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  • [Solved] Discussion Post

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    Mrs. Nasser arrived at the urgent-care center with her 16-year-old daughter, who had been experiencing burning upon urination, itching around her genital area, and a high fever. Mrs. Nasser appeared very anxious, explaining to the nurse that her daughter had never had these symptoms before. The nurs…

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    Assignment Prompt & Instructions

    Mrs. Nasser arrived at the urgent-care center with her 16-year-old daughter, who had been experiencing burning upon urination, itching around her genital area, and a high fever. Mrs. Nasser appeared very anxious, explaining to the nurse that her daughter had never had these symptoms before. The nurse tried to calm Mrs. Nasser and asked that her daughter, Samia, get undressed in preparation for a physical examination. Mrs. Nasser appeared concerned and requested that the nurse inform the doctor that she will not allow the doctor to perform a vaginal examination on her daughter.

    The nurse explained to Mrs. Nasser that it will be necessary for the doctor to examine Samia so that she can determine the cause of Samia’s discomfort. Mrs. Nasser became extremely agitated and explained to the nurse that in her culture, young girls are not allowed to have a vaginal examination for fear that their virginity will be compromised. Mrs. Nasser insisted that she would not allow her daughter to be examined by the female doctor on duty. Mrs. Nasser requested that the nurse ask the doctor to write a prescription for her daughter’s infection, or else she would leave the clinic immediately.

    1. How should the nurse respond to Mrs. Nasser’s request? Explain your rationale.
    2. Identify culturally congruent strategies that may be most effective in addressing the needs of Mrs. Nasser.
    3. How might the nurse ensure that Mrs. Nasser’s concerns are addressed appropriately and that Samia has received the appropriate care?

    – 2 years ago

  • [Solved] Randomized Trials in Epidemiology

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    – 2 years ago **files (2)** – ## WK4Discussion8310.docx – ## WK4Discussion8310.docx **## WK4Discussion8310.docx** Randomized Trials in Epidemiology ![A blue glove and a white pad with yellow and blue circles AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/randomized-tria…

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    Assignment Prompt & Instructions

    – 2 years ago

    **files (2)**

    – ## WK4Discussion8310.docx

    – ## WK4Discussion8310.docx

    **## WK4Discussion8310.docx**

    Randomized Trials in Epidemiology

    ![A blue glove and a white pad with yellow and blue circles AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/randomized-trials-in-epidemiology-20892395)

    Imagine that researchers are conducting a randomized controlled trial of a high-fiber supplement as a preventive measure in persons at increased risk of type 2 diabetes. People enrolled in the study are disease free at the time they agree to participate in the trial, but they all have a family history of type 2 diabetes and are considered at high risk (80%) to develop the disease during their lifetime. The 10,000 participants who start the trial are healthy individuals who are randomly allocated to receive either high-fiber supplements or placebo for several years. As you can imagine, this study will be quite expensive and will require a large infrastructure of personnel and materials to carry it out successfully.

    Because type 2 diabetes has reached epidemic proportions in the United States, the potential benefits of this research are important at a population level. Unfortunately, high-fiber supplements have also been shown in a few studies to be associated with gastrointestinal blockage (which can be life-threatening) and reduced nutrient absorption, which may lead to anemia, osteoporosis, and other debilitating chronic diseases. The supplements may also reduce absorption of certain medications and cause gastrointestinal distress. The potential side effects of continuous high-fiber supplementation are only partially understood, and long-term effects are unknown.

    For this Discussion, you are asked to identify an example of an experimental study design in the literature and consider the ethical implications of the randomized controlled trial design.

    Resources

    Be sure to review the Learning Resources before completing this activity.
    Click the weekly resources link to access the resources.

    [**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/161210/modules/items/6261004)

    **To prepare:**

    · Search databases in the Walden Library and locate a peer-reviewed article from the last 5 years that uses a randomized controlled trial study design. The subject of the study may be any topic professionally relevant or interesting to your practice. You may not select an article already posted by one of your colleagues for this Discussion. (
    **Tip:** When searching, you may use “randomized trial” as one of your search phrases.)

    · Critically analyze the following aspects of the research study:

    · Purpose

    · Study population

    · Length of the trial

    · Data collection methods

    · Outcome measures

    · Results and conclusions

    · Ethical issues associated with the study

    · Ask yourself: How did this research study benefit from its experimental design? What was achieved by randomization that might not otherwise have been achieved?

    **By Day 3 of Week 4**

    **Post** a cohesive scholarly response that addresses the following:

    · Summarize the research study addressing the aspects bulleted above.

    · Identify and discuss the ethical issues associated with this study.

    · Be sure to include a link to the article in your post.

    ## image1.jpeg

    **## WK4Discussion8310.docx**

    Randomized Trials in Epidemiology

    ![A blue glove and a white pad with yellow and blue circles AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/randomized-trials-in-epidemiology-20892395)

    Imagine that researchers are conducting a randomized controlled trial of a high-fiber supplement as a preventive measure in persons at increased risk of type 2 diabetes. People enrolled in the study are disease free at the time they agree to participate in the trial, but they all have a family history of type 2 diabetes and are considered at high risk (80%) to develop the disease during their lifetime. The 10,000 participants who start the trial are healthy individuals who are randomly allocated to receive either high-fiber supplements or placebo for several years. As you can imagine, this study will be quite expensive and will require a large infrastructure of personnel and materials to carry it out successfully.

    Because type 2 diabetes has reached epidemic proportions in the United States, the potential benefits of this research are important at a population level. Unfortunately, high-fiber supplements have also been shown in a few studies to be associated with gastrointestinal blockage (which can be life-threatening) and reduced nutrient absorption, which may lead to anemia, osteoporosis, and other debilitating chronic diseases. The supplements may also reduce absorption of certain medications and cause gastrointestinal distress. The potential side effects of continuous high-fiber supplementation are only partially understood, and long-term effects are unknown.

    For this Discussion, you are asked to identify an example of an experimental study design in the literature and consider the ethical implications of the randomized controlled trial design.

    Resources

    Be sure to review the Learning Resources before completing this activity.
    Click the weekly resources link to access the resources.

    [**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/161210/modules/items/6261004)

    **To prepare:**

    · Search databases in the Walden Library and locate a peer-reviewed article from the last 5 years that uses a randomized controlled trial study design. The subject of the study may be any topic professionally relevant or interesting to your practice. You may not select an article already posted by one of your colleagues for this Discussion. (
    **Tip:** When searching, you may use “randomized trial” as one of your search phrases.)

    · Critically analyze the following aspects of the research study:

    · Purpose

    · Study population

    · Length of the trial

    · Data collection methods

    · Outcome measures

    · Results and conclusions

    · Ethical issues associated with the study

    · Ask yourself: How did this research study benefit from its experimental design? What was achieved by randomization that might not otherwise have been achieved?

