Qualitative research and quantitative research

Hello class,Qualitative research and quantitative research have both made vast contributions to the field of nursing. Although these two types of research are very different, they also hold some similarities as well. When conducting a quantitative research study, the researcher is trying to come to a conclusion that is not debatable. The outcome is a matter of fact and there is no questioning the truth of the outcome. For example, the researcher is conducting a study on the breakdown of the US population by age. There is a certain number of people per each age group and there is no opposition to the outcome. By definition, quantitative research, “involves the process of objectively collecting and analyzing numerical data to describe, predict, or control variables of interest. The goals of quantitative research are to test causal relationships between variables, make predictions, and generalize results to wider populations” (McLeod, 2019).Qualitative research is “the process of collecting, analyzing, and interpreting non-numerical data, such as language. Qualitative research can be used to understand how an individual subjectively perceives and gives meaning to their social reality.” (McLeod, 2019) Data for this method of research can be done, for example, through surveys. In that survey, let us ask the question of, “How do you like to celebrate your birthday?” There is no expected outcome and the researcher is not trying to prove anything correct or incorrect. It is more of an open-ended question. While researching these different methods of research, one source mentioned a strength of qualitative research that is powerful, that strength is, “Qualitative methods that allow researchers to explore the views of homogeneous as well as diverse groups of people help unpack these differing perspectives within a community” (Choy 2014) Regardless of which method is used, there are pros and cons to each depending on what the subject of the study really is and each method has contributed greatly to the field of medicine.Choy, L.T. (2014) The Strengths and Weaknesses of Research Methodology: Comparison and Complimentary between Qualitative and Quantitative                Approaches. IOSR Journal of Humanities and Social  Sciences.                                                                                                                               https://www.academia.edu/27908525/The_Strengths_and_Weaknesses_of_Research_Methodology_Comparison_and_Complimentary_between_Qualitative_and_Quantitative_Approaches?from=cover_pageMcLeod, S. (2019). What is the Difference between Qualitative and Quantitative Research? Simply Psychology.                                                                       https://www.simplypsychology.org/qualitative-quantitative.htmlless

 
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Research paper

This project has to be in APA format, it is evaluated by Turnitin and it is about human growth and development. I selected Chapter 2 and within it the module 2.3. I post two PowerPoints with summaries of that module and the pages of the book for which I am taking the class. It’s just talking about module 2.3.

