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    – 2 years ago **files (1)** – ## seminar5.odt **## seminar5.odt** I'm feeling really confused lately. My family is worried about me." HPI: Pt states he is here for confusion x 3-4 days. States that he can’t seem to remember things and is having trouble understanding what people are saying. He states…

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    – 2 years ago

    **files (1)**

    – ## seminar5.odt

    **## seminar5.odt**

    I'm feeling really confused lately. My family is worried about me."

    HPI: Pt states he is here for confusion x 3-4 days. States that he can’t seem to remember things and is having trouble understanding what people are saying. He states that he feels that his mind is foggy and that he can’t think clearly- it has been getting worse. He is not sure if anything makes it worse and states nothing makes it better. He says that it seems to be worse in the evening when he is tired.

    Medications: Atenolol 50 mg daily

    Allergies: NKDA

    Medication Intolerances: none

    Past Medical History: HTN Chronic Illnesses/Major traumas- none

    Hospitalizations/Surgeries Vasectomy

    Family History Mother alive with hypertension Father alive with type 1 diabetes Social History Admits to having a couple beers with dinner occasionally. Does not smoke or use illicit drugs

    ROS Student to ask each of these questions to the patient: “Have you had any….”

    General Denies weight change, fatigue, fever, chills, night sweats Cardiovascular Denies chest pain, palpitations, or edema. Denies’ hands and feet are feeling cold. Skin Denies delayed healing, rashes, bruising, bleeding or skin discolorations. Respiratory Discloses dyspnea Eyes Denies blurring or visual changes of any Gastrointestinal Denies abdominal pain, N/V/D,

    kind constipation

    Ears

    Denies ear pain, hearing loss, ringing in ears, or discharge

    Genitourinary/Gynecological

    Discloses problems with urinating. States

    that he frequently has to get up during the night to urinate and that it feels as if he is not emptying his bladder completely.

    Nose/Mouth/Throat

    Denies sinus pain, dysphagia, nose bleeds or throat pain

    Musculoskeletal Denies back pain, joint swelling, stiffness or pain

    Breast N/A

    Neurological Denies syncope, transient paralysis, weakness, paresthesia’s, and black-out spells.

    Heme/Lymph/Endo Denies night sweats, swollen glands, increase thirst, increase hunger, and cold

    or heat intolerance

    Psychiatric Denies depression, anxiety, or sleeping difficulties

    OBJECTIVE

    Weight 215 lbs BMI 29.2 Temp 37.1 C BP 150/78

    Height 6’ 0” Pulse 80 Resp 16

    General Appearance

    Healthy-appearing adult male in no acute distress. Alert and oriented; answers questions appropriately.

    Skin Not relevant

    HEENT

    Head is normocephalic, atraumatic, and without lesions. Eyes: PERRLA. EOMs intact.

    Ears: Canals patent. Bilateral TMs pearly gray with positive light reflex

    Cardiovascular

    S1, S2 with regular rate and rhythm. No extra sounds, clicks, rubs, or murmurs.

    Respiratory

    Symmetric chest wall. Respirations regular and easy; lungs clear to auscultation

    bilaterally.

    Gastrointestinal

    BS active in all the four quadrants. Abdomen soft, non-tender. No hepatosplenomegaly.

    Breast N/A

    Genitourinary Not relevant

    Musculoskeletal Not relevant

    Neurological Speech clear. Good tone. Posture erect. Balance stable; gait normal.

    Psychiatric Not relevant

    Lab Tests

    Albumin- 24 hour urine

    CBC with dif

    CMP 14

    UA

    Assessment

    o Differential Diagnoses

    o Acute Urinary Retention with Urosepsis

    Rationale: Difficulty urinating, confusion, and respiratory distress may indicate

    urosepsis. AQ’s urinary issues combined with confusion could be a sign of acute urinary

    retention or a urinary tract infection that has spread to the bloodstream. Urosepsis can

    lead to altered mental status and respiratory distress due to systemic inflammatory

    response syndrome. This condition is common in older men with underlying prostate

    issues such as benign prostatic hyperplasia (Lee & Kuo, 2022).

    o Hypercapnic Respiratory Failure

    Rationale: Difficulty breathing along with confusion could be due to hypercapnia, often

    seen in patients with respiratory diseases such as COPD. In COPD exacerbations, airflow

    obstruction and poor ventilation can lead to CO2 retention, resulting in respiratory

    acidosis. Elevated CO2 levels in the blood can cause confusion, altered mental status, and

    respiratory distress. Underlying lung disease or obesity could be risk factors to explore

    (Villar et al., 2022).

    o Hypoosmolar Hyponatremia

    Rationale: Confusion, difficulty breathing, and urinary issues can also be seen in patients

    with hyponatremia, especially when caused by SIADH. SIADH results in excessive

    release of antidiuretic hormone, leading to water retention and hyponatremia. Symptoms

    of hyponatremia include confusion, shortness of breath, and decreased urine output or

    difficulty urinating (Szerlip, 2021).

    o Final diagnosis: Acute altered mental status

    ▪ Pathophysiology: AMS is a clinical presentation resulting from various

    underlying conditions, and in this case, it could be caused by infections like urosepsis or

    pneumonia, which can lead to sepsis-induced encephalopathy and confusion, along with

    respiratory distress and urinary retention (Lee & Kuo, 2022). Respiratory failure due to

    conditions such as COPD exacerbation or pulmonary embolism could cause hypoxia or

    hypercapnia, resulting in confusion (Villar et al., 2022). Another possibility is electrolyte

    imbalances, such as hyponatremia caused by conditions like SIADH, which can lead to

    confusion, difficulty breathing, and urinary problems (Szerlip, 2021). Further diagnostic

    work-up is needed to identify the underlying cause, including lab tests, imaging, and

    clinical evaluation.

    Plan

    Medications: none

    o Non-pharmacological recommandations: environnemental modifications,

    reorientation techniques, maintaining sleep hygiene, family and caregiver support

    o Diagnostic tests: further testing will need to be done in hospitals such as EKG,

    CXR, CT scan, and possibly an EEG.

    o Patient education: the patient and family should be educated about the importance

    of prompt follow up in the emergency department for further testing.

    o Culture considerations: In some cultures, discussing altered mental status openly

    may be stigmatized. Sensitivity is needed when addressing the issue with the patient and

    his family, particularly if there is fear of embarrassment or shame regarding cognitive

    symptoms.

    Health promotion: routine checkups, stress management, balanced diet, adequate

    hydration

    o Referrals- none

    o Follow up- report to ED immediately

    References

    Lee, C. T., & Kuo, C. H. (2022). Urosepsis and its management in older adults. Geriatrics & Gerontology International, 22(3), 313- 319.
    [https://doi.org/10.1111/ggi.14167](https://doi.org/10.1111/ggi.14167)

    Villar, J., et al. (2022). Acute exacerbation of chronic obstructive pulmonary disease: Pathophysiology and management. Journal of Pulmonary and Respiratory Medicine, 12(5), 456-467.

    https://doi.org/10.4172/2375-8494.10001045 Szerlip, H. M. (2021). Hyponatremia: Etiology and management. Endocrine Practice, 27(6), 634-646. https://doi.org/10.4158/EP-2021-0221

    **## seminar5.odt**

    I'm feeling really confused lately. My family is worried about me."

    HPI: Pt states he is here for confusion x 3-4 days. States that he can’t seem to remember things and is having trouble understanding what people are saying. He states that he feels that his mind is foggy and that he can’t think clearly- it has been getting worse. He is not sure if anything makes it worse and states nothing makes it better. He says that it seems to be worse in the evening when he is tired.

    Medications: Atenolol 50 mg daily

    Allergies: NKDA

    Medication Intolerances: none

    Past Medical History: HTN Chronic Illnesses/Major traumas- none

    Hospitalizations/Surgeries Vasectomy

    Family History Mother alive with hypertension Father alive with type 1 diabetes Social History Admits to having a couple beers with dinner occasionally. Does not smoke or use illicit drugs

    ROS Student to ask each of these questions to the patient: “Have you had any….”

