Statistics; The abdomen and the rectum.

The following is a hypothetical research study. This data is fictitious and is for the sole purpose of supporting the CNUR 860 statistics assignments: 1,2 and Major assignment.Research Study Abstract:A group of nursing researchers conducted studies to investigate the implementation of RNAO Best practice Guideline: Prevention of Constipation in the Older Adult Population. (Revised) (http://rnao.ca/sites/rnaoca/files/Prevention_of_Constipation_in_the_Older_Adult_Population.pdf 2005), in a long term care setting.

The recommendations for the focus of this study were:1.0 Assess constipation by obtaining a client history.3.0 Review the client’s medications to identify those associated with an increased risk for developing constipation, including chronic laxative use and history of laxative use.5.0 Conduct a physical assessment of the abdomen and rectum. Assess for abdominal muscle strength, bowel sounds, abdominal mass, constipation/fecal impaction, hemorrhoids and intact anal reflex.6.0 Prior to initiating the constipation protocol, identify bowel pattern (frequency and character of stool, usual time of bowel movement), episodes of constipation and/or fecal incontinence/soiling, usual fluid and food intake (type of fluids and amounts), and toileting method through use of a 7-day bowel record/diary.7.0 Fluid intake should be between 1500-2000 milliliters (ml) per day. Encourage client to take sips of fluid throughout the day and whenever possible minimize caffeinated and alcoholic beverages.8.0 Dietary fibre intake should be from 25 to 30 grams of dietary fibre per day. Dietary intake of fibre should be gradually increased once the client has a consistent fluid intake of 1500 ml per 24 hours. Consultation with a dietitian is highly recommended.10.1Walking is recommended for individuals who are fully mobile or who have IV limited mobility (15-20 minutes once or twice a day; or 30-60 minutes daily or 3 to5 times per week). Ambulating at least 50 feet twice a day is recommended for individuals with limited mobility.(RNAO, 2005 p. 11-12)

The study participants were residents in a long term care facility.All participants in the study met the following inclusion criteria:i) had been assessed for constipation, via a client history as per recommendation #1 in the RNAO guideline and were diagnosed with a history of constipationii) had a physical assessment as per recommendation #5 and no physical abnormalities were noted of the abdomen or rectumiii) had a constipation protocol for a 7 day bowel diary /journal recorded by the nurse (PSW/RPN/or RN)iv) were able to eat and drinkv) able to ambulate by walking with or without aides

Ethics approval was received from the institutional Research Ethics Board.

Reference:Registered Nurses’ Association of Ontario (2005). Prevention of Constipation in the Older Adult Population. (Revised). Toronto, Canada: Registered Nurses’ Association of Ontario. Retrieved from http://rnao.ca/sites/rnaoca/files/Prevention_of_Constipation_in_the_Older_Adult_Population.pdf

Prepare your assignment as per APA 7th format, inclusive of a title page, pages numbered, double spaced , reference page etc.DO NOT RECOPY Question format DO NOT INSERT ANSWERS IN POINT FORM;Reference your Salkind text appropriately. Note: all charts and graphs must have a complete title. It is not adequate to use only the variable name for a title. It is not adequate to include chart or graph embedded within a sentence with the chart or graph as the end of the sentence. Follow APA 7th for chart and graphs. Title must convey what the chart is telling the reader.

You may use any excel version. This is fictional data.

This is a fictional long-term care unit. The nurses are implementing selectedrecommendations from the RNAO Best Practice Guideline Prevention of Constipation in the Older Adult. The long-term care setting is concerned about patients’ bowel routines and the prevention of chronic constipation in their elderly client. The long-term care setting decided to implement key recommendations to assess their clients’ status and needs for bowel care. Participants or their designated decision-maker provided consent.

This is simulated data.Analyze the patient participant demographic and data for the variables in the questions below.

Question A. Descriptive Analyses total for Question A

Question A i. (each variable includes correct level of measure PLUS rationale supported by reference)a) Ageb) Age groupc) Genderd) Number of prescription medicationse) History of chronic laxative usef) Functional ability for eating drinking and ambulationg) Cognitive status to follow simple directionsh) Number of bowel movements per weekQuestion A ii.For the variable ‘Number of prescription medications’ calculate, and cut and paste the excel outputs for the three measures of central tendency. All three measuresof central tendency must be calculated and identified for full marks. (No partial marks)Question A iii.For the variable ‘age’ calculate, and cut and paste the excel outputs for the threemeasures of central tendency All three measures of central tendency must be calculated and identified for full marks.For the variable ‘age group’ createa) a frequency distribution chartb) a bar chartThe bins and the variables with counts per group have been created for you onexcel data set. Each chart must include labels and/or a legend to identify clearly the variables and groups for full marks.Question A iv.For the variable: ‘functional ability for eating drinking and ambulation’, calculate the 3 measures of central tendency AND 3 measures of variability and cut and paste the excel outputs. You must be clear in your answer which measures are forcentral tendency and which are for variability to get full marks.Discuss why there are, or are not, extreme values using measures of central tendency and variability to support your rationale discuss (interpret) the central tendency and variability for this variable, including which measure of central tendency is most meaningful and why. If there are extreme scores, identify scores that are extreme.Question A v.For the variable ‘cognitive status to follow simple directions’ calculate the 3 measures of central tendency AND 3 measures of variability and cut and paste the excel outputs. You must be clear in your answer which measures are for central tendency and which are for variability to get full marksDiscuss (interpret) the descriptive statistics for this variable including why there are or are not extreme values using measures of central tendency and variability to support your rationale, including which measure of central tendency is most meaningful and why. If there are extreme scores, identify scores that are extreme.(Interpretation = what does this data analysis tell us so far about this sample)Question A vi.a) For the variables ‘functional ability for eating drinking and ambulation’ and‘cognitive status to follow simple directions’ create frequency distribution charts and histograms. Charts must include labels and/or a legend to identify clearly the variables and groups for full marks.b) Create a column or bar chart for the variables ‘toileting level’ and ‘clientsatisfaction with bowel patterns’ state the level of measures for each and provide the rationale with reference to support.

Question B. Interpretation of AnalysesQuestion 4.i) Discuss (interpret) the descriptive statistics for the concept age, as analyzed by the previous two variables (‘age’ and ‘age group’) for this sample.ii) What might be some implications with regards to the concepts ‘age’ and ‘cognitive status to follow simple directions’ as measured by the three (3) variables in this assignment analysis for a) research and b) nursing practice?iii) With ALL analyzed descriptive data in this assignment, describe this sample, in words.iv) What might be some implications regarding all variables from the data analysis of this sample of nurses for a) research and b) nursing practice?

ReferencesRegistered Nurses’ Association of Ontario (2005). Prevention of Constipation in the Older Adult Population. (Revised). Toronto, Canada: Registered Nurses’ Association of OntarioRetrieved from: https://rnao.ca/search/content/constipation?filters=type:bpgretrieved 1/26/2019.

Salkind, N. J. (2017). Statistics for People Who (Think They) Hate Statistics The Excel 4th Edition. California: Sage Publications. Thousand Oaks, CA: Sage.https://www.vitalsource.com/en-ca/products/statistics-for-people-who-think-they-hate-neil-jsalkind-v9781483374093

Woo, K. (2019). Polit and Beck. Canadian Essentials of Nursing Research, 4 th Edition. Wolters Kluwer: Philadelphia

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