drug information

  • You have 6 questions to answer them correctly based on available references
  • Use Vnacouver style and be careful of similarity because the last time when i did the previous essay was sooooo high so please i don’t want more than 10 as a maximum and i wan the similarity report
  • Try to use a recent source of reference ; less than 5 years except if you don’t have any specific information , you coulduse up to 10years reference

 

  • The questions on red colour while the initial answers on black colour
  • Initial answer on black colour , you could get some answer from them because i took some of these information from the original text reference then i copy them BUT DONT DEPEND ON them 100% to answer the questions, you should also read the original reference then choose the best answer please
  • The references on yellow colour

 

QUESTION 7

Topic: Medicines Interactions                                               Written response required: NO

 

Scenario: A call comes through from a community pharmacist. They have a patient with oral thrush and would like to recommend miconazole oral gel. The patient is currently also prescribed rosuvastatin.

 

Enquiry: Can miconazole oral gel be used in a patient taking rosuvastatin regularly?

 

Additional questions for enquirer that may help provide a more complete/ detailed response:

If  they female, are they pregnant?

How old are the patient? Weight?

Is the patient are using frequent antiobiotic any antibiotic?

Doeas the patient are using any corticosteroid inhaler?

Does the patient has immunocomprimised disease?

Does the patient using Dentures?

 

What is the cause of oral thrush?

Does the patient has any syndrome that cause the mouth dry?

Does the patient are using antipsychotic or chemotherapy drugs?

Doeas the patient has diabetes or lack of vitamin B12, iron, folic acid

Are you smoker?

Once you prevent the causes it will reduce the subtipility to get oral thrush

Do they have thyroid disorder (e.g: Hypothyrodism)

Do they drink excessive amount of alcohol and how many per week?

 

Does the patient has any blood disorder, liver and muscle disorders , renal dysfunction ?

Does the patient use or any anticoagulant therapy such as warfarin?

Do they have allergy in general and specifically to Azoles goroup

When do you got oral thrush

What is the dose of rousvastain?

 

 

 

Anticipated additional question(s):

What is the Signs of rhabdomyolysis include muscle pain and weakness and reddish-brown urine (myoglobinuria). 2

liver toxicity; when do we do liver function test and does it to do for the entire duration of the treatment?

 

 

 

Search strategy/ information obtained from resources:

 

 

Response:

You should take daktarin oral gel until the symprtoms are clear

MIMISà Dose Drop gel on tongue; keep in mouth for as long as possible before swallowing; treat for greater than or equal to 1 wk after symptoms have cleared. Infants, younger children: divide dose into several portions and place into front of mouth. Adults, children greater than or equal to 2 yrs: 1/2 spoonful using provided measuring spoon 4 times daily; infants 6-24 mths: 1/4 spoonful using provided measuring spoon 4 times daily; elderly with dentures: also apply to dentures overnight, wash off before replacing dentures in morning

 

eTGà identification of underlying predisposing factors and local precipitating factors, such as ill-fitting dentures, and prevented

eTGà miconazole 2% gel 2.5 mL (child 6 months to 2 years: 1.25 mL) topically (then swallowed), 4 times daily, after food, for 7 to 14 days (measuring spoon supplied with pack). Place directly in the mouth and on the tongue [Note 2]

Continue treatment for several days after symptoms resolve. Advise denture wearers to apply the antifungal to the cleaned fitting surface of the dentures before inserting them.

 

 

 

Reference sources used to answer enquiry:

 

References

 

1-Stockleyà Raised statin concentrations are known to be associated with the development of myopathy and rhabdomyolysis

2-Australian medicine handbook (AMH)/ Warfarin+miconazoleàmay increase its anticoagulant effect and risk of bleeding

;Monitor INR and reduce warfarin dose as needed.

AMH/ For most drug interactions it is appropriate to temporarily stop or reduce the dose of the other drug, monitor the clinical and adverse effects and/or measure the drug concentration

AMH/ azoles + simvastatin

Azoles may increase concentration of simvastatin and increase the risk of myopathy or rhabdomyolysis; temporarily stop simvastatin while the azole is being taken or consider using pravastatin (less likely to be affected). Combinations (except with fluconazole) are contraindicated by manufacturer.

