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  • [Solved] Applied Sciences Assignment

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    – ## Unit6Assignment_Headaches.docx **## Unit6Assignment_Headaches.docx** Management of Headaches #### **Instructions:** For each scenario, please provide the following: · Identify the type of headache · Write your specific prescription(s) for the patient. (This must include the medication name, d…

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    Assignment Prompt & Instructions

    – ## Unit6Assignment_Headaches.docx

    **## Unit6Assignment_Headaches.docx**

    Management of Headaches

    #### **Instructions:**

    For each scenario, please provide the following:

    · Identify the type of headache

    · Write your specific prescription(s) for the patient. (This must include the medication name, dose, route, and frequency as well as any special instructions that apply as you would include when writing a prescription).

    · Provide a rationale for your treatment plan.

    · Describe the patient education you would provide in relation to your treatment plan.

    · Support your plan and education for each scenario with a minimum of two scholarly references.

    #### **Scenario 1:**

    Ms. Jane Carter is a 28-year-old female who presents for evaluation of headaches. She is slightly pale and appears sensitive to the bright lights in the consultation room on exam. She reports “I’ve been getting these really bad headaches, and they are making it difficult to complete by work.”

    Ms. Carter reports  experiencing headaches intermittent since she was a teenager, but they are more frequent in the last six months. She is experiencing 4 to 5 headaches a month that are lasting from 24 to 48 hours each. The headaches are generally on the right side of her head and feel like a severe throbbing sensation which she rates as 8 out of 10 pain. She occasional has nausea and notices she is too sensitive to light and noise to continue to work. She states her visions seems odd and she will sometimes see zigzag lines in her vision for about 30 minutes before the headaches begin. She has tried Tylenol, ibuprofen and Excedrin over the counter without adequate relief. She is not currently taking any other medications.

    #### **Scenario 2:**

    Ms. Emily Parker is a 38-year-old female who presents for evaluation of recurring headaches. Ms. Parker appears alert but mildly fatigues and reports “I’ve been getting dull headaches almost every day which are very annoying.”

    Ms. Parker has a history of mild to moderate headaches for the past six months that occur on four to 5 days per week and typically last for three to four hours. She describes the headaches as bilateral and starting at the back of the head, radiating to the forehead. The headaches are a dull, pressing headache with a sensation of something tightening around her head that she rates as a 5 out of 10 pain. She has tried acetaminophen over the counter when they come on, but this doesn’t seem to help. She does usually feel better if she can rest in a quiet room for an hour, but her job does not always allow her to do this.

    #### **Scenario 3:**

    Mr. James Thompson is a 46-year-old male who presents for evaluation of headaches. He reports “I’ve been having chronic difficulty with headache, and they seem to be getting worse.”

    Mr. Thompson has a past medical history of hypertension and a myocardial infarction at the age of 29. He is currently taking losartan 50mg daily, verapamil SR 100mg daily, Carvedilol 25mg twice daily, Atorvastatin 40mg at bedtime and topiramate 50mg twice daily.

    Mr. Thompson reports a history of headaches past 20 years and a previous diagnosis of migraines. He is currently taking topiramate 50mg twice daily for headache prevention, but reports that in the last four months the headaches have increased in frequency to four to five headaches per month and he has been taking Excedrin migraine OTC without relief. The headaches are described as a painful throbbing and pressure over the left temple and he rates them at a 9 out of 10 pain. The headaches tend to last for 12 to 24 hours at a time. His neurologic exam in the office is normal today.

    #### **Scenario 4:**

    Mr. Michael Davis is a 41-year-old male who presents to the clinic for evaluation of severe headaches. Mr. Davis appears distressed and exhausted and he is pacing in the exam room and occasionally rubbing his right temple. He reports “I’ve been having these horrible headaches on and off for the past few weeks. The come out of nowhere and feel like someone is stabbing me in the eye.”

    Mr. Davis describes a two-week history of severe headaches occurring one to two times daily lasting for about 45 minutes to an hour each time. The headaches started up abruptly after a two-year headache-free period. He describes them as strictly unilateral, centering around his right eye and temple with excruciating, sharp, burning pain. They are severe and he rates them at 10 out of 10 pain. He also experiences some redness of the eye, watering of the eye and runny nose when the symptoms occur. Nothing seems to help when the headaches come on, though he’s tried Tylenol and ibuprofen. He has no other past medical history.

    **## Unit6Assignment_Headaches.docx**

    Management of Headaches

    #### **Instructions:**

    For each scenario, please provide the following:

    · Identify the type of headache

    · Write your specific prescription(s) for the patient. (This must include the medication name, dose, route, and frequency as well as any special instructions that apply as you would include when writing a prescription).

    · Provide a rationale for your treatment plan.

    · Describe the patient education you would provide in relation to your treatment plan.

    · Support your plan and education for each scenario with a minimum of two scholarly references.

    #### **Scenario 1:**

    Ms. Jane Carter is a 28-year-old female who presents for evaluation of headaches. She is slightly pale and appears sensitive to the bright lights in the consultation room on exam. She reports “I’ve been getting these really bad headaches, and they are making it difficult to complete by work.”

    Ms. Carter reports  experiencing headaches intermittent since she was a teenager, but they are more frequent in the last six months. She is experiencing 4 to 5 headaches a month that are lasting from 24 to 48 hours each. The headaches are generally on the right side of her head and feel like a severe throbbing sensation which she rates as 8 out of 10 pain. She occasional has nausea and notices she is too sensitive to light and noise to continue to work. She states her visions seems odd and she will sometimes see zigzag lines in her vision for about 30 minutes before the headaches begin. She has tried Tylenol, ibuprofen and Excedrin over the counter without adequate relief. She is not currently taking any other medications.

    #### **Scenario 2:**

    Ms. Emily Parker is a 38-year-old female who presents for evaluation of recurring headaches. Ms. Parker appears alert but mildly fatigues and reports “I’ve been getting dull headaches almost every day which are very annoying.”

    Ms. Parker has a history of mild to moderate headaches for the past six months that occur on four to 5 days per week and typically last for three to four hours. She describes the headaches as bilateral and starting at the back of the head, radiating to the forehead. The headaches are a dull, pressing headache with a sensation of something tightening around her head that she rates as a 5 out of 10 pain. She has tried acetaminophen over the counter when they come on, but this doesn’t seem to help. She does usually feel better if she can rest in a quiet room for an hour, but her job does not always allow her to do this.

    #### **Scenario 3:**

    Mr. James Thompson is a 46-year-old male who presents for evaluation of headaches. He reports “I’ve been having chronic difficulty with headache, and they seem to be getting worse.”

    Mr. Thompson has a past medical history of hypertension and a myocardial infarction at the age of 29. He is currently taking losartan 50mg daily, verapamil SR 100mg daily, Carvedilol 25mg twice daily, Atorvastatin 40mg at bedtime and topiramate 50mg twice daily.

    Mr. Thompson reports a history of headaches past 20 years and a previous diagnosis of migraines. He is currently taking topiramate 50mg twice daily for headache prevention, but reports that in the last four months the headaches have increased in frequency to four to five headaches per month and he has been taking Excedrin migraine OTC without relief. The headaches are described as a painful throbbing and pressure over the left temple and he rates them at a 9 out of 10 pain. The headaches tend to last for 12 to 24 hours at a time. His neurologic exam in the office is normal today.

    #### **Scenario 4:**

    Mr. Michael Davis is a 41-year-old male who presents to the clinic for evaluation of severe headaches. Mr. Davis appears distressed and exhausted and he is pacing in the exam room and occasionally rubbing his right temple. He reports “I’ve been having these horrible headaches on and off for the past few weeks. The come out of nowhere and feel like someone is stabbing me in the eye.”

    Mr. Davis describes a two-week history of severe headaches occurring one to two times daily lasting for about 45 minutes to an hour each time. The headaches started up abruptly after a two-year headache-free period. He describes them as strictly unilateral, centering around his right eye and temple with excruciating, sharp, burning pain. They are severe and he rates them at 10 out of 10 pain. He also experiences some redness of the eye, watering of the eye and runny nose when the symptoms occur. Nothing seems to help when the headaches come on, though he’s tried Tylenol and ibuprofen. He has no other past medical history.

  • [Solved] discussion

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    – ## unit6d.docx **## unit6d.docx** Peer Response Instructions: Review the plans posted by your peers from your advanced practice nursing role perspective (educator, leader or nurse practitioner). From this mindset, reflect upon a discussion you would like to have with your colleagues about their pl…

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    Assignment Prompt & Instructions

    – ## unit6d.docx

    **## unit6d.docx**

    Peer Response

    Instructions:

    Review the plans posted by your peers from your advanced practice nursing role perspective (educator, leader or nurse practitioner).  From this mindset, reflect upon a discussion you would like to have with your colleagues about their plan.