    General Denies weight change, fatigue, fever, chills, night sweats Cardiovascular Denies chest pain, palpitations, or edema. Denies’ hands and feet are feeling cold. Skin Denies delayed healing, rashes, bruising, bleeding or skin discolorations. Respiratory Discloses dyspnea Eyes Denies blurring or visual changes of any Gastrointestinal Denies abdominal pain, N/V/D,

    kind constipation

    Ears

    Denies ear pain, hearing loss, ringing in ears, or discharge

    Genitourinary/Gynecological

    Discloses problems with urinating. States

    that he frequently has to get up during the night to urinate and that it feels as if he is not emptying his bladder completely.

    Nose/Mouth/Throat

    Denies sinus pain, dysphagia, nose bleeds or throat pain

    Musculoskeletal Denies back pain, joint swelling, stiffness or pain

    Breast N/A

    Neurological Denies syncope, transient paralysis, weakness, paresthesia’s, and black-out spells.

    Heme/Lymph/Endo Denies night sweats, swollen glands, increase thirst, increase hunger, and cold

    or heat intolerance

    Psychiatric Denies depression, anxiety, or sleeping difficulties

    OBJECTIVE

    Weight 215 lbs BMI 29.2 Temp 37.1 C BP 150/78

    Height 6’ 0” Pulse 80 Resp 16

    General Appearance

    Healthy-appearing adult male in no acute distress. Alert and oriented; answers questions appropriately.

    Skin Not relevant

    HEENT

    Head is normocephalic, atraumatic, and without lesions. Eyes: PERRLA. EOMs intact.

    Ears: Canals patent. Bilateral TMs pearly gray with positive light reflex

    Cardiovascular

    S1, S2 with regular rate and rhythm. No extra sounds, clicks, rubs, or murmurs.

    Respiratory

    Symmetric chest wall. Respirations regular and easy; lungs clear to auscultation

    bilaterally.

    Gastrointestinal

    BS active in all the four quadrants. Abdomen soft, non-tender. No hepatosplenomegaly.

    Breast N/A

    Genitourinary Not relevant

    Musculoskeletal Not relevant

    Neurological Speech clear. Good tone. Posture erect. Balance stable; gait normal.

    Psychiatric Not relevant

    Lab Tests

    Albumin- 24 hour urine

    CBC with dif

    CMP 14

    UA

    Assessment

    o Differential Diagnoses

    o Acute Urinary Retention with Urosepsis

    Rationale: Difficulty urinating, confusion, and respiratory distress may indicate

    urosepsis. AQ’s urinary issues combined with confusion could be a sign of acute urinary

    retention or a urinary tract infection that has spread to the bloodstream. Urosepsis can

    lead to altered mental status and respiratory distress due to systemic inflammatory

    response syndrome. This condition is common in older men with underlying prostate

    issues such as benign prostatic hyperplasia (Lee & Kuo, 2022).

    o Hypercapnic Respiratory Failure

    Rationale: Difficulty breathing along with confusion could be due to hypercapnia, often

    seen in patients with respiratory diseases such as COPD. In COPD exacerbations, airflow

    obstruction and poor ventilation can lead to CO2 retention, resulting in respiratory

    acidosis. Elevated CO2 levels in the blood can cause confusion, altered mental status, and

    respiratory distress. Underlying lung disease or obesity could be risk factors to explore

    (Villar et al., 2022).

    o Hypoosmolar Hyponatremia

    Rationale: Confusion, difficulty breathing, and urinary issues can also be seen in patients

    with hyponatremia, especially when caused by SIADH. SIADH results in excessive

    release of antidiuretic hormone, leading to water retention and hyponatremia. Symptoms

    of hyponatremia include confusion, shortness of breath, and decreased urine output or

    difficulty urinating (Szerlip, 2021).

    o Final diagnosis: Acute altered mental status

    ▪ Pathophysiology: AMS is a clinical presentation resulting from various

    underlying conditions, and in this case, it could be caused by infections like urosepsis or

    pneumonia, which can lead to sepsis-induced encephalopathy and confusion, along with

    respiratory distress and urinary retention (Lee & Kuo, 2022). Respiratory failure due to

    conditions such as COPD exacerbation or pulmonary embolism could cause hypoxia or

    hypercapnia, resulting in confusion (Villar et al., 2022). Another possibility is electrolyte

    imbalances, such as hyponatremia caused by conditions like SIADH, which can lead to

    confusion, difficulty breathing, and urinary problems (Szerlip, 2021). Further diagnostic

    work-up is needed to identify the underlying cause, including lab tests, imaging, and

    clinical evaluation.

    Plan

    Medications: none

    o Non-pharmacological recommandations: environnemental modifications,

    reorientation techniques, maintaining sleep hygiene, family and caregiver support

    o Diagnostic tests: further testing will need to be done in hospitals such as EKG,

    CXR, CT scan, and possibly an EEG.

    o Patient education: the patient and family should be educated about the importance

    of prompt follow up in the emergency department for further testing.

    o Culture considerations: In some cultures, discussing altered mental status openly

    may be stigmatized. Sensitivity is needed when addressing the issue with the patient and

    his family, particularly if there is fear of embarrassment or shame regarding cognitive

    symptoms.

    Health promotion: routine checkups, stress management, balanced diet, adequate

    hydration

    o Referrals- none

    o Follow up- report to ED immediately

    References

    Lee, C. T., & Kuo, C. H. (2022). Urosepsis and its management in older adults. Geriatrics & Gerontology International, 22(3), 313- 319.
    [https://doi.org/10.1111/ggi.14167](https://doi.org/10.1111/ggi.14167)

    Villar, J., et al. (2022). Acute exacerbation of chronic obstructive pulmonary disease: Pathophysiology and management. Journal of Pulmonary and Respiratory Medicine, 12(5), 456-467.

    https://doi.org/10.4172/2375-8494.10001045 Szerlip, H. M. (2021). Hyponatremia: Etiology and management. Endocrine Practice, 27(6), 634-646. https://doi.org/10.4158/EP-2021-0221

  • [Solved] D6

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    **Include the following sections:** 1. **Application of Course Knowledge**: Answer all questions/criteria with explanations and detail. – Describe the disaster preparedness plan at your current or past workplace. – Identify potential gaps or areas for improvement in disaster preparedness. – How can …

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    Assignment Prompt & Instructions

    **Include the following sections:**

    1. **Application of Course Knowledge**: Answer all questions/criteria with explanations and detail.

    – Describe the disaster preparedness plan at your current or past workplace.
    – Identify potential gaps or areas for improvement in disaster preparedness.
    – How can you advocate for necessary changes?
    – In what ways can you promote community engagement and resilience in disaster preparedness efforts in the broader community?
    2. **Professionalism in Communication**: Communicate with minimal errors in English grammar, spelling, syntax, and punctuation.

    – 2 years ago

  • [Solved] NUR 505 530 DISCUSSION

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    Hello.. I really need your assistant with this week assignment. – 2 years ago **files (1)** – ## NUR505530DisWk4.pdf **## NUR505530DisWk4.pdf** Case Study: Kel Purpose: Analyze and apply critical thinking skills in the psychopathology of mental health patients and provide treatment and health promot…

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    Hello.. I really need your assistant with this week assignment.

    – 2 years ago

    **files (1)**

    – ## NUR505530DisWk4.pdf

    **## NUR505530DisWk4.pdf**

    Case Study: Kel

    Purpose: Analyze and apply critical thinking skills in the psychopathology
    of mental health patients and provide treatment and health
    promotion while applying evidence-based research.

    Scenario: Kel is a 42-year-old certified public accountant (CPA) who
    dreams each year that she will board a cruise ship the day after
    Tax Day and go somewhere, anywhere, except Portsmouth,
    Virginia. Each year the dream, like the ocean, ebbs and flows,
    but this year she is not even going to think about such a
    “ridiculous idea.” In fact, she does not even have the energy to
    dream; getting out of bed and preparing to go to work is simply
    too labor intensive.