 

AMH/ Drug interactions may rarely occur with miconazole, as some systemic absorption of miconazole occurs from the oral gel, vaginal and topical products.

3- Stockley Drug intercationà Miconazole slightly increase rousvastatin exposure

Stockley Drug intercation à Case reports describe rhabdomyolysis associated with the use of an azole group

Stockley Drug intercation à iconazole is an inhibitor of CYP2C9 and would be expected to interact like fluconazole

 

Stockley Drug intercation à Just how statins cause muscle disorders is as yet unclear, although it is thought to be connected to elevated statin concentrations

Stockley Drug intercation àelevated hepatic transaminases are dose dependent, although progression to liver failure is exceedingly rare. 4 Any pharmacokinetic interaction that results in a marked rise in statin concentrations is therefore to be regarded seriously.

Stockley Drug intercation àthe overall risk of myopathy with the statins at standard therapeutic doses is quite low and commonly quoted as 0.01 to 0.1%, although in clinical studies involving patients taking statins

Stockley Drug intercation à However, it has been estimated that for every 15 million prescriptions there is only one occurrence of severe muscle damage. 7 The incidence seems to rise markedly if other interacting drugs are being taken concurrently.

4-    7- Thompson, PD, Clarkson PM, Rosenson RS; the National Lipid Association’s Muscle Safety Expert Panel. An Assessment of statin safety by muscle experts. Am J Cardiol (2006) 97 (Suppl), 69C–76C.(PubMed)

 

 

Stockley Drug intercation à the patien asked to promptly report muscle pain, tenderness, or weakness, especially if this is accompanied by malaise, fever, or dark urine. 9

 

5- American Jornal cardiologyàMyopathy is more likely to occur at higher statin doses than at lower doses

6-the National Lipid Association Safety Assessment Task Force 1 give some important safety recommendations, which are useful in the context of interactions:

Routine monitoring of creatine kinase is of little value in the absence of clinical symptoms.

If a patient has intolerable muscle symptoms or a creatine kinase value 10 times the upper limit of normal, and is symptomatic, statin treatment should be immediately discontinued.

If a patient has symptoms of muscle pain with a creatine kinase of up to 10 times the upper limit of normal they should be monitored closely. The statin may be continued at the same or reduced doses and symptoms and creatine kinase concentrations can be used as the clinical guide to stop or continue treatment.

If progressive creatine kinase elevations occur consider a dose reduction or temporary discontinuation of the statin.

Liver transaminase concentrations should be obtained during routine general evaluation of patients being considered for a statin.

Liver enzyme values of up to 3 times the upper limit of normal do not represent a contraindication to treatment but patients should be carefully monitored.

7-McKenney JM, Davidson MH, Jacobson TA, Guyton JR. Final conclusions and recommendations of the National Lipid Association Statin Safety Assessment Task Force. Am J Cardiol (2006) 97 (Suppl), 89C–94C.(PubMed)

Stockley Drug intercation à (b) Pharmacokinetics

1. Cytochrome P450 isoenzymes

Lovastatin and simvastatin are extensively metabolised by CYP3A4, and drugs that inhibit this isoenzyme can cause marked rises in blood statin concentrations. Atorvastatin is also metabolised by CYP3A4, but to a lesser extent than lovastatin or simvastatin. Some of the statins are not metabolised by this isoenzyme so they interact differently. Fluvastatin is metabolised primarily by CYP2C9 (with a minor contribution from other isoenzymes, including CYP3A4), only 10% of rosuvastatin is metabolised, and the isoenzymes involved appear to be CYP2C9 and CYP2C19,

 

Stokleyà rosuvastatin seem to have no effect P-glycoprotein substrates, and inhibitors of this carrier might therefore interact resulting in altered oral bioavailability

 

8-BNF April 2016 update Fungal infections of the mouth are usually caused by Candida spp. (candidiasis or candidosis). Different types of oropharyngeal candidiasis are managed as follows:

Thrush

Acute pseudomembranous candidiasis (thrush), is usually an acute infection but it may persist for months in patients receiving inhaled corticosteroids, cytotoxics or broad-spectrum antibacterials. Thrush also occurs in patients with serious systemic disease associated with reduced immunity such as leukaemia, other malignancies, and HIV infection. Any predisposing condition should be managed appropriately. When thrush is associated with corticosteroid inhalers, rinsing the mouth with water (or cleaning a child’s teeth) immediately after using the inhaler may avoid the problem. Treatment with nystatin or miconazole may be needed.Fluconazole is effective for unresponsive infections or if a topical antifungal drug cannot be used or if the patient has dry mouth. Topical therapy may not be adequate in immunocompromised patients and an oral triazole antifungal is preferred.