    · For example – if you are a nurse educator (clinical or academic) what are your thoughts about the patient education provided in the plan, or do you want to comment on or add to the education provided?

    · If you a nurse leader what are your thoughts about the risk profile or cost effectiveness of the plan.?

    · If you are a nurse practitioner did your peer develop a plan that aligns with evidence-based practice and current clinical guidelines? Etc.

    Please be sure to validate your opinions and ideas with citations and references in APA format.

    [**Kathrina Pioquinto**](https://herzing.instructure.com/courses/47762/users/92969)

    Ms. Johnson presents with
    Generalized Anxiety Disorder (F41.1). Her "racing mind" and visible distress during the visit immediately caught my attention. The constant fidgeting and avoidance of eye contact painted a clear picture of someone genuinely struggling with anxiety. Her symptom profile aligns perfectly with DSM-5-TR criteria: excessive worry worsening over twelve months, inability to control worrying thoughts, and classic physical manifestations including restlessness, fatigue despite 7-8 hours of sleep, concentration difficulties, and neck/shoulder tension (American Psychiatric Association, 2022). The sleep-fatigue paradox is particularly telling – adequate duration but poor quality suggests anxiety disrupting restorative sleep cycles.

    Treatment:

    Pharmacological Management: I recommend sertraline 25mg daily, increasing to 50mg after one week if tolerated. SSRIs represent first-line treatment for GAD with superior efficacy compared to older antidepressants. Sertraline offers excellent anxiety disorder outcomes with minimal drug interactions – crucial given her cetirizine use for allergies. Clinical trials demonstrate 60-75% response rates versus 40-60% for placebo, with improvement typically beginning within 4-6 weeks (Strawn et al., 2020).

    **Prescription:**

    · Sertraline 25mg PO daily

    · Quantity: 30 tablets, 2 refills

    · Instructions: Take with food, may increase to 50mg after one week

    Referral:

    Psychotherapy: Immediate CBT referral is essential. Research consistently shows combined medication and therapy provide superior long-term outcomes compared to either treatment alone (Carpenter et al., 2018). CBT will help her develop practical worry management techniques and interrupt catastrophic thinking patterns.

    Patient Education:

    Lifestyle Modifications: Regular exercise proves as effective as medication for some anxiety patients (Aylett et al., 2018). Given her muscle tension, yoga or swimming might provide dual benefits. Caffeine reduction deserves attention – that morning coffee could exacerbate racing thoughts.

    Medication Instruction: Sertraline requires 4-6 weeks for full therapeutic effect. Initial side effects like nausea typically resolve within two weeks. She must never discontinue abruptly and should contact us immediately if anxiety worsens significantly during the first month.

    Follow-up Plan

    · 2 weeks: Phone assessment for tolerance

    · 4-6 weeks: Comprehensive response evaluation

    · 3 months: Complete treatment review

    References:

    American Psychiatric Association. (2022).
    _Diagnostic and statistical manual of mental disorders (DSM-5-TR)_. Psychiatry.org; American Psychiatric Association.
    [https://www.psychiatry.org/psychiatrists/practice/dsmLinks to an external site.](https://www.psychiatry.org/psychiatrists/practice/dsm)

    Aylett, E., Small, N., & Bower, P. (2018). Exercise in the treatment of clinical anxiety in general practice – a systematic review and meta-analysis.
    _BMC Health Services Research_,
    _18_(1).
    [https://doi.org/10.1186/s12913-018-3313-5Links to an external site.](https://doi.org/10.1186/s12913-018-3313-5)

    Carpenter, J. K., Andrews, L. A., Witcraft, S. M., Powers, M. B., Smits, J. A. J., & Hofmann, S. G. (2018). Cognitive behavioral therapy for anxiety and related disorders: A meta-analysis of randomized placebo-controlled trials.
    _Depression and Anxiety_,
    _35_(6), 502–514.
    [https://doi.org/10.1002/da.22728Links to an external site.](https://doi.org/10.1002/da.22728)

    Gale, C., & Davidson, O. (2007). Generalised anxiety disorder.
    _BMJ_,
    _334_(7593), 579–581.
    [https://doi.org/10.1136/bmj.39133.559282.beLinks to an external site.](https://doi.org/10.1136/bmj.39133.559282.be)

    Strawn, J. R., Geracioti, L., Rajdev, N., Clemenza, K., & Levine, A. (2020). Pharmacotherapy for Generalized Anxiety Disorder in Adult and Pediatric patients: an evidence-based Treatment Review.
    _Expert Opinion on Pharmacotherapy_,
    _19_(10), 1057–1070.
    [https://doi.org/10.1080/14656566.2018.1491966Links to an external site.](https://doi.org/10.1080/14656566.2018.1491966)

    [**Hailey Votino**](https://herzing.instructure.com/courses/47762/users/94881)

    **Diagnosis** The most appropriate diagnosis for Ms. Clara Johnson is Generalized Anxiety Disorder (GAD), as defined by DSM-5 criteria. She presents with excessive, uncontrollable worry for over six months, accompanied by restlessness (fidgeting), muscle tension (neck and shoulder pain), fatigue, and impaired concentration, all without psychosis or other primary mood disorder features (First et al., 2022).

    **Management and Rationale** First-line pharmacologic therapy for GAD is a selective serotonin reuptake inhibitor (SSRI) or serotonin-norepinephrine reuptake inhibitor (SNRI) due to their efficacy and tolerability (Arcangelo & Peterson, 2021; DeGeorge et al., 2022). Escitalopram is an evidence-based option with a favorable side-effect profile and once-daily dosing, which may improve adherence.

    Non-pharmacologic treatment should be integrated, including referral for cognitive behavioral therapy (CBT), which is equally effective as pharmacotherapy and offers longer-lasting benefits (Borza., 2017).

    Rationale: SSRIs address the dysregulation of serotonergic pathways implicated in GAD, reducing somatic and cognitive symptoms over 4–6 weeks. Combining medication with CBT increases remission rates compared to either alone (DeGeorge et al., 2022).

    **Prescription**

    ·
    **Escitalopram (Lexapro) 10 mg tablet**

    · Instructions: Take one tablet (10 mg) by mouth once daily in the morning.

    · Dispense: 30 tablets

    · Refills: 1

    · Special Instructions: May start with 5 mg daily for the first week if patient is sensitive to medications, then increase to 10 mg daily. Advise taking at the same time each day.

    **Patient Education**

    1.
    **Expected Effects:** Symptom improvement may take 4–6 weeks; initial effects may be subtle.

    2.
    **Side Effects:** Possible nausea, headache, or sleep changes, often transient. Report worsening anxiety, agitation, or suicidal thoughts immediately.

    3.
    **Adherence:** Take daily as prescribed; do not abruptly stop medication to avoid withdrawal symptoms.

    4.
    **Lifestyle Support:** Incorporate relaxation techniques, regular physical activity, and good sleep hygiene to support recovery.

    5.
    **Interaction Precautions:** Avoid alcohol excess; inform provider before starting new medications or supplements.

    **Follow-Up and Referral**

    ·
    **Follow-up:** Schedule follow-up in 4 weeks to assess symptom response, side effects, and adherence.

    ·
    **Referral:** Refer to a licensed mental health provider for CBT.

    ·
    **Long-Term Monitoring:** If well tolerated and effective, continue for at least 12 months to reduce relapse risk, with periodic reassessment (Arcangelo & Peterson, 2021).

    **References**

    Arcangelo, V. P., & Peterson, A. M. (2021).
    _Pharmacotherapeutics for advanced practice: A practical approach_ (5th ed.). Wolters Kluwer.

