Nursing Commons^™

Diabetes Mellitus, Cara Young

Nursing Student Class Projects (Formerly MSN)

There are two types of diabetes mellitus, Type 1 which involves a decrease in insulin production and Type 2 which is related to an impaired sensitivity to insulin due to peripheral insulin resistance (Chesworth, 2019). Type 1 diabetes is a dysfunction of the pancreas that an individual is usually born with and affects about 10 percent of the diabetic population. Type 2 diabetes is a product of obesity and age that affect the body’s sensitivity to insulin, not a problem with its production, and affects the remaining 90 percent of the diabetic population (Chesworth, 2019). The hyperglycemia that comes with …

Coarctation Of The Aorta, Megan Berens

Nursing Student Class Projects (Formerly MSN)

Coarctation of the aorta (CoA) is a ductal dependent congenital heart defect that causes decreased blood flow to areas of the body distal to the site of constriction. CoA is one of the most common congenital heart defects, though is often missed in neonatal assessments. Neonatal patients with CoA often present to the hospital in a state of cardiopulmonary collapse. CoA is occasionally diagnosed in older children and adults who have upper extremity hypertension and decreased femoral pulses. CoA repair is performed through surgery or percutaneous catheter interventions. Patients with CoA have an increased likelihood of developing other vascular lesions. …

Venous Thromboembolism, Ngwangong Mitti

Nursing Student Class Projects (Formerly MSN)

Venous thromboembolism (VTE) is a serious pathophysiological condition that is a major cause of morbidity and mortality, especially perioperatively (Elisha at al., 2015).

The Pathophysiology Of Acute Respiratory Distress Syndrome (Ards), Alyscia Defrancisco

Nursing Student Class Projects (Formerly MSN)

Acute Respiratory Distress Syndrome (ARDS) is fatal when not recognized early, nursing care can have a positive impact on patient outcomes. ARDS is a disease of the lung caused by an acute lung injury. ARDS accounts for 10-15% of ICU admission and is underrecognized. Key nursing consideration are essential to help identify and treat ARDS.

Healthcare Inequities Of The Hiv Population, Michael Silvka

Nursing Student Class Projects (Formerly MSN)

AbstractThe social attitude in the United States toward people living with HIV (PLWH,) has changed verylittle since the diagnosis became prevalent in the 1980’s. Healthcare inequities experienced by(PLWH) affect their well-being in many ways every day. The ability of society to decrease theseinequities is within our grasp. (PLWH) are depending on social determinants being addressedto allow equitable access to preventative measures, testing, and treatment of their illness. Theneed for appropriate and sustainable change to social perception of the HIV epidemic must beaddressed to ensure fair and equitable treatment is available to all persons affected by thisdisease

Pathophysiology Of Schizophrenia, Chimezie Onuchukwu

Nursing Student Class Projects (Formerly MSN)

This poster presents the pathophysiology of schizophrenia. This topic was selected because it helps to understand the pathophysiology of the condition as well as the clinical significance of the condition. Schizophrenia is a condition that is not well known and there are misconceptions in the community about the condition. I believe by understanding its etiology, pathophysiology, and presenting signs and symptoms; I will be able to give the best nursing care to my patients. Patients with the condition exhibit five major symptoms including delusions, hallucinations, disorganized, disorganised speech or thinking, and inability to function normally. Under DSM V diagnosis criteria, …

Sars-Cov-2 Or Covid-19, Amy Phillips

Nursing Student Class Projects (Formerly MSN)

The emergence of COVID-19 has stunned the world and challenged the medical field in ways not seen in almost a century. COVID-19 has proven to be unpredictable and can have effects ranging from mild to life threatening, including pneumonia, Acute Respiratory Distress Syndrome, multi-system organ failure and death. This presentation discusses the presentation, pathophysiology, current treatments and implications on nursing for COVID-19. Research is ongoing to determine just how and why this virus attacks the way it does, how to best treat the virus and how to develop a vaccine to prevent future outbreaks.

Pulmonary Arterial Hypertension, Gifty Menka

Nursing Student Class Projects (Formerly MSN)

Pulmonary arterial hypertension (PAH), is diagnosed as persistently elevated pressures in the pulmonary arteries. It is a severe disease that requires early diagnosis and treatment as it can be life-threatening if not treated promptly and adequately. The initial presenting signs and symptoms such as lethargy, malaise, and exercise intolerance can be vague, making it difficult to diagnose. Also, doctors at centers that specialize in treating PAH are the only ones who can properly diagnose the condition and initiate disease-targeted therapy. There are different types of PAH; the World Health Organization (WHO) recognizes 5 groups of pulmonary hypertension (PH), and they …

Depression: The Cause, The Signs, The Stigma, Elisabeth Sanderson

Nursing Student Class Projects (Formerly MSN)