 

Electronic therapeutic guideline (eTG)à identification of underlying predisposing factors and local precipitating factors, such as ill-fitting dentures, and prevented

Electronic therapeutic guideline (eTG)à miconazole 2% gel 2.5 mL (child 6 months to 2 years: 1.25 mL) topically (then swallowed), 4 times daily, after food, for 7 to 14 days (measuring spoon supplied with pack). Place directly in the mouth and on the tongue [Note 2]

Continue treatment for several days after symptoms resolve. Advise denture wearers to apply the antifungal to the cleaned fitting surface of the dentures before inserting them.

9- MIMS Online

https://www-mimsonline-com-au.dbgw.lis.curtin.edu.au/Search/AbbrPI.aspx?ModuleName=Product%20Info&searchKeyword=Miconazole&PreviousPage=~/Search/QuickSearch.aspx&SearchType=&ID=9110001_2

 

MIMS Onlineà says miconazole is contraindicated in HMG-CoA reductase inhibitors (eg simvastatin, lovastatin) but not with Rousvastain

 

Dose Drop gel on tongue; keep in mouth for as long as possible before swallowing; treat for greater than or equal to 1 wk after symptoms have cleared. Infants, younger children: divide dose into several portions and place into front of mouth. Adults, children greater than or equal to 2 yrs: 1/2 spoonful using provided measuring spoon 4 times daily; infants 6-24 mths: 1/4 spoonful using provided measuring spoon 4 times daily; elderly with dentures: also apply to dentures overnight, wash off before replacing dentures in morning

 

 

 


Evidence based case study – prescription of ankle foot orthosis for a left side hemiplegic/hemiparesis patient that has weakness in the left ankle dorsiflexors with plantarflexor contracture where fatigable clonus is located towards the end of ROM. Order Description Basically, the written assignment is based on looking at the evidence (literature-journal articles) good quality sources, may it be randomised control trials, or even case specific studies which is related to our patient, critically analyse information. Normal gait kinematics vs abnormal gait kinematics of our patient. Critically analysing which of these AFO’s Solid AFO vs hinged AFO vs other types of AFO is best option for him in terms of orthotic management based on his clinical presentation and personal goals. I can provide more information eg. powerpoint slides, marking matrix, journal articles, and lecture notes later on. I can also provide patient details and assignment criteria in an email in the future. Thanks for taking part with this task.

Evidence based case study – prescription of ankle foot orthosis for a left side hemiplegic/hemiparesis patient that has weakness in the left ankle dorsiflexors with plantarflexor contracture where fatigable clonus is located towards the end of ROM.

Order Description

Basically, the written assignment is based on looking at the evidence (literature-journal articles) good quality sources, may it be randomised control trials, or even case specific studies which is related to our patient, critically analyse information. Normal gait kinematics vs abnormal gait kinematics of our patient. Critically analysing which of these AFO’s; Solid AFO vs hinged AFO vs other types of AFO is best option for him in terms of orthotic management based on his clinical presentation and personal goals. I can provide more information eg. powerpoint slides, marking matrix, journal articles, and lecture notes later on. I can also provide patient details and assignment criteria in an email in the future. Thanks for taking part with this task.