    Borza, L. (2017). Cognitive-behavioral therapy for generalized anxiety.
    _Dialogues in Clinical Neuroscience_,
    _19_(2), 203–208.
    [https://doi.org/10.31887/dcns.2017.19.2/lborzaLinks to an external site.](https://doi.org/10.31887/dcns.2017.19.2/lborza)

    DeGeorge, K. C., Grover, M., & Streeter, G. S. (2022, August 15).
    _Generalized anxiety disorder and panic disorder in adults_. AAFP.
    [https://www.aafp.org/pubs/afp/issues/2022/0800/generalized-anxiety-disorder-panic-disorder.htmlLinks to an external site.](https://www.aafp.org/pubs/afp/issues/2022/0800/generalized-anxiety-disorder-panic-disorder.html)

    First, M. B., Yousif, L. H., Clarke, D. E., Wang, P. S., Gogtay, N., & Appelbaum, P. S. (2022). DSM‐5‐TR: overview of what’s new and what’s changed.
    _World Psychiatry_,
    _21_(2), 218–219.
    [https://doi.org/10.1002/wps.209​​Links to an external site.](https://doi.org/10.1002/wps.209%E2%80%8B%E2%80%8B)

    **## unit6d.docx**

    Peer Response

    Instructions:

    Review the plans posted by your peers from your advanced practice nursing role perspective (educator, leader or nurse practitioner).  From this mindset, reflect upon a discussion you would like to have with your colleagues about their plan.

    · For example – if you are a nurse educator (clinical or academic) what are your thoughts about the patient education provided in the plan, or do you want to comment on or add to the education provided?

    · If you a nurse leader what are your thoughts about the risk profile or cost effectiveness of the plan.?

    · If you are a nurse practitioner did your peer develop a plan that aligns with evidence-based practice and current clinical guidelines? Etc.

    Please be sure to validate your opinions and ideas with citations and references in APA format.

    [**Kathrina Pioquinto**](https://herzing.instructure.com/courses/47762/users/92969)

    Ms. Johnson presents with
    Generalized Anxiety Disorder (F41.1). Her "racing mind" and visible distress during the visit immediately caught my attention. The constant fidgeting and avoidance of eye contact painted a clear picture of someone genuinely struggling with anxiety. Her symptom profile aligns perfectly with DSM-5-TR criteria: excessive worry worsening over twelve months, inability to control worrying thoughts, and classic physical manifestations including restlessness, fatigue despite 7-8 hours of sleep, concentration difficulties, and neck/shoulder tension (American Psychiatric Association, 2022). The sleep-fatigue paradox is particularly telling – adequate duration but poor quality suggests anxiety disrupting restorative sleep cycles.

    Treatment:

    Pharmacological Management: I recommend sertraline 25mg daily, increasing to 50mg after one week if tolerated. SSRIs represent first-line treatment for GAD with superior efficacy compared to older antidepressants. Sertraline offers excellent anxiety disorder outcomes with minimal drug interactions – crucial given her cetirizine use for allergies. Clinical trials demonstrate 60-75% response rates versus 40-60% for placebo, with improvement typically beginning within 4-6 weeks (Strawn et al., 2020).

    **Prescription:**

    · Sertraline 25mg PO daily

    · Quantity: 30 tablets, 2 refills

    · Instructions: Take with food, may increase to 50mg after one week

    Referral:

    Psychotherapy: Immediate CBT referral is essential. Research consistently shows combined medication and therapy provide superior long-term outcomes compared to either treatment alone (Carpenter et al., 2018). CBT will help her develop practical worry management techniques and interrupt catastrophic thinking patterns.

    Patient Education:

    Lifestyle Modifications: Regular exercise proves as effective as medication for some anxiety patients (Aylett et al., 2018). Given her muscle tension, yoga or swimming might provide dual benefits. Caffeine reduction deserves attention – that morning coffee could exacerbate racing thoughts.

    Medication Instruction: Sertraline requires 4-6 weeks for full therapeutic effect. Initial side effects like nausea typically resolve within two weeks. She must never discontinue abruptly and should contact us immediately if anxiety worsens significantly during the first month.

    Follow-up Plan

    · 2 weeks: Phone assessment for tolerance

    · 4-6 weeks: Comprehensive response evaluation

    · 3 months: Complete treatment review

    References:

    American Psychiatric Association. (2022).
    _Diagnostic and statistical manual of mental disorders (DSM-5-TR)_. Psychiatry.org; American Psychiatric Association.
    [https://www.psychiatry.org/psychiatrists/practice/dsmLinks to an external site.](https://www.psychiatry.org/psychiatrists/practice/dsm)

    Aylett, E., Small, N., & Bower, P. (2018). Exercise in the treatment of clinical anxiety in general practice – a systematic review and meta-analysis.
    _BMC Health Services Research_,
    _18_(1).
    [https://doi.org/10.1186/s12913-018-3313-5Links to an external site.](https://doi.org/10.1186/s12913-018-3313-5)

    Carpenter, J. K., Andrews, L. A., Witcraft, S. M., Powers, M. B., Smits, J. A. J., & Hofmann, S. G. (2018). Cognitive behavioral therapy for anxiety and related disorders: A meta-analysis of randomized placebo-controlled trials.
    _Depression and Anxiety_,
    _35_(6), 502–514.
    [https://doi.org/10.1002/da.22728Links to an external site.](https://doi.org/10.1002/da.22728)

    Gale, C., & Davidson, O. (2007). Generalised anxiety disorder.
    _BMJ_,
    _334_(7593), 579–581.
    [https://doi.org/10.1136/bmj.39133.559282.beLinks to an external site.](https://doi.org/10.1136/bmj.39133.559282.be)

    Strawn, J. R., Geracioti, L., Rajdev, N., Clemenza, K., & Levine, A. (2020). Pharmacotherapy for Generalized Anxiety Disorder in Adult and Pediatric patients: an evidence-based Treatment Review.
    _Expert Opinion on Pharmacotherapy_,
    _19_(10), 1057–1070.
    [https://doi.org/10.1080/14656566.2018.1491966Links to an external site.](https://doi.org/10.1080/14656566.2018.1491966)

    [**Hailey Votino**](https://herzing.instructure.com/courses/47762/users/94881)

    **Diagnosis** The most appropriate diagnosis for Ms. Clara Johnson is Generalized Anxiety Disorder (GAD), as defined by DSM-5 criteria. She presents with excessive, uncontrollable worry for over six months, accompanied by restlessness (fidgeting), muscle tension (neck and shoulder pain), fatigue, and impaired concentration, all without psychosis or other primary mood disorder features (First et al., 2022).

    **Management and Rationale** First-line pharmacologic therapy for GAD is a selective serotonin reuptake inhibitor (SSRI) or serotonin-norepinephrine reuptake inhibitor (SNRI) due to their efficacy and tolerability (Arcangelo & Peterson, 2021; DeGeorge et al., 2022). Escitalopram is an evidence-based option with a favorable side-effect profile and once-daily dosing, which may improve adherence.

    Non-pharmacologic treatment should be integrated, including referral for cognitive behavioral therapy (CBT), which is equally effective as pharmacotherapy and offers longer-lasting benefits (Borza., 2017).

    Rationale: SSRIs address the dysregulation of serotonergic pathways implicated in GAD, reducing somatic and cognitive symptoms over 4–6 weeks. Combining medication with CBT increases remission rates compared to either alone (DeGeorge et al., 2022).

    **Prescription**

    ·
    **Escitalopram (Lexapro) 10 mg tablet**

    · Instructions: Take one tablet (10 mg) by mouth once daily in the morning.

    · Dispense: 30 tablets

    · Refills: 1

    · Special Instructions: May start with 5 mg daily for the first week if patient is sensitive to medications, then increase to 10 mg daily. Advise taking at the same time each day.

    **Patient Education**

    1.
    **Expected Effects:** Symptom improvement may take 4–6 weeks; initial effects may be subtle.

    2.
    **Side Effects:** Possible nausea, headache, or sleep changes, often transient. Report worsening anxiety, agitation, or suicidal thoughts immediately.

    3.
    **Adherence:** Take daily as prescribed; do not abruptly stop medication to avoid withdrawal symptoms.

    4.
    **Lifestyle Support:** Incorporate relaxation techniques, regular physical activity, and good sleep hygiene to support recovery.

    5.
    **Interaction Precautions:** Avoid alcohol excess; inform provider before starting new medications or supplements.

    **Follow-Up and Referral**

    ·
    **Follow-up:** Schedule follow-up in 4 weeks to assess symptom response, side effects, and adherence.

    ·
    **Referral:** Refer to a licensed mental health provider for CBT.

    ·
    **Long-Term Monitoring:** If well tolerated and effective, continue for at least 12 months to reduce relapse risk, with periodic reassessment (Arcangelo & Peterson, 2021).

    **References**

    Arcangelo, V. P., & Peterson, A. M. (2021).
    _Pharmacotherapeutics for advanced practice: A practical approach_ (5th ed.). Wolters Kluwer.