Depression is a common phenomenon. According to World Health Organization (2020) there are over 264 million people suffering from depression globally. Takahashi (2019) states that major depressive disorder is the most common mood disorder and additionally notes that it is the leading cause of disability not just in the United States but in the world. From a pathophysiological perspective depression has multiple possible causes. This paper seeks to look at depression as a relevant health care concern and to describe accepted theories on the pathophysiology of depression as well as discussing key signs and symptoms of the disorder. It seeks …

Malignant Hyperthermia, Nicholas Colangelo

Nursing Student Class Projects (Formerly MSN)

Malignant hyperthermia is a rare manifestation of a genetic mutation involving the ryanodine receptors. This mutation causes a sustained intracellular calcium release that is triggered by certain anesthetics such as depolarizing neuromuscular blockers and volatile gases. The extended release of calcium functions as a dangerous catalyst for hyper-metabolism that will lead to rapid death if unrecognized and untreated. Current treatment involves the drug dantrolene in tandem with symptomatic management in the intensive care setting. Symptomatic treatment may likely involve rapid cooling, fluid resuscitation, electrolyte management, and mechanical ventilation until symptoms resolve. A literature review of malignant hyperthermia is of vital …

Malignant Hyperthermia, Alec Smith

Nursing Student Class Projects (Formerly MSN)

Abstract: There are many issues that healthcare professionals face in the evolving world of medicine. One of these is the development of a disease process known as Malignant Hyperthermia (MH). This condition is precipitated by frequently used anesthetic agents such as volatile gases and depolarizing muscle relaxants. The onset of MH is sudden and can be life-threatening, therefore, diligent monitoring of patients is essential in early recognition and treatment of MH. The purpose of this poster is to provide in -depth knowledge about MH. This includes the pathophysiology of the disease, signs and symptoms, treatment options, and implications MH has …

Schizophrenia And Genomics, Tiffini Lasch

Nursing Student Class Projects (Formerly MSN)

There are several advancements in genomics under specific categories, such as cancer and autism. Mental health is one of the leading diseases to cause a significant debt burden in today's society. However, genomics has not translated well into mental health treatment. One area of focus is schizophrenia. Those with schizophrenia suffer from severe and devastating symptoms. The symptoms can lead to harsh complications. Which can make it impossible to function in everyday life. Many believe it is not just genetics alone, but also environmental factors that contribute to schizophrenia. Through large genome-wide associated studies, discoveries are being made. There have …

Pediatric Asthma, Monica Stricklin

Nursing Student Class Projects (Formerly MSN)

Effective management of asthma will improve pediatric patient quality of life. This may be achieved through the prevention of asthma exacerbations by continuous pediatric and guardian/parent education to proper inhaler technique, appropriate medication management and the avoidance of environmental triggers. These modalities may prevent trips to the emergency department, hospital admissions and the pediatric patient can avoid missing days from school.

Bronchiectasis: Pathophysiology And Management, Olivia Fleetwood

Nursing Student Class Projects (Formerly MSN)

Bronchiectasis is a chronic respiratory condition that can decrease the quality of life of patients with this disease. A persistent cough, increased sputum production, and recurrent chest infections that lead to damaged dilated and thickened bronchi characterizes this condition. Bronchiectasis can result from several conditions such as abnormalities of airway anatomy, immune deficiency, and infections; however, the cause may not always be identifiable. The damage done to the airways is irreversible and can cause complications in daily life and especially during surgical procedures. This poster evaluates the pathophysiology of bronchiectasis and discusses the surgical implications of having a patient with …

Hyperosmolar Hyperglycemic State, Justin Momeyer

Nursing Student Class Projects (Formerly MSN)

Hyperosmolar hyperglycemic state (HHS) and diabetic ketoacidosis (DKA) are dangerous complications of diabetes. HHS is examined in this poster and compared to DKA. Even though both have some similarities, they have very different laboratory profiles, patient presentations, treatments, complications, and can require different levels of care. With diabetes becoming more common amongst patients in the hospital, it is imperative that healthcare providers are aware of both of these complications. Nurses who understand both of these complications are able to act pro-actively for their patients, ask questions regarding correct treatments and orders, include the right providers in the care team, and …

Heart Failure With Reduced Ejection Fraction, Jennifer Klubnik

Nursing Student Class Projects (Formerly MSN)

Heart failure with reduced ejection fraction (HFrEF) is a chronic disease that contributes to high morbidity and mortality. This poster will display and discuss HFrEF and effects of this chronic disease on the population. Pathophysiology, treatment modalities, and implications for the advanced practice nurse (APN) will be discussed. Different categories of heart failure will be discussed to compare and contrast the specific indications for HFrEF. The specifics of cardiac remodeling and molecular changes that occur with HFrEF are considered when deciding which treatment modalities to implement. HFrEF treatment focuses on quality of life and mitigation of symptoms. The APN is …

Infective Endocarditis, Tessa Friend

Nursing Student Class Projects (Formerly MSN)

The proposed poster is an overview of the pathophysiology and nursing considerations for infective endocarditis. Infective endocarditis (IE) is an infection that affects the endothelium of the heart. While not a highly prevalent disease in the United States, it does have a significant mortality rate of up to 30% at 30 days after diagnosis despite many medical advancements to attempt to prevent and treat it. IE can cause multisystem organ dysfunction through complication of the disease or embolization of the vegetation.