    Each evening Kel retires to bed with a lack of energy to
    complete her normal tasks such as readying her clothes for
    work and making a lunch. She lacks the energy to shop in the
    evening; consequently, she eats mostly crackers and canned
    soup. She is not hungry, and her scale reflects this. She has lost
    15 pounds over the last 2 months. She does not attend to her
    makeup or clothes; she finds both too taxing. The clothes she
    selects are drab and not ironed. At work she makes no effort to
    talk with her co-workers and does not initiate new contacts with
    clients. The normal work of filing taxes and writing reports,
    which she used to enjoy, are overwhelming, and she feels too
    disorganized to complete them. Telephone calls and e-mail
    messages from friends are ignored. Attendance at work is
    spotty.

    Sue, her sister, becomes alarmed with Kel’s unanswered
    telephone calls and e-mails. Worried, she decides to visit her
    sister at home. She finds the apartment unclean and in disarray.
    Kel is unkempt, disheveled, and looks sad. Her voice is
    monotone and flat. Kel tells Sue that she feels “sad and
    hopeless. Nothing is ever going to change. I am a bad person
    and I can’t even do my work right. Although I sleep for many
    hours, I am still tired all the time.” Sue is alarmed at the
    changes in her sister and arranges for Kel to visit a health care
    worker at the medical clinic.

    Submission Instructions:

    • Your initial post should be at least 500 words, formatted and cited in current APA style
    with support from at least 2 academic sources. Your initial post is worth 8 points.

    • You should respond to at least two of your peers by extending, refuting/correcting, or
    adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per
    response.)

    • All replies must be constructive and use literature where

    Caring for Chinese, Filipino, & Vietnamese Populations

    After studying Module 4: Lecture Materials & Resources, discuss the following:

    A. Describe health and illness practices that may augment problems associated with the
    treatment of hypertension for Chinese-American clients.

    B. Describe the locus-of-control variable that some Filipino Americans have that may
    influence health-seeking behavior.

    C. Describe the importance of folk medicine and folk healers to Vietnamese Americans.

    Submission Instructions:

    • Your initial post should be at least 500 words, formatted, and cited in current APA style
    with support from at least 2 academic sources. Your initial post is worth 8 points.

    Questions: Remember to answer these questions from your textbooks and
    NP guidelines. At all times, explain your answers.

    1. Describe the presenting problems.

    2. Generate a primary and differential diagnosis using the

    DSM5 and ICD 10 codes.

    3. Formulate and prioritize a treatment plan.

    4. Identify and discuss appropriate screening instruments

    for a patient who has suicidal ideation.

    [https://stu.instructure.com/courses/43801/pages/module-4-lecture-materials-and-resources](https://stu.instructure.com/courses/43801/pages/module-4-lecture-materials-and-resources)

    • You should respond to at least two of your peers by extending, refuting/correcting, or
    adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per
    response.)

    • Incorporate a minimum of 2 current (published within the last five years) scholarly
    journal articles or primary legal sources (statutes, court opinions) within your work.
    Journal articles should be referenced according to the current APA style (the online
    library has an abbreviated version of the APA Manual).

    **## NUR505530DisWk4.pdf**

    Case Study: Kel

    Purpose: Analyze and apply critical thinking skills in the psychopathology
    of mental health patients and provide treatment and health
    promotion while applying evidence-based research.

    Scenario: Kel is a 42-year-old certified public accountant (CPA) who
    dreams each year that she will board a cruise ship the day after
    Tax Day and go somewhere, anywhere, except Portsmouth,
    Virginia. Each year the dream, like the ocean, ebbs and flows,
    but this year she is not even going to think about such a
    “ridiculous idea.” In fact, she does not even have the energy to
    dream; getting out of bed and preparing to go to work is simply
    too labor intensive.

    Each evening Kel retires to bed with a lack of energy to
    complete her normal tasks such as readying her clothes for
    work and making a lunch. She lacks the energy to shop in the
    evening; consequently, she eats mostly crackers and canned
    soup. She is not hungry, and her scale reflects this. She has lost
    15 pounds over the last 2 months. She does not attend to her
    makeup or clothes; she finds both too taxing. The clothes she
    selects are drab and not ironed. At work she makes no effort to
    talk with her co-workers and does not initiate new contacts with
    clients. The normal work of filing taxes and writing reports,
    which she used to enjoy, are overwhelming, and she feels too
    disorganized to complete them. Telephone calls and e-mail
    messages from friends are ignored. Attendance at work is
    spotty.

    Sue, her sister, becomes alarmed with Kel’s unanswered
    telephone calls and e-mails. Worried, she decides to visit her
    sister at home. She finds the apartment unclean and in disarray.
    Kel is unkempt, disheveled, and looks sad. Her voice is
    monotone and flat. Kel tells Sue that she feels “sad and
    hopeless. Nothing is ever going to change. I am a bad person
    and I can’t even do my work right. Although I sleep for many
    hours, I am still tired all the time.” Sue is alarmed at the
    changes in her sister and arranges for Kel to visit a health care
    worker at the medical clinic.

    Submission Instructions:

    • Your initial post should be at least 500 words, formatted and cited in current APA style
    with support from at least 2 academic sources. Your initial post is worth 8 points.

    • You should respond to at least two of your peers by extending, refuting/correcting, or
    adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per
    response.)

    • All replies must be constructive and use literature where

    Caring for Chinese, Filipino, & Vietnamese Populations

    After studying Module 4: Lecture Materials & Resources, discuss the following:

    A. Describe health and illness practices that may augment problems associated with the
    treatment of hypertension for Chinese-American clients.

    B. Describe the locus-of-control variable that some Filipino Americans have that may
    influence health-seeking behavior.

    C. Describe the importance of folk medicine and folk healers to Vietnamese Americans.

    Submission Instructions:

    • Your initial post should be at least 500 words, formatted, and cited in current APA style
    with support from at least 2 academic sources. Your initial post is worth 8 points.

    Questions: Remember to answer these questions from your textbooks and
    NP guidelines. At all times, explain your answers.

    1. Describe the presenting problems.

    2. Generate a primary and differential diagnosis using the

    DSM5 and ICD 10 codes.

    3. Formulate and prioritize a treatment plan.

    4. Identify and discuss appropriate screening instruments

    for a patient who has suicidal ideation.

    [https://stu.instructure.com/courses/43801/pages/module-4-lecture-materials-and-resources](https://stu.instructure.com/courses/43801/pages/module-4-lecture-materials-and-resources)

    • You should respond to at least two of your peers by extending, refuting/correcting, or
    adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per
    response.)

    • Incorporate a minimum of 2 current (published within the last five years) scholarly
    journal articles or primary legal sources (statutes, court opinions) within your work.
    Journal articles should be referenced according to the current APA style (the online
    library has an abbreviated version of the APA Manual).

  • [Solved] e

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  • [Solved] discussion

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    – [\ \ Screenshot2025-04-07at9.40.23AM.png](https://www.sweetstudy.com/files/screenshot2025-04-07at9-40-23am-png "Screenshot2025-04-07at9.40.23AM.png") – 2 years ago

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    – [\
    \
    Screenshot2025-04-07at9.40.23AM.png](https://www.sweetstudy.com/files/screenshot2025-04-07at9-40-23am-png "Screenshot2025-04-07at9.40.23AM.png")

    – 2 years ago

  • [Solved] Ethics, Values and Professionalism in Policing

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    **(250 words or more) identifying some recommendations for the Future.** – [APA Formatting and Style Guide (7th Edition) – Purdue OWL® – Purdue University](https://owl.purdue.edu/owl/research_and_citation/apa_style/apa_formatting_and_style_guide/index.html) – 2 years ago

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    **(250 words or more) identifying some recommendations for the Future.**

    – [APA Formatting and Style Guide (7th Edition) – Purdue OWL® – Purdue University](https://owl.purdue.edu/owl/research_and_citation/apa_style/apa_formatting_and_style_guide/index.html)

    – 2 years ago

  • [Solved] HUMAN RIGHTS FINAL

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    In-depth study guidance and analytical solution covering HUMAN RIGHTS FINAL.