    Borza, L. (2017). Cognitive-behavioral therapy for generalized anxiety.
    _Dialogues in Clinical Neuroscience_,
    _19_(2), 203–208.
    [https://doi.org/10.31887/dcns.2017.19.2/lborzaLinks to an external site.](https://doi.org/10.31887/dcns.2017.19.2/lborza)

    DeGeorge, K. C., Grover, M., & Streeter, G. S. (2022, August 15).
    _Generalized anxiety disorder and panic disorder in adults_. AAFP.
    [https://www.aafp.org/pubs/afp/issues/2022/0800/generalized-anxiety-disorder-panic-disorder.htmlLinks to an external site.](https://www.aafp.org/pubs/afp/issues/2022/0800/generalized-anxiety-disorder-panic-disorder.html)

    First, M. B., Yousif, L. H., Clarke, D. E., Wang, P. S., Gogtay, N., & Appelbaum, P. S. (2022). DSM‐5‐TR: overview of what’s new and what’s changed.
    _World Psychiatry_,
    _21_(2), 218–219.
    [https://doi.org/10.1002/wps.209​​Links to an external site.](https://doi.org/10.1002/wps.209%E2%80%8B%E2%80%8B)

  • [Solved] Process Improvement Plan 7 pages

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    Develop a 7-page process improvement plan for a provided scenario or a business and process of your choice, using data to support your recommendations.

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    Assignment Prompt & Instructions

    Develop a 7-page process improvement plan for a provided scenario or a business and process of your choice, using data to support your recommendations.

  • [Solved] 10-1 Journal: Financial and Ethical Considerations in Sports Management

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    In this assignment, you will explore financial and ethical considerations in sports management while also reflecting on the financial future of the sports industry. Choose a specific setting, such as a high school, university, or professional sports team, and address the following **critical element…

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    Assignment Prompt & Instructions

    In this assignment, you will explore financial and ethical considerations in sports management while also reflecting on the financial future of the sports industry. Choose a specific setting, such as a high school, university, or professional sports team, and address the following **critical elements**:
    1. Identify the **sources of revenue** that could address budget challenges in your chosen setting.
    2. Propose a comprehensive **funding** strategy for your selected sports environment, taking into account ethical considerations, financial trends, and future industry impacts.
    3. Evaluate any potential **ethical concerns** that are associated with the different sources of revenue.
    4. Compare and contrast the varying **approaches** used to fund interscholastic sports, intercollegiate sports, and professional sports, discussing the financial and ethical differences.
    5. Discuss how **future trends** in the sport industry might influence your funding decisions in the future, considering the evolving landscape of sport finance.
    6. **Reflect** on how the course concepts related to financial and ethical considerations in sports management influenced your decisions throughout this assignment. How did the analyses of revenue sources, funding strategies, and ethical concerns shape your approach? Consider how your understanding has evolved based on the course outcomes.

  • [Solved] Demand Management Plan Seven Pages

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    Prepare a 7-page demand management plan, including a forecasting, inventory management, and scheduling analysis, as well as recommendations, for a provided scenario or a business of your choice.

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    Assignment Prompt & Instructions

    Prepare a 7-page demand management plan, including a forecasting, inventory management, and scheduling analysis, as well as recommendations, for a provided scenario or a business of your choice.

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    ## OPIOID PODCAST ## Assignment instructions: ## 1. Review 2 of the following podcasts (or a closely related topic at the same website) ## 2. Submit a summary of your thoughts in 3-4 sentences on each of the podcasts. – Summary should include brief professional thoughts about the topic. You can us…

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    ## OPIOID PODCAST
    ## Assignment instructions:
    ## 1. Review  2 of the following podcasts (or a closely related topic at the same website)
    ## 2. Submit a summary of your thoughts in 3-4 sentences on each of the podcasts.
    – Summary should include brief professional thoughts about the topic. You can use the following questions.
    – How do you see this topic impacting your practice?
    – How was this information helpful as an APRN to your learning on substance use disorders?
    ## You can listen to podcasts on either the [**Pri-Med website**Links to an external site.](https://www.pri-med.com/cme-ce-podcasts) or the [**Carlat Psychiatry Podcast website**Links to an external site.](https://www.thecarlatreport.com/blogs/2-the-carlat-psychiatry-podcast), and if there are other topics on these sites related to substance use disorder that you are interested in listening too, feel free. Just keep the topic related to substance use disorders from these two sites.

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    Reflection on IT class and its importance to

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    Reflection on IT class and its importance to

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    Hello, i need help with homework – ## NR452ARUAPaperTemplate8.2025_-Updated2025.docx – ## NR452ARUAPaperTemplate8.2025_-Updated15.docx – Capstone_RUA_Evidence_Based_Practice_Paper_Guidelines.pdf **## NR452ARUAPaperTemplate8.2025_-Updated2025.docx** 1 3 **RUA: Capstone Evidence-Based Paper**…

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    Hello, i need help with homework

    – ## NR452ARUAPaperTemplate8.2025_-Updated2025.docx

    – ## NR452ARUAPaperTemplate8.2025_-Updated15.docx

    – Capstone_RUA_Evidence_Based_Practice_Paper_Guidelines.pdf

    **## NR452ARUAPaperTemplate8.2025_-Updated2025.docx**

    1

    3

    **RUA: Capstone Evidence-Based Paper**

    (Your Name Here)

    Chamberlain University College of Nursing

    NR 452A: Capstone

    Instructor

    August 5, 2025

    **RUA: Capstone Evidence-Based Paper**

    The first section will be your introduction. Although the first paragraph after the paper title is the introduction, no heading labeled “Introduction” is used. A level one heading is required for each section. Offer a detailed description of the purpose statement for the paper. Why are you writing the paper (to discuss rationale for choosing the priority concept you chose). Introduce the concept and align it to one of the four (4) main categories of the NCLEX-RN® examination blueprint (see the assignment guidelines for the four categories that you can choose from).

    Provide a detailed description of the relationship between the category from the NCLEX-RN® examination blueprint and the priority concept (topic). This section should not exceed two (2) paragraphs. Remember that a paragraph is 3-5 sentences. Remember that this is a paper not a reflection, avoid writing in the first person.

    **Importance**

    In this section, discuss the primary importance of the priority concept (topic) to professional practice. Describe the importance of the priority concept (topic) to the health status of a patient population. Include two (2) potential negative effect(s) to professional practice if the priority concept (topic) is unresolved. Include two (2) potential negative effect(s) to the patient population if the priority concept (topic) is unresolved. Provide appropriate, adequate, and relevant scholarly support for this section (use the Chamberlain Library to locate scholarly sources, this should not be newspapers, books, or magazines, look for peer-reviewed journals). One scholarly source for this section will be acceptable (remember to cite all sources in APA format).

    **Healthcare Disparities, Inequalities, and Interventions**

    In this section discuss how health care disparities impact the topic. Consider looking at the healthypeople.gov website, under the social determinants of health section to read about disparities. Identify a healthcare resource to support evidence-based professional practice related to the priority concept (topic). Summarize potential priority concept (topic) healthcare disparities and inequalities related to diverse populations. Propose an evidence-based solution for the priority concept (topic) related to healthcare disparities. Identify an evidence-based practice intervention. Discuss patient education considerations related to the priority concept (topic). Provide appropriate, adequate, and relevant scholarly support for this section. One scholarly source for this section will be acceptable (remember to cite all sources in APA format).

    **Legal & Ethical Considerations and Intervention Challenges**

    Identify one (1) ethical and one (1) legal implication for addressing the priority concept (topic) in professional practice. Discuss one (1) strategy in prevention of an ethical dilemma related to the priority concept (topic) in professional practice. Discuss one (1) strategy in prevention of legal consequences related to the priority concept (topic) in professional practice. Identify one (1) anticipated challenge to the success of preventing the priority concept (topic) in professional practice. Identify one (1) anticipated challenge to the success of resolving the priority concept (topic) in professional practice. Provide appropriate, adequate, and relevant scholarly support for this section. One scholarly source for this section will be acceptable (remember to cite all sources in APA format).

    **Participants and Interdisciplinary Approach**

    Identify three (3) parties (identify two (2) members of a discipline outside of nursing) who will be involved in the implementation of the priority concept (topic) interventions. Discuss the role of these members in the intervention implementation for the priority concept (topic). Discuss the benefit of including the identified interdisciplinary members from disciplines outside nursing to promote evidence-based professional practice. Provide appropriate, adequate, and relevant scholarly support for this section. One scholarly source for this section will be acceptable (remember to cite all sources in APA format).