 
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Urgent, urg

Need a reply 1Amy Simons is an aunt to my mum. Amy passed on May 31, 2020, while surrounded by all her family members after a long fight with colon cancer; she was 48.On December 21, 1972, Amy Simons was born in Redbone, Alabama, to the late Hadley and Pauline Simons. According to the story I was told by my mum, Amy was a wonderful and selfless person. She was the third child of four after Christine Simons, Reuben Simons, and her older sister to Raphael. The majority of her childhood and teenage years were in Alabama before relocating to New York for her college education at New York University. During her term in the school, she met Joshua, whom they bore their first child Fredrick in 1990. She deferred for one year before resuming and completing her Human Resource Management degree. They got married in 1991, after which they relocated back to Huntsville, Alabama. They opened a bakery in 1993 and were well known by the local community. She gave birth to her second child Diana in 1995; during this period, she began complaining about stomach discomfort. The medical assessment resulted in her having an operation that corrected the issue. In 1999, the Simons family relocated out to Redstone, Alabama, where they resided until Joshua’s premature death in 2016.After his death, she developed complications that were unidentified by numerous physicians. However, after consulting an oncologist in 2018, she was diagnosed with colon cancer. She underwent various sessions of chemotherapy and radiation therapy that extended her life. The affected parts of her colon were surgically removed, allowing her to recover without issue. However, cancer reemerged more aggressively; she died in hospital due to complications caused by the COVID-19 virus. Though her final months were trying and difficult, she maintained a positive attitude recognized by most community members who knew her. The notion was also shared by her doctors, who stated that she never complained and was always optimistic. Similar notions are expressed by the local law enforcement agents who were her close friends. Her baking skills further made her more popular, with the local police department being her primary market.Amy was a driven and steadfast mother and member of the Redstone community. Her actions were focused on ensuring her children had all their requirements before focusing on others. Her role as the local “mum” made the locals cherish her personality. Her baking skills intrigued and captivated people from various counties and states. With her demise, she leaves behind two children and five grandchildren. Fredrick Simons is aged 31 years, with three children: Jackeline Simons, Chloe Simons, and Ryan Simons. Her daughter Diana aged 26, is married to Geoffrey Green with two children Brenda Green and Brian Green.Amy’s main objective was to make her children and community happy; therefore, in memory of her desire, her bakery will host a commemorable event after the pandemic in remembrance of her life. The Redstone community is invited to her funeral ceremony with her children offering the main speeches. She lived an extraordinary life, and it would be appropriate to appreciate her effort and struggles.Need a reply 2Made up person- David WoodIt is with modest approval of God’s determination that we proclaim the elevation to the glory of one of our cherished David Wood, popularly known as “the Tiger.” The Tiger man was one of the most talented songwriters who also had other abilities to play guitar. This made him have exceptional skills of performing at various concerts performed by artists who he had written songs for them. David’s inception is traced back to his birthplace, Queens, new yoke city, in the early 1940s until this time when he has left us.Unlike any other young person, David, at the tender age of 9 years, he was already attracting much attention and scholarships from society for being an outstanding guitar player and influential songwriter. His skills made him be involved in many musical competitions that made him win several trophies for being the youngest songwriter and guitarist in the whole community. His glory or breakthrough moment was when he was a nominee in the Grammy awards and won two trophies for being the best songwriter and youngest guitarist in the late 1970s that was the trending and only achievement at their time. This made his fans happier, and for this exceptional young person, he went decided to retire from playing the guitar having his dreams accomplished.Academically David Wood was never left behind. He was an icon of academic excellence beginning from general education to university education. The tiger was a genius in a way by the way he managed to score significant grades, which saw him through university as a music student who then advanced his skills, and studies that made him achieve his masters in the late 1960s and became among the greatest songwriters in New York City. As the trending says, knowledge shared is knowledge gain; David attended many music concerts and events, influencing many upcoming musicians, changing their lives, and giving them more hopes in achieving their career dreams by sharing with them his knowledge about the music industry.Furthermore, David Wood inspired many individuals in society by his firm faith in God. He was a servant of God apart from his usual call to duty as a songwriter. Through significant enthusiasm and humor, David led his fellow Christians to service until the early 2015s when his old age started to creep, and ailments took the glory of him.However, what makes David Wood to be remembered is his dedication to helping the upcoming artists and participating in many charity programs geared towards helping the widows and the fatherless children in New York City. This was observed through the charity activities he did, the trophies that he won dedicated them towards helping the less fortunate, and his motive to live with fatherless children. Besides, David did assist the rejected part of the community in sending a message to others about the service of God to the people. Apart from being a songwriter and playing guitar, David used his skills to spread the gospel in the community, which helped the government leaders solve social issues that Queens was facing. That is how he was able to impart knowledge to as many individuals as he could.The late David leaves behind a beautiful family with two grandchildren and the beloved partner/wife now widowed. David Wood will be laid to rest where he was born in this week. The church will oversee David’s funeral, and friends, relatives, and well-wishers will be allowed to the funeral to pay their last respects. David has left the big gap but may his soul rest in eternal peace, and the way to remember his legacy is by having a foundation named after his name to continue with his charity work.

 
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QI Report of Project: Audio-Visual Presentation