1. When a vaccine is injected into a patient, which event ha

1. When a vaccine is injected into a patient, which event ha

1. When a vaccine is injected into a patient, which event happens first? Select one: 1. Antigen pres

Write a reserch paper, Should have a clinical medicine topic, or psychological topics with clinical implications, for a behavior medicine class. Should be one of following

Write a reserch paper, Should have a clinical medicine topic, or psychological topics with clinical implications, for a behavior medicine class. Should be one of following:

Write a reserch paper, Should have a clinical medicine topic, or psychological topics with clinical implications, for a behavior medicine class. Should be one of following:
•    Analyze a trend, process, discovery, method or other activity in medicine
•    Evaluate a practice, treatment, discovery, method or other activity in medicine
•    Clarify the pros and cons of a treatment or practice in medicine

In the UK’s National Health Service (NHS) system, the member

In the UK’s National Health Service (NHS) system, the member

In the UK’s National Health Service (NHS) system, the member hospitals are government owned and the… Show more In the UK’s National Health Service (NHS) system, the member hospitals are government owned and the doctors working in them are government employees. This is an example of a. workbench model b. direct employees model c. physician-owned model d. all of the above • Show less

Introductory Occupational Health and Safety

Introductory Occupational Health and Safety

Mission 1Think about where you want to be in 5 years … where would you like to work, what things might interest you, the countries you might like to live, the safety/accident forensics profession you might be pursuing. Make a note of some key words (at least 10) around those topics. Perhaps think about what questions you would want answered about OHS in this future place.
Mission 2
Go to the ‘Scoop.it’ sign up page. You will find a link on the Moodle home page in the Assessment Information block. A link to some instructions for Scoop.it can also be found in that block/
Set up your Scoop.it home page and topic … use a name that is meaningful to where you want to be but include OHS in the title somewhere so we can all search and find for your homepage.
Mission 3
Now use your key words from Mission 1 as the pre-set search terms in scoop it. You will likely have 100 suggestions come up .. start scooping!!!
Continue your journey by scooping any page that fits with your interests and connects with your questions about OHS.
You can visit other scoop it sites and re-scoop any interesting tidbits.
Mission 4
Annotate your scoops by aIDing your ‘insight’.This means aIDing words and insights/information as to why you Scooped the thing you did for each of your 10 words. i.e. a picture of a construction site might be annotated with you saying that this is where you see yourself working in the future and why.

Course work
Subject: Introductory Occupational Health and Safety

Quest 1:
Mission 1
Think about where you want to be in 5 years … where would you like to work, what things might interest you, the countries you might like to live, the safety/accident forensics profession you might be pursuing. Make a note of some key words (at least 10) around those topics. Perhaps think about what questions you would want answered about OHS in this future place.
Mission 2
Go to the ‘Scoop.it’ sign up page. You will find a link on the Moodle home page in the Assessment Information block. A link to some instructions for Scoop.it can also be found in that block/
Set up your Scoop.it home page and topic … use a name that is meaningful to where you want to be but include OHS in the title somewhere so we can all search and find for your homepage.
Mission 3
Now use your key words from Mission 1 as the pre-set search terms in scoop it. You will likely have 100 suggestions come up ..start scooping!!!
Continue your journey by scooping any page that fits with your interests and connects with your questions about OHS.
You can visit other scoop it sites and re-scoop any interesting tidbits.
Mission 4
Annotate your scoops by aIDing your ‘insight’.This means aIDing words and insights/information as to why you Scooped the thing you did for each of your 10 words. i.e. a picture of a construction site might be annotated with you saying that this is where you see yourself working in the future and why.
Please use scoope page which is I have been set up already as below
https://www.scoop.it/pricing?callbackUrl=/u/belle-sun

Public Health in Practice

– This assignment is to give a brief introduction to the work that will be done for the final assignment next month by the same writer.
– Its important to choose a field in the public health in your topic( epidemiology, Economy, evaluation, indigenous health, sexual health,,etc.).

The challenges carers face when caring for dementia patients in the united kingdom

The challenges carers face when caring for dementia patients in the united kingdom.

Order Description

Please the writer should not copy and paste .
And not use vocabularies words please use simple English that I will understand.
The writer should follow this research question, aims and objectives :
RESEARCH QUESTIONS.
1, What are the challenges carers face when working with dementia patients.
2, What are the reasons carers face these challenges .
3, What can be done to reduce these challenges.
AIMS.
1, To examine the challenges carers of dementia patients face in the united kingdom.
2,To evaluate advise and recommend ways that will help to reduced challenges.
OBJECTIVES
1, To examine the secondary research that look at challenges carers of dementia patients face in united kingdom.
2, To identify the policy and training carers of dementia patients need.
3,To examine difficulties experienced by carers of dementia patients.
4, To understand how policy and training place out.
Please don’t copy and paste .
Please don’t use vocabularies, use simple English that I will understand.