    **By Day 3 of Week 4**

    **Post** a cohesive scholarly response that addresses the following:

    · Summarize the research study addressing the aspects bulleted above.

    · Identify and discuss the ethical issues associated with this study.

    · Be sure to include a link to the article in your post.

    ## image1.jpeg

    **## WK4Discussion8310.docx**

    Randomized Trials in Epidemiology

    ![A blue glove and a white pad with yellow and blue circles AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/randomized-trials-in-epidemiology-20892395)

    Imagine that researchers are conducting a randomized controlled trial of a high-fiber supplement as a preventive measure in persons at increased risk of type 2 diabetes. People enrolled in the study are disease free at the time they agree to participate in the trial, but they all have a family history of type 2 diabetes and are considered at high risk (80%) to develop the disease during their lifetime. The 10,000 participants who start the trial are healthy individuals who are randomly allocated to receive either high-fiber supplements or placebo for several years. As you can imagine, this study will be quite expensive and will require a large infrastructure of personnel and materials to carry it out successfully.

    Because type 2 diabetes has reached epidemic proportions in the United States, the potential benefits of this research are important at a population level. Unfortunately, high-fiber supplements have also been shown in a few studies to be associated with gastrointestinal blockage (which can be life-threatening) and reduced nutrient absorption, which may lead to anemia, osteoporosis, and other debilitating chronic diseases. The supplements may also reduce absorption of certain medications and cause gastrointestinal distress. The potential side effects of continuous high-fiber supplementation are only partially understood, and long-term effects are unknown.

    For this Discussion, you are asked to identify an example of an experimental study design in the literature and consider the ethical implications of the randomized controlled trial design.

    Resources

    Be sure to review the Learning Resources before completing this activity.
    Click the weekly resources link to access the resources.

    [**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/161210/modules/items/6261004)

    **To prepare:**

    · Search databases in the Walden Library and locate a peer-reviewed article from the last 5 years that uses a randomized controlled trial study design. The subject of the study may be any topic professionally relevant or interesting to your practice. You may not select an article already posted by one of your colleagues for this Discussion. (
    **Tip:** When searching, you may use “randomized trial” as one of your search phrases.)

    · Critically analyze the following aspects of the research study:

    · Purpose

    · Study population

    · Length of the trial

    · Data collection methods

    · Outcome measures

    · Results and conclusions

    · Ethical issues associated with the study

    · Ask yourself: How did this research study benefit from its experimental design? What was achieved by randomization that might not otherwise have been achieved?

    **By Day 3 of Week 4**

    **Post** a cohesive scholarly response that addresses the following:

    · Summarize the research study addressing the aspects bulleted above.

    · Identify and discuss the ethical issues associated with this study.

    · Be sure to include a link to the article in your post.

    ## image1.jpeg

    **## WK4Discussion8310.docx**

    Randomized Trials in Epidemiology

    ![A blue glove and a white pad with yellow and blue circles AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/randomized-trials-in-epidemiology-20892395)

    Imagine that researchers are conducting a randomized controlled trial of a high-fiber supplement as a preventive measure in persons at increased risk of type 2 diabetes. People enrolled in the study are disease free at the time they agree to participate in the trial, but they all have a family history of type 2 diabetes and are considered at high risk (80%) to develop the disease during their lifetime. The 10,000 participants who start the trial are healthy individuals who are randomly allocated to receive either high-fiber supplements or placebo for several years. As you can imagine, this study will be quite expensive and will require a large infrastructure of personnel and materials to carry it out successfully.

    Because type 2 diabetes has reached epidemic proportions in the United States, the potential benefits of this research are important at a population level. Unfortunately, high-fiber supplements have also been shown in a few studies to be associated with gastrointestinal blockage (which can be life-threatening) and reduced nutrient absorption, which may lead to anemia, osteoporosis, and other debilitating chronic diseases. The supplements may also reduce absorption of certain medications and cause gastrointestinal distress. The potential side effects of continuous high-fiber supplementation are only partially understood, and long-term effects are unknown.

    For this Discussion, you are asked to identify an example of an experimental study design in the literature and consider the ethical implications of the randomized controlled trial design.

    Resources

    Be sure to review the Learning Resources before completing this activity.
    Click the weekly resources link to access the resources.

    [**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/161210/modules/items/6261004)

    **To prepare:**

    · Search databases in the Walden Library and locate a peer-reviewed article from the last 5 years that uses a randomized controlled trial study design. The subject of the study may be any topic professionally relevant or interesting to your practice. You may not select an article already posted by one of your colleagues for this Discussion. (
    **Tip:** When searching, you may use “randomized trial” as one of your search phrases.)

    · Critically analyze the following aspects of the research study:

    · Purpose

    · Study population

    · Length of the trial

    · Data collection methods

    · Outcome measures

    · Results and conclusions

    · Ethical issues associated with the study

    · Ask yourself: How did this research study benefit from its experimental design? What was achieved by randomization that might not otherwise have been achieved?

    **By Day 3 of Week 4**

    **Post** a cohesive scholarly response that addresses the following:

    · Summarize the research study addressing the aspects bulleted above.

    · Identify and discuss the ethical issues associated with this study.

    · Be sure to include a link to the article in your post.

    ## image1.jpeg

    **## WK4Discussion8310.docx**

    Randomized Trials in Epidemiology

    ![A blue glove and a white pad with yellow and blue circles AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/randomized-trials-in-epidemiology-20892395)

    Imagine that researchers are conducting a randomized controlled trial of a high-fiber supplement as a preventive measure in persons at increased risk of type 2 diabetes. People enrolled in the study are disease free at the time they agree to participate in the trial, but they all have a family history of type 2 diabetes and are considered at high risk (80%) to develop the disease during their lifetime. The 10,000 participants who start the trial are healthy individuals who are randomly allocated to receive either high-fiber supplements or placebo for several years. As you can imagine, this study will be quite expensive and will require a large infrastructure of personnel and materials to carry it out successfully.

    Because type 2 diabetes has reached epidemic proportions in the United States, the potential benefits of this research are important at a population level. Unfortunately, high-fiber supplements have also been shown in a few studies to be associated with gastrointestinal blockage (which can be life-threatening) and reduced nutrient absorption, which may lead to anemia, osteoporosis, and other debilitating chronic diseases. The supplements may also reduce absorption of certain medications and cause gastrointestinal distress. The potential side effects of continuous high-fiber supplementation are only partially understood, and long-term effects are unknown.

    For this Discussion, you are asked to identify an example of an experimental study design in the literature and consider the ethical implications of the randomized controlled trial design.

    Resources

    Be sure to review the Learning Resources before completing this activity.
    Click the weekly resources link to access the resources.