In this forum, your initial post will be made as a group (using the same group you self-selected and self-enrolled to earlier in the course). This means there should be one initial post/group. This discussion is an opportunity to share your final QI Report project as a whole and receive peer feedback.Instructions:This is a group assignment. You will develop a professional audio-visual presentation approximately 10-12 slides in length. The presentation should have bullets summarizing the sections of your QI Report of Project. Prepare the presentation as if you were presenting it at your agency and/or a professional conference.You should include the following:Submit audio-visual presentation, including the following slides:Title (1 slide)Background of Problem (2 slides)Analysis of Problem (3-4 slides)Action Plan (3-4 slides)List of References (1)The presentation should be professional in nature; minimize or eliminate “filler” words (e.g., “uh,” “like,” “you know”), slang, and disorganized thoughts. Be sure you speak clearly and at an appropriate pace. Slide should contain plenty of white space and be readable to the audience.Please clearly indicate using printed text (i.e., not audio) all group members’ names involved in this assignment.title:  Hospital Acquired Pressure Ulcers (HAPU)background of the problem(2 slides):  Over the years, hospital acquired pressure ulcers (HAPU) have been a major concern in hospitalized patients.“More than 2.5 million patients in the United States suffer from pressure ulcers in acute care facilities annually; sixty thousand of those patients die related to the complications of pressure ulcers” (Paul, Hanson, Hasenau & Dunn, 2013, p. 32).HAPU’s are more prevalent amongst patients with restricted/impaired mobility.Because patients are often very ill once admitted to an acute care setting, skin assessments and prevention measures are often delayed after admission.It is stated that “pressure ulcers contribute to extended length of hospital stay, infections, amputations, increased need for specialty consults, increased nursing time, and to the potential for hospital readmission”Analysis of Problem (3-4 slides):  According to the case study, HAPU rates on Unit B have risen significantly over the past 6 months.There is one Wound and Skin Care Nurse (WSCN), servicing the entire facility Monday-Friday from 8a-5p.The WSCN visits patients based on a computer generated list of patients at risk for skin breakdown.A problem arises when patients that need to be seen do not populate onto the daily list.The WSCN provides all the treatments due to the fact that direct care nurses state that they are not familiar with how to care for the patient with skin breakdown unless the WSCN provides specific directions.Missed OpportunitiesFloor nurses don’t know the best available evidence for prevention of skin breakdown.Patients are only assessed once during the midnight shift.In order for patients to be seen by the WSCN they must appear on a computer-generated list.Action Plan (3-4 slides):  Frequent position changes (at least every two hours)Avoid friction and shear when repositioning.When repositioning, use proper technique.Implement pressure relieving mattresses or surfaces.Avoid turning patient on an area that is already reddened related to pressure.For pressure ulcer prevention, do not rub or massage area.Emollients can be used to hydrate the skin.Barrier creams to protect skin from increased moisture.Frequent skin assessments per protocol.Nutritional risk assessments with interventions.Additional protein supplements in additional to their regular dietList of references: based on bibliography

 
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MOHA-650 NCHL Competency Paper

Throughout the course assignments, students should demonstrate competency in the following NCHL Leadership traits.  The lessons, assignments, and assessments in this course address each of the competencies listed below.  This assignment requires you to write a paper that addresses your learning for each competency.Introductory paragraphList the title of each competency area in Bold Print, e.g. L6. Communication SkillsoIn 1-2 paragraphs discuss what you learned, relating your information directly to the projects within the course. Describe how you are able to demonstrate having achieved competency in the area as the result of your learning in this course.  Paragraphs should be clear, concise, and factual.Your paragraph should include key words (those bolded) from the Competency Area Elements listed in the table below.Competency Area Elements for each competency can be found in the NCHL link in this course, as well as in the NCHL link in the MHA Orientation course material.Concluding paragraph.To assist you, faculty have aligned these competencies with specific course assignments.  However, you may elect to align with any assignment in this course, where you believe you can demonstrate competency in a given area.

 
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speech sound disorder

The AssignmentCreate a study guide for your assigned disorder. Your study guide should be in the form of an outline with references, and you should incorporate visual elements such as concept maps, charts, diagrams, images, color coding, mnemonics, and/or flashcards. Be creative! It should not be in the format of an APA paper. Your guide should be informed by the DSM-5 but also supported by at least three other scholarly resources.Areas of importance you should address, but are not limited to, are:Signs and symptoms according to the DSM-5Differential diagnosesIncidenceDevelopment and coursePrognosisConsiderations related to culture, gender, agePharmacological treatments, including any side effectsNonpharmacological treatmentsDiagnostics and labsComorbiditiesLegal and ethical considerationsPertinent patient education considerations

 
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Nursing- Advanced Primary Care of Family Practicum (Due 24 hours)

