NSG6999 South University Wk1 EBP Project with Implementation Plan Discussion I will upload the work I completed from week 1 to 8 and I want you to use it t

NSG6999 South University Wk1 EBP Project with Implementation Plan Discussion I will upload the work I completed from week 1 to 8 and I want you to use it to complete the following two assignments.I will also upload and also copy and paste the samples of completed work another student did on a different topic so you understand what is expectedQuestion 1: Submit EBP project with Implementation Plan and Evaluation Plan in APA discussion format. Note EBP plan should resemble plan on page 248 of the Melnyx text. Please remember to add the plan and evaluation because it is not added in the file of week 1-8 that I uploaded.Question 2: Then present this final EBP project in powerpoint Week 1 Question
To complete this week, after reading chapter one in Melnyk and reviewing the lectures you need to
consider the topic of interest to you. List a ONE to two-word topic that you want to explore further
and why you are interested in this topic. This topic encompasses the question that you have been
generating throughout your program.
As an example I may choose the topic of depression, as I am interested in all of the depression I am
seeing in the primary care office. Next week I will explore the background of this topic and this will
lead to my PICOT question.
My week 1 Response: I would like to explore bipolar disorder. Bipolar disorder was
initially known as manic depression. It is a health condition that affects the mind, and
it leads to severe mood swings which are inclusive of emotional highs. Bipolar disorder
affects about 3% of the American adult population and so far there has not been any
conclusive answer on the cause of the disorder. When one becomes depressed, they
may feel very sad and also feel hopeless and may also not show interest or pleasure in
many co-curriculum activities. When the mood swings to hypomania one will be feeling
euphoric and be full irritable and full of energy. The mood swings can be affecting one’s
strength, judgment, sleep and the ability to think transparently. Although the disorder
is a condition that stays for a long time, one can be able to manage the mood swings and
also other symptoms through a treatment plan. In many cases, the treatment of bipolar
disorder is by psychological counseling and also by use of medications (Geddes, &
Miklowitz, 2013).
There are many bipolar types and related disorders. The disorder may include
hypomania or mania or other main episodes of depression. The symptoms of the
disease can sometimes bring changes which are not easy to predict in the moods and
the behavior, causing distress and difficulties in life.
1. Bipolar (1) disorder-One may have one manic episode, and may be having one manic
disorder which can be followed or even preceded by main depressive episodes, and
lead to hypomanic.
2. Bipolar (2) you can have one episode of depression and have one episode of
hypomanic, and one may not be having a manic disorder.
3. Cyclothymic Disorder. You may be having like two years; one year in children age
and the other one in the teenage level.
Reference
Geddes, J. R., & Miklowitz, D. J. (2013). Treatment of bipolar disorder. The
Lancet, 381(9878), 1672-1682.
Week 2 Question
Post your background question and your strategy for getting a comprehensive
understanding of the clinical issue. As you work on your capstone project proposal, you
will want to share your progress with your peers and instructor and seek or provide
guidance or share insights. By the due date assigned, go to the Discussion Area and
post responses to the discussion question. All responses should be posted to the
appropriate topic in this Discussion Area. It is important to support what you say with
relevant citations in the APA format from both the course materials and outside
resources. Include the South University online library in your research activities utilizing
not only the nursing resource database, but also those pertaining to education,
business, and human resources.
My week 2 Response:
PICOT
What is the difference between bipolar I and bipolar II?”A large number of
people believe that one must have a quick change of the moods when they have bipolar
disorder; however, there are different types of symptoms for the disorder. All moods
have different manifestations, and not all have mania. It is only a physician who can
provide the right diagnosis of a feeding disorder. There is a difference between bipolar
I and bipolar II. The strategy in understanding the clinical issue is through interviews
and studies on literature concerning bipolar disorder.
Bipolar disorder I
In bipolar one disorder, all signs have to meet the full criteria of the manic
episode. It is not a must for a person to have depression for one to have bipolar disorder
I; the many people with the diagnosis experience both the episode and moods. The
manic episode has to include at least three of the following symptoms.