The poster goes over several complications associated with IE and the evidence-based treatment of those complications. Several articles on …

Cardiogenic Shock, Sean Lawler

Nursing Student Class Projects (Formerly MSN)

Cardiogenic shock is a commonly seen problem within intensive care units across the world. Despite significant research into the process, mortality rates remain high. It is a condition that is frequently developed secondary to myocardial infarction (MI) and can lead to significant hemodynamic compromise and death. The purpose of this poster is to provide more in-depth knowledge of cardiogenic shock. The poster highlights the pathophysiology, signs and symptoms, treatment, and the implications for nursing surrounding the condition. No specific studies were addressed in the poster, however, several examples can be found through the references listed.

News From The Graduate School - Nursing Summer 2020, Otterbein Office Of Graduate Programs

Graduate School

Newsletter that provides updates from the Graduate School and the Nursing Graduate Program.

Obesity, Tiffany Fry

Nursing Student Class Projects (Formerly MSN)

Abstract

Obesity is a multifaceted and complex chronic disease ravaging the health of our nation. The Centers for Disease Control and Prevention reports reveal in 2017-2018 the prevalence of obesity in the United States was 42.4% (Centers for Disease Control and Prevention [CDC], 2020). Not only is obesity a concern in the United States, but also globally. According to the World Health Organization (WHO) (2016), obesity is defined as an excessive amount of adipose tissue that accumulates in one’s body and poses a significant risk to one’s health. The body mass index (BMI) (weight in kg/height in m²), …

Total Joint Replacements And Prevention Of Surgical Site Infections, Mari Rearley

Nursing Student Class Projects (Formerly MSN)

Surgical site infections continue to be a leading cause of postoperative complications in hospitals across the nation. Although much progress has been made in preventing postoperative infections, it continues to be cost intensive within the medical institution. It also reduces patient satisfaction and quality of life. The majority of joint replacement surgeries are considered to be elective, which provides an opportunity to plan ahead to provide education to the patient and make other necessary changes to ensure high quality care is provided at all times. Each phase of surgery has the potential to greatly impact the desired outcome and improve …

A Concept Analysis: Adherence In Type 2 Diabetes, Balkys L. Bivins, Lorelei M. Bivins, Brenda Owusu

Faculty Articles

Aim: The aim of this analysis is to develop a better understanding of the concept of adherence among individuals with Type 2 Diabetes.

Background: The incidence and prevalence of diabetes in the United States continues to increase at epidemic proportions yearly.

Design: The analysis was conducted using Rodgers' evolutionary method including database searches from Cumulative Index to Nursing Health Literature (CINAHL), COCHRANE, EBSCO, Education Resources Information Center (ERIC), MEDLINE, PsycINFO, Institute of Electrical and Electronics Engineers (IEEE), and SocINDEX. Keywords included adherence, compliance, diabetes care, type 2 diabetes and theories.

Results: Rodgers' evolutionary method guided this inquiry of concept of …

Preoperative Opioid Education: Total Knee And Total Hip Arthroplasty., Brittany Durbin

Doctor of Nursing Practice Papers

Opioids are commonly prescribed for the treatment of acute pain symptoms such as surgical pain. The United States is struggling to deal with abuse, misuse, and accidental death associated with prescription opioids. Lack of knowledge regarding safe opioid use is partly to blame for this crisis. The purpose of this evidence-based quality improvement project is to implement a dual-modality (written and spoken) opioid educational intervention to both health care providers and patients. Intended outcomes include increased opioid knowledge for providers yielding more effective opioid education to patients. A pre- and post-test design was used to evaluate provider knowledge and intent …

Hiv/Hcv Screening Protocols In The Emergency Department., Adrianne Warren Johnson

Doctor of Nursing Practice Papers

Background: The United States is experiencing an epidemic of opioid drug use that has increased the number of people who inject drugs (PWID). This has resulted in an increase in the risk of transmission of blood-borne pathogens including human immunodeficiency virus (HIV) and hepatitis C virus (HCV) among this population. Although injection drug use has surpassed sexual transmission as the leading risk factor for HIV, PWID have the least access to HIV prevention, testing, treatment, and healthcare. Current guidelines recommend testing individuals from high-risk populations for HIV/HCV every six months. Offering routine, opt-out, targeted, bundled HIV/HCV testing in an emergency …

