Journey to Identify the Clinical Problem Assignment

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Journey to Identify the Clinical Problem Assignment

Discussion

Address the following questions in your post (please include the question prior to your response):

  1. When you first thought about enrolling in a DNP program, what was the initial clinical problem you thought you wanted to address?
  2. After reading chapter 4 of the Moran text, think about how a clinical problem, preferably one you are interested in, can be policy-related or have policy implications. Share your example.
  3. After reading chapter 5 of the Moran text, evaluate potential nursing theories as a framework for a nursing phenomenon. What nursing phenomena are you interested in? Is there a theory serving as a framework for the phenomenon? If so, what is it?  Is it related to a potential clinical problem you are interested in? If so, how?  Journey to Identify the Clinical Problem Assignment
  4. List 2 or 3 actual clinical problems in your own current practice (the problem you are thinking of using for your DNP project should be one of the problems listed). What frustrates you the most about each problem?
  5. For each problem listed above, who or what is most affected? (e.g., patients, families, staff, technology resources, health systems, health outcomes, staff, etc.)
  1. When you first thought about enrolling in a DNP program, what was the initial clinical problem you thought you wanted to address?

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The initial clinical problem, I wanted to address is how to prevent Diabetes complications in patients diagnosed with Diabetes.

Please go into details

  1. After reading chapter 4 of the Moran text, think about how a clinical problem, preferably one you are interested in, can be policy-related or have policy implications. Share your example.  Journey to Identify the Clinical Problem Assignment

Please see attached chapter 4

  1. After reading chapter 5 of the Moran text, evaluate potential nursing theories as a framework for a nursing phenomenon. What nursing phenomena are you interested in? Is there a theory serving as a framework for the phenomenon? If so, what is it?  Is it related to a potential clinical problem you are interested in? If so, how?

Please see attached chapter 5

  1. List 2 or 3 actual clinical problems in your own current practice (the problem you are thinking of using for your DNP project should be one of the problems listed). What frustrates you the most about each problem? Journey to Identify the Clinical Problem Assignment

– The first clinical problem that has been identified for my DNP project is the high prevalence of major depressive disorder (MDD) among young populations. The study will aim at increasing educational interventions regarding depression screening for both male and female African Americans aged 18 to 25 in order to reduce the risk of suicide, morbidity, mortality, and hospitalization.

-Please you can come up with the second clinical problem

  1. For each problem listed above, who or what is most affected? (e.g., patients, families, staff, technology resources, health systems, health outcomes, staff, etc.)  Journey to Identify the Clinical Problem Assignment

 

Please address each content of the assignment

Journey to Identify the Clinical Problem

  1. When you first thought about enrolling in a DNP program, what was the initial clinical problem you thought you wanted to address?

When I first thought of enrolling for a DNP program, the first clinical problem I thought I wished to address was the clinical problem of diabetes complications especially in those with type II diabetes. This is because this is a lifestyle disease that could be easily prevented using precise and targeted educational interventions for identified population segments such as adolescents (Khan et al., 2020). Type II diabetes and its preventable complications such as cardiovascular disease have become a global epidemic. Consistently elevated blood glucose levels damage blood vessels as well as the nerves controlling them and the heart (neuropathy), resulting in atherosclerosis and hypertension. Journey to Identify the Clinical Problem Assignment

  1. After reading chapter 4 of the Moran text, think about how a clinical problem, preferably one you are interested in, can be policy-related or have policy implications. Share your example. 

The clinical problem of diabetes complications that I am interested in as explained above can have far-reaching policy implications. For instance, it is known that children and adolescents at risk of overweight and obesity (a major risk factor for type 2 diabetes) often consume large amounts of cheap sugary sweetened beverages. A tax imposed on the sale of these beverages can reduce their consumption and hence prevent type 2 DM (Kennedy, 2016). Therefore I can advocate for the same in my state.