1. High need for sleep
2. Being more talkative
3. Having racing thoughts
4. The increased urge of taking risks
Mania episode is more extreme than immediate bursts of happy moods and
energy. Mania mostly results in problems at school, the workplace, and personal
relationships. Hospitalization is needed in most cases. A manic episode has
characteristics of irritable moods like an elevated person with the Bipolar I. One should
not assume the absence of a manic episode just because one does not appear
enthusiastic or happy.
Bipolar Disorder II
For one to be diagnosed as having Bipolar II, one need to be experiencing
episodes which are depressive and severe cases of hypomania. When a person has
mania, they are most likely to suffer extreme excitement which may run for days. These
symptoms may escalate causing problems at work or in carrying out daily routines like
driving (Smith, 2018). However, the moods do not necessarily require hospitalization.
When a person reaches the depressive mode, they must exhibit at least three of the
following symptoms
1. Changes in sleep patterns
2. Changes in eating habits
3. Depressed moods
3. Tiredness
4. Suicidal thoughts
5. Lack of concentration
6. Lack of pressure in the activities previously enjoyed
7. Feeling of unworthiness
A large number of people seen to have bipolar disorder II are perceived to be
having depression just because they do not report the moods to the doctor. Many
people having Bipolar II are at high risk of developing eating disorders with adverse
effects on their physical health. The patients are more likely to have a family history of
psychiatric illnesses. The significant difference between the two kinds of bipolar
conditions is the level of the manic episodes, in bipolar disorder one the manic episodes
are mild while in bipolar disorder two the manic episodes are extreme.
If one experiences depressive symptoms and manic episodes for years without
meeting the conditions for depressive episodes or manic; then the doctor can diagnose
the patient with Cyclothymic disorder. The determination is on bipolar, they may affect
the treatment process and the medication the doctor recommends, so it is vital to tell
the doctor all the symptoms one is having. When the doctor treats depression instead
of mania, it increases the risk of mania episodes or even the suicidal thoughts and the
behaviors. That point forms the primary reason why it is crucial to keep track of lows
and highs in the moods of patients. Alcohol and drugs may trigger an episode of
depression or even mania; one may need to complete detoxification from the substance
before a diagnosis is made.
It is essential to keep track of energy levels, attention span, behavior, and the
moods so that one can receive an accurate diagnosis. When one gets the right diagnosis
the chances of managing the symptoms and dealing with the mood are better placed.
References
Smith, K. (2018). The Difference Between Bipolar Disorder 1 and 2. PSYCOM, 34-38.
Week 3 Question
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State your PICOT question.
Indicate in parentheses after each segment, what part of PICOT the preceding
words represent.
For example: In patients recently discharged from the hospital following care
for heart failure (P), do hand-off calls by the nurse to the primary care provider
using the SBAR format (situation, background, assessment, recommendation)
(I) compared to no calls (C) decrease readmission rates (O) over a one year
period (T).
Provide feedback to your classmates that focuses on:
The use of correct PICOT format for the question to guide the literature search.
Does the question reflect a clinical issue and one appropriate for an e videncebased practice project?
Provide feedback to your classmates that focuses on:
The use of correct PICOT format for the question to guide the literature search.
Does the question reflect a clinical issue and one appropriate for an evidence based practice project?
Support a minimum of one and challenge a minimum of one.
My week 3 Response: PICOT question: what are the responses to clinical
treatment for teenagers and college students diagnosed with bipolar condition in the
united states over the past three years.
P: Teenagers and college students
I: clinical treatment
C: the outcomes for the past three-year period in the United states region only
O: The responses to the treatment
T: last three years
The correct format of a picot question must include all the crucial parts and easily
point out on the problem and the interventions in a manner that easy research on the
issues is possible. The question must also indicate the possible outcome of the
research including the expected timeframe for the research.
The picot question that I have provided is appropriate for an evidence based research
project since the study patients and the data are readily available in the health
records of the psychiatric wings of hospitals and college counselors. The clinical
intervention on people suffering from bipolar disorder is not able to completely cure
the condition since it is intertwined with several genetic factors and the influence of
the working or college environment plays a critical role. On the other hand, the
medication prescribed for Bipolar disorder show signs of effectiveness on sixty
percent of the patients and hence prove useful to some point. There are those patients
who do not show response to clinical interventions and thus pose questions on
whether it’s due to wrong diagnosis or ineffectiveness of the medicines (Paul, 2018).