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  • [Solved] Fluid Mechanics

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    WATER FILTRATION PLANT A fresh young graduate from Bahrain polytechnic came up with an idea to set up a Water Treatment Plant to purify polluted ground water. Figure 1 shows the schematic of the water filtration plant with two overhead tanks namely overhead tank 1 and overhead tank 2. The plant also…

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    WATER FILTRATION PLANT

    A fresh young graduate from Bahrain polytechnic came up with an idea to set up a Water Treatment Plant to purify polluted ground water. Figure 1 shows the schematic of the water filtration plant with two overhead tanks namely overhead tank 1 and overhead tank 2. The plant also has 3 filtration units namely filtration plant 1, plant 2 & plant 3 respectively. The idea is to purify impure ground water and store it in overhead plant 2.

    Limitations –

    1. You cannot change the direction of flow.

    2. You cannot increase the number of pipes. Each arrow is a pipe in Figure 1.

    3. You cannot change the heads.

    Your design should mainly consist of various activities that include pressure drop calculations, selection of pumps, design of venturi meter and selection of check valve, the details of which are shown below:

    A. You are to size the pipelines and to select a suitable pump. The proposed piping layout is as per the attached schematic. You are given details of the required lengths of pipes and the number of bends involved to get the chilled water to each of the cooling coils. There are isolating valves around each piece of equipment so that maintenance work can be carried out. (LOs: 1,2,3,4)

    B. You have also been asked to design a venturi flow meter, a form of flow measurement device, to be installed after the pump so that the total water flow can be measured on a continuous basis. You will need to demonstrate how the venturi will work. (LOs: 2,3)

    C. Select the appropriate check valves which must be fitted before each coil at the supply lines according to all the engineering parameters of the system. (LOs:2,4,5)

    D. Prepare a PowerPoint presentation file outlining your system design, including pipe and fittings sizing, pump and motor selection, design of the venturi and selection of the check valves. (LOs: 1,2,3,4,5)

    – [\
    \
    DOC-20250404-WA0000..pdf](https://www.sweetstudy.com/files/doc-20250404-wa0000-pdf "DOC-20250404-WA0000..pdf")

    – 2 years ago

  • [Solved] see attached 3

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    – 2 years ago **files (4)** – ## attach3.doc – ## Dissemination_of_Change_Project_Template_powerpoint.pptx – ## week2assignment.docx – week4assignment.docx **## attach3.doc** [removed] **## Dissemination_of_Change_Project_Template_powerpoint.pptx** Week 6 Assignment Dissemination of Chan…

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    Assignment Prompt & Instructions

    – 2 years ago

    **files (4)**

    – ## attach3.doc

    – ## Dissemination_of_Change_Project_Template_powerpoint.pptx

    – ## week2assignment.docx

    – week4assignment.docx

    **## attach3.doc**

    [removed]

    **## Dissemination_of_Change_Project_Template_powerpoint.pptx**

    Week 6 Assignment
    Dissemination of Change Project

    Directions

    Complete the Dissemination of Change Project template by building on your selected nursing clinical practice problem and the feedback from previous assignments throughout the course.

    Click the box to the right to add your name and date. Click on the next slide.

    Find and click the word Notes at the bottom right of your PowerPoint screen.

    In the notes section, on each slide, add speaker notes by answering each question with explanation and detail. Click [TYPE HERE] in the notes section. Remove the words [TYPE HERE] to add speaker notes.

    The information on the PowerPoint slides should highlight important information from the speaker notes to accompany a presentation. Click [TYPE HERE] on the PowerPoint slide, remove the words [TYPE HERE], and provide the key information for each section.

    Do not change the font size. Ensure your information fits on the slide.

    Correctly cite and reference at least three scholarly sources that help support the assignment. Sources should be no more than five years old unless they are historical references.

    Name:

    Date:

    1

    Discovery

    [TYPE HERE: Add key information from your speaker notes.]

    Speaker notes include the important information you will cover when delivering a presentation. Create speaker notes by writing a paragraph for the section below that addresses each question with explanation and detail. Click where it says [TYPE HERE] and remove the words [TYPE HERE] to add speaker notes.

    Discovery (See Week 2 assignment)

    Discuss your selected nursing clinical practice problem.

    [TYPE HERE]

    Discuss why this selected problem is the most important in your current or past practice area.

    [TYPE HERE]

    List your PICOT question.

    [TYPE HERE]

    2

    Summary

    [TYPE HERE: Add key information from your speaker notes.]

    Speaker notes include the important information you will cover when delivering a presentation. Create speaker notes by writing a paragraph for the section below that addresses each question with explanation and detail. Click where it says [TYPE HERE] and remove the words [TYPE HERE] to add speaker notes.

    Summary (See Week 2 assignment)

    Discuss the findings from the selected systematic review.

    [TYPE HERE]

    Discuss the findings from the selected quantitative research study.

    [TYPE HERE]

    Explain why the evidence is relevant to your selected nursing clinical practice problem.

    [TYPE HERE]

    3

    Translation

    [TYPE HERE: Add key information from your speaker notes.]

    Speaker notes include the important information you will cover when delivering a presentation. Create speaker notes by writing a paragraph for the section below that addresses each question with explanation and detail. Click where it says [TYPE HERE] and remove the words [TYPE HERE] to add speaker notes.

    Translation (See Week 4 assignment)

    Discuss the intervention that will be implemented to address the clinical nursing practice problem.

    [TYPE HERE]

    Discuss the setting where the change project will occur, including the organization’s current culture of change.

    [TYPE HERE]

    Discuss the interprofessional committee needed to plan the implementation of the intervention. Explain how each team member will be involved.

    [TYPE HERE]

    4

    Integration

    [TYPE HERE: Add key information from your speaker notes.]

    Speaker notes include the important information you will cover when delivering a presentation. Create speaker notes by writing a paragraph for the section below that addresses each question with explanation and detail. Click where it says [TYPE HERE] and remove the words [TYPE HERE] to add speaker notes.

    Integration (See Week 4 assignment)

    Discuss the key performance indicators that will be tracked to monitor the progress of the change project.

    [TYPE HERE]

    Explain the anticipated timeline for implementing the change project.

    [TYPE HERE]

    Discuss how you will use informatics or healthcare technologies to collect, aggregate, and analyze data.

    [TYPE HERE]

    5

    Evaluation

    [TYPE HERE: Add key information from your speaker notes.]

    Speaker notes include the important information you will cover when delivering a presentation. Create speaker notes by writing a paragraph for the section below that addresses each question with explanation and detail. Click where it says [TYPE HERE] and remove the words [TYPE HERE] to add speaker notes.

    Evaluation

    Discuss how you will ensure the privacy and security of the client’s data during the evaluation of the change project.

    [TYPE HERE]

    Explain how you will disseminate the outcomes of the change project.

    [TYPE HERE]

    Describe the next steps for the use of the change project information.

    [TYPE HERE]

    6

    References

    [TYPE HERE]

    [TYPE HERE]

    [TYPE HERE]

    7

    ## image1.png

    **## week2assignment.docx**

    ![](https://www.sweetstudy.com/questions/see-attached-3-20897515)

    ## Week 2 Assignment

    ## Evidence Summary

    Name:

    Date: 3/16/2025

    **Directions:** Identify a nursing clinical practice problem in your current or previous practice. Use this template to complete the Evidence Summary Assignment addressing your selected nursing clinical practice problem.

    Answer the questions under each section with explanation and detail.

    Correctly cite and reference information from scholarly sources that help support the discussion. Sources should be no more than five years old unless they are historical references.