Mental health- Schizoaffective disorder

Mental health- Schizoaffective disorder

Category : Bold Essays Writing

Mental health- Schizoaffective disorder

Paper details:

Disorder Analysis Project

The purpose/objective of this assignment is the development of a scholarly case study presentation. The student will apply mental health clinical assessment and scholarly literature review to the development of an evidence-based care plan for a client of the student pair’s choosing. Elements of the assignment include:
1. Detailed mental status examination
2. Development of a relevant clinical PICOT question
3. Completion of a literature review to answer the PICOT question
4. Development of an evidence-based nursing care plan for the specific client described.
5. The case study will be presented as a scholarly presentation to your professional peers supported by a professional level PowerPoint presentation.
Assignment Requirements: This assignment builds in stages.

• The student pair will choose a client from their clinical setting with a diagnosis of a mood disorder, a psychotic disorder, PTSD, or a co-occurring substance abuse disorder (in aIDition to any of the prior diagnoses). Other diagnoses may be considered with approval of the instructor.
• The first step is the completion of a mental status examination on the chosen client and development of a problem list.
• Next the students develop a research question based on the client’s clinical needs, using the most important of your three nursing diagnoses. (The focus of the literature search and the care plan will be to answer this question.)
• The students will then complete a literature search for a minimum of five scholarly research and evidence-based practice articles. Each article which will be analyzed using the worksheets provided and turned as a research bundle of the completed worksheets.
• The final version of the disorder analysis presentation will be completed according to the detailed rubric below and presented to your clinical group on the last clinical day of the semester.

Sources of information: Direct interview of client, personal observation of milieu, consultation with treating staff (psychiatrist and other multidisciplinary clinical team members), other academic psychiatric literature (e.g. psychiatric textbooks), research studies from peer reviewed mental health/nursing journals and evidence based practice articles from peer reviewed nursing journals are required. Secondary sources are not acceptable unless approved by the instructor.

Presentation: The presentation should be no more than 20 minutes long, supported by a PowerPoint presentation.

Assignment weight/points: Combined pre-writing assignments and final presentation is worth 10 % of course grade.
DAP Pre-writing Assignments
a. Mental Status Examination (MSE): See rubric for Mental Status Examination. The MSE provides the clinical database for your presentation. Graded by the clinical instructor.
b. Research Question: Based on your assessment, develop a question in modified PICOT format. Submit to lecture instructor.
Research Question should include:
• Client Problem: What is the significant client problem to which evidence-based care will be applied?
• Research direction: What area of evidence-based practice do you intend to explore?
• Intervention: What do you hope to learn in the literature review to support your care plan interventions? (Specific therapies, medications, education, etc.)
• Outcome: What measurable client outcomes do you seek? (Less symptoms, no symptoms, sobriety, medication adherence etc.)
• Time: What is the time frame? The time frame should be realistic in the care setting.
c. Research Bundle
The purpose of the Research Bundle is to gather and critically evaluate reference material related to your PICOT question. Your Halter text is not an acceptable source. Submit to lecture instructor a completed worksheet for each study. Note that there are two forms. One is for research studies. The other is for all other types of scholarly sources.

Evaluate four sources, possibly including:

A) Theoretical books and/or articles to understand the disorder.
B) Research studies (qualitative and/or quantitative) related to the dynamics of the disorder, medication management, and/or clinical management.
C) Scholarly nursing research studies, consensus papers, and other scholarly sources regarding evidence-based practices related to the client’s care planning and/or medication needs.

Disorder Analysis Paper Research Bundle Worksheets

Research Study: (citation in APA format)

Why was the study done? (What was the problem under investigation and the purpose (research question) of the study?) How closely does the focus of the study relate to your area of interest?

Who was studied? Describe the population included in the study sample. Include the number of participants. What concerns do you have about generalizing from this population to your client?