References
Paul J. Harrison, J. R. (2018). The Emerging Neurobiology of Bipolar Disorder. Trends
in Neurosciences, 18-22.
Week 3 project Question
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To complete this week, after reading chapter two in Melnyk and reviewing the
lectures you submit a 2-3 page paper that explores the background of your
issue. For this paper #1 you will be defining this issue or disease using the
literature. It will end with the PICOT question. The parts of your paper should
include:
Introduction
Definition
Epidemiology
Clinical Presentation
Complications
Diagnosis
Conclusion with PICOT Question
My Week 3 project Response:
Introduction
Bipolar condition is also known as the manic depressive disease, and is a serious mental
condition which is characterized by severe mood swings coupled with depression episodes and
mania/hypomania. The disorder has a course which is highly recurring with a substantial
hereditary basis. The threshold of diagnosis used determines its prevalence. However, the
condition is substantially rare with only a prevalence rate of one percent. Milder forms of the
disorder have high prevalence estimation.
Definition
The PICOT question which focuses on the bipolar condition is a nursing path of study
and treatment which is well documented and studied to help improve patient care and comfort
which are factors that aid in quick recovery. The PICOT system allows nurses to learn and
enhance patient care skills more practically and in an involving manner.
The letters in the term PICOT represent:
P- The problem or the patient whom the nurse is observing.
I-The method that is being used for an intervention to help the patient recover
C-The comparison of the intervention method with other previously recorded practical methods
applied by nurses to assist in patient recovery.
T-The time through which the intervention is carried out or the adequate time of the study
Epidemiology
Bipolar conditions are highly repeating; malignant conditions whose frequency of
occurrence is significantly higher than earlier thought. The combination of knowledge acquired
from different studies on the condition by various disciplines might play a crucial part in aiding
our understanding of the pathophysiology that these conditions operate. They would provide
the basis for definite diagnosis and treatment for patients suffering from the condition.
Clinical Presentation
The correct diagnosis of the condition is the first step towards effective and proper
treatment. This factor is most important in diagnosing patients who suffer from manic
depressive illness or bipolar disorder.
Carry out a thorough clinical assessment for patients who show signs of manic, mixed
episode or hypomanic conditions, and this should also apply to patients suffering from bipolar
depression episodes. The assessment should include information on the patients psychosocial
and clinical status, psychiatric and medical comorbidities, past and current medications
including the compliance to the prescribed medication. Also, add any details of substance use
or abuse in the history of the patient. Get a comprehensive review of symptoms and their
severity with how they affect the daily functioning of the patient.
Complications
A patient struggling with a bipolar condition can be very energetic and euphoric for a
day and then very sad and anxious in the following. Because of these extreme mood swings
between depressive and manic symptoms, problems in every aspect of the patient’s life may
arise. Bipolar people can be very highly productive and motivated one day and very moody
and stressed in the next, the high-stress levels might lead to substance abuse, promiscuous
behavior, legal problems, relationship troubles, isolation and loneliness, financial problems,
poor school or work performance, missed school or work and suicidal thoughts or attempts.
Diagnosis
Laboratory tests and measures are not the most effective tool that can be used to
diagnose a bipolar condition. However, free and open talk with the doctor on the life and
behaviors of the patients are the most useful tools in singling out the condition (Paul J. Harrison,
2018). However, there are some clear indicators to the condition like perennial mood swings
with uncontrollable emotions which result in actions which are not well thought out and thus
possible negative consequences.
Conclusion with PICOT question
Bipolar disorder is a severe condition that has far-reaching implications on the patients
and those who are close to them. The condition has a high potential of self-harm risk and also
direct adverse effects on relatives, friends, and workmates. The following is the PICOT question
which I chose to frame for my project on bipolar condition.
“P” What are the responses to clinical treatment, “I” for teenagers and college students “C”
diagnosed with bipolar disorder, “O” in the United States over the past three years “T”?
References
Paul J. Harrison, J. R. (2018). The Emerging Neurobiology of Bipolar Disorder. Trends in
Neurosciences, 18-22.
Week 4 Discussion Question
Using the following table—search the 5 databases based on your PICOT Question—
under findings note the number of relevant articles found—you may not find
something in every database. Under features discuss what you liked about that
database. ON the discussion board summarize your search—attach your chart for
those that would like to see your search. You may not find what you are looking for in
every search—and that is OK—but you must search every database to see what may
be out there.