    **Section 1: Discovery**

    1. Describe your selected nursing clinical practice problem. Explain your rationale for choosing this topic and summarize why this nursing clinical practice problem is the most important in your current or past practice area.

    I chose to focus on childhood obesity because, as a pediatric and adolescent psychiatric nurse, I frequently encounter this issue within the population I serve. Obesity significantly affects both the physical and mental health of children and adolescents. In our community, childhood obesity continues to be a growing and concerning problem that needs attention and intervention.

    2. Define each PICOT element.

    P- (Population): Children, ages 6-12 years old.

    I- (Intervention): Lifestyle change – Increased physical activity.

    C- (Comparison: Sedentary lifestyle / No increase in activity.

    O- (Outcome): Decrease in BMI.

    T- (Time frame in months): 6 months.

    3. Write out your PICOT question using the standard format below:

    In _____ (P), how does _____ (I) compared to _____ (C) affect _____ (O) within _____ (T)?

    _NOTE: In this standardized format, “affect” can be substituted with another verb, such as reduce, increase, or improve, to articulate the anticipated outcome more precisely._

    In children 6-12 years of age (P), how does increased physical activity (I) compared to a sedentary lifestyle (C) affect BMI (O) within 6 months (T)?

    4. Describe how you selected the population, intervention, outcome, and time frame.

    I selected the population based on my current career path and passion, as a nurse and mother. I based the intervention, outcome, and time frame on what was measurable, practical, and effective.

    **Section 2: Evidence Summary Systematic Review**

    Using only the Chamberlain University Library, locate one systematic review relevant to your chosen nursing clinical practice problem that supports the intervention and has been published within the past 5 years.

    1. Provide the complete APA reference to the evidence, including the permalink. State which database you found the evidence in.

    Julian, V., Ring-Dimitriou, S., Wyszyńska, J., Mazur, A., Matlosz, P., Frelut, M. L., Erhardt, E., Vlachopapadopoulou, E., Forslund, A., Boyland, E., Weghuber, D., & Thivel, D. (2022). There Is a Clinical Need to Consider the Physical Activity: Sedentary Pattern in Children with Obesity – Position Paper of the European Childhood Obesity Group.
    _Annals of Nutrition and Metabolism_,
    _78_(4), 236–241. https://doi.org/10.1159/000524570

    [https://chamberlain.primo.exlibrisgroup.com/permalink/01CUCON_INST/f6kb8f/cdi_karger_primary_524570](https://chamberlain.primo.exlibrisgroup.com/permalink/01CUCON_INST/f6kb8f/cdi_karger_primary_524570)

    2. Explain how the evidence is relevant to your selected nursing clinical practice problem and population.

    The evidence directly addresses the nursing problem I have chosen, as well as the specific population. It highlights the strong link between physical activity and childhood obesity. Additionally, the evidence is current and peer-reviewed, ensuring its credibility and relevance.

    3. Explain how the evidence is relevant to your selected intervention. What data from the article helps support the implementation of this intervention into practice?

    The article demonstrates that an increase in physical activity has a positive impact on BMI, highlighting a direct correlation between regular physical activity and improved weight management.

    **Section 3: Evidence Summary Peer-Reviewed Quantitative Research Study**

    Using only the Chamberlain University Library, locate one peer-reviewed quantitative research study relevant to your chosen nursing clinical practice problem that supports the intervention and has been published within the past 5 years.

    1. Provide the complete APA reference to the evidence, including the permalink. State which database you found the evidence in.

    Chamberlain University Library

    Bernhardsson, S., Boman, C., Lundqvist, S., Arvidsson, D., Börjesson, M., Larsson, M. E. H., Lundh, H., Melin, K., Nilsen, P., & Lauruschkus, K. (2022). Implementation of physical activity on prescription for children with obesity in paediatric health care (IMPA): protocol for a feasibility and evaluation study using quantitative and qualitative methods.
    _Pilot and Feasibility Studies_,
    _8_(1), 117–15. https://doi.org/10.1186/s40814-022-01075-3

    https://chamberlain.primo.exlibrisgroup.com/permalink/01CUCON_INST/f6kb8f/cdi_doaj_primary_oai_doaj_org_article_112b8864255f48cdbeea35e64b890918

    2. Explain how the evidence is relevant to your selected nursing practice problem and population.

    It is highly relevant to the nursing practice problem of addressing obesity in the pediatric population.

    4. Explain how the evidence is relevant to your selected intervention. What data from the article helps support the implementation of this intervention into practice?

    The study explores using physical activity on prescription (PAP) for children with obesity, which closely aligns with the need for effective strategies to help manage and reduce childhood obesity. My interventions are increased physical activity which directly aligns with the implemented intervention in this study of using PAP.

    **Section 4: Evidence-Based Interventions**

    1. Describe the selected evidence-based nursing intervention in detail. How do you believe this intervention could be implemented in your practice area?

    The evidence-based intervention I have selected is, increased physical activity vs a sedentary lifestyle to lower BMI over the period of 6 months to improve obesity in children ages 6-12 years of age. Research has demonstrated that regular physical activity plays a key role in lowering BMI and addressing childhood obesity. In my practice, this intervention could be implemented by creating individualized physical activity plans for children, promoting age-appropriate exercises, and providing ongoing support to both the children and their families.

    2. Explain how the intervention supports the outcome and addresses your identified nursing clinical practice problem.

    The intervention of increasing physical activity directly supports the outcome of lower BMI over a 6-month period and reducing childhood obesity by targeting one of the key factors contributing to high BMI, which is lack of physical activity.

    3. What interprofessional team members would it be important to collaborate with? Explain

    As a registered nurse, it would be important to collaborate with several interprofessional team members. These would include pediatricians, dietitians, physical therapists, and social workers.

    This would include pediatricians due to the age of the group we are treating. Dietitians can help address the dietary needs and changes that are required in combination with the increased activity to achieve the goal of lowering BMI. Physical therapists are important to address any physical limitation the child may have and design a healthy physical activity plan that is age appropriate. The social worker can help the child and family connect with available resources in the community to improve the changes of compliance.

    **References:** Provide complete references for all citations.

    Bernhardsson, S., Boman, C., Lundqvist, S., Arvidsson, D., Börjesson, M., Larsson, M. E. H., Lundh, H., Melin, K., Nilsen, P., & Lauruschkus, K. (2022). Implementation of physical activity on prescription for children with obesity in paediatric health care (IMPA): protocol for a feasibility and evaluation study using quantitative and qualitative methods.
    _Pilot and Feasibility Studies_,
    _8_(1), 117–15.
    [https://doi.org/10.1186/s40814-022-01075-3](https://doi.org/10.1186/s40814-022-01075-3)

    Julian, V., Ring-Dimitriou, S., Wyszyńska, J., Mazur, A., Matlosz, P., Frelut, M. L., Erhardt, E., Vlachopapadopoulou, E., Forslund, A., Boyland, E., Weghuber, D., & Thivel, D. (2022). There Is a Clinical Need to Consider the Physical Activity: Sedentary Pattern in Children with Obesity – Position Paper of the European Childhood Obesity Group.
    _Annals of Nutrition and Metabolism_,
    _78_(4), 236–241.
    [https://doi.org/10.1159/000524570](https://doi.org/10.1159/000524570)

    © 2024. Chamberlain University LLC. All rights reserved.

    1

    1.29.24

    ## image1.png

    **week4assignment.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/week4assignment-docx-10253051)

    **week4assignment.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/week4assignment-docx-10253051)

    **## attach3.doc**

    [removed]

    **## Dissemination_of_Change_Project_Template_powerpoint.pptx**

    Week 6 Assignment
    Dissemination of Change Project

    Directions

    Complete the Dissemination of Change Project template by building on your selected nursing clinical practice problem and the feedback from previous assignments throughout the course.

    Click the box to the right to add your name and date. Click on the next slide.

    Find and click the word Notes at the bottom right of your PowerPoint screen.

    In the notes section, on each slide, add speaker notes by answering each question with explanation and detail. Click [TYPE HERE] in the notes section. Remove the words [TYPE HERE] to add speaker notes.