    [**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/161210/modules/items/6261004)

    **To prepare:**

    · Search databases in the Walden Library and locate a peer-reviewed article from the last 5 years that uses a randomized controlled trial study design. The subject of the study may be any topic professionally relevant or interesting to your practice. You may not select an article already posted by one of your colleagues for this Discussion. (
    **Tip:** When searching, you may use “randomized trial” as one of your search phrases.)

    · Critically analyze the following aspects of the research study:

    · Purpose

    · Study population

    · Length of the trial

    · Data collection methods

    · Outcome measures

    · Results and conclusions

    · Ethical issues associated with the study

    · Ask yourself: How did this research study benefit from its experimental design? What was achieved by randomization that might not otherwise have been achieved?

    **By Day 3 of Week 4**

    **Post** a cohesive scholarly response that addresses the following:

    · Summarize the research study addressing the aspects bulleted above.

    · Identify and discuss the ethical issues associated with this study.

    · Be sure to include a link to the article in your post.

    ## image1.jpeg

    **## WK4Discussion8310.docx**

    Randomized Trials in Epidemiology

    ![A blue glove and a white pad with yellow and blue circles AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/randomized-trials-in-epidemiology-20892395)

    Imagine that researchers are conducting a randomized controlled trial of a high-fiber supplement as a preventive measure in persons at increased risk of type 2 diabetes. People enrolled in the study are disease free at the time they agree to participate in the trial, but they all have a family history of type 2 diabetes and are considered at high risk (80%) to develop the disease during their lifetime. The 10,000 participants who start the trial are healthy individuals who are randomly allocated to receive either high-fiber supplements or placebo for several years. As you can imagine, this study will be quite expensive and will require a large infrastructure of personnel and materials to carry it out successfully.

    Because type 2 diabetes has reached epidemic proportions in the United States, the potential benefits of this research are important at a population level. Unfortunately, high-fiber supplements have also been shown in a few studies to be associated with gastrointestinal blockage (which can be life-threatening) and reduced nutrient absorption, which may lead to anemia, osteoporosis, and other debilitating chronic diseases. The supplements may also reduce absorption of certain medications and cause gastrointestinal distress. The potential side effects of continuous high-fiber supplementation are only partially understood, and long-term effects are unknown.

    For this Discussion, you are asked to identify an example of an experimental study design in the literature and consider the ethical implications of the randomized controlled trial design.

    Resources

    Be sure to review the Learning Resources before completing this activity.
    Click the weekly resources link to access the resources.

    [**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/161210/modules/items/6261004)

    **To prepare:**

    · Search databases in the Walden Library and locate a peer-reviewed article from the last 5 years that uses a randomized controlled trial study design. The subject of the study may be any topic professionally relevant or interesting to your practice. You may not select an article already posted by one of your colleagues for this Discussion. (
    **Tip:** When searching, you may use “randomized trial” as one of your search phrases.)

    · Critically analyze the following aspects of the research study:

    · Purpose

    · Study population

    · Length of the trial

    · Data collection methods

    · Outcome measures

    · Results and conclusions

    · Ethical issues associated with the study

    · Ask yourself: How did this research study benefit from its experimental design? What was achieved by randomization that might not otherwise have been achieved?

    **By Day 3 of Week 4**

    **Post** a cohesive scholarly response that addresses the following:

    · Summarize the research study addressing the aspects bulleted above.

    · Identify and discuss the ethical issues associated with this study.

    · Be sure to include a link to the article in your post.

    ## image1.jpeg

    **## WK4Discussion8310.docx**

    Randomized Trials in Epidemiology

    ![A blue glove and a white pad with yellow and blue circles AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/randomized-trials-in-epidemiology-20892395)

    Imagine that researchers are conducting a randomized controlled trial of a high-fiber supplement as a preventive measure in persons at increased risk of type 2 diabetes. People enrolled in the study are disease free at the time they agree to participate in the trial, but they all have a family history of type 2 diabetes and are considered at high risk (80%) to develop the disease during their lifetime. The 10,000 participants who start the trial are healthy individuals who are randomly allocated to receive either high-fiber supplements or placebo for several years. As you can imagine, this study will be quite expensive and will require a large infrastructure of personnel and materials to carry it out successfully.

    Because type 2 diabetes has reached epidemic proportions in the United States, the potential benefits of this research are important at a population level. Unfortunately, high-fiber supplements have also been shown in a few studies to be associated with gastrointestinal blockage (which can be life-threatening) and reduced nutrient absorption, which may lead to anemia, osteoporosis, and other debilitating chronic diseases. The supplements may also reduce absorption of certain medications and cause gastrointestinal distress. The potential side effects of continuous high-fiber supplementation are only partially understood, and long-term effects are unknown.

    For this Discussion, you are asked to identify an example of an experimental study design in the literature and consider the ethical implications of the randomized controlled trial design.

    Resources

    Be sure to review the Learning Resources before completing this activity.
    Click the weekly resources link to access the resources.

    [**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/161210/modules/items/6261004)

    **To prepare:**

    · Search databases in the Walden Library and locate a peer-reviewed article from the last 5 years that uses a randomized controlled trial study design. The subject of the study may be any topic professionally relevant or interesting to your practice. You may not select an article already posted by one of your colleagues for this Discussion. (
    **Tip:** When searching, you may use “randomized trial” as one of your search phrases.)

    · Critically analyze the following aspects of the research study:

    · Purpose

    · Study population

    · Length of the trial

    · Data collection methods

    · Outcome measures

    · Results and conclusions

    · Ethical issues associated with the study

    · Ask yourself: How did this research study benefit from its experimental design? What was achieved by randomization that might not otherwise have been achieved?

    **By Day 3 of Week 4**

    **Post** a cohesive scholarly response that addresses the following:

    · Summarize the research study addressing the aspects bulleted above.

    · Identify and discuss the ethical issues associated with this study.

    · Be sure to include a link to the article in your post.

    ## image1.jpeg

  • [Solved] see attached

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    – 2 years ago **files (1)** – ## Unit12A-ManagingSideEffectsacrosstheLifespanPaper.4scholarlyreference.Due3-26-25.doc **## Unit12A-ManagingSideEffectsacrosstheLifespanPaper.4scholarlyreference.Due3-26-25.doc** Unit 12A-Managing Side Effects across the Lifespan Paper. 4 scholarly reference. Due 3-26-…

    Instant Solution Download

    $6.99

    Immediate access to the full model answer, formatted citations, and rubric breakdown.

    Need a Fresh Custom Paper?

    Have this question answered from scratch according to your specific instructions and deadline.