My Week 4 Discussion Response:
Picot Question: The following is the PICOT question which I chose to frame for my project
on bipolar condition. “P” What are the responses to clinical treatment, “I” for teenagers and
college students “C” diagnosed with bipolar disorder, “O” in the United States over the past
three years “T”?
Research
Tool
CINAHL
Search Terms & Limits
Findings
Keyword search:
The interface is
1000 results. simple and easy to
Showing 1 to
Search can be
1040 results. refined
Causes of bipolar condition
Teenagers and Bipolar
1091 results.
Features
Effects of bipolar on education
The references can
1021 results. be exported
Clinical treatment of Bipolar
PubMed
Diagnosis of Bipolar
1001 results.
Treatment of Bipolar in students
1377 results
Limiters: full text, publication date (20142019)
Causes of bipolar condition
6493
The database has a
simple search bar
9624
The citations to
the sources can be
copied
Teenagers and Bipolar
Effects of bipolar on education
Clinical treatment of Bipolar
Diagnosis of Bipolar
542
35335
Treatment of Bipolar in students
100
Limiters: publication date, 5 years ago
Cochrane
Library
Causes of bipolar condition
6
Teenagers and Bipolar
The search bar is
115
Effects of bipolar on education
easy to use
295
Clinical treatment of Bipolar
There several
3383
Diagnosis of Bipolar
ways of filtering
1901
Treatment of Bipolar in students
searches
1879
Dynamed
Limiters: date, reviews, full texts
Causes of bipolar condition
11
Teenagers and Bipolar
12
Easy to use the
search tool.
Does not show the
Effects of bipolar on education
10
total numbers of
Clinical treatment of Bipolar
10
search results
Diagnosis of Bipolar
10
Treatment of Bipolar in students
9
Limited results
TRIP
Database
Causes of bipolar condition
3087
Easy to search.
Teenagers and Bipolar
156
Allow export of
Effects of bipolar on education
1915
citations, access to
Clinical treatment of Bipolar
12486
abstract.
Diagnosis of Bipolar
8453
Search can be
Treatment of Bipolar in students
444
refined using a
Limiters: full text and date of publication
wide range of
filters
Causes of bipolar condition
0
Teenagers and Bipolar
Effects of bipolar on education
SU Library
Clinical treatment of Bipolar
0
0
Easy to use the
search bar.
0
Diagnosis of Bipolar
Treatment of Bipolar in students
Limiters: full text and date of publication
0
0
Discussion
The topic of study is bipolar; however I narrowed down to the intervention options for
adolescents and college students with bipolar. I derived the following terms and phrases from
the PICOT question and used them as search terms. The terms were causes of the bipolar
condition, teenagers and bipolar, effects of bipolar on education, clinical treatment of bipolar,
and diagnosis of bipolar and treatment of bipolar in students. I conducted searched six
databases and the number of search results varied across the six databases. I must admit that
searching these different databases was an exciting experience but also educative on which
databases contain relevant articles. The results show that the SU Library is the least effective
and least resourceful in terms of the search terms because it did not produce any results while
DynaMed database produced few results ranging between 10-12.On the other hand, the TRIP
Database is the most resources, and it accurately matched the search terms. It is a clinical
database which host articles on evidence-based medicine and practices (Olayemi, 2016).
Therefore, while researching to answer the PICOT question, I would prefer to use TRIP
Databases. This does not mean that the rest of the databases such as CINAHL, PubMed and
Cochrane Library are not resourceful. They are resourceful and yielded several search results
that matched the search terms. I limited the search to the last five years besides other filters
and noted that the results were nearly a perfect match of the PICOT question. In summary, I
found that the best database to use while searching for Evidence-based research practices is
TRIP databases.
Reference
Olayemi, O. M. (2016). A Study of Evidence-Based Medicine (EBM) Online Database
Resources and the Roles of Health Science Librarian in Information Delivery. Journal
of Balkan Libraries Union, 4(2), 10-15.
Week 6 Question
On the discussion board, using a minimum of two articles that are supporting your
PICOT question, submit one paragraph synthesizing the research into clear, concise
statements without separately reviewing each of the studies in the pa…
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