Use APA 7th Edition Format and support your work with at least 3 peer-reviewed references within 5 years of publication. Remember that you need a cover page and a reference page. All paragraphs need to be cited properly. All responses must be in a narrative format and each paragraph must have at least 4 sentences. Lastly, you must have at least 2 pages of content, no greater than 3 pages, excluding cover page and reference page. 

If any questions, please do not hesitate to contact me.

Patient with Otitis Externa

ZM is an 8-year-old male who is brought to the clinic by his mother for complaints of acute left ear pain. She has recently picked him up from a week-long stay at camp, and he stated his ear hurt so bad he was crying. When his mother looked at this ear, she noticed the outside canal was very swollen. He could not even touch his ear. His mother states: “He is never sick, and he never cries.” 

Past Medical History 

• All immunizations current 

• No history of surgeries 

• No history of allergies 

• No history of significant illness

 Medications 

• Multivitamin, daily 

• Occasional allergy medication with children’s loratadine 

Physical Examination 

• Pulse: 100; respiration rate: 22; temperature: 100.2 °F data scan 

• Left ear canal swollen; unable to access with otoscope to observe tympanic membrane 

• Swelling noted in lymph nodes below ear 

• Ear is red and warm to touch 

Diagnosis 

• External otitis 

Discussion Questions 

1. What factors in ZM’s recent history should the clinician consider, and what additional questions should the clinician ask the mother? 

2. What treatment options are indicated for ZM? 

3. What patient teaching should the clinician provide?

 Reply to this post with at least 250 words, 2 references in APA format within the last 5 years published

Nursing uses a large number of methods to be able to develop and achieve quality patient care. As research progresses and studies evolve, many research methods are designed to achieve these results. The learning process and the capacity of nurses to adapt this knowledge daily are crucial factors for nursing research strategies. Professional research is needed to outreach today’s world demands. Most of the research carried out in nursing is based on the problems that are faced daily. The answer to these problems is of vital importance. Nursing faces tremendous challenges today, and most need evidence-based solutions to make the right decisions. Patient treatment is delicate, and nursing errors can be extremely harmful (Merwin & Thornlow,2006). The clinical environment should be favored by constant research and development. Decision-making at critical moments has been one of the examples that could be presented as part of progress, where, based on these investigations, it has been possible to create decision algorithms that will benefit decision-making.

The research methodologies can be classified from the most basic to the philosophical level. There are two basic types of research, one of them is based on approach, and the other is based on Purpose. The Approach methodology classification uses quantitative, qualitative, or mixed Methods. Quantitative research is about identifying the problem base on numerical data; one example can be the prevalence of patients admitted to the ICU. Qualitative is more descriptive and is based on opinions, feelings, experiences, and subjective data, like the data collected in any study performer that involves a problem that can survey the patient to obtain a qualitative answer. The mixed is when the researcher cannot use either quantitative or qualitative methods to find a solution and needs to combine both (DeSantis & Ugarriza, 2000). 

I like the practical methods. Primary research is the term used to describe a technique where the fundamental is without a specific purpose. It is used as basic knowledge and helpful in developing theories and principles. Applied research is the most practical and functional because its focuses on the immediate solution to a specific problem. This is the method that is the most useful. The classification is based on categories like general (Quantitative and qualitative), Nature of the study ( descriptive and analytical), Purpose of the study (applied and fundamental), research design (exploratory and conclusive), and Data Type (primary and secondary). 

References 

DeSantis, L., & Ugarriza, D. N. (2000). The concept of theme as used in qualitative nursing research. Western Journal of Nursing Research, 22(3), 351-72. https://doi.org/10.1177/01939450022044467

Merwin, E., & Thornlow, D. (2006). Methodologies Used in Nursing Research Designed to Improve Patient Safety. Annual Review of Nursing Research, 24, 273-92. https://www.proquest.com/scholarly-journals/methodologies-used-nursing-research-designed/docview/197288879/se-2

Post a total of 3 substantive responses over 2 separate days for full participation. This includes your initial post and 2 replies to classmates or your faculty member. Substantive responses offer new info and add to the conversation. *Responses are substantive by incorporating literature to support statements. Use one literature resource for your weekly response and in at least one of your replies to a classmate or faculty. You can use the same source of literature each time or different sources. Check rubric for more details.

Due Thursday

Review Nurse Professional Liability Exposures: 2015 Claim Report Update to understand some of the most common legal allegations. As you read, think about ways to mitigate the risks listed in the report.

Respond to the following in a minimum of 175 words:

• What struck you most about the report or the allegations discussed?
• Select 1 example or illustration from 1 of the claims categories and explain what could have been done to mitigate the risk that led to the claim.
• How does this affect you or your work place?

FYI – I work in oncology /infusion where we infuse chemo and these meds are life threatening meds in case you need to add

 Reply to this post with at least 250 words, 2 scholarly references in APA format within 5 years published.

            Nurses play an important role in the healthcare system. As the first point of contact with patients, nurses are responsible for addressing their concerns about the effectiveness and safety of COVID-19 vaccines. They administer vaccines and ensure people receive the required doses as in accordance to the ministry of health guidelines. Manning et al. (2019) state that nurses can help institutions such as schools and offices develop vaccination guidelines to minimize virus spread. At the same time, they are well-positioned to identify social and cultural barriers that might hinder vaccine administration among certain populations. 

            Also known as telehealth, telemedicine has gained popularity in recent times. The COVID-19 pandemic has pushed healthcare systems to adopt digital ways of serving patients to minimize exposure to the virus. Nurses are at the center of telemedicine success as they sensitize patients about its benefits and risks. They educate patients on the benefits and limitations of telemedicine. They also offer assistance, such as installing the software on patient devices where necessary. Additionally, nurses use telemedicine technology to monitor patient progress remotely, a beneficial technique for patients with chronic illnesses. 

            Prescription drug pricing is a major concern for many patients. The rising cost of healthcare is a bottleneck for low-income earners, with some opting to forego treatment or drug purchases due to a lack of funds. Like in vaccine administration, nurses are also at the frontline when prescribing drugs. They play the critical role of educating patients about the available alternatives and associated costs (Coster et al., 2018). They help patients understand the scope of their insurance coverage and how they can lower the cost of treatment by recommending generic drugs or advising patients to seek help from medical assistance programs. 

References

Coster, S., Watkins, M., & Norman, Ian. J. (2018). What is the impact of professional nursing on patients’ outcomes globally? An overview of research evidence. International Journal of Nursing Studies, 78, 76–83. https://doi.org/10.1016/j.ijnurstu.2017.10.009

Manning, M. L., Gerolamo, A. M., Marino, M. A., Hanson-Zalot, M. E., & Pogorzelska-Maziarz, M. (2021). COVID-19 vaccination readiness among nurse faculty and student nurses. Nursing Outlook. https://doi.org/10.1016/j.outlook.2021.01.019