    Order on TutorsGallery →

    Assignment Prompt & Instructions

    – 2 years ago

    **files (1)**

    – ## Unit12A-ManagingSideEffectsacrosstheLifespanPaper.4scholarlyreference.Due3-26-25.doc

    **## Unit12A-ManagingSideEffectsacrosstheLifespanPaper.4scholarlyreference.Due3-26-25.doc**

    Unit 12A-Managing Side Effects across the Lifespan Paper. 4 scholarly reference. Due 3-26-25

    Instructions

    Write a paper 4-page paper concerning common side effects and how to manage these for the psychiatric mental health patient. In this paper, include the following:

    · Why is it so important to include side effects in informed consent?

    · Following this portion of the document, include an additional 2 pages addressing each of the the mini cases listed below.

    · Maintain APA 7th edition formatting as related to spacing, title page, citations, and references.

    · Papers are uploaded through Turnitin plagiarism checker for grade submission.

    For the following 5 mini-cases, answer the following questions:

    1. What is the potential side effect of the medication that will be started?

    2. Is this medication appropriate (right med, right dose, right time, right route) for this patient?

    3. What would be another medication(s) you could possibly start and the side effects of that medication(s)?

    Patient 1

    67-year-old female who presents with MDD and GAD. She has been treated with Cymbalta in the past however finds it not working very well and having sadness, insomnia, ruminations, and a sense of impending doom again. She is to be started on Pristiq 50mg.

    Patient 2

    9-year-old male who presents with ADHD and panic disorder. He is to be started on Adderall XR 20mg at noon.

    Patient 3

    40-year-old male who presents with Bipolar 1 Disorder and in a manic state after stopping his Abilify for the 3rd time in 8 months. It had been discussed previously to start Abilify Maintena 400mg IM q 4 weeks and will be started today. He has not had PO Abilify for 1 week.

    Patient 4

    93-year-old female who presents with the recent loss (6 months ago) of her husband of 58 years. She notes trouble sleeping, not being hungry, and sad. She has no previous psychiatric history and is to be started on paroxetine 30mg daily and quetiapine 200mg hs for her recent insomnia.

    Patient 5

    52-year-old female who presents with MDD. She reports recently going through menopause and having a lot of trouble with irritability and hot flashes. Her current medication is not working like it was before and she will be started on clonazepam 0.5mg bid.

    Complete this assignment and submit it to this assignment dropbox by Sunday at 11:59 pm CT.

    Estimated time to complete: 3 hours

    ![image1.png](https://www.sweetstudy.com/questions/see-attached-20892561)

    ![image2.png](https://www.sweetstudy.com/questions/see-attached-20892561)

    **## Unit12A-ManagingSideEffectsacrosstheLifespanPaper.4scholarlyreference.Due3-26-25.doc**

    Unit 12A-Managing Side Effects across the Lifespan Paper. 4 scholarly reference. Due 3-26-25

    Instructions

    Write a paper 4-page paper concerning common side effects and how to manage these for the psychiatric mental health patient. In this paper, include the following:

    · Why is it so important to include side effects in informed consent?

    · Following this portion of the document, include an additional 2 pages addressing each of the the mini cases listed below.

    · Maintain APA 7th edition formatting as related to spacing, title page, citations, and references.

    · Papers are uploaded through Turnitin plagiarism checker for grade submission.

    For the following 5 mini-cases, answer the following questions:

    1. What is the potential side effect of the medication that will be started?

    2. Is this medication appropriate (right med, right dose, right time, right route) for this patient?

    3. What would be another medication(s) you could possibly start and the side effects of that medication(s)?

    Patient 1

    67-year-old female who presents with MDD and GAD. She has been treated with Cymbalta in the past however finds it not working very well and having sadness, insomnia, ruminations, and a sense of impending doom again. She is to be started on Pristiq 50mg.

    Patient 2

    9-year-old male who presents with ADHD and panic disorder. He is to be started on Adderall XR 20mg at noon.

    Patient 3

    40-year-old male who presents with Bipolar 1 Disorder and in a manic state after stopping his Abilify for the 3rd time in 8 months. It had been discussed previously to start Abilify Maintena 400mg IM q 4 weeks and will be started today. He has not had PO Abilify for 1 week.

    Patient 4

    93-year-old female who presents with the recent loss (6 months ago) of her husband of 58 years. She notes trouble sleeping, not being hungry, and sad. She has no previous psychiatric history and is to be started on paroxetine 30mg daily and quetiapine 200mg hs for her recent insomnia.

    Patient 5

    52-year-old female who presents with MDD. She reports recently going through menopause and having a lot of trouble with irritability and hot flashes. Her current medication is not working like it was before and she will be started on clonazepam 0.5mg bid.

    Complete this assignment and submit it to this assignment dropbox by Sunday at 11:59 pm CT.

    Estimated time to complete: 3 hours

    ![image1.png](https://www.sweetstudy.com/questions/see-attached-20892561)

    ![image2.png](https://www.sweetstudy.com/questions/see-attached-20892561)

  • [Solved] see attached

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    – 2 years ago **files (1)** – ## Unit12.doc **## Unit12.doc** Unit 12-Clinical Journal Reflection-800 words-4 scholarly reference. Due 3-24-25 Address the Following Items: · For the following side effects, what are the options you can provide patients with? · Think about the risk/benefit of stopping…

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    $6.99

    Immediate access to the full model answer, formatted citations, and rubric breakdown.

    Need a Fresh Custom Paper?

    Have this question answered from scratch according to your specific instructions and deadline.

    Order on TutorsGallery →

    Assignment Prompt & Instructions

    – 2 years ago

    **files (1)**

    – ## Unit12.doc

    **## Unit12.doc**

    Unit 12-Clinical Journal Reflection-800 words-4 scholarly reference. Due 3-24-25

    Address the Following Items:

    · For the following side effects, what are the options you can provide patients with?

    · Think about the risk/benefit of stopping, switching, or adding medication.

    · Explain the rationale for your decision:

    · Akathisia/Tremors

    · EPS/TD

    · Weight gain

    · Metabolic Syndrome

    · Sexual Dysfunction

    · Blunted affect

    · Agranulocytosis

    Use the appropriate APA formatting with a minimum of 2 references to support your work.

    All components must be discussed to receive full credit as complete.

    **Note**:
    _Grades of Incomplete on this assignment will result in a clinical failure._

    Complete this assignment and submit it to this assignment dropbox by Sunday at 11:59 pm CT.

    Estimated time to complete: 2 hours

    ![image1.png](https://www.sweetstudy.com/questions/see-attached-20892559)

    **## Unit12.doc**

    Unit 12-Clinical Journal Reflection-800 words-4 scholarly reference. Due 3-24-25

    Address the Following Items:

    · For the following side effects, what are the options you can provide patients with?

    · Think about the risk/benefit of stopping, switching, or adding medication.

    · Explain the rationale for your decision:

    · Akathisia/Tremors

    · EPS/TD

    · Weight gain

    · Metabolic Syndrome

    · Sexual Dysfunction

    · Blunted affect

    · Agranulocytosis

    Use the appropriate APA formatting with a minimum of 2 references to support your work.