    The information on the PowerPoint slides should highlight important information from the speaker notes to accompany a presentation. Click [TYPE HERE] on the PowerPoint slide, remove the words [TYPE HERE], and provide the key information for each section.

    Do not change the font size. Ensure your information fits on the slide.

    Correctly cite and reference at least three scholarly sources that help support the assignment. Sources should be no more than five years old unless they are historical references.

    Name:

    Date:

    1

    Discovery

    [TYPE HERE: Add key information from your speaker notes.]

    Speaker notes include the important information you will cover when delivering a presentation. Create speaker notes by writing a paragraph for the section below that addresses each question with explanation and detail. Click where it says [TYPE HERE] and remove the words [TYPE HERE] to add speaker notes.

    Discovery (See Week 2 assignment)

    Discuss your selected nursing clinical practice problem.

    [TYPE HERE]

    Discuss why this selected problem is the most important in your current or past practice area.

    [TYPE HERE]

    List your PICOT question.

    [TYPE HERE]

    2

    Summary

    [TYPE HERE: Add key information from your speaker notes.]

    Speaker notes include the important information you will cover when delivering a presentation. Create speaker notes by writing a paragraph for the section below that addresses each question with explanation and detail. Click where it says [TYPE HERE] and remove the words [TYPE HERE] to add speaker notes.

    Summary (See Week 2 assignment)

    Discuss the findings from the selected systematic review.

    [TYPE HERE]

    Discuss the findings from the selected quantitative research study.

    [TYPE HERE]

    Explain why the evidence is relevant to your selected nursing clinical practice problem.

    [TYPE HERE]

    3

    Translation

    [TYPE HERE: Add key information from your speaker notes.]

    Speaker notes include the important information you will cover when delivering a presentation. Create speaker notes by writing a paragraph for the section below that addresses each question with explanation and detail. Click where it says [TYPE HERE] and remove the words [TYPE HERE] to add speaker notes.

    Translation (See Week 4 assignment)

    Discuss the intervention that will be implemented to address the clinical nursing practice problem.

    [TYPE HERE]

    Discuss the setting where the change project will occur, including the organization’s current culture of change.

    [TYPE HERE]

    Discuss the interprofessional committee needed to plan the implementation of the intervention. Explain how each team member will be involved.

    [TYPE HERE]

    4

    Integration

    [TYPE HERE: Add key information from your speaker notes.]

    Speaker notes include the important information you will cover when delivering a presentation. Create speaker notes by writing a paragraph for the section below that addresses each question with explanation and detail. Click where it says [TYPE HERE] and remove the words [TYPE HERE] to add speaker notes.

    Integration (See Week 4 assignment)

    Discuss the key performance indicators that will be tracked to monitor the progress of the change project.

    [TYPE HERE]

    Explain the anticipated timeline for implementing the change project.

    [TYPE HERE]

    Discuss how you will use informatics or healthcare technologies to collect, aggregate, and analyze data.

    [TYPE HERE]

    5

    Evaluation

    [TYPE HERE: Add key information from your speaker notes.]

    Speaker notes include the important information you will cover when delivering a presentation. Create speaker notes by writing a paragraph for the section below that addresses each question with explanation and detail. Click where it says [TYPE HERE] and remove the words [TYPE HERE] to add speaker notes.

    Evaluation

    Discuss how you will ensure the privacy and security of the client’s data during the evaluation of the change project.

    [TYPE HERE]

    Explain how you will disseminate the outcomes of the change project.

    [TYPE HERE]

    Describe the next steps for the use of the change project information.

    [TYPE HERE]

    6

    References

    [TYPE HERE]

    [TYPE HERE]

    [TYPE HERE]

    7

    ## image1.png

    **## week2assignment.docx**

    ![](https://www.sweetstudy.com/questions/see-attached-3-20897515)

    ## Week 2 Assignment

    ## Evidence Summary

    Name:

    Date: 3/16/2025

    **Directions:** Identify a nursing clinical practice problem in your current or previous practice. Use this template to complete the Evidence Summary Assignment addressing your selected nursing clinical practice problem.

    Answer the questions under each section with explanation and detail.

    Correctly cite and reference information from scholarly sources that help support the discussion. Sources should be no more than five years old unless they are historical references.

    **Section 1: Discovery**

    1. Describe your selected nursing clinical practice problem. Explain your rationale for choosing this topic and summarize why this nursing clinical practice problem is the most important in your current or past practice area.

    I chose to focus on childhood obesity because, as a pediatric and adolescent psychiatric nurse, I frequently encounter this issue within the population I serve. Obesity significantly affects both the physical and mental health of children and adolescents. In our community, childhood obesity continues to be a growing and concerning problem that needs attention and intervention.

    2. Define each PICOT element.

    P- (Population): Children, ages 6-12 years old.

    I- (Intervention): Lifestyle change – Increased physical activity.

    C- (Comparison: Sedentary lifestyle / No increase in activity.

    O- (Outcome): Decrease in BMI.

    T- (Time frame in months): 6 months.

    3. Write out your PICOT question using the standard format below:

    In _____ (P), how does _____ (I) compared to _____ (C) affect _____ (O) within _____ (T)?

    _NOTE: In this standardized format, “affect” can be substituted with another verb, such as reduce, increase, or improve, to articulate the anticipated outcome more precisely._

    In children 6-12 years of age (P), how does increased physical activity (I) compared to a sedentary lifestyle (C) affect BMI (O) within 6 months (T)?

    4. Describe how you selected the population, intervention, outcome, and time frame.

    I selected the population based on my current career path and passion, as a nurse and mother. I based the intervention, outcome, and time frame on what was measurable, practical, and effective.

    **Section 2: Evidence Summary Systematic Review**

    Using only the Chamberlain University Library, locate one systematic review relevant to your chosen nursing clinical practice problem that supports the intervention and has been published within the past 5 years.

    1. Provide the complete APA reference to the evidence, including the permalink. State which database you found the evidence in.

    Julian, V., Ring-Dimitriou, S., Wyszyńska, J., Mazur, A., Matlosz, P., Frelut, M. L., Erhardt, E., Vlachopapadopoulou, E., Forslund, A., Boyland, E., Weghuber, D., & Thivel, D. (2022). There Is a Clinical Need to Consider the Physical Activity: Sedentary Pattern in Children with Obesity – Position Paper of the European Childhood Obesity Group.
    _Annals of Nutrition and Metabolism_,
    _78_(4), 236–241. https://doi.org/10.1159/000524570

    [https://chamberlain.primo.exlibrisgroup.com/permalink/01CUCON_INST/f6kb8f/cdi_karger_primary_524570](https://chamberlain.primo.exlibrisgroup.com/permalink/01CUCON_INST/f6kb8f/cdi_karger_primary_524570)

    2. Explain how the evidence is relevant to your selected nursing clinical practice problem and population.

    The evidence directly addresses the nursing problem I have chosen, as well as the specific population. It highlights the strong link between physical activity and childhood obesity. Additionally, the evidence is current and peer-reviewed, ensuring its credibility and relevance.

    3. Explain how the evidence is relevant to your selected intervention. What data from the article helps support the implementation of this intervention into practice?

    The article demonstrates that an increase in physical activity has a positive impact on BMI, highlighting a direct correlation between regular physical activity and improved weight management.

    **Section 3: Evidence Summary Peer-Reviewed Quantitative Research Study**

    Using only the Chamberlain University Library, locate one peer-reviewed quantitative research study relevant to your chosen nursing clinical practice problem that supports the intervention and has been published within the past 5 years.

    1. Provide the complete APA reference to the evidence, including the permalink. State which database you found the evidence in.