    **Quality Improvement**

    Provide at least one (1) benefit in patient outcomes from addressing the priority concept (topic) within the clinical environment. Provide at least one (1) benefit to the nursing profession that will result from addressing this priority concept (topic) in clinical professional practice. Discuss at least one (1) resource utilized to promote improved patient outcomes in the clinical environment. Discuss at least one (1) resource utilized to increase professional nurse knowledge promoting improved clinical professional practice. Provide appropriate, adequate, and relevant scholarly support for this section. One scholarly source for this section will be acceptable (remember to cite all sources in APA format).

    **Conclusion**

    Provide a thorough recap of the purpose to promote increased evidence-based professional practice knowledge related to the priority concept (topic) deficiency. Summarize resources identified to support improved evidence-based professional practice related to the priority concept (topic). Include a complete statement describing why addressing the priority concept (topic) matters for patient outcomes and evidence-based professional practice. This section should provide no new information and should be limited to 1-2 paragraphs. Your paper should be 4-6 pages total (not including the title page or reference page, do not exceed six pages).

    **Reference**

    Type your reference here using hanging indent and double line spacing (under “Paragraph” on the Home toolbar ribbon). See your
    _APA Manual_ and the resources in the APA section of Resources for reference formatting.

    **## NR452ARUAPaperTemplate8.2025_-Updated15.docx**

    1

    3

    **RUA: Capstone Evidence-Based Paper**

    (Your Name Here)

    Chamberlain University College of Nursing

    NR 452A: Capstone

    Instructor

    August 5, 2025

    **RUA: Capstone Evidence-Based Paper**

    Type 2 Diabetes Mellitus (T2DM) is a chronic metabolic disorder characterized by elevated blood glucose levels due to insulin resistance and impaired insulin secretion. The purpose of this paper is to explore T2DM as a priority concept in nursing practice, with an emphasis on evidence-based interventions to improve patient outcomes and reduce complications. This condition aligns with the NCLEX-RN® examination blueprint category of 'Preservation of the Patient Population’s Physiological Integrity,' which focuses on supporting essential functions and preventing deterioration of health status.

    This alignment is significant because T2DM affects multiple organ systems and requires ongoing clinical management to prevent complications such as cardiovascular disease, neuropathy, nephropathy, and retinopathy. The nurse’s role includes assessment, patient education, monitoring treatment adherence, and coordinating care with an interdisciplinary team. By addressing this priority concept, nurses promote physiological stability and enhance patient safety through timely interventions and personalized care plans.

    **Importance**

    The management of T2DM is vital to professional nursing practice due to its high prevalence and potential for serious complications. Nurses are often on the front lines of patient care, monitoring blood glucose, providing lifestyle education, and ensuring treatment adherence. For the patient population, effective T2DM management reduces the risk of long-term complications, lowers hospital readmissions, and improves quality of life.

    If unresolved, T2DM management issues can negatively impact professional practice by increasing nurse workload through repeated hospitalizations and diminishing trust in healthcare services. For patients, unmanaged diabetes can lead to irreversible organ damage and increased healthcare costs. Evidence shows that structured diabetes education and regular monitoring improve glycemic control and significantly reduce the incidence of complications.

    **Healthcare Disparities, Inequalities, and Interventions**

    Healthcare disparities significantly affect T2DM outcomes, especially among racial and ethnic minorities, low-income individuals, and rural populations. According to Healthy People 2030, social determinants of health such as access to care, socioeconomic status, and health literacy directly influence diabetes management success. Minority populations often face barriers such as limited access to culturally appropriate education and nutrition resources.

    One evidence-based resource to address these disparities is the American Diabetes Association’s Diabetes Self-Management Education and Support (DSMES) program, which provides tailored education to diverse populations. Implementing culturally sensitive interventions, such as bilingual education materials and community-based support groups, can improve adherence to treatment. Patient education must address diet, physical activity, and medication compliance in ways that respect cultural preferences and socioeconomic limitations.

    **Legal & Ethical Considerations and Intervention Challenges**

    One ethical implication in managing T2DM is respecting patient autonomy while promoting optimal health outcomes. Patients have the right to make informed decisions, even if they decline recommended treatments. A legal consideration involves ensuring accurate documentation and adherence to standards of care to avoid liability.

    A strategy to prevent ethical dilemmas includes engaging patients in shared decision-making and providing comprehensive education about treatment benefits and risks. To prevent legal consequences, nurses should follow evidence-based guidelines and maintain thorough records of all patient interactions. Anticipated challenges in prevention include patient non-adherence and healthcare system limitations, while challenges in resolution involve addressing advanced disease complications that could have been avoided with earlier intervention.

    **Participants and Interdisciplinary Approach**

    Effective T2DM management involves collaboration between nurses, primary care physicians, and dietitians. Nurses monitor glucose levels, provide education, and coordinate care. Physicians oversee diagnosis, prescribe medications, and adjust treatment plans as needed. Dietitians develop individualized nutrition plans to support glycemic control. Including these interdisciplinary members ensures comprehensive care that addresses medical, nutritional, and educational needs. Research supports that interdisciplinary diabetes care improves patient outcomes, enhances self-management, and reduces complication rates

    **Quality Improvement**

    Addressing T2DM in clinical practice improves patient outcomes by reducing hospitalization rates and preventing serious complications. For the nursing profession, it reinforces evidence-based practice and supports ongoing professional development. Electronic health record (EHR) tools allow for efficient tracking of patient progress and prompt adjustments to care plans. Professional knowledge can be enhanced through continuing education programs focused on diabetes care, ensuring that nurses remain current on best practices and treatment advances.

    **Conclusion**

    In summary, T2DM is a critical priority concept in nursing practice due to its widespread impact on patient health and potential for severe complications. Addressing this condition through evidence-based interventions, patient education, and interdisciplinary collaboration enhances patient safety, preserves physiological integrity, and improves quality of life. Resources such as DSMES programs, EHR monitoring tools, and clinical guidelines support nurses in delivering high-quality care. Prioritizing T2DM management is essential for achieving better patient outcomes and strengthening professional nursing practice.

    **Reference**

    American Diabetes Association. (2023). Standards of medical care in diabetes—2023. Diabetes Care, 46(Suppl. 1), S1–S232. https://doi.org/10.2337/dc23-S001

    Hill-Briggs, F., Adler, N., Berkowitz, S., Chin, M., Gary-Webb, T., Navas-Acien, A., & Haire-Joshu, D. (2022). Social determinants of health and diabetes: A scientific review. Diabetes Care, 45(2), 123–142. https://doi.org/10.2337/dc21-1234

    Edelman, S. V., & Polonsky, W. H. (2021). Interdisciplinary approaches to diabetes care. Journal of Diabetes Research, 2021, 1–10. https://doi.org/10.1155/2021/1234567

    **Capstone_RUA_Evidence_Based_Practice_Paper_Guidelines.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/capstone-rua-evidence-based-practice-paper-guidelines-pdf)

    **Capstone_RUA_Evidence_Based_Practice_Paper_Guidelines.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/capstone-rua-evidence-based-practice-paper-guidelines-pdf)

    **## NR452ARUAPaperTemplate8.2025_-Updated2025.docx**

    1

    3

    **RUA: Capstone Evidence-Based Paper**

    (Your Name Here)

    Chamberlain University College of Nursing

    NR 452A: Capstone

    Instructor

    August 5, 2025

    **RUA: Capstone Evidence-Based Paper**

    The first section will be your introduction. Although the first paragraph after the paper title is the introduction, no heading labeled “Introduction” is used. A level one heading is required for each section. Offer a detailed description of the purpose statement for the paper. Why are you writing the paper (to discuss rationale for choosing the priority concept you chose). Introduce the concept and align it to one of the four (4) main categories of the NCLEX-RN® examination blueprint (see the assignment guidelines for the four categories that you can choose from).

    Provide a detailed description of the relationship between the category from the NCLEX-RN® examination blueprint and the priority concept (topic). This section should not exceed two (2) paragraphs. Remember that a paragraph is 3-5 sentences. Remember that this is a paper not a reflection, avoid writing in the first person.

    **Importance**

    In this section, discuss the primary importance of the priority concept (topic) to professional practice. Describe the importance of the priority concept (topic) to the health status of a patient population. Include two (2) potential negative effect(s) to professional practice if the priority concept (topic) is unresolved. Include two (2) potential negative effect(s) to the patient population if the priority concept (topic) is unresolved. Provide appropriate, adequate, and relevant scholarly support for this section (use the Chamberlain Library to locate scholarly sources, this should not be newspapers, books, or magazines, look for peer-reviewed journals). One scholarly source for this section will be acceptable (remember to cite all sources in APA format).

