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Reply post assignment

Reply post assignment
Description
Please reply to all 2 individual post as labelled. Replies should be short, substantial and add a different point of view or enhance the initial post.

Post 1
The research design for this project will be retrospective chart review in design and I will be utilizing administrative databases and medical records for patients who are already known to have a diagnosis of sepsis.
This project will identify 50 septic patients from ages18-64; gender will not be an issue. For my project, I will be utilizing criteria based on Sepsis guidelines using a check list. Once these patients are established that each one meets sepsis criteria, I will begin tracking the patients that had initial procalcitonin levels checked versus patients that did not. I will be viewing 50 sepsis patients. Once this has been established, I will then track antibiotic days and length of stay within the hospital to see if there was a reduction in stay and antibiotic use by using the procalcitonin level as a guide. The patients identified for review will be those admitted from the influenza season of 2018. This will give a higher number of septic patients. After identifying these patients, procalcitonin levels will be reviewed and antibiotic therapy compared with the procalcitonin level trend. At the hospital in Gaffney, antibiotic stewardship is utilized to include the procalcitonin levels. Once all the data is collected, statistical analysis tools will be utilized by Excel or another software package.
Data and document analysis will be the instrument utilized for this project along with observation. The data will be synthesized by comparing septic patients and trending the procalcitonin level for each one to see if there are decreases with this level as the patient improves or if the level will increase if the patient is not showing improvement.
As healthcare evolves with the trend of reduction in antibiotic use and less hospital days, it has become important for researchers to identify markers that can assist with this. The procalcitonin level is a major one that is used in the septic patient although many hospitals do not trend this. My belief is that this study will assist in changing this.
Post 2
Instruments for Data Collection
The main outcome measured in my capstone project is the pain levels after the participant uses narcotics and after they use medicinal marijuana. Pain is what the person perceives; only that person can tell you what their level of pain is. In order to collect these pain measurements, the participants will be given pain log journals. These journals will have pre and post levels of pain will be given out to the participants. Pain scales help providers to make an accurate diagnosis, create a treatment plan, and measure the effectiveness of treatments. Pain scales exist for people of all ages, from newborns to seniors, as well as people with impaired communication skills (Marco, et al., 2016). The most commonly used pain scale is the unidimensional numeric pain scale; in which I will be using for this capstone project.
Methods
First a flyer or brochure will be constructed by researcher requesting participant. The flyer will be posted in clinic area and handouts will be distributed to anyone requesting information.
Inclusion criteria will be the following:
1. Age 19-64, male or female, diagnosis of chronic back pain (exclusion criteria – cannot be pregnant)
2. On prescribed opioids for at least 3 months (name and dosage)
3. On a prescribed medical marijuana regimen for at least three months
*The researcher will not be prescribing drug dosages however the physician will prescribe drug dosages for any or all medications used in this project.
Data Collection
Participants will be given a journal to record their pain levels. When they utilize their prescribed oral opiates, they will rate their pain level 45 minutes to 1 hour later (at peak). When they use their medicinal marijuana they will rate their pain 30 minutes to 45 minutes later. They will then record these numbers in their journals for comparison of pain levels between use of opiates and use of medicinal marijuana. The participants will be responsible for monitoring their pain levels for two weeks. There will be two columns, one for opiates pain levels and one for medicinal marijuana pain levels. Directions will be placed at the top. They will be able to rate their pain from 1-10; with 10 being the worst possible pain.
I will also be using a voluntary EEO form in order to gather some descriptive statistics on the participants. An EEO form will collect data of participants: age, education, gender, ethnicity, and socioeconomic status. The purpose of using this form is to gather data regarding research participants and is it would be necessary for the determination of whether the individuals in a particular study are a representative sample of the target population for generalization purposes (Kossek& Pichler, 2015).
Data Analyses
Patients will be based off of comparison of pain levels of patient taking opiates versus using medicinal marijuana. Since both of the pain levels were measured on a 1-10 pain scale it will be easy to disseminate. The whole goal will be to see if medicinal marijuana pain levels are lower than opiate pain levels or the same in order to show the benefits of utilizing medicinal marijuana. I will be utilizing a t- test / one way ANOVA test. Ordinal data will used in order to separate the pain levels of opiates versus the medicinal marijuana pain levels.

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