    All components must be discussed to receive full credit as complete.

    **Note**:
    _Grades of Incomplete on this assignment will result in a clinical failure._

    Complete this assignment and submit it to this assignment dropbox by Sunday at 11:59 pm CT.

    Estimated time to complete: 2 hours

    ![image1.png](https://www.sweetstudy.com/questions/see-attached-20892559)

  • [Solved] Brochure

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    I need a 3 fold brochure, bak and front of Protocols for preventing the wrong site, wrong procedure,or wrong person surgery. i upload an example – [\ \ brochureexample.jpg](https://www.sweetstudy.com/files/brochureexample-jpg-10230895 "brochureexample.jpg") – [\ \ brochureexamplebackside1.jpg](h…

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    I need a 3 fold brochure, bak and front of Protocols for preventing the wrong site, wrong procedure,or wrong person surgery.

    i upload an example

    – [\
    \
    brochureexample.jpg](https://www.sweetstudy.com/files/brochureexample-jpg-10230895 "brochureexample.jpg")
    – [\
    \
    brochureexamplebackside1.jpg](https://www.sweetstudy.com/files/brochureexamplebackside1-jpg "brochureexamplebackside1.jpg")

    – 2 years ago

  • [Solved] GI help

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  • [Solved] Introduction Discussion with Spiritual Autobiography & Family Genealogy

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    After studying [Module 1: Lecture Materials & Resources](https://stu.instructure.com/courses/44039/pages/ge838f90ee111f7707227fb1bbaed9d6d "Module 1: Lecture Materials & Resources"), discuss the following **in a single post:** 01. You name. 02. Your location. (City, State) 03. Your academic major(s)…

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    After studying [Module 1: Lecture Materials & Resources](https://stu.instructure.com/courses/44039/pages/ge838f90ee111f7707227fb1bbaed9d6d "Module 1: Lecture Materials & Resources"), discuss the following **in a single post:**

    01. You name.
    02. Your location. (City, State)
    03. Your academic major(s) and minor(s).
    04. Your current job position.
    05. Your career internship experience(s).
    06. Your student club(s)
    07. Your sport(s).
    08. One unique experience, talent, or aspect you would like us to know about you.
    09. What do you hope to do upon completion of your degree?
    10. Your interests outside work – what you do for fun, relaxation, hobby.
    11. Also, acknowledge that read the syllabus in its entirety and understand it.

    **Spiritual Autobiography & Genealogy**

    Share the following content with your classmates to the extent that you feel comfortable. If you prefer to share a more complete version with your professor only, then email the full version to them directly:

    1. Your religious affiliation (and denomination):
    2. The Name of your parish or congregation of worship and its location:
    3. Your degree of religious commitment and your religious roles:
    1. Your frequency of participation (including church services, Bible studies, teaching Sunday School, music or liturgical dance rehearsals, youth or young adult group meetings, et cetera):
    2. Your religious role(s) (such as: pastor, rabbi, bishop, priest, deacon, seminarian, sacristan, acolyte, musician, liturgical dancer, lector, catechist, Sunday school teacher, usher, youth group member, congregant, et. cetera).
    4. Your sacramental history (such as: baptism (christening), reconciliation, eucharist/communion, confirmation, bat mitzvah, bar mitzvah, matrimony, religious order vows or promises, ordination):

    5. List and describe your history regarding:
    – Intense religious or spiritual experiences, conversion, spiritual rebirth and/or the Holy Spirit
    – These could be experienced in the many settings, such as: sacraments [including baptism, confirmation, reconciliation, eucharist, matrimony], church services, altar calls, wakes, funerals, spiritual concerts, retreats, churches, chapels, home, eucharistic adoration, icon contemplation, rosaries, processions, meditations, serving vulnerable & materially poor people, art [dancing, composing texts, drawing, painting, sculpting, composing music, playing music, singing], amidst Creation/Nature [star gazing, boating, sailing, canoeing, rowing, rafting, tubing, sledding, skiing, surfing, sailboarding, swimming, diving, snorkeling, SCUBA diving, biking, hiking, mountain climbing, running, skating, gymnastics, zip lining, bungy jumping, hang gliding, sky diving, piloting, other sports, seashores, lakesides, riversides, mountaintops, mountainsides, islands, et cetera])
    6. Your family's ethnicity(ies) and nationality(ies) of ancestral origin:
    7. Turning points (such as: conversions) in the history of your family’s religious affiliation(s):

    **Note:** _When completing this assignment, why not use the_ [_Media RecorderLinks to an external site._](https://community.canvaslms.com/t5/Student-Guide/How-do-I-record-media-using-the-Rich-Content-Editor-as-a-student/ta-p/379) _to create a video or link to a_ [_YouTube videoLinks to an external site._](https://community.canvaslms.com/t5/Instructor-Guide/How-do-I-link-to-a-YouTube-video-in-the-Rich-Content-Editor-as/ta-p/952) _to answer the questions above?_

    **Submission Instructions:**

    – Your initial post should be at least 150 words. Incorporating resources is not required, however, you must cite them correctly if referencing. The instructor will provide proper citation instructions in the announcements.

    – 2 years ago

  • [Solved] WK 4

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    – 2 years ago **files (1)** – ## WK4DISEPID.docx **## WK4DISEPID.docx** Back to Week at a Glance Randomized Trials in Epidemiology ![A blue glove and yellow and white mat AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/wk-4-20892531) Imagine that researchers are conducti…

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    – 2 years ago

    **files (1)**

    – ## WK4DISEPID.docx

    **## WK4DISEPID.docx**

    Back to Week at a Glance

    Randomized Trials in Epidemiology

    ![A blue glove and yellow and white mat AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/wk-4-20892531)

    Imagine that researchers are conducting a randomized controlled trial of a high-fiber supplement as a preventive measure in persons at increased risk of type 2 diabetes. People enrolled in the study are disease free at the time they agree to participate in the trial, but they all have a family history of type 2 diabetes and are considered at high risk (80%) to develop the disease during their lifetime. The 10,000 participants who start the trial are healthy individuals who are randomly allocated to receive either high-fiber supplements or placebo for several years. As you can imagine, this study will be quite expensive and will require a large infrastructure of personnel and materials to carry it out successfully.

    Because type 2 diabetes has reached epidemic proportions in the United States, the potential benefits of this research are important at a population level. Unfortunately, high-fiber supplements have also been shown in a few studies to be associated with gastrointestinal blockage (which can be life-threatening) and reduced nutrient absorption, which may lead to anemia, osteoporosis, and other debilitating chronic diseases. The supplements may also reduce absorption of certain medications and cause gastrointestinal distress. The potential side effects of continuous high-fiber supplementation are only partially understood, and long-term effects are unknown.