    **Healthcare Disparities, Inequalities, and Interventions**

    In this section discuss how health care disparities impact the topic. Consider looking at the healthypeople.gov website, under the social determinants of health section to read about disparities. Identify a healthcare resource to support evidence-based professional practice related to the priority concept (topic). Summarize potential priority concept (topic) healthcare disparities and inequalities related to diverse populations. Propose an evidence-based solution for the priority concept (topic) related to healthcare disparities. Identify an evidence-based practice intervention. Discuss patient education considerations related to the priority concept (topic). Provide appropriate, adequate, and relevant scholarly support for this section. One scholarly source for this section will be acceptable (remember to cite all sources in APA format).

    **Legal & Ethical Considerations and Intervention Challenges**

    Identify one (1) ethical and one (1) legal implication for addressing the priority concept (topic) in professional practice. Discuss one (1) strategy in prevention of an ethical dilemma related to the priority concept (topic) in professional practice. Discuss one (1) strategy in prevention of legal consequences related to the priority concept (topic) in professional practice. Identify one (1) anticipated challenge to the success of preventing the priority concept (topic) in professional practice. Identify one (1) anticipated challenge to the success of resolving the priority concept (topic) in professional practice. Provide appropriate, adequate, and relevant scholarly support for this section. One scholarly source for this section will be acceptable (remember to cite all sources in APA format).

    **Participants and Interdisciplinary Approach**

    Identify three (3) parties (identify two (2) members of a discipline outside of nursing) who will be involved in the implementation of the priority concept (topic) interventions. Discuss the role of these members in the intervention implementation for the priority concept (topic). Discuss the benefit of including the identified interdisciplinary members from disciplines outside nursing to promote evidence-based professional practice. Provide appropriate, adequate, and relevant scholarly support for this section. One scholarly source for this section will be acceptable (remember to cite all sources in APA format).

    **Quality Improvement**

    Provide at least one (1) benefit in patient outcomes from addressing the priority concept (topic) within the clinical environment. Provide at least one (1) benefit to the nursing profession that will result from addressing this priority concept (topic) in clinical professional practice. Discuss at least one (1) resource utilized to promote improved patient outcomes in the clinical environment. Discuss at least one (1) resource utilized to increase professional nurse knowledge promoting improved clinical professional practice. Provide appropriate, adequate, and relevant scholarly support for this section. One scholarly source for this section will be acceptable (remember to cite all sources in APA format).

    **Conclusion**

    Provide a thorough recap of the purpose to promote increased evidence-based professional practice knowledge related to the priority concept (topic) deficiency. Summarize resources identified to support improved evidence-based professional practice related to the priority concept (topic). Include a complete statement describing why addressing the priority concept (topic) matters for patient outcomes and evidence-based professional practice. This section should provide no new information and should be limited to 1-2 paragraphs. Your paper should be 4-6 pages total (not including the title page or reference page, do not exceed six pages).

    **Reference**

    Type your reference here using hanging indent and double line spacing (under “Paragraph” on the Home toolbar ribbon). See your
    _APA Manual_ and the resources in the APA section of Resources for reference formatting.

    **## NR452ARUAPaperTemplate8.2025_-Updated15.docx**

    1

    3

    **RUA: Capstone Evidence-Based Paper**

    (Your Name Here)

    Chamberlain University College of Nursing

    NR 452A: Capstone

    Instructor

    August 5, 2025

    **RUA: Capstone Evidence-Based Paper**

    Type 2 Diabetes Mellitus (T2DM) is a chronic metabolic disorder characterized by elevated blood glucose levels due to insulin resistance and impaired insulin secretion. The purpose of this paper is to explore T2DM as a priority concept in nursing practice, with an emphasis on evidence-based interventions to improve patient outcomes and reduce complications. This condition aligns with the NCLEX-RN® examination blueprint category of 'Preservation of the Patient Population’s Physiological Integrity,' which focuses on supporting essential functions and preventing deterioration of health status.

    This alignment is significant because T2DM affects multiple organ systems and requires ongoing clinical management to prevent complications such as cardiovascular disease, neuropathy, nephropathy, and retinopathy. The nurse’s role includes assessment, patient education, monitoring treatment adherence, and coordinating care with an interdisciplinary team. By addressing this priority concept, nurses promote physiological stability and enhance patient safety through timely interventions and personalized care plans.

    **Importance**

    The management of T2DM is vital to professional nursing practice due to its high prevalence and potential for serious complications. Nurses are often on the front lines of patient care, monitoring blood glucose, providing lifestyle education, and ensuring treatment adherence. For the patient population, effective T2DM management reduces the risk of long-term complications, lowers hospital readmissions, and improves quality of life.

    If unresolved, T2DM management issues can negatively impact professional practice by increasing nurse workload through repeated hospitalizations and diminishing trust in healthcare services. For patients, unmanaged diabetes can lead to irreversible organ damage and increased healthcare costs. Evidence shows that structured diabetes education and regular monitoring improve glycemic control and significantly reduce the incidence of complications.

    **Healthcare Disparities, Inequalities, and Interventions**

    Healthcare disparities significantly affect T2DM outcomes, especially among racial and ethnic minorities, low-income individuals, and rural populations. According to Healthy People 2030, social determinants of health such as access to care, socioeconomic status, and health literacy directly influence diabetes management success. Minority populations often face barriers such as limited access to culturally appropriate education and nutrition resources.

    One evidence-based resource to address these disparities is the American Diabetes Association’s Diabetes Self-Management Education and Support (DSMES) program, which provides tailored education to diverse populations. Implementing culturally sensitive interventions, such as bilingual education materials and community-based support groups, can improve adherence to treatment. Patient education must address diet, physical activity, and medication compliance in ways that respect cultural preferences and socioeconomic limitations.

    **Legal & Ethical Considerations and Intervention Challenges**

    One ethical implication in managing T2DM is respecting patient autonomy while promoting optimal health outcomes. Patients have the right to make informed decisions, even if they decline recommended treatments. A legal consideration involves ensuring accurate documentation and adherence to standards of care to avoid liability.

    A strategy to prevent ethical dilemmas includes engaging patients in shared decision-making and providing comprehensive education about treatment benefits and risks. To prevent legal consequences, nurses should follow evidence-based guidelines and maintain thorough records of all patient interactions. Anticipated challenges in prevention include patient non-adherence and healthcare system limitations, while challenges in resolution involve addressing advanced disease complications that could have been avoided with earlier intervention.

    **Participants and Interdisciplinary Approach**

    Effective T2DM management involves collaboration between nurses, primary care physicians, and dietitians. Nurses monitor glucose levels, provide education, and coordinate care. Physicians oversee diagnosis, prescribe medications, and adjust treatment plans as needed. Dietitians develop individualized nutrition plans to support glycemic control. Including these interdisciplinary members ensures comprehensive care that addresses medical, nutritional, and educational needs. Research supports that interdisciplinary diabetes care improves patient outcomes, enhances self-management, and reduces complication rates

    **Quality Improvement**

    Addressing T2DM in clinical practice improves patient outcomes by reducing hospitalization rates and preventing serious complications. For the nursing profession, it reinforces evidence-based practice and supports ongoing professional development. Electronic health record (EHR) tools allow for efficient tracking of patient progress and prompt adjustments to care plans. Professional knowledge can be enhanced through continuing education programs focused on diabetes care, ensuring that nurses remain current on best practices and treatment advances.

    **Conclusion**

    In summary, T2DM is a critical priority concept in nursing practice due to its widespread impact on patient health and potential for severe complications. Addressing this condition through evidence-based interventions, patient education, and interdisciplinary collaboration enhances patient safety, preserves physiological integrity, and improves quality of life. Resources such as DSMES programs, EHR monitoring tools, and clinical guidelines support nurses in delivering high-quality care. Prioritizing T2DM management is essential for achieving better patient outcomes and strengthening professional nursing practice.

