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Grading Rubric Hints and Sample Table for this Discussion Question

Grading Rubric Advice and Sample Table for This Discussion Question

Class after completing all the assigned readings answer the following question:

For the middle-aged adult, exercise can reduce the risk of various health problems. Choose two at-risk health issues that regular physical exercise and activity can help prevent and manage. Discuss the prevalence of each of these health problems in society today. Describe measures that you would take as a nurse to assist clients with health promotion measures to incorporate exercise and physical activity into their lives. Include the kind of activities you would recommend, the amount of exercise, and the approach you would use to gain cooperation from the client. Support your response with evidence-based literature.

Your post should illustrate that you completed the readings and be well related to the unit’s objectives. Please do not use consumer web sites like Mayo.org as the information is summarized and simplified for the consumer. Your post should illustrate knowledge much deeper than a consumer.

Grading Rubric

States two health issues that physical exercise could help prevent and manage in the middle-aged adult +1

Provides prevalence of the problems in society today (current statistics) +2

Lists/ discusses health promotion measures for prevention/ management of each problem +2

Includes examples of activities/ exercises +2

Supports response with evidence-based literature. +0.5

Writing / APA reference and citation +0.5

Table for your Answers

Health Issues of Middle Age that Exercise can Prevent

Prevalence of the Problem in the US

Health promotion measures you would introduce/ physical exercise you would suggest/ Approach to gain cooperation

   

   

Evidence Based Literature used:

 

References

 

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 Instructions are in the picture below please see the picture 

250 words citation, reference answer will be in a table. 

End-of-life care becomes an issue at some point for elderly clients. Even with the emergence of palliative care programs and hospice programs, most elderly people do not die in their own home as is their preference. What are the reasons for this trend? Discuss what you can do as a nurse to support your clients regarding end-of-life care in accordance with their wishes. Support your response with evidence-based literature.

 

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The biggest challenge to implementing evidence-based practice (EBP) within the organization according to my mentor is resistance from physicians and upper administration. She explains numerous individuals want to continue the path that they have always used. With change comes conflict. Overcoming the barriers experienced by the organization with implementing evidence-based nursing into practice has started by updating the policies and procedures to reflect current evidence-based practice measures. The nursing managers, directors, and quality/risk team hold meetings to review and revise practice standards to demonstrate present evidence-based nursing practice. When it comes to executing new policies, there is a level of opposition from nursing staff and providers alike. A possible solution as described by Straka, Brandt, and Brytus, (2013), could be monthly 30-minute lunch and learn continuing education sessions. These meetings would review topics such as searching and understanding literature, and leading staff through practice change (Straka et al., 2013). Getting staff to support EBP is also important to resolving the current issues. O.A.S.I.S. which means open your eyes, ask questions, search the literature, implement the findings and share the results is explained by Straka et al. (2013) to inspire nurses to examine clinical problems and examine the literature for best practices. Empowering staff is key to getting them to endorse an EBP culture.  Reference  Straka, K. L., Brandt, P., & Brytus, J. (2013). Brief Report: Creating a Culture of Evidence-Based Practice and Nursing Research in a Pediatric Hospital. Please see instructors comments below and make corrections . APA REFERENCE MUST INCLUDE DOI OR RETRIEVED FROM WITH INTEX CITATION 

Alimatu – Sustantive credit  Alimatu  For substantive credit, please incluide ALL information regarding yoru reference as currently it is incomplete.

 

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Eugenia Uzoechi    4 posts   Re: Topic 2 DQ 2  Issue when addressing a solution to evidence-based nursing practice  There have been reports of considerable improvement in wellbeing result for patients who are treated through evidence-based practices. All around structured investigations have demonstrated that improved patient results are bound to be acknowledged when medical caretakers use evidence-based practice in dealing with patients; however, there are several issues which have made it hard to execute EBP in healthcare organizations (Fineout-Overholt, Melnyk & Schultz, 2015). One of the greatest issues facing implementation of EBP is lack of knowledge on use of evidence-based practices. It has been demonstrated that most medical attendants need more learning to coordinate research discoveries in their practices. Research discoveries demonstrates that there is little proof that demonstrates that most medical caretakers, particularly novice nurses have learning on the usage of EBP in their practices (Fineout-Overholt, Melnyk & Schultz, 2015).  The first step in addressing and resolving this issue  The first step of solving the above issue is by having specific research education. A research by Rosenfeld (2019) found out that there was variance in EBP knowledge among the nurses. Therefore, nursing professionals who are seeking to improve their clinical skills and expand their knowledge base and career options ought to consider getting an additional nursing education in programs which focus on EBP (Rosenfeld et al., 2019). Nursing professionals should have a solid comprehending of how to carry research. Since evidence-based practices place an emphasis on the knowledge, skills and experience of the nursing professional, nursing professionals have been given more responsibility and respect than ever before (Rosenfeld et al., 2019). EBP focuses on particular nursing skills such as critical decision-making grounded in evidence and research. Therefore, registered nurses need strong analytic and academic research skills for complementing clinic skills and hands-on patient care (Rosenfeld et al., 2019).  References  Fineout-Overholt, E., Melnyk, B. M., & Schultz, A. (2015). Transforming health care from the inside out: advancing evidence-based practice in the 21st century. Journal of professional nursing, 21(6), 335-344.  Rosenfeld, P., Duthie, E., Bier, J., Bowar-Ferres, S., Fulmer, T., Iervolino, L., … & Roncoli, M. (2019). Engaging staff nurses in evidence-based research to identify nursing practice problems and solutions. Applied Nursing Research, 13(4), 197-203.

 

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Provide at least Five Targeted Questions you would ask the patient to build his or her health history and to assess his or her health risks.

“CASE STUDY #1”

JC, an at-risk 86-year-old Asian male is physically and financially dependent on his daughter, a single mother who has little time or money for her father’s health needs. He has ahx of hypertension (HTN), gastroesophageal reflux disease (GERD), b12 deficiency, and chronic prostatitis. He currently takes Lisinopril 10mg QD, Prilosec 20mg QD, B12 injections monthly, and Cipro 100mg QD. He comes to you for an annual exam and states “I came for my annual physical exam, but do not want to be a burden to my daughter.”

Note: REMEMBER AT LEAST THREE REFERENCES AND APA FORMAT 

 

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