Patients frequently present with complaints of pain such as chronic back pain. They often seek medical care with the intent of receiving drugs to manage the pain. Typically, for this type of pain, narcotic drugs are often prescribed. This can pose challenges for you as the advanced practice nurse prescribing the drugs. While there is a process for evaluating back pain, it can be difficult to assess the intensity of a patient’s pain because pain is a subjective experience. Only the person experiencing the pain truly knows whether there is a need for drug treatments. This makes it important for you, as the prescriber, to watch for red flags and warning signs of abuse. In this Discussion, you explore the ethical implications of prescribing narcotics to patients with chronic back pain.

 

 

 

To prepare:

 

•Review this week’s media presentation on evaluating back pain, as well as Chapter 15 of the Buttaro et al. text in the Learning Resources. Reflect on the evaluation process for a patient with a history of back pain.

 

•Consider how you might evaluate a patient that presents with back pain. Think about potential red flags and warning signs of drug abuse.

 

•Reflect on the ethical implications of prescribing narcotics for chronic back pain.

 

•Think about what you would prescribe and why.

 

 

 

Post  1 to 2 page  paper on:  A  description of how you might evaluate a patient who presents with back pain. Then, describe potential red flags and warning signs of drug abuse. Explain the ethical implications of prescribing narcotics for chronic back pain. Finally, explain what you would prescribe for patients and why.

 

 

 

References

 

Readings

 

•Buttaro, T. M., Trybulski, J., Polgar Bailey, P., & Sandberg-Cook, J. (2013). Primary care: A collaborative practice (4th ed.). St. Louis, MO: Mosby.

 

◦Part 2, “Primary Care: Adolescence Through Adulthood”

 

◾Chapter 15, “Chronic Pain” (pp. 96–101)

 

◦Part 15, “Evaluation and Management of Musculoskeletal and Arthritic Disorders” (pp. 887–983)

 

Media

 

•Laureate Education, Inc. (Executive Producer). (2013b). Case study: Evaluating back pain. Baltimore, MD: Author.

 

 

generate and assess evidence. Most nurses need only a foundational understanding of statistical tools and terminology to understand the majority of research studies. As a nurse, you should be able to recognize the most commonly used statistical tests, how and when they are used, and how significance is determined.

 

In this Discussion, you examine different types of statistics and statistical tests, when and why these particular tests would be selected for use, and, most importantly, what the results indicate. To this end, you will be assigned to a group by Day 1 of this week. Each group will be assigned one of the five chapters listed in this week’s Learning Resources and will develop a study sheet on their chapter that will be shared with the other groups.

 

To prepare:

 

• Review the information in your assigned chapter (Chapter 19 p. 473 to 477. Credibility of Quantitative Results  See attached file)
• Write a minimum of 200 to 250 words in APA format that includes the following:

 

• • The key concepts of the chapter: Focus on the basic concepts that are important for nurses to understand as they review research studies. ( In this case, focus only on Credibility of Quantitative Results)
  • A description of the statistical methods covered in the chapter, what they measure, and under what circumstances they are used. Identify examples of how the statistical methods have been used in research studies. ( In this case, focus only on Credibility of Quantitative Results
  • An explanation of the key statistical tests and how they measure significance (if applicable). ( In this case, focus only on Credibility of Quantitative Results )

 

 

 

Readings

 

• Polit, D. F., & Beck, C. T. (2012).  Nursing research: Generating and assessing evidence for nursing practice (Laureate Education, Inc., custom ed.).Philadelphia, PA: Lippincott Williams & Wilkins.

  Chapter 19, “Processes of Quantitative Data Analysis and Interpretation”

  The previous chapters have described a number of different statistical tests used to examine data in a quantitative study; this chapter focuses on how to analyze and interpret the results. It describes the steps in the analysis process and how to determine the credibility of the results.

Let me know if you can help and how much. Need it by tomorrow noon west coast time.

FYI –

I notice my Return score is at 46% – Last year one tutor tried to give me substandard work.  It appeared English was not her first language I gave her a couple of chances to fix, but it was evident this was not going to work. I am not sure why it is a mark against me.

 

Let me know how much if you can do this for me.

 

Just needs to be a page or two. Citation and References APA

I have a discussion post due 

• Identify the emerging or reemerging infectious disease you selected.
• Discuss the investigative process used to identify the outbreak, and describe its effect using descriptive epidemiology (person, place, and time).
• Apply the epidemiologic triangle and vector theory to your selected outbreak.
• Evaluate how prior health care interventions, or lack thereof, created the conditions that allowed this infectious disease to emerge.
• Discuss how the disease outbreak might have been avoided or mitigated. Include agencies, organizations, and resources that could have supported these efforts. If appropriate, consider ongoing efforts to control the outbreak