    Chamberlain University Library

    Bernhardsson, S., Boman, C., Lundqvist, S., Arvidsson, D., Börjesson, M., Larsson, M. E. H., Lundh, H., Melin, K., Nilsen, P., & Lauruschkus, K. (2022). Implementation of physical activity on prescription for children with obesity in paediatric health care (IMPA): protocol for a feasibility and evaluation study using quantitative and qualitative methods.
    _Pilot and Feasibility Studies_,
    _8_(1), 117–15. https://doi.org/10.1186/s40814-022-01075-3

    https://chamberlain.primo.exlibrisgroup.com/permalink/01CUCON_INST/f6kb8f/cdi_doaj_primary_oai_doaj_org_article_112b8864255f48cdbeea35e64b890918

    2. Explain how the evidence is relevant to your selected nursing practice problem and population.

    It is highly relevant to the nursing practice problem of addressing obesity in the pediatric population.

    4. Explain how the evidence is relevant to your selected intervention. What data from the article helps support the implementation of this intervention into practice?

    The study explores using physical activity on prescription (PAP) for children with obesity, which closely aligns with the need for effective strategies to help manage and reduce childhood obesity. My interventions are increased physical activity which directly aligns with the implemented intervention in this study of using PAP.

    **Section 4: Evidence-Based Interventions**

    1. Describe the selected evidence-based nursing intervention in detail. How do you believe this intervention could be implemented in your practice area?

    The evidence-based intervention I have selected is, increased physical activity vs a sedentary lifestyle to lower BMI over the period of 6 months to improve obesity in children ages 6-12 years of age. Research has demonstrated that regular physical activity plays a key role in lowering BMI and addressing childhood obesity. In my practice, this intervention could be implemented by creating individualized physical activity plans for children, promoting age-appropriate exercises, and providing ongoing support to both the children and their families.

    2. Explain how the intervention supports the outcome and addresses your identified nursing clinical practice problem.

    The intervention of increasing physical activity directly supports the outcome of lower BMI over a 6-month period and reducing childhood obesity by targeting one of the key factors contributing to high BMI, which is lack of physical activity.

    3. What interprofessional team members would it be important to collaborate with? Explain

    As a registered nurse, it would be important to collaborate with several interprofessional team members. These would include pediatricians, dietitians, physical therapists, and social workers.

    This would include pediatricians due to the age of the group we are treating. Dietitians can help address the dietary needs and changes that are required in combination with the increased activity to achieve the goal of lowering BMI. Physical therapists are important to address any physical limitation the child may have and design a healthy physical activity plan that is age appropriate. The social worker can help the child and family connect with available resources in the community to improve the changes of compliance.

    **References:** Provide complete references for all citations.

    Bernhardsson, S., Boman, C., Lundqvist, S., Arvidsson, D., Börjesson, M., Larsson, M. E. H., Lundh, H., Melin, K., Nilsen, P., & Lauruschkus, K. (2022). Implementation of physical activity on prescription for children with obesity in paediatric health care (IMPA): protocol for a feasibility and evaluation study using quantitative and qualitative methods.
    _Pilot and Feasibility Studies_,
    _8_(1), 117–15.
    [https://doi.org/10.1186/s40814-022-01075-3](https://doi.org/10.1186/s40814-022-01075-3)

    Julian, V., Ring-Dimitriou, S., Wyszyńska, J., Mazur, A., Matlosz, P., Frelut, M. L., Erhardt, E., Vlachopapadopoulou, E., Forslund, A., Boyland, E., Weghuber, D., & Thivel, D. (2022). There Is a Clinical Need to Consider the Physical Activity: Sedentary Pattern in Children with Obesity – Position Paper of the European Childhood Obesity Group.
    _Annals of Nutrition and Metabolism_,
    _78_(4), 236–241.
    [https://doi.org/10.1159/000524570](https://doi.org/10.1159/000524570)

    © 2024. Chamberlain University LLC. All rights reserved.

    1

    1.29.24

    ## image1.png

    **week4assignment.docx**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/week4assignment-docx-10253051)

    **## attach3.doc**

    [removed]

    **## Dissemination_of_Change_Project_Template_powerpoint.pptx**

    Week 6 Assignment
    Dissemination of Change Project

    Directions

    Complete the Dissemination of Change Project template by building on your selected nursing clinical practice problem and the feedback from previous assignments throughout the course.

    Click the box to the right to add your name and date. Click on the next slide.

    Find and click the word Notes at the bottom right of your PowerPoint screen.

    In the notes section, on each slide, add speaker notes by answering each question with explanation and detail. Click [TYPE HERE] in the notes section. Remove the words [TYPE HERE] to add speaker notes.

    The information on the PowerPoint slides should highlight important information from the speaker notes to accompany a presentation. Click [TYPE HERE] on the PowerPoint slide, remove the words [TYPE HERE], and provide the key information for each section.

    Do not change the font size. Ensure your information fits on the slide.

    Correctly cite and reference at least three scholarly sources that help support the assignment. Sources should be no more than five years old unless they are historical references.

    Name:

    Date:

    1

    Discovery

    [TYPE HERE: Add key information from your speaker notes.]

    Speaker notes include the important information you will cover when delivering a presentation. Create speaker notes by writing a paragraph for the section below that addresses each question with explanation and detail. Click where it says [TYPE HERE] and remove the words [TYPE HERE] to add speaker notes.

    Discovery (See Week 2 assignment)

    Discuss your selected nursing clinical practice problem.

    [TYPE HERE]

    Discuss why this selected problem is the most important in your current or past practice area.

    [TYPE HERE]

    List your PICOT question.

    [TYPE HERE]

    2

    Summary

    [TYPE HERE: Add key information from your speaker notes.]

    Speaker notes include the important information you will cover when delivering a presentation. Create speaker notes by writing a paragraph for the section below that addresses each question with explanation and detail. Click where it says [TYPE HERE] and remove the words [TYPE HERE] to add speaker notes.

    Summary (See Week 2 assignment)

    Discuss the findings from the selected systematic review.

    [TYPE HERE]

    Discuss the findings from the selected quantitative research study.

    [TYPE HERE]

    Explain why the evidence is relevant to your selected nursing clinical practice problem.

    [TYPE HERE]

    3

    Translation

    [TYPE HERE: Add key information from your speaker notes.]

    Speaker notes include the important information you will cover when delivering a presentation. Create speaker notes by writing a paragraph for the section below that addresses each question with explanation and detail. Click where it says [TYPE HERE] and remove the words [TYPE HERE] to add speaker notes.

    Translation (See Week 4 assignment)

    Discuss the intervention that will be implemented to address the clinical nursing practice problem.

    [TYPE HERE]

    Discuss the setting where the change project will occur, including the organization’s current culture of change.

    [TYPE HERE]

    Discuss the interprofessional committee needed to plan the implementation of the intervention. Explain how each team member will be involved.

    [TYPE HERE]

    4

    Integration

    [TYPE HERE: Add key information from your speaker notes.]

    Speaker notes include the important information you will cover when delivering a presentation. Create speaker notes by writing a paragraph for the section below that addresses each question with explanation and detail. Click where it says [TYPE HERE] and remove the words [TYPE HERE] to add speaker notes.

    Integration (See Week 4 assignment)

    Discuss the key performance indicators that will be tracked to monitor the progress of the change project.

    [TYPE HERE]

    Explain the anticipated timeline for implementing the change project.

    [TYPE HERE]

    Discuss how you will use informatics or healthcare technologies to collect, aggregate, and analyze data.

    [TYPE HERE]

    5

    Evaluation

    [TYPE HERE: Add key information from your speaker notes.]

    Speaker notes include the important information you will cover when delivering a presentation. Create speaker notes by writing a paragraph for the section below that addresses each question with explanation and detail. Click where it says [TYPE HERE] and remove the words [TYPE HERE] to add speaker notes.

    Evaluation

    Discuss how you will ensure the privacy and security of the client’s data during the evaluation of the change project.

    [TYPE HERE]

    Explain how you will disseminate the outcomes of the change project.

    [TYPE HERE]

    Describe the next steps for the use of the change project information.