How was the study done?
A. Identify the research methodology:
1. Quantitative: e.g. descriptive, correlational, cohort, randomized controlled, quasi-experimental
2. Qualitative: e.g. ethnography, grounded theory, phenomenology
3. Mixed method: a bit of both (e.g. descriptive survey plus phenomenology)
B. What was the intervention? Discuss how the study was carried out? What variables were measured and/or compared? How were the variables measured?
What was the outcome? Briefly summarize the research results.
How you will apply this data to your DAP care plan?

Summary of strengths/limitations/relevance of the study and its findings for use in your DAP?
Scholarly Review or Theoretical Article: (citation in APA format)
Description of source? (Integrative review, systematic review, meta-analysis, Meta-synthesis, Evidence-based clinical practice guideline? See Davies and Logan, p. 31)
Significant data/evidence based practices?

Strengths/limitations of the data/evidence presented? For example, did the author present sufficient scholarly support for practice implications or other conclusions?
Relevance of the clinical/theoretical material presented to your client/ PICOT question? What concerns do you have about generalizing from this information to your client’s care planning needs?

How can you use the results? Briefly describe the implications (i.e. how this study can /cannot be applied) to your problem of interest and your DAP care plan.
Disorder Analysis Project Presentation
The final presentation will be evaluated for thesis, audience, following directions, support, and professional writing style/grammar/usage/spelling, professional presentation, and APA references. Note that this assignment description is quite detailed. The time limit of 20 minutes will be strictly adhered to. Therefore, all information must be summarized and bulleted effectively to achieve a successful presentation. See below for suggested slide layout. Slides should include citations for referenced data and a reference list in APA format.
Disorder Analysis Project PowerPoint Presentation Guidelines
Slide #1: The title of your project

Slide #2: Research question with discussion of the significance of the question.

Slide #3: Introduce your client by using the demographic data and Axes I-V on the first page of the Mental Status Examination (MSE) form.

Slide #4: Present only the pertinent/positive findings of the MSE. There is no need to mention those sections of the MSE, which reflect no problem.

Slide #5: Medication table. The client may be taking many medications but you should focus only on the psychotropic medications and why this particular client is taking them. Cite a minimum of two scholarly references in aIDition to Halter on this slide.

Sample Medication Table
Medication Classification Action Dosage and Route Side Effects Rationale for use in this client
Aricept
(Donepezil hydrochloride) Cholinesterase inhibitor Inhibits the breakdown of endogenously released acetylcholine. 5 mg po every morning Monitor for gastrointestinal bleeding.
Mild drowsiness, headache, metallic aftertaste, allergic dermatitis Used for the treatment of mild to moderate dementia of the Alzheimer’s type. This client currently exhibits moderate memory loss.
Zyprexa
(Olanzapine) Atypical Antipsychotic Blocks serotonin receptors and D2 receptors. 10 mg/day po every evening Somnolence, agitation, nervousness, insomnia, dizziness, weight gain, constipation, dry mouth, increased appetite, Used for the treatment of psychotic symptoms of dementia. This client exhibits auditory hallucinations and paranoid delusions.

Slide #6: The three most important nursing diagnoses for the subject of your presentation and which of these diagnoses led to the formulation of your PICOT question. Briefly discuss rationale for this nursing diagnosis based client problem and literature findings.

Slides #7 +: The nursing interventions for the chosen nursing diagnosis for this client and how these interventions are supported by the literature.

Based on your research, develop three interventions with rationales that are:
a) Client specific
b) Behaviorally measurable with timeframes
c) Realistic and appropriate to the clinical setting.
d) Based on the student’s literature search (with citations).

Evaluation: If you were able to implement the intervention, discuss the actual client response. If not implemented, discuss the hoped-for result and how it would be behaviorally evaluated. As in all care plans, evaluation criteria must be client specific, setting specific, measureable, and have a clear timeframe.

When a source is cited, please make sure you note it on the slide in APA format just as you would in a paper. There may be research articles, which don’t support your proposed nursing interventions. However, the preponderance of scholarly citations should support the interventions you would use with this client.

This section should be heavily referenced, but your Halter textbook is not an acceptable source for this section. Cite a minimum of two primary research studies in your discussion. In aIDition, scholarly books and theoretical articles from peer-reviewed journals are appropriate.
Slide: #? Conclusion: This slide should briefly summarize your presentation and answer your research question. Briefly identify practice implications and needs for further study.