    For this Discussion, you are asked to identify an example of an experimental study design in the literature and consider the ethical implications of the randomized controlled trial design.

    Resources

    Be sure to review the Learning Resources before completing this activity.
    Click the weekly resources link to access the resources.

    [**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/155998/modules/items/6259801)

    [Required Readings](https://waldenu.instructure.com/courses/155998/pages/week-4-learning-resources?module_item_id=6259801)

    · Curley, A. L. C. (Ed.). (2024).
    _Population-based nursing: Concepts and competencies for advanced practice_ (4th ed.). Springer.

    · Chapter 2, “Identifying Outcomes in Population-Based Nursing” (pp. 20-38)

    · Friis, R. H., & Sellers, T. A. (2021).
    _Epidemiology for public health practice_ (6th ed.). Jones & Bartlett.

    · Chapter 8, “Experimental Study Designs”

    · Goldstein, C. E., Weijer, C., Brehaut, J. C., Fergusson, D. A., Grimshaw, J. M., Horn, A. R., & Taljaard, M. (2018).
    [Ethical issues in pragmatic randomized controlled trials: A review of the recent literature identifies gaps in ethical argumentationLinks to an external site.](https://search.ebscohost.com/login.aspx?direct=true&AuthType=shib&db=mnh&AN=29482537&site=ehost-live&scope=site&custid=s6527200).
    _BMC Medical Ethics_,
    _19_(1), Article 14. https://doi.org/10.1186/s12910-018-0253-x

    · Walden University Office of Research and Doctoral Services. (n.d.).
    [_Developing researchLinks to an external site._](https://academicguides.waldenu.edu/research-center/student-research/developing-research) _._ https://academicguides.waldenu.edu/research-center/student-research/developing-research

    Examples of Studies Utilizing Experimental and Quasi-experimental Study Designs

    These studies should be used as informative examples. Please locate another article on your own to use for the Discussion.

    · Hooshmand, M., & Foronda, C. (2018).
    [Comparison of telemedicine to traditional face-to-face care for children with special needs: A quasiexperimental study](https://waldenu.instructure.com/courses/155998/files/12410801?wrap=1).
    _Telemedicine Journal and E-health: The Official Journal of the American Telemedicine Association_,
    _24_(6), 433–441. https://doi.org/10.1089/tmj.2017.0116

    · Sawyer, A., Kaim, A., Le, H.-N., McDonald, D., Mittinty, M., Lynch, J., & Sawyer, M. (2019).
    [The effectiveness of an app-based nurse-moderated program for new mothers with depression and parenting problems (eMums Plus): Pragmatic randomized controlled trialLinks to an external site.](https://search.ebscohost.com/login.aspx?direct=true&AuthType=shib&db=mnh&AN=31165715&site=ehost-live&scope=site&custid=s6527200).
    _Journal of Medical Internet Research_,
    _21_(6), e13689. https://doi.org/10.2196/13689

    [Optional Resource](https://waldenu.instructure.com/courses/155998/pages/week-4-learning-resources?module_item_id=6259801)

    · Dennis, C. L., Grigoriadis, S., Zupancic, J., Kiss, A., & Ravitz, P. (2020).
    [Telephone-based nurse-delivered interpersonal psychotherapy for postpartum depression: Nationwide randomised controlled trialLinks to an external site.](https://search.ebscohost.com/login.aspx?direct=true&db=psyh&AN=2020-09802-001&site=eds-live&scope=site&custid=s6527200).
    _The British Journal of Psychiatry_,
    _216_(4), 189–196. https://doi.org/10.1192/bjp.2019.275

    To prepare:

    · Search databases in the Walden Library and locate a peer-reviewed article from the last 5 years that uses a randomized controlled trial study design. The subject of the study may be any topic professionally relevant or interesting to your practice. You may not select an article already posted by one of your colleagues for this Discussion. (
    **Tip:** When searching, you may use “randomized trial” as one of your search phrases.)

    · Critically analyze the following aspects of the research study:

    · Purpose

    · Study population

    · Length of the trial

    · Data collection methods

    · Outcome measures

    · Results and conclusions

    · Ethical issues associated with the study

    · Ask yourself: How did this research study benefit from its experimental design? What was achieved by randomization that might not otherwise have been achieved?

    By Day 3 of Week 4

    **Post** a cohesive scholarly response that addresses the following:

    · Summarize the research study addressing the aspects bulleted above.

    · Identify and discuss the ethical issues associated with this study.

    · Be sure to include a link to the article in your post.

    By Day 6 of Week 4

    **Respond** to
    **at least two** colleagues on
    **two different days** in one or more of the following ways:

    · Ask a probing question, substantiated with additional background information, evidence, or research.

    · Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

    · Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.

    · Validate an idea with your own experience and additional research.

    · Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

    · Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

    RESPOND TO THIS POST

    ·
    **DENISE**

    ·

    ·
    **Evaluating the PRO-P Trial Design Summarized**

    · I examined the PRO-P study by Al-Monajjed and colleagues (2024), which investigates how electronic symptom tracking might benefit prostate cancer patients after surgery.

    ·
    **Study Summary**

    · The researchers designed this randomized controlled trial to see if electronic patient-reported outcome (ePRO) monitoring improves quality of life for men recovering from prostate surgery. Their hypothesis makes intuitive sense—if doctors can spot complications earlier through digital monitoring, patients should experience better recovery.

    · The study will include 430 men preparing for radical prostatectomy across multiple German hospitals. I appreciate that they've set clear eligibility requirements—participants need to be adults who can provide informed consent, understand German, and use the necessary technology. Each man will be followed for 6 months after surgery, with checkpoints before the procedure, at discharge, and at 1, 3, and 6 months afterward.

    · The data collection approach is straightforward but effective. Both groups complete the same electronic questionnaires about their symptoms and wellbeing, but only the intervention group's responses trigger alerts to healthcare providers when symptoms appear. Their primary goal is measuring quality of life at the 6-month mark using a standardized questionnaire, along with tracking several secondary outcomes like symptom severity and healthcare utilization. Since this is only a protocol paper, we don't have results yet, but the research team expects electronic monitoring to lead to better

    · symptom management and recovery experiences.

    · Ethical Considerations

    · I was astonished by how thoroughly the researchers addressed ethical concerns. As Goldstein et al. (2018) recommend for such trials, they obtained proper ethics committee approval and implemented comprehensive informed consent procedures. Both groups receive standard medical care, maintaining what researchers call "clinical equipoise," with the intervention group receiving additional monitoring. They've also taken steps to protect patient data.

    · I question the potential access disparities. The technology requirements might unintentionally exclude older patients or those less comfortable with digital tools. There's also the question of whether withholding potentially beneficial monitoring from the control group raises ethical concerns, though this is an inherent challenge in many clinical trials.