  1. After reading chapter 5 of the Moran text, evaluate potential nursing theories as a framework for a nursing phenomenon. What nursing phenomena are you interested in? Is there a theory serving as a framework for the phenomenon? If so, what is it?  Is it related to a potential clinical problem you are interested in? If so, how?  Journey to Identify the Clinical Problem Assignment

The potential nursing phenomenon I am interested in is te concept of self-care deficit that children and adolescents have with regard to type 2 diabetes brought about by overweight and obesity. Indeed there is a theory serving as the framework for the phenomenon. This is the theory of self-care deficit (SCDT) by Dorothea Orem (Borji et al., 2017). The children and adolescents are oblivious of the fact that their actions are responsible for the development of type 2 D and its complications later. They thus have a self-care deficit.

  1. List 2 or 3 actual clinical problems in your own current practice (the problem you are thinking of using for your DNP project should be one of the problems listed). What frustrates you the most about each problem?  

Two clinical problems in my clinical practice that I am thinking of using for my DNP project are the increasing cases of major depressive disorder (MDD) and suicidality among young adults; and the lack of enough evidence-based practice (EBP) in the care of the elderly with neurocognitive disorders (NCDs) such as Alzheimer’s disease or AD (AAPA, 2022; Boland et al., 2021). What frustrates me most about MDD in the young adults is that screening is not done enough as it should be. This is the only route that could enable targeted educational interventions to this population demographic. The PHQ-A is a valid psychometric tool that can be used for this screening (López-Torres et al., 2019; Watson et al., 2020). What frustrates me most on neurocognitive disorders is that the elderly with dementia like AD are neglected and do not receive enough care. This makes them fall into comorbid depression. There needs to be further training and education of healthcare professionals taking care of them. Journey to Identify the Clinical Problem Assignment

  1. For each problem listed above, who or what is most affected? (e.g., patients, families, staff, technology resources, health systems, health outcomes, staff, etc.)

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For MDD, the most affected are adolescents and young adults as well as their families. They are ata critical point in their lives that they struggle with identity and so peer influence is strong. They get into habits and behaviors (drugs, early pregnancies, unsafe sex) that eventually plunges them into depression. Therapy and education needs to target them and their families. Those affected in NCDs are the elderly patients themselves as well as their families too. Rehabilitation is needed for them and family therapy for their families to cope.

References

American Psychological Association [APA] (2022). Diagnostic and Statistical Manual of Mental Disorders-Text Revision (DSM-5-TR), 5th ed. Author.

Boland, R., Verdium, M., & Ruiz, P. (Eds) (2021). Kaplan and Sadock’s synopsis of psychiatry, 12th ed. Wolters Kluwer.

Borji, M., Otaghi, M. & Kazembeigi, S. (2017). The impact of Orem’s self-care model on the quality of life in patients with type II diabetes. Biomedical & Pharmacology Journal, 10(1), 213-220, http://dx.doi.org/10.13005/bpj/1100

Kennedy, M. (2016, June 16).  Philadelphia becomes the 1st major U.S. city to pass a tax on soda.  The Two-Way: Breaking News from NPR.  http://www.npr.org/sections/thetwo-way/2016/06/16/482359140/philadelphia-becomes-1st-major-u-s-city-to-pass-a-tax-on-soda

Khan, M.A.B., Hashim, M.J., King, J.K., Govender, R.D., Mustafa, H., & Al Kaabi, J. (2020).  Epidemiology of type 2 diabetes – Global burden of disease and forecasted trends. Journal of Epidemiology and Global Health, 10(1), 107-111. https://doi.org/10.2991/jegh.k.191028.001

López-Torres, S., Pérez-Pedrogo, C., Sánchez-Cardona, I., & Sánchez-Cesáreo, M. (2019). Psychometric properties of the PHQ-A among a sample of children and adolescents in Puerto Rico. Current Psychology, 41, 90-98. https://doi.org/10.1007/s12144-019-00468-7

Watson, S.E., Spurling, S.E., Fieldhouse, A.M., Montgomery, V.L., & Wintergerst, K.A. (2020). Depression and anxiety screening in adolescents with diabetes. Clinical Pediatrics, 59(4-5), 445-449. https://doi.org/10.1177/0009922820905861  Journey to Identify the Clinical Problem Assignment