1) Minimum 4 full pages  (Follow the 3 x 3 rule: minimum three paragraphs per part)Parts 1 and 2 are the same question, however, you must answer both questions with references and different writing always addressing them objectively, that is as if you were two different people. Similar responses in wording or references will not be accepted.Parts 3 and 4 are the same question, however, you must answer both questions with references and different writing always addressing them objectively, that is as if you were two different people. Similar responses in wording or references will not be accepted.Part 1: Minimum 1 pagePart 2: minimum 1 pagePart 3: Minimum 1 pagePart 4: minimum 1 pageSubmit 1 document per part2)¨******APA normsAll paragraphs must be narrative and cited in the text- each paragraphsBulleted responses are not acceptedDont write in the first personDont copy and pase the questions.Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraphSubmit 1 document per part3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks)********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)4) Minimum 3 references per part not older than 5 years5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the nextExample:Q 1. Nursing is XXXXXQ 2. Health is XXXX6) You must name the files according to the part you are answering:Example:Part 1.docPart 2.do__________________________________________________________________________________Parts 1 and 2 are the same question, however, you must answer both questions with references and different writing always addressing them objectively, that is as if you were two different people. Similar responses in wording or references will not be accepted.Parts 3 and 4 are the same question, however, you must answer both questions with references and different writing always addressing them objectively, that is as if you were two different people. Similar responses in wording or references will not be accepted.Part 1:Advanced Primary Care of Family Practicum -NursingRead the following article (Check file):https://journals.lww.co m/jwocnonline/Fulltext/ 2012/03001/Reimburse ment_of_Advanced_Pra ctice_Registered.4.aspx1. Prepare examples of various coding and billing issues that you have experienced in the clinical setting (Peds and Women’s Health).2. Provide a brief description about the NPI numbers for nurse practitioners.Part 2:Advanced Primary Care of Family Practicum -NursingRead the following article (Check file):https://journals.lww.co m/jwocnonline/Fulltext/ 2012/03001/Reimburse ment_of_Advanced_Pra ctice_Registered.4.aspx1. Prepare examples of various coding and billing issues that you have experienced in the clinical setting (Peds and Women’s Health).2. Provide a brief description about the NPI numbers for nurse practitioners.Part 3:Advanced Primary Care of Family Practicum -NursingReflect back over the past 14 weeks and describe how your achievements in this course have prepared you to meet the MSN program outcomes.Approach the following topics as Nurse: (Write in the first person)1. Clinical experience2. Make and design soap notes3. Diagnosis diseases in women, children, and men4. Physical exam (primary consult)Read the following article:https://www.mdedge.co m/clinicianreviews/artic le/152683/practicemanagement/whatareyou-worth-basicsbusiness-healthcarePart 4:Advanced Primary Care of Family Practicum -NursingReflect back over the past 14 weeks and describe how your achievements in this course have prepared you to meet the MSN program outcomes.Approach the following topics as Nurse: (Write in the first person)1. Clinical experience2. Make and design soap notes3. Diagnosis diseases in women, children, and men4. Physical exam (primary consult)Read the following article:https://www.mdedge.co m/clinicianreviews/artic le/152683/practicemanagement/whatareyou-worth-basicsbusiness-healthcare

 
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100 word reply due tomorrow at 9 am