    · Benefits of Experimental Design

    · What makes this study particularly valuable is its randomized controlled design. As Friis and Sellers (2021) explain, randomization allows researchers to determine if the electronic monitoring causes improvements. By randomly assigning patients to groups, factors like age, disease severity, and technological comfort are distributed evenly.

    · Without this random assignment, the results would be far less reliable—tech-savvy patients might naturally gravitate toward the electronic monitoring option, skewing outcomes. The randomized approach ensures that any improvements in recovery can be credited to the monitoring system itself rather than pre-existing differences between patients.This methodically designed study could provide healthcare providers with evidence they need to implement electronic symptom monitoring as a standard practice in prostate

    · cancer care.

    · The article can be accessed at:
    [https://doi.org/10.1186/s13063-024-08579-8\
    Links to an external site.](https://doi.org/10.1186/s13063-024-08579-8)

    · References

    · Al-Monajjed, R., Albers, P., Droop, J., Fugmann, D., Noldus, J., Palisaar, R.-J., Ritter, M., Ellinger, J., Krausewitz, P., Truß, M., Hadaschik, B., Grünwald, V., Schrader, A.-J., Papavassilis, P., Ernstmann, N., Schellenberger, B., Moritz, A., Kowalski, C., Hellmich, M., & Karger, A. (2024). PRO-P: Evaluating the effect of electronic patient-reported outcome measures monitoring compared with standard care in prostate cancer patients undergoing surgery-study protocol for a randomized controlled trial. Trials, 25(1), Article 754.
    [https://doi.org/10.1186/s13063-024-08579-8\
    Links to an external site.](https://doi.org/10.1186/s13063-024-08579-8)

    · Friis, R. H., & Sellers, T. A. (2021). Epidemiology for public health practice (6th

    · ed.). Jones & Bartlett.

    · Goldstein, C. E., Weijer, C., Brehaut, J. C., Fergusson, D. A., Grimshaw, J. M., Horn, A. R., & Taljaard, M. (2018). Ethical issues in pragmatic randomized controlled trials: A review of the recent literature identifies gaps in ethical argumentation. BMC Medical Ethics, 19(1), Article 14.
    [https://doi.org/10.1186/s12910-018-0253-x\
    Links to an external site.](https://doi.org/10.1186/s12910-018-0253-x)

    ·

    **Reply**

    [Previous](https://waldenu.instructure.com/courses/155998/modules/items/6259788)

    [Next](https://waldenu.instructure.com/courses/155998/modules/items/6259797)

    ## image1.jpeg

    **## WK4DISEPID.docx**

    Back to Week at a Glance

    Randomized Trials in Epidemiology

    ![A blue glove and yellow and white mat AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/wk-4-20892531)

    Imagine that researchers are conducting a randomized controlled trial of a high-fiber supplement as a preventive measure in persons at increased risk of type 2 diabetes. People enrolled in the study are disease free at the time they agree to participate in the trial, but they all have a family history of type 2 diabetes and are considered at high risk (80%) to develop the disease during their lifetime. The 10,000 participants who start the trial are healthy individuals who are randomly allocated to receive either high-fiber supplements or placebo for several years. As you can imagine, this study will be quite expensive and will require a large infrastructure of personnel and materials to carry it out successfully.

    Because type 2 diabetes has reached epidemic proportions in the United States, the potential benefits of this research are important at a population level. Unfortunately, high-fiber supplements have also been shown in a few studies to be associated with gastrointestinal blockage (which can be life-threatening) and reduced nutrient absorption, which may lead to anemia, osteoporosis, and other debilitating chronic diseases. The supplements may also reduce absorption of certain medications and cause gastrointestinal distress. The potential side effects of continuous high-fiber supplementation are only partially understood, and long-term effects are unknown.

    For this Discussion, you are asked to identify an example of an experimental study design in the literature and consider the ethical implications of the randomized controlled trial design.

    Resources

    Be sure to review the Learning Resources before completing this activity.
    Click the weekly resources link to access the resources.

    [**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/155998/modules/items/6259801)

    [Required Readings](https://waldenu.instructure.com/courses/155998/pages/week-4-learning-resources?module_item_id=6259801)

    · Curley, A. L. C. (Ed.). (2024).
    _Population-based nursing: Concepts and competencies for advanced practice_ (4th ed.). Springer.

    · Chapter 2, “Identifying Outcomes in Population-Based Nursing” (pp. 20-38)

    · Friis, R. H., & Sellers, T. A. (2021).
    _Epidemiology for public health practice_ (6th ed.). Jones & Bartlett.

    · Chapter 8, “Experimental Study Designs”

    · Goldstein, C. E., Weijer, C., Brehaut, J. C., Fergusson, D. A., Grimshaw, J. M., Horn, A. R., & Taljaard, M. (2018).
    [Ethical issues in pragmatic randomized controlled trials: A review of the recent literature identifies gaps in ethical argumentationLinks to an external site.](https://search.ebscohost.com/login.aspx?direct=true&AuthType=shib&db=mnh&AN=29482537&site=ehost-live&scope=site&custid=s6527200).
    _BMC Medical Ethics_,
    _19_(1), Article 14. https://doi.org/10.1186/s12910-018-0253-x

    · Walden University Office of Research and Doctoral Services. (n.d.).
    [_Developing researchLinks to an external site._](https://academicguides.waldenu.edu/research-center/student-research/developing-research) _._ https://academicguides.waldenu.edu/research-center/student-research/developing-research

    Examples of Studies Utilizing Experimental and Quasi-experimental Study Designs

    These studies should be used as informative examples. Please locate another article on your own to use for the Discussion.

    · Hooshmand, M., & Foronda, C. (2018).
    [Comparison of telemedicine to traditional face-to-face care for children with special needs: A quasiexperimental study](https://waldenu.instructure.com/courses/155998/files/12410801?wrap=1).
    _Telemedicine Journal and E-health: The Official Journal of the American Telemedicine Association_,
    _24_(6), 433–441. https://doi.org/10.1089/tmj.2017.0116

    · Sawyer, A., Kaim, A., Le, H.-N., McDonald, D., Mittinty, M., Lynch, J., & Sawyer, M. (2019).
    [The effectiveness of an app-based nurse-moderated program for new mothers with depression and parenting problems (eMums Plus): Pragmatic randomized controlled trialLinks to an external site.](https://search.ebscohost.com/login.aspx?direct=true&AuthType=shib&db=mnh&AN=31165715&site=ehost-live&scope=site&custid=s6527200).
    _Journal of Medical Internet Research_,
    _21_(6), e13689. https://doi.org/10.2196/13689

    [Optional Resource](https://waldenu.instructure.com/courses/155998/pages/week-4-learning-resources?module_item_id=6259801)

    · Dennis, C. L., Grigoriadis, S., Zupancic, J., Kiss, A., & Ravitz, P. (2020).
    [Telephone-based nurse-delivered interpersonal psychotherapy for postpartum depression: Nationwide randomised controlled trialLinks to an external site.](https://search.ebscohost.com/login.aspx?direct=true&db=psyh&AN=2020-09802-001&site=eds-live&scope=site&custid=s6527200).
    _The British Journal of Psychiatry_,
    _216_(4), 189–196. https://doi.org/10.1192/bjp.2019.275

    To prepare:

    · Search databases in the Walden Library and locate a peer-reviewed article from the last 5 years that uses a randomized controlled trial study design. The subject of the study may be any topic professionally relevant or interesting to your practice. You may not select an article already posted by one of your colleagues for this Discussion. (
    **Tip:** When searching, you may use “randomized trial” as one of your search phrases.)