    **Reference**

    American Diabetes Association. (2023). Standards of medical care in diabetes—2023. Diabetes Care, 46(Suppl. 1), S1–S232. https://doi.org/10.2337/dc23-S001

    Hill-Briggs, F., Adler, N., Berkowitz, S., Chin, M., Gary-Webb, T., Navas-Acien, A., & Haire-Joshu, D. (2022). Social determinants of health and diabetes: A scientific review. Diabetes Care, 45(2), 123–142. https://doi.org/10.2337/dc21-1234

    Edelman, S. V., & Polonsky, W. H. (2021). Interdisciplinary approaches to diabetes care. Journal of Diabetes Research, 2021, 1–10. https://doi.org/10.1155/2021/1234567

    **Capstone_RUA_Evidence_Based_Practice_Paper_Guidelines.pdf**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/capstone-rua-evidence-based-practice-paper-guidelines-pdf)

    **## NR452ARUAPaperTemplate8.2025_-Updated2025.docx**

    1

    3

    **RUA: Capstone Evidence-Based Paper**

    (Your Name Here)

    Chamberlain University College of Nursing

    NR 452A: Capstone

    Instructor

    August 5, 2025

    **RUA: Capstone Evidence-Based Paper**

    The first section will be your introduction. Although the first paragraph after the paper title is the introduction, no heading labeled “Introduction” is used. A level one heading is required for each section. Offer a detailed description of the purpose statement for the paper. Why are you writing the paper (to discuss rationale for choosing the priority concept you chose). Introduce the concept and align it to one of the four (4) main categories of the NCLEX-RN® examination blueprint (see the assignment guidelines for the four categories that you can choose from).

    Provide a detailed description of the relationship between the category from the NCLEX-RN® examination blueprint and the priority concept (topic). This section should not exceed two (2) paragraphs. Remember that a paragraph is 3-5 sentences. Remember that this is a paper not a reflection, avoid writing in the first person.

    **Importance**

    In this section, discuss the primary importance of the priority concept (topic) to professional practice. Describe the importance of the priority concept (topic) to the health status of a patient population. Include two (2) potential negative effect(s) to professional practice if the priority concept (topic) is unresolved. Include two (2) potential negative effect(s) to the patient population if the priority concept (topic) is unresolved. Provide appropriate, adequate, and relevant scholarly support for this section (use the Chamberlain Library to locate scholarly sources, this should not be newspapers, books, or magazines, look for peer-reviewed journals). One scholarly source for this section will be acceptable (remember to cite all sources in APA format).

    **Healthcare Disparities, Inequalities, and Interventions**

    In this section discuss how health care disparities impact the topic. Consider looking at the healthypeople.gov website, under the social determinants of health section to read about disparities. Identify a healthcare resource to support evidence-based professional practice related to the priority concept (topic). Summarize potential priority concept (topic) healthcare disparities and inequalities related to diverse populations. Propose an evidence-based solution for the priority concept (topic) related to healthcare disparities. Identify an evidence-based practice intervention. Discuss patient education considerations related to the priority concept (topic). Provide appropriate, adequate, and relevant scholarly support for this section. One scholarly source for this section will be acceptable (remember to cite all sources in APA format).

    **Legal & Ethical Considerations and Intervention Challenges**

    Identify one (1) ethical and one (1) legal implication for addressing the priority concept (topic) in professional practice. Discuss one (1) strategy in prevention of an ethical dilemma related to the priority concept (topic) in professional practice. Discuss one (1) strategy in prevention of legal consequences related to the priority concept (topic) in professional practice. Identify one (1) anticipated challenge to the success of preventing the priority concept (topic) in professional practice. Identify one (1) anticipated challenge to the success of resolving the priority concept (topic) in professional practice. Provide appropriate, adequate, and relevant scholarly support for this section. One scholarly source for this section will be acceptable (remember to cite all sources in APA format).

    **Participants and Interdisciplinary Approach**

    Identify three (3) parties (identify two (2) members of a discipline outside of nursing) who will be involved in the implementation of the priority concept (topic) interventions. Discuss the role of these members in the intervention implementation for the priority concept (topic). Discuss the benefit of including the identified interdisciplinary members from disciplines outside nursing to promote evidence-based professional practice. Provide appropriate, adequate, and relevant scholarly support for this section. One scholarly source for this section will be acceptable (remember to cite all sources in APA format).

    **Quality Improvement**

    Provide at least one (1) benefit in patient outcomes from addressing the priority concept (topic) within the clinical environment. Provide at least one (1) benefit to the nursing profession that will result from addressing this priority concept (topic) in clinical professional practice. Discuss at least one (1) resource utilized to promote improved patient outcomes in the clinical environment. Discuss at least one (1) resource utilized to increase professional nurse knowledge promoting improved clinical professional practice. Provide appropriate, adequate, and relevant scholarly support for this section. One scholarly source for this section will be acceptable (remember to cite all sources in APA format).

    **Conclusion**

    Provide a thorough recap of the purpose to promote increased evidence-based professional practice knowledge related to the priority concept (topic) deficiency. Summarize resources identified to support improved evidence-based professional practice related to the priority concept (topic). Include a complete statement describing why addressing the priority concept (topic) matters for patient outcomes and evidence-based professional practice. This section should provide no new information and should be limited to 1-2 paragraphs. Your paper should be 4-6 pages total (not including the title page or reference page, do not exceed six pages).

    **Reference**

    Type your reference here using hanging indent and double line spacing (under “Paragraph” on the Home toolbar ribbon). See your
    _APA Manual_ and the resources in the APA section of Resources for reference formatting.

    **## NR452ARUAPaperTemplate8.2025_-Updated15.docx**

    1

    3

    **RUA: Capstone Evidence-Based Paper**

    (Your Name Here)

    Chamberlain University College of Nursing

    NR 452A: Capstone

    Instructor

    August 5, 2025

    **RUA: Capstone Evidence-Based Paper**

    Type 2 Diabetes Mellitus (T2DM) is a chronic metabolic disorder characterized by elevated blood glucose levels due to insulin resistance and impaired insulin secretion. The purpose of this paper is to explore T2DM as a priority concept in nursing practice, with an emphasis on evidence-based interventions to improve patient outcomes and reduce complications. This condition aligns with the NCLEX-RN® examination blueprint category of 'Preservation of the Patient Population’s Physiological Integrity,' which focuses on supporting essential functions and preventing deterioration of health status.

    This alignment is significant because T2DM affects multiple organ systems and requires ongoing clinical management to prevent complications such as cardiovascular disease, neuropathy, nephropathy, and retinopathy. The nurse’s role includes assessment, patient education, monitoring treatment adherence, and coordinating care with an interdisciplinary team. By addressing this priority concept, nurses promote physiological stability and enhance patient safety through timely interventions and personalized care plans.

    **Importance**

    The management of T2DM is vital to professional nursing practice due to its high prevalence and potential for serious complications. Nurses are often on the front lines of patient care, monitoring blood glucose, providing lifestyle education, and ensuring treatment adherence. For the patient population, effective T2DM management reduces the risk of long-term complications, lowers hospital readmissions, and improves quality of life.

    If unresolved, T2DM management issues can negatively impact professional practice by increasing nurse workload through repeated hospitalizations and diminishing trust in healthcare services. For patients, unmanaged diabetes can lead to irreversible organ damage and increased healthcare costs. Evidence shows that structured diabetes education and regular monitoring improve glycemic control and significantly reduce the incidence of complications.

    **Healthcare Disparities, Inequalities, and Interventions**

    Healthcare disparities significantly affect T2DM outcomes, especially among racial and ethnic minorities, low-income individuals, and rural populations. According to Healthy People 2030, social determinants of health such as access to care, socioeconomic status, and health literacy directly influence diabetes management success. Minority populations often face barriers such as limited access to culturally appropriate education and nutrition resources.

    One evidence-based resource to address these disparities is the American Diabetes Association’s Diabetes Self-Management Education and Support (DSMES) program, which provides tailored education to diverse populations. Implementing culturally sensitive interventions, such as bilingual education materials and community-based support groups, can improve adherence to treatment. Patient education must address diet, physical activity, and medication compliance in ways that respect cultural preferences and socioeconomic limitations.

    **Legal & Ethical Considerations and Intervention Challenges**

    One ethical implication in managing T2DM is respecting patient autonomy while promoting optimal health outcomes. Patients have the right to make informed decisions, even if they decline recommended treatments. A legal consideration involves ensuring accurate documentation and adherence to standards of care to avoid liability.

    A strategy to prevent ethical dilemmas includes engaging patients in shared decision-making and providing comprehensive education about treatment benefits and risks. To prevent legal consequences, nurses should follow evidence-based guidelines and maintain thorough records of all patient interactions. Anticipated challenges in prevention include patient non-adherence and healthcare system limitations, while challenges in resolution involve addressing advanced disease complications that could have been avoided with earlier intervention.

