At the end of this module, the student will
1). Continue to refine his or her clinical practice problem and research and research question.
2. Have begun tracking reviewed literature using an evidence table.
3. Assemble evidence resources into reference management software(such as Refworks or end notes).

READING ASSIGNMENT;
Module 2 in Black Board(I will upload)
Evidence-Based Practice in Nursing & Healthcare, second edition. Authors Bernadette Mazurek Melnyk and Ellen Fineout-Overholt. Read chapter 2,3

Health science literature review made easy. The matrix method 3rd edition. Author Garrard, J. (2010). Read Chapters 1-3.

Assignment:
Start working on your Problem Background Paper. Address each of the following points(use them as headings in your post be sure you address everything).

1. Your beginning problem background and question for investigation,
2. a beginning evidence table with articles supporting the problem(this can be attachment to your discussion posting)
3. a short discussion of conceptual models used in the studies,
4. your PICOT question(see rubic for the Problem Background Paper, which is due at the end of Module 3).
5. Discuss how your question evolved as you read using a concrete example of of your shift in thinking.

Read More
Case study 1 and 2
Paper, Order, or Assignment Requirements

Case Study 1
Ms. A. is an apparently healthy 26-year-old white woman. Since the beginning of the current golf season, Ms. A has noted increased shortness of breath and low levels of energy and enthusiasm. These symptoms seem worse during her menses. Today, while playing in a golf tournament at a high, mountainous course, she became light-headed and was taken by her golfing partner to the emergency clinic. The attending physician’s notes indicated a temperature of 98 degrees F, an elevated heart rate and respiratory rate, and low blood pressure. Ms. A states, “Menorrhagia and dysmenorrheal have been a problem for 10-12 years, and I take 1,000 mg of aspirin every 3 to 4 hours for 6 days during menstruation.” During the summer months, while playing golf, she also takes aspirin to avoid “stiffness in my joints.”

Laboratory values are as follows:
Hemoglobin = 8 g/dl
Hematocrit = 32%
Erythrocyte count = 3.1 x 10/mm
RBC smear showed microcytic and hypochromic cells
Reticulocyte count = 1.5%
Other laboratory values were within normal limits.

Question
Considering the circumstances and the preliminary workup, what type of anemia does Ms. A most likely have? In an essay of 500-750 words, explain your answer and include rationale.

Case Study 1
Ms. A. is an apparently healthy 26-year-old white woman. Since the beginning of the current golf season, Ms. A has noted increased shortness of breath and low levels of energy and enthusiasm. These symptoms seem worse during her menses. Today, while playing in a golf tournament at a high, mountainous course, she became light-headed and was taken by her golfing partner to the emergency clinic. The attending physician’s notes indicated a temperature of 98 degrees F, an elevated heart rate and respiratory rate, and low blood pressure. Ms. A states, “Menorrhagia and dysmenorrheal have been a problem for 10-12 years, and I take 1,000 mg of aspirin every 3 to 4 hours for 6 days during menstruation.” During the summer months, while playing golf, she also takes aspirin to avoid “stiffness in my joints.”

Laboratory values are as follows:
Hemoglobin = 8 g/dl
Hematocrit = 32%
Erythrocyte count = 3.1 x 10/mm
RBC smear showed microcytic and hypochromic cells
Reticulocyte count = 1.5%
Other laboratory values were within normal limits.

Question
Considering the circumstances and the preliminary workup, what type of anemia does Ms. A most likely have? In an essay of 500-750 words, explain your answer and include rationale.
Case Study 2

Case Study 2
Mr. P is a 76-year-old male with cardiomyopathy and congestive heart failure who has been hospitalized frequently to treat CHF symptoms. He has difficulty maintaining diet restrictions and managing his polypharmacy. He has 4+ pitting edema, moist crackles throughout lung fields, and labored breathing. He has no family other than his wife, who verbalizes sadness over his declining health and over her inability to get out of the house. She is overwhelmed with the stack of medical bills, as Mr. P always took care of the financial issues. Mr. P is despondent and asks why God has not taken him.

Question
Considering Mr. P’s condition and circumstance, write an essay of 500-750 words that includes the following:
• Describe your approach to care.
• Recommend a treatment plan.
• Describe a method for providing both the patient and family with education and explain your rationale.
• Provide a teaching plan (avoid using terminology that the patient and family may not understand).
In a short essay (500-750 words), answer the Question at the end of Case Study 2. Cite references to support your positions

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