    [TYPE HERE]

    6

    References

    [TYPE HERE]

    [TYPE HERE]

    [TYPE HERE]

    7

    ## image1.png

    **## week2assignment.docx**

    ![](https://www.sweetstudy.com/questions/see-attached-3-20897515)

    ## Week 2 Assignment

    ## Evidence Summary

    Name:

    Date: 3/16/2025

    **Directions:** Identify a nursing clinical practice problem in your current or previous practice. Use this template to complete the Evidence Summary Assignment addressing your selected nursing clinical practice problem.

    Answer the questions under each section with explanation and detail.

    Correctly cite and reference information from scholarly sources that help support the discussion. Sources should be no more than five years old unless they are historical references.

    **Section 1: Discovery**

    1. Describe your selected nursing clinical practice problem. Explain your rationale for choosing this topic and summarize why this nursing clinical practice problem is the most important in your current or past practice area.

    I chose to focus on childhood obesity because, as a pediatric and adolescent psychiatric nurse, I frequently encounter this issue within the population I serve. Obesity significantly affects both the physical and mental health of children and adolescents. In our community, childhood obesity continues to be a growing and concerning problem that needs attention and intervention.

    2. Define each PICOT element.

    P- (Population): Children, ages 6-12 years old.

    I- (Intervention): Lifestyle change – Increased physical activity.

    C- (Comparison: Sedentary lifestyle / No increase in activity.

    O- (Outcome): Decrease in BMI.

    T- (Time frame in months): 6 months.

    3. Write out your PICOT question using the standard format below:

    In _____ (P), how does _____ (I) compared to _____ (C) affect _____ (O) within _____ (T)?

    _NOTE: In this standardized format, “affect” can be substituted with another verb, such as reduce, increase, or improve, to articulate the anticipated outcome more precisely._

    In children 6-12 years of age (P), how does increased physical activity (I) compared to a sedentary lifestyle (C) affect BMI (O) within 6 months (T)?

    4. Describe how you selected the population, intervention, outcome, and time frame.

    I selected the population based on my current career path and passion, as a nurse and mother. I based the intervention, outcome, and time frame on what was measurable, practical, and effective.

    **Section 2: Evidence Summary Systematic Review**

    Using only the Chamberlain University Library, locate one systematic review relevant to your chosen nursing clinical practice problem that supports the intervention and has been published within the past 5 years.

    1. Provide the complete APA reference to the evidence, including the permalink. State which database you found the evidence in.

    Julian, V., Ring-Dimitriou, S., Wyszyńska, J., Mazur, A., Matlosz, P., Frelut, M. L., Erhardt, E., Vlachopapadopoulou, E., Forslund, A., Boyland, E., Weghuber, D., & Thivel, D. (2022). There Is a Clinical Need to Consider the Physical Activity: Sedentary Pattern in Children with Obesity – Position Paper of the European Childhood Obesity Group.
    _Annals of Nutrition and Metabolism_,
    _78_(4), 236–241. https://doi.org/10.1159/000524570

    [https://chamberlain.primo.exlibrisgroup.com/permalink/01CUCON_INST/f6kb8f/cdi_karger_primary_524570](https://chamberlain.primo.exlibrisgroup.com/permalink/01CUCON_INST/f6kb8f/cdi_karger_primary_524570)

    2. Explain how the evidence is relevant to your selected nursing clinical practice problem and population.

    The evidence directly addresses the nursing problem I have chosen, as well as the specific population. It highlights the strong link between physical activity and childhood obesity. Additionally, the evidence is current and peer-reviewed, ensuring its credibility and relevance.

    3. Explain how the evidence is relevant to your selected intervention. What data from the article helps support the implementation of this intervention into practice?

    The article demonstrates that an increase in physical activity has a positive impact on BMI, highlighting a direct correlation between regular physical activity and improved weight management.

    **Section 3: Evidence Summary Peer-Reviewed Quantitative Research Study**

    Using only the Chamberlain University Library, locate one peer-reviewed quantitative research study relevant to your chosen nursing clinical practice problem that supports the intervention and has been published within the past 5 years.

    1. Provide the complete APA reference to the evidence, including the permalink. State which database you found the evidence in.

    Chamberlain University Library

    Bernhardsson, S., Boman, C., Lundqvist, S., Arvidsson, D., Börjesson, M., Larsson, M. E. H., Lundh, H., Melin, K., Nilsen, P., & Lauruschkus, K. (2022). Implementation of physical activity on prescription for children with obesity in paediatric health care (IMPA): protocol for a feasibility and evaluation study using quantitative and qualitative methods.
    _Pilot and Feasibility Studies_,
    _8_(1), 117–15. https://doi.org/10.1186/s40814-022-01075-3

    https://chamberlain.primo.exlibrisgroup.com/permalink/01CUCON_INST/f6kb8f/cdi_doaj_primary_oai_doaj_org_article_112b8864255f48cdbeea35e64b890918

    2. Explain how the evidence is relevant to your selected nursing practice problem and population.

    It is highly relevant to the nursing practice problem of addressing obesity in the pediatric population.

    4. Explain how the evidence is relevant to your selected intervention. What data from the article helps support the implementation of this intervention into practice?

    The study explores using physical activity on prescription (PAP) for children with obesity, which closely aligns with the need for effective strategies to help manage and reduce childhood obesity. My interventions are increased physical activity which directly aligns with the implemented intervention in this study of using PAP.

    **Section 4: Evidence-Based Interventions**

    1. Describe the selected evidence-based nursing intervention in detail. How do you believe this intervention could be implemented in your practice area?

    The evidence-based intervention I have selected is, increased physical activity vs a sedentary lifestyle to lower BMI over the period of 6 months to improve obesity in children ages 6-12 years of age. Research has demonstrated that regular physical activity plays a key role in lowering BMI and addressing childhood obesity. In my practice, this intervention could be implemented by creating individualized physical activity plans for children, promoting age-appropriate exercises, and providing ongoing support to both the children and their families.

    2. Explain how the intervention supports the outcome and addresses your identified nursing clinical practice problem.

    The intervention of increasing physical activity directly supports the outcome of lower BMI over a 6-month period and reducing childhood obesity by targeting one of the key factors contributing to high BMI, which is lack of physical activity.

    3. What interprofessional team members would it be important to collaborate with? Explain

    As a registered nurse, it would be important to collaborate with several interprofessional team members. These would include pediatricians, dietitians, physical therapists, and social workers.

    This would include pediatricians due to the age of the group we are treating. Dietitians can help address the dietary needs and changes that are required in combination with the increased activity to achieve the goal of lowering BMI. Physical therapists are important to address any physical limitation the child may have and design a healthy physical activity plan that is age appropriate. The social worker can help the child and family connect with available resources in the community to improve the changes of compliance.

    **References:** Provide complete references for all citations.

    Bernhardsson, S., Boman, C., Lundqvist, S., Arvidsson, D., Börjesson, M., Larsson, M. E. H., Lundh, H., Melin, K., Nilsen, P., & Lauruschkus, K. (2022). Implementation of physical activity on prescription for children with obesity in paediatric health care (IMPA): protocol for a feasibility and evaluation study using quantitative and qualitative methods.
    _Pilot and Feasibility Studies_,
    _8_(1), 117–15.
    [https://doi.org/10.1186/s40814-022-01075-3](https://doi.org/10.1186/s40814-022-01075-3)

    Julian, V., Ring-Dimitriou, S., Wyszyńska, J., Mazur, A., Matlosz, P., Frelut, M. L., Erhardt, E., Vlachopapadopoulou, E., Forslund, A., Boyland, E., Weghuber, D., & Thivel, D. (2022). There Is a Clinical Need to Consider the Physical Activity: Sedentary Pattern in Children with Obesity – Position Paper of the European Childhood Obesity Group.
    _Annals of Nutrition and Metabolism_,
    _78_(4), 236–241.
    [https://doi.org/10.1159/000524570](https://doi.org/10.1159/000524570)

    © 2024. Chamberlain University LLC. All rights reserved.

    1

    1.29.24

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