    **Participants and Interdisciplinary Approach**

    Effective T2DM management involves collaboration between nurses, primary care physicians, and dietitians. Nurses monitor glucose levels, provide education, and coordinate care. Physicians oversee diagnosis, prescribe medications, and adjust treatment plans as needed. Dietitians develop individualized nutrition plans to support glycemic control. Including these interdisciplinary members ensures comprehensive care that addresses medical, nutritional, and educational needs. Research supports that interdisciplinary diabetes care improves patient outcomes, enhances self-management, and reduces complication rates

    **Quality Improvement**

    Addressing T2DM in clinical practice improves patient outcomes by reducing hospitalization rates and preventing serious complications. For the nursing profession, it reinforces evidence-based practice and supports ongoing professional development. Electronic health record (EHR) tools allow for efficient tracking of patient progress and prompt adjustments to care plans. Professional knowledge can be enhanced through continuing education programs focused on diabetes care, ensuring that nurses remain current on best practices and treatment advances.

    **Conclusion**

    In summary, T2DM is a critical priority concept in nursing practice due to its widespread impact on patient health and potential for severe complications. Addressing this condition through evidence-based interventions, patient education, and interdisciplinary collaboration enhances patient safety, preserves physiological integrity, and improves quality of life. Resources such as DSMES programs, EHR monitoring tools, and clinical guidelines support nurses in delivering high-quality care. Prioritizing T2DM management is essential for achieving better patient outcomes and strengthening professional nursing practice.

    **Reference**

    American Diabetes Association. (2023). Standards of medical care in diabetes—2023. Diabetes Care, 46(Suppl. 1), S1–S232. https://doi.org/10.2337/dc23-S001

    Hill-Briggs, F., Adler, N., Berkowitz, S., Chin, M., Gary-Webb, T., Navas-Acien, A., & Haire-Joshu, D. (2022). Social determinants of health and diabetes: A scientific review. Diabetes Care, 45(2), 123–142. https://doi.org/10.2337/dc21-1234

    Edelman, S. V., & Polonsky, W. H. (2021). Interdisciplinary approaches to diabetes care. Journal of Diabetes Research, 2021, 1–10. https://doi.org/10.1155/2021/1234567

    **Capstone_RUA_Evidence_Based_Practice_Paper_Guidelines.pdf**

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  • [Solved] Wk 6 – Prospectus: Problem and Purpose Statements DOC/714S

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    **Visit** [CDS Central](https://multimedia.phoenix.edu/doctoral-studies/) and: – Download the College of Doctoral Studies Dissertation Guide and Alignment Handbook located in the “Tools for Success” section. – Read pp. 44–46, “Doctoral Phase I: The Prospectus.” **Review** the [Prospectus Guide](http…

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    **Visit** [CDS Central](https://multimedia.phoenix.edu/doctoral-studies/) and:
    – Download the College of Doctoral Studies Dissertation Guide and Alignment Handbook located in the “Tools for Success” section.
    – Read pp. 44–46, “Doctoral Phase I: The Prospectus.”
    **Review** the [Prospectus Guide](https://myresource.phoenix.edu/secure/resource/DOC714Sv2/doc714s_v2_prospectus_guide.docx).
    **Create** a completed problem statement and purpose statement using the information you entered in your Problem Statement Worksheet in the Wk 6 Discussion 1 – Problem Statement, the information you entered in the Purpose Statement Worksheet in the Wk 6 Discussion 2 – Purpose Statement, and from the feedback received from the peer reviews.
    **Add** your completed problem statement and purpose statement to the Prospectus Template you submitted for your Wk 5 – Submitting Your Research Plan From RES/709 assignment.
    **Submit** your updated prospectus.
    **Note**: You will be adding to and revising the prospectus throughout the remainder of the course in preparation for your final submission in Week 8.
    \
    doc714s_v2_prospectus_guide.docx](https://www.sweetstudy.com/files/doc714s-v2-prospectus-guide-docx-10375531 "doc714s_v2_prospectus_guide.docx")
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    cds-dissertation-guide-and-alignment-handbook.pdf](https://www.sweetstudy.com/files/cds-dissertation-guide-and-alignment-handbook-pdf "cds-dissertation-guide-and-alignment-handbook.pdf")

  • [Solved] Prof Double R

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    respond to Ezri and JOSEPH while being respectful of and sensitive to their viewpoints. Consider advancing the discussion in the following ways: – Post an article, video, or additional research to reinforce a peer's idea or challenge them to see their point from a different perspective. – Consider a…

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    respond to Ezri and JOSEPH while being respectful of and sensitive to their viewpoints. Consider advancing the discussion in the following ways:
    – Post an article, video, or additional research to reinforce a peer's idea or challenge them to see their point from a different perspective.
    – Consider asking a content-relevant question or discussing your personal experiences.
    EZRI POST
    If I could pick only one factor of emotional intelligence, I would argue that the most important in a professional setting is self-regulation, it is the most critical. In a workplace, you’re bound to face many challenges like stress, and interpersonal conflicts. Having the ability to manage one’s emotions, especially when you’re under pressure can be the difference between escalating a situation and being able to resolve it in a professional manner. It is important as a professional to have self-regulation and healthy coping skills to keep yourself calm, so you can think clearer instead reacting impulsively.
    One effective strategy to promote an increase in emotional intelligence related to self-regulation is practicing being mindful and reflecting before responding to a situation. This would involve, taking a brief moment to assess your emotional state and situation before reacting. It’s especially important when you’re stressed and your emotional state is high. Taking a brief moment so you can breathe, identify your feeling, and consider the potential impact of your response, is so important and as time goes on and you’re working on healthier ways to control your emotions, it can strengthen your emotional control, reduce impulsive behavior, and help maintain professionalism.
    If I could sit down with any theorist that we covered in this course to discuss and debate my choice with, I would choose Abraham Maslow. Maslow’s hierarchy of needs emphasizes the importance of chiseling self-actualization, but he also recognized that in order to reach that level, individuals must first develop inner control, which is closely tied to self-regulation. I would be interested in discussing with him how he views emotional self-control and how it is a foundational part of personal growth.
    Emotional regulation in the workplace or in a job interview is important because it helps an individual stay calm, think clearer, and respond in a professional manner especially when put on the spot. This not only leaves the person that is hiring you or an employer a positive impression but it also builds trust, and reduces miscommunication/conflict.
    In my experience especially in the past two years working in Applied behavioral analysis/healthcare, healthy workplace structure tends to be the exception rather than the norm. I started working for a new company this year and I can see why they had such a reputable background even though the company has only been running for about three years. When you actually prioritize your employees over-all well being, have positivity, consistent communication etc. it makes such a great difference in work performance when everyone is working as a team, and that, I’m not used too and it is nice being able to actually experience it.
    JOSEPH POST
    Although all four factors could make a case for being the most important, I would suggest the most important would be awareness of self. The main reason being is that the other four factors hinge on this factor. Especially in the realm being a manager, it is important for awareness of self and an understanding of one's own role. It would suggested it would be challenging to assign roles to others if there was not first an awareness of one's own role. Regarding self-regulation, it is very challenging to manage one's own triggers when they are unknown. The article Emotional Intelligence and Managerial Communication said this when speaking about self regulation "This factor may be the hardest part of EI to achieve especially in stressful situations. In a professional setting, it is always best to exercise self-restraint…" (Nguyen, 2019). It become almost impossible to practice self-restraint if there is no awareness of self. Lastly, connecting with other individuals and developing relationships often require individuals to first have an awareness of self or the development of the relationship will likely have a shallow ceiling and be limited.
    A few strategies are given on how to grow in awareness of self here "Write a list of things that make
    you upset as well as happy and explain why they make you feel that way. Figure out what your triggers
    are and why these things get under your skin. " (Nguyen, 2019). Sometimes the only strategy an individual needs to grow is time and self-reflection.
    I would thoroughly enjoy sitting down with either Sigmund Freud. Freud had a strong emphasis on the unconscious and the power it has in driving our behavior. With his focus on looking at what individuals are doing when they are not consciously making decisions could bring about a deeper level of understanding of oneself.
    To use my quote above "This factor may be the hardest part of EI to achieve especially in stressful situations. In a professional setting, it is always best to exercise self-restraint…" (Nguyen, 2019). Self-regulation is not only important for the professionalism that comes with regulating one's emotions but also because it is a difficult trait to develop. Combing the challenge of developing the trait, which shows high EI(Emotional Intelligence) and rare trait, and the ability to manage emotions in stressful situations, employers will know they are likely getting a reliable and rare employee that will assist in creating a healthy team culture.
    From my experience healthy workplace cultures tend be more of an exception. I have experienced both and worked in a handful of different workplaces. However, it is not far from being about half and half. Recently I have noticed there has been a greater emphasis for developing a healthy work environment by the majority though. There are still plenty of workplaces that struggle to maintain healthy cultures, but I have progression in a positive direction