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15 Feb 2018

Based on a one group pre-post evaluation design of an asthma intervention program, it was determined that 50% of participants experienced a decrease in visits to the emergency room. The investigators could conclude that the decrease in ER visits was attributable to the intervention. TRUE or FALSE

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Tod Thiel
Tod ThielLv2
17 Feb 2018

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Related questions

QUESTION 1

The hospital HappyChild’s Emergency Room (ER) in the community of Sunnyland recorded 120 asthma cases during 2005 out of a total

of 1450 individual children seen.

The state Children with Special Health Care Needs (CSHCN) program was interested in determining if these numbers meant an increased risk of a child developing asthma in Sunnyland or a possible decrease in the effectiveness of the medication taken by asthmatic children in this community . In 2005 they asked the hospital to track the number of first time asthma diagnoses admitted to the ER versus those asthma cases who visited the ER but had been previously diagnosed as having asthma.

In 2006 out of 1370 children seen in the ER, there were 130 asthma cases: 42 were new cases, 88 had been previously diagnosed prior to the ER visit.

1. What was the risk of having asthma in 2005 for children in Sunnyland seeking ER care at hospital HappyChild? (20 pts)

2. What was the prevalence of childhood asthma in 2005 in the ER at hospital HappyChild in Sunnyland? (20 pts) 120

3. What was the prevalence of childhood asthma in 2006 in the ER at hospital HappyChild in Sunnyland? (20 pts)

4. Can the state CSHCN program answer its question? ( 15 pts)

5. Does knowing the incidence of childhood asthma diagnoses in the ER at this hospital in Sunnyland in 2006 help? What is the incidence? ( 15 pts)

6. What else is needed to answer the CSHCN program’s question? ( 10 pts)

Select two types of measurement validity

Compare and contrast the two types of validity you have chosen.

Explain the pros and cons of each type.

Now that you have examined validity, let’s focus on reliability.

Select two of the ways to determine measurement reliability.

Define and explain how each type can be applied to a research plan.

Understanding both validity and reliability provides a foundation for apply to research.

From the remaining two ways of determining validity, select which one (or two) you could apply to your own research.

Explain why you think this is the best way (or ways) of determining validity in your research. Include the reliability factor, as well.

Bakground on my study:

Purpose: Single subject research was designed to be able to study a single individual or a number of individuals as whole. It is considered scientifically valid research that works though using the scientific method. As in any research, it is used to define effectiveness of an intervention and understand supporting clinical change.

Variables: In a study were an autistic child could be monitored at home, while have tantrums. These emotional outbursts could be measured by the time that it takes for the tantrums to be over and how the intensity of these outbursts by using at least a 5 data point level.

Plan: Through using the ABAB design with A design being the baseline of the tantrums and B design showing the intervention with a phase out or ramp up phase. This happens during change in conditions. Once the intervention is being removed and another baseline is obtained, a second intervention can be used. This will help further evaluate the effectiveness of the intervention. The pros are that this data can be put onto a graph, so that progress can be easily monitored and evaluated. The cons are to remember that these are people that we are dealing with and not just the results of an experiment.

Data Collection: Involve caretakers, teachers and parents in the behavioral plan. The staff assisting could record the time of tantrums, the duration by minutes. The intensity should be recorded by using a rating system of 0 being no intensity, at all and 10 being the worst that one could imagine.

Implementing and intervention would include playing soothing music during the child’s behavior. The music should reduce the stress felt by the child and soothe and lessen the outburst of the child. Also, teaching the child how to stop and breath would be another intervention that could be brought into play.

Pros and Cons: The pros are that hopefully we can find a way to reduce the intensity or the number of tantrums that are exhibited by the child. The cons are that the intervention itself, does not tell us what is the cause of the emotional outbursts.

To ensure the sharing of patient data is pertinent tothe patient and useful to nurses and members of the health careteam, there should be an organized, logical order in the way theinformation is documented.

Read the patient information below and arrange theinformation into subjective and objective data. Include this inyour discussion post along with answers to the questions thatfollow.

Alert and oriented, restless, seems uncomfortable, shortof breath on exertion, # 22 angio, saline well in left wrist,flushed with 3 mL of NS once, BP 180/96, RR 26 and shallow,temperature 98° F (36.7°C), AP HR 96 irregularly irregular; reportspain of 7 using a 0-10 verbal pain scale in lower extremities,patient states “I need my pain medication now, the pain is gettingout of control”, 2 gm Sodium diet, 100 mL fluid with meds, patientconsumed all of breakfast and fluids on his tray, allergic toLipitor, transfer with one assist and walker x1, anti-embolismstockings when OOB, patient refused to get OOB (said “I just don’tfeel like it now”), oxygen saturation 91% on 3 liters via N/C,breath sounds diminished bilaterally, cannot lie flat withoutbecoming SOB, weight elevated 8 lbs today, severe edema in his legsto his knees, report oxygen saturation below 90% to the physician,skin on bilateral lower extremities is intact, dry, edematous,shiny, cool to touch with intact sensation bilaterally,medications: furosemide 80 mg, potassium chloride 40mEq daily,amlodipine 10 mg, pravastatin 40 mg, metoprolol 50 mg, lisinopril40 mg all taken at 0900 by mouth without problem.

Use the scenario information above to address thediscussion points by taking the information that was read in theassignments and applying it to the scenario.

Compare and contrast the advantages and disadvantages ofSOAP method of documentation.

Discuss why it is necessary for all members of thehealth care team to use the same method to document a patient’shealth status.

Using nursing judgment develop a diagnosis statement forthe patient above which includes one NANDA-I diagnosis, an etiologyand the defining characteristics (nursing diagnosis + related to +as evidenced by).

Identify the data cluster (grouping of significant datathat points to the existence of the patient health problem) used toselect the nursing diagnosis.

Identify one patient outcome (realistic, measureable andcontains a time frame).

List at least four (4) interventions the RN wouldimplement. Label each intervention as independent nursing action(intervention) or interdependent nursing action(intervention).

Provide a rationale for each action(intervention)

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