Case: An elderly widow who just lost her spouse.Subjective:  A patient presents to your primary care office today with chief  complaint of insomnia. Patient is 75 YO with PMH of DM, HTN, and MDD.  Her husband of 41 years passed away 10 months ago. Since then, she  states her depression has gotten worse as well as her sleep habits. The  patient has no previous history of depression prior to her husband’s  death. She is awake, alert, and oriented x3. Patient normally sees PCP  once or twice a year. Patient denies any suicidal ideations. Patient  arrived at the office today by private vehicle. Patient currently takes  the following medications:•           Metformin 500mg BID•           Januvia 100mg daily•           Losartan 100mg daily•           HCTZ 25mg daily•           Sertraline 100mg dailyCurrent weight: 88 kgCurrent height: 64 inchesTemp: 98.6 degrees FBP: 132/86Insomnia is a disorder linked with difficulty in sleep quality,  initiating or maintaining sleep, along with substantial distress and  impairments of daytime functioning. Its prevalence ranges from 10 to 15%  among the general population, with higher rates seen among females,  divorced or separated individuals, those with loss of loved ones, and  older people (Bollu & Kaur, 2019). Insomnia can simply be defined as  a sleep disorder where the patient has trouble falling asleep or  staying asleep. According to Krystal et al (2019), it is a common  condition that is linked with noticeable deterioration in function and  quality of life, mental and physical morbidity. The complaints of  insomnia are present in 60–90% of patients with major depression,  Complaints of disrupted sleep are very common in patients suffering from  depression, (Wichniak, etal., 2017).Questions you might ask the patient and rationaleThe diagnosis and treatment of insomnia rely mainly on a thorough sleep  history to address the precipitating factors as well as maladaptive  behaviors resulting in poor sleep (Bollu & Kaur, 2019).What  is your sleep pattern including how many hours of sleep do you get at  night prior to your husband’s demise and what it has been in the 10  months since his death? Does she perform certain rituals or do something  special before she sleeps. This assesses if the insomnia started before  or after the husband’s death. This provides a clue to insomnia that may  be related to bereavement.What  time do you go to bed every night and what is your normal routine  before going to bed? This is to check if the patient is doing something  differently which has disrupted her normal routine and caused insomnia.How  often do you wake up to urinate at night? This question is asked to  assess for nocturia due to diabetes that may lead to insomnia. Nocturia  can prevent the patient from having a good night’s sleep. ,  changes in  blood glucose levels at night causesto hypoglycemic and hyperglycemic  episodes, nocturia and associated depression and insomnia ( Khandelwal  et al., 2017).Do  you sleep during the day time. This provides information that evaluates  if day time sleeping may be affecting her ability to sleep at night.Are  you  taking your medications as prescribed? This patient takes  sertraline for depression. Did the insomnia start after the pt started  taking sertraline or after the death of her husband.Identify people in the patient’s life you would need to speak to or get feedback from to further assess the patient’s situationChildrenAre  there are things that disrupts her sleep?  for example, music/TV noise  or crying/playing children. This is important to ascertain that her  condition is not caused by environmental factors. Epidemiologic research  according to Johnson et al (2018) has shown that social features of  environments, family, social cohesion, safety, noise, and neighborhood  disorder can cause changes in sleep patterns; and other factors like  light, noise, traffic, etc., can also affect sleep and is attributed to  sleep disorders among adults and children.What  does she do when she wakes up at night? does she eat, drink coffee or  smoke. This is to determine if midnight activities may hinder her from  falling asleep.Does  she complain of having a hard time falling asleep or sleeping for a  short period and waking up, unable to go back to sleep? This assesses  how sleep and rest she may be getting.Who  caters to the needs of this patient? This is to assess if she is well  cared for or if the patient is concerned about her self care.RelativesHas the patient complained to you about difficulty falling asleep?Does the patient complain about waking up in the middle of the night and finding it hard to go back to sleep?Who does the patient leave with?FriendsDoes she complain of feeling tired because of not sleeping?Does this patient communicate appropriately or is she withdrawn when you see her?When did you see the patient last?Primary care physicianHas  this patient complained about any sleep problems in the past? This  provides collaboration between health care providers to ensure proper  management and delivery of patient-centered care.Physical ExamsPsychiatric evaluation: A  mental health evaluation should be done to assess the patient’s overall  mental state including presenting symptoms, thoughts, feelings, or  behavior. PMHNP’s can use the Geriatric Depression Scale (GDS) which is a  self-reported measure of depression in the older adult. Cornell Scale  for Depression in Dementia (CSDD). The CSDD focuses on an interview with  a family member or caregiver as well as with the patient and is  confirmed for use in patients with or without dementia. Also, the   Zung  Self-Rating Depression Scale (SDS) which is used as a screening tool,  covering affective, psychological and somatic symptoms associated with  depression.Polysomnogram ( sleep study):  can be performed  to diagnose sleep disorders such as insomniaSleep diary:  Evaluating the patient’s sleep patterns through a sleep diary provides  information on the patient’s sleep pattern and a diagnosis of insomnia.Epworth Sleepiness Scale: This a questionnaire used to evaluate  daytime sleepiness.Thyroid function test: Production of little or much thyroid hormone, can affect  sleep.HBA1C:  The patient has a history of diabetes, monitoring her HbA1C is  important. This is because Individuals with a diagnosis of diabetes  report higher rates of insomnia, poor sleep quality, excessive daytime  sleepiness ( Khandelwal et al., 2017).Actigraphy:  is an objective measurement of  sleep schedule,  rest-activity patterns used to help confirm insomnia.Lab test: such as random glucose test,  liver function test, complete blood count, Erythrocyte Sedimentation Rate, kidney function test.Differential diagnosisLate-life spousal bereavement : bereavement is known to cause  depression and complicated grief ( Holm etal., 2019).Late  life depression (LLD) Predisposing factors include previous clinical  depression, persistent sleep difficulties, female gender,  being widowed  or divorced ( Blackburn etal., 2017). Complicated griefMedicated-related insomniaSleep apnea. Sleep apnea is considered to be prevalent  in more in persons with diabetes ( Khandelwal et al., 2017).The most likely differential diagnosis, in my opinion, would be  late-life spousal bereavement. (LLSB). The patient was diagnosed with  MDD, she lost her husband (died) ten months ago, and she is still  suffering from depression and insomnia.  