NSG 6101-Nursing Research Methods Week 1 Discussion
University:
SOUTH UNIVERSITY
NSG 6101-Nursing Research Methods Week 1 Discussion
Paper Instructions
Complete only the History, Physical Exam, and Assessment sections of the Aquifer virtual case Family Medicine 07 53-year-old male with leg swelling.
You are required to answer all the DISCUSSION QUESTIONS listed below in each domain.
DOMAIN HISTORY
- Identify two (2) additional questions that were not asked in the case study and should have been?
- Explain your rationale for asking these two additional questions.
- Describe what the two (2) additional questions might reveal about the patient’s health.
DOMAIN PHYSICAL EXAM
For each system examined in this case;
- Explain the reason the provider examined each system.
- Describe how the exam findings would be abnormal based on the information in this case. If it is a wellness visit, based on the patient’s age, describe what exam findings could be abnormal.
- Describe the normal findings for each system.
- Identify the various diagnostic instruments you would need to use to examine this patient.
DOMAIN ASSESSMENT (Medical Diagnosis)
Discuss the pathophysiology of the
- Diagnosis and,
- Each Differential Diagnosis
- If it is a Wellness, type ‘Not Applicable’
DOMAIN LABORATORY & DIAGNOSTIC TESTS
Discuss the following
- What labs should be ordered in the case?
- Discuss what lab results would be abnormal.
- Discuss what the abnormal lab values indicate.
- Discuss what diagnostic procedures you might want to order based on the medical diagnosis.
- If this is a wellness visit, discuss what the U.S. Preventive Taskforce recommends for patients in this age group
Submission Details
- Post your initial response to the Discussion Area by Day 3. Respond to at least two posts by the end of the week, Day 7. The week starts on Tuesday and ends on the following Monday.
- Your initial post is due on Day 3.
- Your two peer responses are due no later than Day 7. The expectation is that you reply to your peers on more than 2 days before the end of the week to receive full credit.
- Please make sure you are using scholarly references and they should not be older than 5 years. Your posts/references must be in APA format.
- Please follow the discussion rubric to make sure you have addressed the discussion criteria.
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Sample Answer
Nursing Research Methods
The selected problem of interest is opioids overdose during the covid19 period. The existing evidence shows that covid19 pandemic increased the use and abuse of opioids in different states across the United States of America. The rise was attributed to covid19 restrictions that limited the access to healthcare services for patients and the population in general. For example, regions such as San Franscisco were experiencing opioid epidemic before covid19 era.
The issue worsened during the covid19 period because of restrictions such as social distancing, curfews, and closure of recreational facilities for the population. The issue of opioid overdose during covid19 was selected because of its health impacts that include increased emergency department visits, accidental deaths, and opioid dependence among the populations.
The sources of evidence on opioid overdose during covid19 period were obtained from different databases. A literature search was performed on databases that included EMBASE, CINAHL, PubMed, and Google Scholar. The search was made through the university library. The search yielded articles that were analyzed on the issue of opioid overdose.
The results in the selected articles showed that opioid overdose increased significantly after the declaration of a state of emergency during the covid19 period. There was also a sharp rise in emergency department visits due to opioid overdose and suspected deaths at the scene during this period (Rodda et al., 2020; Slavova et al., 2020). The reviewed studies also show that opioid overdose disproportionately affected the populations.
The prevalence was high among individuals from ethnic minority groups with increased predisposition to worse outcomes (Ochalek et al., 2020; Soares et al., 2022). An innovative solution to the above problem is distributing naloxone to opioid abusers and those at risk of overdose.
Nurses and other healthcare providers should educate them about the signs of opioid overdose and taking naloxone to prevent accidental deaths (Collins et al., 2020). Practice guidelines on distributing naloxone would promote public health and safety.
References
- Collins, A. B., Ndoye, C. D., Arene-Morley, D., & Marshall, B. D. L. (2020). Addressing co-occurring public health emergencies The importance of naloxone distribution in the era of COVID-19. The International Journal on Drug Policy, 83, 102872. https //doi.org/10.1016/j.drugpo.2020.102872
- Ochalek, T. A., Cumpston, K. L., Wills, B. K., Gal, T. S., & Moeller, F. G. (2020). Nonfatal Opioid Overdoses at an Urban Emergency Department During the COVID-19 Pandemic. JAMA, 324(16), 1673–1674. https //doi.org/10.1001/jama.2020.17477
- Rodda, L. N., West, K. L., & LeSaint, K. T. (2020). Opioid Overdose–Related Emergency Department Visits and Accidental Deaths during the COVID-19 Pandemic. Journal of Urban Health, 97(6), 808–813. https //doi.org/10.1007/s11524-020-00486-y
- Slavova, S., Rock, P., Bush, H. M., Quesinberry, D., & Walsh, S. L. (2020). Signal of increased opioid overdose during COVID-19 from emergency medical services data. Drug and Alcohol Dependence, 214, 108176. https //doi.org/10.1016/j.drugalcdep.2020.108176
- Soares, W. E., Melnick, E. R., Nath, B., D’Onofrio, G., Paek, H., Skains, R. M., Walter, L. A., Casey, M. F., Napoli, A., Hoppe, J. A., & Jeffery, M. M. (2022). Emergency Department Visits for Nonfatal Opioid Overdose During the COVID-19 Pandemic Across Six US Health Care Systems. Annals of Emergency Medicine, 79(2), 158–167. https //doi.org/10.1016/j.annemergmed.2021.03.013
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