Slide: #? References: All sources cited in the presentation are listed at the end of the Power Point presentation in APA format and should be in 20-point font in order for the audience to be able to see them. Use as many slides as needed.

DAP Presentation Grading Rubric

Category Exemplary Meets Requirements Needs Improvement Score
Article Selection

Maximum
5 points All articles published in past 5 years unless instructor permission is received.
Highly relevant research from scholarly source. Relevance of articles to the topic is apparent in most of the articles.
All articles are current within past 5 years unless instructor permission is received.
Relevance of articles is not apparent.
Some articles older than 2009 without instructor permission.
Fewer than 5 articles are included or articles were not all from scholarly sources.
Introduction and research question

Maximum
5 points Topic and research question for the case study are introduced and defined; significance to the client’s care and direction of the presentation explicit. Topic and research question for the case study are identified and defined. Significance to the client’s care and direction are identified. Topic and purpose is unclear to the reader. Significance to the client’s care is unclear.
Client Problem and Assessment
15 points Data are presented in a concise, relevant manner incorporating all pertinent clinical data and clearly identifying significance of key findings. Data are presented in a relevant manner, which identifies the significance of key findings. Significant data is missing or clinical significance is unclear to the reader.
Dynamics of the Disorder
Maximum
15 points Thoughtful and in-depth synthesis of literature findings related to clinical problem.
Organized presentation.
Content vocabulary used appropriately and precisely. Topic aIDressed adequately.
Information provides reader with sufficient knowledge of topic.
Themes/issues evident.
Content vocabulary generally accurate. Topic not aIDressed adequately.
Information provides little knowledge on topic.
Lacks organization.
Significant errors in content vocabulary.
Nursing Management
15 points Problem list is logically prioritized; care plan clearly incorporates evidence-based practices in a client/clinical setting-specific manner. Interventions, outcomes and evaluation are client specific, measurable, relevant and thoroughly evaluated. Problem list is logically prioritized; narrative care plan incorporates evidence based practices manner relevant to the client’s needs and clinical setting. Interventions, outcomes, and evaluation are client specific, measurable, and relevant. Problem list is poorly prioritized. Evidence-based rationale for interventions, outcomes and evaluation criteria are unclear, minimally relevant to the client’s needs and clinical setting and/or not measurable.
Analysis and Conclusion
Maximum
15 points Clear conclusions and analysis of research question. Insights and inferences appropriate and well supported from the literature reviewed and client assessment.
Implications are strongly connected to findings. Conclusions regarding research question are based on findings.
Inferences appropriate.
Implications are identified and supported by findings. Conclusions not connected to findings. Research question not answered.
Inferences inappropriate or general.
Implications missing or poorly linked to findings.
Grammar & Spelling
Max. 5 points No grammar or spelling errors. 1-2 minor errors. 3 or more errors.
APA Format, Citations, References, and Formatting

10 points Citations present when needed without errors. All citations and references include all elements of APA formatting, according examples in APA 7.01.
Uses Word functions appropriately. Font readable on all slides and in handout format. Slides attractive and professional in appearance. No more than 2 minor errors in including and formatting citations in APA style formatting in all citations and references. Follows examples in APA 7.01.
Follows all formatting guidelines; minor problems with Word functions. Font smaller than comfortable to read in some slides. Slides neat and professional in appearance More than two minor errors or one significant error in including and formatting citations and references. Does not follow APA 7.01.
Formatting errors; page length incorrect; poor use of Word functions. Font too small to read on slides and handout format. Slide format distracts from presentation.
Presentation
15 points Presentations clear, concise and coherent. Student presents information in logical, interesting sequence, demonstrates command of knowledge, is easy to understand (elocution and volume) Presentation clear logically presented. Student presents information in organized manner and answers question appropriately. Presentation does not flow or is without logical organization. Student is unable to provide detailed answers to question. Low volume or poor enunciation interferes with audience understanding of content.
Total points (100 possible):

find the cost of your paper

Healthcare Crisis

I need an Argumentative Research Paper on Healthcare Crisis
Please include the following:
1). the effects of people who have experienced having NO healthcare coverage due to not being able to afford it.
2). why is our healthcare system in such a disarray?
3). what drives the increased cost?
4). Is The Affordable healthcare working?