Being widowed causes  impairments in sleep (Monk et al., 2008).Pharmacologic AgentsSertraline  (SSRI) causes insomnia as a side effect. Augmenting sertraline with a  different medication in the elderly may lead to polypharmacy. Therefore,  switching sertraline with a medication to help with MDD and insomnia  will be more helpful. I would choose to stop sertraline and start  trazadone. sedative antidepressants (such as trazadone 25-50mg) are a  safe  when given in low doses and are given in patient groups where  hypnotics are contraindicated, e.g., in the elderly and patients with  sleep apnea (Wichniaketal., etal., 2017). Trazodone is an antidepressant  that functions by inhibiting serotonin transporter and serotonin type 2  receptors. Trazodone in low doses provides a sedative effect for sleep  through antagonism of 5-HT-2A receptor, H1 receptor, and  alpha-1-adrenergic receptors ( Shin & Saadabadi., 2020). Trazodone  also improves apnea and hypopnea episodes in patients known to have   with obstructive sleep apnea (OSA), and it  does not worsen hypoxemic  episodes. This patient can be started on trazadone 25- 50mg at bedtime.A second drug choice is an antidepressant mirtazapine. It is effective  in managing major depressive disorder and has sedative properties which  is helpful in relieving sleep problems like insomnia and can be used in  the elderly. Mirtazapine is known as an atypical antidepressant with an  off label use for insomnia. It works by exerting antagonist effects on  the central presynaptic alpha-2-adrenergic receptors, causing an  elevated release of serotonin and norepinephrine. Mirtazapine is also  sometimes called a noradrenergic and specific serotonergic  antidepressant (NaSSA). I would recommend starting the patient on 15 mg  of mirtazapine at bedtime. Mirtazapine is known to treat MDD in patients  that were no unresponsive to SSRIs. I prefer to start this patient on  trazadone, rather than mirtazapine. Mirtazapine has side effects of  increased appetite, increased weight gain and this patient is already  obese with weigh 88kg, height 64 inches (bmi 34.4), increased  cholesterol. Further increase in weight would increase risk for  cardiovascular problems. Trazadone is quickly absorbed and has a faster  onset with hypnotic properties. This makes it more appropriate for this  patient.Identify any contraindications to / EthnicitiesA consideration for administration of trazadone is the age of this  patient. The dose in the elderly should not be more than 100 mg/day.  There is a  risk for orthostatic hypotension is in the elderly,  especially in the elderly with with pre-existing heart conditions  (hypertension) ( ( Shin & Saadabadi., 2020). The metabolism of  trazadone should also be considered in different ethnicities as poor  CYP2D6 metabolizers are known to have therapeutic response.  In the  Asian ethnicity, medications that metabolized by CYP2D6 should not be  prescribed (Kitada, 2003). Therefore, if this patient is Asian  increasing the dose of trazadone will be considered or choosing a  different medication to enable the patient get a full effect of the  drug. If the patient were of Asian descent, I would have to decide on  increasing the dose of Trazadone if they were a poor metabolizer or  choosing another medication that was not affected by CYP2D6.Check PointsMonitor  the patient closely after changing her drug therapy. Side effects of  the medication should be clearly explained to the patient and family  importantly if hallucination is noted, immediate report to the PMHNP for  discontinuation of the medication. The patient should be   be monitored  for suicide ideation, especially at the beginning of the treatment or  when the dose is modified (Shin & Saadabadi., 2020).  I would  observe how this patient will adjust to trazadone 25-50mg in 4 weeks to  determine dose adjustment.ReferencesBlackburn, P., Wilkins-Ho, M., Wiese, B. (2017). Depression in older adults: Adults and management. BCMJ, 59 (3).https://bcmj.org/articles/depression-older-adults-diagnosis-and-managementBollu, P., Kaur, H. ( 2019). Sleep Medicine: Insomnia and Sleep. The Journal of Missouri State   Medication Association, 116(1), 68–75.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6390785/Khandelwal, D., Dutta, D., Chittawar, S., Kalra, S. (2017). Sleep disorders in type 2 diabetes.       Indian Journal of Endocrinology and Metabolism,  21(5), 758–761. doi:    10.4103/ijem.IJEM_156_17https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5628550/Kitada M. (2003) Genetic polymorphism of cytochrome P450 enzymes in Asian populations:Focus on CYP2D6. International Journal of Clinical PharmacologicalResearch,23(1),31-5. https://pubmed.ncbi.nlm.nih.gov/14621071/Holm,  N. Severinsson, E., Berland, A. (2019). The meaning of bereavement  following spousal     loss: A qualitative study of the experiences of  older adults. https://doi.org/10.1177/2158244019894273https://journals.sagepub.com/doi/full/10.1177/2158244019894273Monk, T. H., Germain, A., & Reynolds, C. F. (2008). Sleep disturbance in bereavement.Psychiatric Annals, 38(10), 671–675. https://doi.org/10.3928/00485713-20081001-06Shin, J., Saadabadi., A. (2020). Trazodone. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK470560/Wichniak, A., Wierzbicka, A., Walęcka, M., Jernajczyk, W. (2017). Effects of Antidepressants    on sleep. Current Psychiatry Reports, 19 (9), 63. doi: 10.1007/s11920-017-0816-4https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5548844/

