anemia are frequently seen early in this disease. RF and ANA abnormalities are usually absent. 

Critical Thinking Questions 1. What is the cardinal sign of Lyme disease? (always on the boards) 

2. At what stages of Lyme disease are the IgG and IgM antibodies elevated? 

 3. Why was the ESR elevated? 

4. What is the Therapeutic goal for Lyme Disease and what is the recommended treatment. 

(in APA format, two bibliographical references less than 5 years,  please)

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Maintaining Standards

Choose a topic and discuss the standards in detail.  Analyze how these concepts/ processes influence the standards in your organization, including staffing, decision making or workplace issues, both positively and negatively.   

• Affordable Care Act
• Agency for Healthcare, Quality and Research
• Benchmarking Tools and Organizations
• Certification for Nursing
• Electronic Health Care Record
• Electronic prescribing / Telehealth
• Institute for Healthcare, Quality Improvement
• Lean Project Management
• Outcomes Management 
• Patient Care Pathways
• Population Health Management 
• Practice Guidelines
• Quality Management
• Risk Management
• Sentinel Event Management
• Standards of Nursing Practice
• Standards of Patient Care
• Structure Standards
• TJC Accreditation
• Utilization Management
• alue based care

Support your discussion and opinions with facts and relevant examples from personal nursing practice.

All submissions must have a minimum of two scholarly references to support your work. 

Examples of work to show mastery:

• 2-3 page paper – APA format

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