The Implementation Of An Evidence Based Decision Aid To Improve Self-Efficacy Of Critical Care Nurses In The Recognition Of Need For Palliative Care In Icu Patients., Abigail Southall

Doctor of Nursing Practice Papers

BACKGROUND: Internal and external evidence demonstrates a poor understanding of the definition and scope of palliative care for ICU patients by nurses. Palliative care and hospice care are often viewed as mutually exclusive rather than complimentary. This knowledge gap causes delayed palliative care consultation for ICU patients which has been shown to increase length of stay and cost of care while decreasing patient/family satisfaction. SETTING: The project took in a 36-bed Intensive Care-Open Heart Unit (ICU-OHU) in an urban hospital in the Midwest United States. PURPOSE: The purpose of the quality improvement project was to address misconceptions regarding palliative care …

Are Advanced Practice Registered Nurses In Mississippi Participating In Practices That Advocate The Nursing Profession, Sarah Adams, Melanie Bush, Lacy Estes, Lisa King, Paige Long

MSN Research Projects

Previous research studies have focused on patient outcomes related to healthcare interventions, but there is little research available regarding nurses’ involvement in activities that would advance the profession. Advanced Practice Registered Nurses’ (APRN) contributions to the healthcare system lead to direct improvement of patient outcomes through research, mentoring new professionals, and participating in professional organizations. The theoretical motivation behind the study is Ray’s Theory of Bureaucratic Caring that proposed healthcare personnel consider incorporation of the business aspects of healthcare to propel nursing into the future. Ray dared nurses to become leaders in the field, understand the corporate aspects of health …

A Needs Assessment & Implementation Strategy Of The Emergency Nurse Practitioner Post-Graduate Certificate., Nancy Wilding

Doctor of Nursing Practice Papers

Nurse Practitioners have been utilized to meet the growing needs of emergency departments during the shortage of Emergency Medicine-trained physicians. Stakeholders have recognized the benefits that Nurse Practitioners (NP) bring to Emergency Departments (ED) in providing quality, evidence-based, cost-effective quality care. However, there is a confusion of the emergency nurse practitioner (ENP) role and scope of practice by facilities, physicians, state boards of nursing, credentialing bodies, and patients that limit the ENP from practicing at their full scope of practice. To establish the role and expand the NPs' knowledge and skills to meet the needs of the ED setting, a …

Strategies To Increase Hpv Vaccine Uptake In Primary Care., Katelyn Brandel

Doctor of Nursing Practice Papers

Purpose: The purpose of this project was to increase HPV vaccination initiation rates in a primary care setting. This was accomplished through evidence-based provider and parental education using presumptive language and distribution of a customized toolkit. Design: The project protocol was designed using a theoretical approach about chosen health behaviors from the Health Belief Model. Outcomes included initiation rates, efficacy of a toolkit intervention, efficacy of a recall system, and provider satisfaction. Methods: A two-sided Fisher’s Exact Test was performed. Primary outcome results indicated a non-significant increase in vaccination rates. Of the 24 patients who received the toolkit, 25% chose …

Education Module For Serotonin Syndrome With 24-Hour Dose Monitoring Intervention., Jonathon Blake Hicks

Doctor of Nursing Practice Papers

Background: Serotonin Syndrome (SS) is recognized by a combination of mental status changes, neuromuscular hyperactivity, and autonomic hyperactivity (Volpi-Abadie, Kaye, & Kaye, 2013). Despite the severity and commonality of SS, it is an under reported and an under treated condition (Boyer, 2018). The purpose of this project was to 1) implement an education module on SS using a pretest and posttest design to increase LTC staff knowledge, and 2) evaluate the effectiveness (e.g., confidence level, satisfaction) of the intervention among nursing staff. Method: An education module was implemented focusing on recognizing and treating SS in aging adults. A pretest-posttest design …

Implementation Of A Safety Planning Intervention On An Inpatient Psychiatric Unit., Kevin Luke Houser

Doctor of Nursing Practice Papers

Background: In 2017, suicide was the 10th leading cause of death in the United States. There are multiple interventions used for individuals at risk for suicide. No-suicide contracts are commonly used by clinicians who treat individuals at high risk for suicide, but there is no evidence supporting this intervention in preventing suicides. A safety planning intervention has been shown to decrease the risk of suicide in individuals at high risk for suicide by helping individuals recognize warning signs of a suicidal crisis, use their internal coping strategies, and contact social network or community resources to assist in reducing suicidal thoughts. …