    · Critically analyze the following aspects of the research study:

    · Purpose

    · Study population

    · Length of the trial

    · Data collection methods

    · Outcome measures

    · Results and conclusions

    · Ethical issues associated with the study

    · Ask yourself: How did this research study benefit from its experimental design? What was achieved by randomization that might not otherwise have been achieved?

    By Day 3 of Week 4

    **Post** a cohesive scholarly response that addresses the following:

    · Summarize the research study addressing the aspects bulleted above.

    · Identify and discuss the ethical issues associated with this study.

    · Be sure to include a link to the article in your post.

    By Day 6 of Week 4

    **Respond** to
    **at least two** colleagues on
    **two different days** in one or more of the following ways:

    · Ask a probing question, substantiated with additional background information, evidence, or research.

    · Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

    · Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.

    · Validate an idea with your own experience and additional research.

    · Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

    · Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

    RESPOND TO THIS POST

    ·
    **DENISE**

    ·

    ·
    **Evaluating the PRO-P Trial Design Summarized**

    · I examined the PRO-P study by Al-Monajjed and colleagues (2024), which investigates how electronic symptom tracking might benefit prostate cancer patients after surgery.

    ·
    **Study Summary**

    · The researchers designed this randomized controlled trial to see if electronic patient-reported outcome (ePRO) monitoring improves quality of life for men recovering from prostate surgery. Their hypothesis makes intuitive sense—if doctors can spot complications earlier through digital monitoring, patients should experience better recovery.

    · The study will include 430 men preparing for radical prostatectomy across multiple German hospitals. I appreciate that they've set clear eligibility requirements—participants need to be adults who can provide informed consent, understand German, and use the necessary technology. Each man will be followed for 6 months after surgery, with checkpoints before the procedure, at discharge, and at 1, 3, and 6 months afterward.

    · The data collection approach is straightforward but effective. Both groups complete the same electronic questionnaires about their symptoms and wellbeing, but only the intervention group's responses trigger alerts to healthcare providers when symptoms appear. Their primary goal is measuring quality of life at the 6-month mark using a standardized questionnaire, along with tracking several secondary outcomes like symptom severity and healthcare utilization. Since this is only a protocol paper, we don't have results yet, but the research team expects electronic monitoring to lead to better

    · symptom management and recovery experiences.

    · Ethical Considerations

    · I was astonished by how thoroughly the researchers addressed ethical concerns. As Goldstein et al. (2018) recommend for such trials, they obtained proper ethics committee approval and implemented comprehensive informed consent procedures. Both groups receive standard medical care, maintaining what researchers call "clinical equipoise," with the intervention group receiving additional monitoring. They've also taken steps to protect patient data.

    · I question the potential access disparities. The technology requirements might unintentionally exclude older patients or those less comfortable with digital tools. There's also the question of whether withholding potentially beneficial monitoring from the control group raises ethical concerns, though this is an inherent challenge in many clinical trials.

    · Benefits of Experimental Design

    · What makes this study particularly valuable is its randomized controlled design. As Friis and Sellers (2021) explain, randomization allows researchers to determine if the electronic monitoring causes improvements. By randomly assigning patients to groups, factors like age, disease severity, and technological comfort are distributed evenly.

    · Without this random assignment, the results would be far less reliable—tech-savvy patients might naturally gravitate toward the electronic monitoring option, skewing outcomes. The randomized approach ensures that any improvements in recovery can be credited to the monitoring system itself rather than pre-existing differences between patients.This methodically designed study could provide healthcare providers with evidence they need to implement electronic symptom monitoring as a standard practice in prostate

    · cancer care.

    · The article can be accessed at:
    [https://doi.org/10.1186/s13063-024-08579-8\
    Links to an external site.](https://doi.org/10.1186/s13063-024-08579-8)

    · References

    · Al-Monajjed, R., Albers, P., Droop, J., Fugmann, D., Noldus, J., Palisaar, R.-J., Ritter, M., Ellinger, J., Krausewitz, P., Truß, M., Hadaschik, B., Grünwald, V., Schrader, A.-J., Papavassilis, P., Ernstmann, N., Schellenberger, B., Moritz, A., Kowalski, C., Hellmich, M., & Karger, A. (2024). PRO-P: Evaluating the effect of electronic patient-reported outcome measures monitoring compared with standard care in prostate cancer patients undergoing surgery-study protocol for a randomized controlled trial. Trials, 25(1), Article 754.
    [https://doi.org/10.1186/s13063-024-08579-8\
    Links to an external site.](https://doi.org/10.1186/s13063-024-08579-8)

    · Friis, R. H., & Sellers, T. A. (2021). Epidemiology for public health practice (6th

    · ed.). Jones & Bartlett.

    · Goldstein, C. E., Weijer, C., Brehaut, J. C., Fergusson, D. A., Grimshaw, J. M., Horn, A. R., & Taljaard, M. (2018). Ethical issues in pragmatic randomized controlled trials: A review of the recent literature identifies gaps in ethical argumentation. BMC Medical Ethics, 19(1), Article 14.
    [https://doi.org/10.1186/s12910-018-0253-x\
    Links to an external site.](https://doi.org/10.1186/s12910-018-0253-x)

    ·

    **Reply**

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  • [Solved] Discussion Post

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  • [Solved] Weekly Clinical Experience 1

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    Describe your clinical experience for this week. Must be on Geriatric Patient – Did you face any challenges, any success? If so, what were they? – Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis wi…

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    Assignment Prompt & Instructions

    Describe your clinical experience for this week.

    Must be on Geriatric Patient

    – Did you face any challenges, any success? If so, what were they?
    – Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales.
    – Mention the health promotion intervention for this patient.
    – What did you learn from this week's clinical experience that can beneficial for you as an advanced practice nurse?
    – Support your plan of care with the current peer-reviewed research guideline.

    **Submission Instructions:**

    – Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources

    – 2 years ago