 
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Methical Ethics Term Paper

You will do a term paper instructions are bellow this will be due on Sunday, 19. You will be able to select any topic that you want from the topic list and you will have to do a paragraph explaining why you choose that topic. All the instructions are below.

 
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WEEK 10

Assignment 1Capstone Project Change Proposal PresentationReview the feedback on the change proposal professional presentation and make required adjustments to the presentation. Present your evidence-based intervention and change proposal to an interprofessional audience of leaders and stakeholders. Be prepared to answer questions and accept feedback.After presenting your capstone project change proposal, write a 250-350 word summary of the presentation. Include a description of the changes that were suggested by your preceptor before your presentation and how you incorporated that feedback. Describe how this interprofessional collaboration improved the effectiveness of your presentation. Include a description of the feedback and questions from your audience after your presentation, and how this experience will affect your professional practice in the future.While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide.Assignment 2Throughout the RN-to-BSN program, students are required to participate in scholarly activities outside of clinical practice or professional practice. Examples of scholarly activities include attending conferences, seminars, journal club, grand rounds, morbidity and mortality meetings, interdisciplinary committees, quality improvement committees, and any other opportunities available at your site, within your community, or nationally.You are required to post at least one documented scholarly activity by the end of this course. In addition to this submission, you are required to be involved and contribute to interdisciplinary initiatives on a regular basis.In 250 -300 words, submit by way of this assignment, a summary report of the scholarly activity, including who, what, where, when, and any relevant take-home points. Include the appropriate program competencies associated with the scholarly activity as well as future professional goals related to this activity. You may use the “Scholarly Activity Summary” resource to help guide this assignment.While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.APA style is not required, but solid academic writing is expected.Assignment 3(i)Dissemination of EBP and research, such as presenting results at a conference or writing an article for a journal, is an important part of professional practice. In 250 words, identify one professional journal and one nursing or health care conference where you might present your project. Discuss why each of your choices is the best option for you to disseminate your new knowledge.3(ii)Discuss why EBP is an essential component of the practice of a BSN-prepared RN. In 250 words, identify two ways in which you will continue to integrate evidence into your practice and encourage it within your work environment. What obstacles could challenge this plan, and what steps will you take to minimize their impact?

 
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