Chapter 13/Critical Thinking

question 

Gary suffers from alcoholism and pays no attention to his diet. In addition to the detrimental effects on the liver, excess alcohol consumption can cause deficiencies in certain B vitamins.

1.Explain why this problem can occur.

2.Do you have any suggestions how Gary could improve his health?

Trace minerals and the Academy of Nutrition and Dietetics’ Position on Vegetarian Diets

question 

After reading the chapter on trace minerals and the Academy of Nutrition and Dietetics’ Position on Vegetarian Diets, which nutrients do you think vegans might lack in their diets and what recommendations would you make to compensate for these deficiencies? Do you feel that being a vegan is a healthy lifestyle choice? Why or why not? Remember that vegans eat only plant based foods, no animal and dairy

Do you consider yourself or have you thought about becoming a pescatarian, lacto-ovo vegetarian, pollotarian, flexitarian, or vegan? Why of why not?

Capstone Change Project Evaluation And Dissemination

Health care is rapidly changing which means there is a high demand for healthcare practitioners and health organizations to constantly evolve to provide the best quality care. Evidence based practice is applying available evidence with clinical knowledge and expertise while considering patients unique needs and personal preferences (University of Utah, 2021). By using EBP into our daily practice we create a high potential to optimize our patients outcomes as well as healthcare all together. This because it helps us nurses determine an effective course of action for care delivery.

BSN AND EBP

Personally, I think that nurses who have their BSN have a better understanding of EBP. Prior to being in school at GCU, I never took time to research any topics related to my patients. Now I feel that it helps me be a better patient advocate, voice out my concerns or recommendations and have peer-reviewed research to support me.

I will continue to integrate evidence into my practice because it makes me feel confident in my care. I really have a passion for breastfeeding and continuing to do research on this will allow me as a labor and delivery nurse to help my patients and get them the support they need when mine is not enough. Another way I can continue to integrate evidence into my practice is to suggest incorporating EBP into our strip review classes. Each month our perinatologist will go over fetal strips and reviews what could have been done differently. During these classes our International Board-Certified Lactation Consultants can present the most recent up to date breastfeeding information.

breastfeeding education

Pushing for nurses to obtain more breastfeeding education will be a challenge, but if this is not possible all together, it can be broken down into small educational workshops, until nurses feel they can portray their education onto patients. Another obstacle would be timing and being short staffed and unfortunately when this is an issue the strip review class is postponed. To minimize this impact, this class can be scheduled twice or when there is a low census.

Discuss why EBP is an essential component of the practice of a BSN-prepared RN. Identify two ways in which you will continue to integrate evidence into your practice and encourage it within your work environment. What obstacles could challenge this plan, and what steps will you take to minimize their impact?

NOTE

Sources must be published within the last 5 years.

There should be a mix between research and your reflections.

Add critical thinking in the posts along with research.

Apply the material in a substantial way.

Using 200-300 words APA format with at least two references.

 

Neurobiological Of General Anxiety Disorder

1- Describe the neurobiological of general anxiety disorder. Include genetics,
neurotransmitters, neuroanatomical changes, current  theories of the cause of the disease, and cultural factors if it’s involved.

2-  what is the neurochemistry action of escitalopram, (SSRI, first line of treatment for generalized anxiety disorder), side effects to monitor, expected benefits for the patient, and contraindications.

3- Describe the benefit of behavior therapy in the treatment of general anxiety disorder.

4- Why did you need to check this patient with general anxiety urine toxicology and thyroid function test?

5- do you think that benzodiazepine-like clonazepam (Klonopin) 0.25 mg PO daily, can help the patient’s symptoms of anxiety?

6.why or why you will not use benzodiazepines in this 23-year-old patient? what criteria do you use to make this decision?

7.Use APA and Include references from at least 3 sources  including the article
from a journal, no older than 5 years.

Quality Improvement Project Part 3

• To assess a clinical issue that is the focus of the Quality Improvement Project.
• Create an outline of the action plan for the project.

Content Requirements:

1. Identify stakeholders that will be impacted by the quality improvement project.
2. Identify and discussed resources including budget needed to implement the quality improvement project.
3. Develop an action plan for change including a proposed implementation time line

4. 2PAGES

5. 2 ACADEMIC RESOURCES