Monthly Archives: May 2023

Please use this reference To base the care plan.

The assignment has to be on a patient with uncontrolled hypertension and cardiac issues  This patient was re admitted to the hospital (cardiac/telemetry unit) because of the on going Controlled hypertension And possible heart attack.  

Instructions

Evaluation of Plan Effectiveness Criteria

Over the past nine weeks, you selected an aggregate and conducted a risk assessment of its health, developed a care plan to address those health risks, planned to implement one intervention in a small group from the aggregate, and considered the effectiveness of the intervention on the health of the small group. It is time now for you to present your final submission of this Capstone project.

In a Microsoft Word document of 6-7 pages formatted in APA style, you will describe your project and evaluate the effectiveness of the intervention you implemented.

Include the following in your paper:

• A detailed description of the aggregate.
• A description of the aggregate’s strengths and weaknesses.
• A risk assessment of the aggregate.
• Diagnoses based on the risk assessment.
• A detailed care plan for the aggregate.
• A description of how at least one intervention was implemented in the aggregate to address an identified issue.
• An evaluation of the effectiveness of the intervention (this section should be 2-3 pages of your paper) and include the following:
  • Did I implement the intervention as planned? If not, what were the reasons?
  • Are there visible signs of success (for example, reduced health issues)? If yes, describe.
  • Interview/measure outcomes for two or three members of your group to determine/measure the effectiveness of the intervention(s).
    • Include transcripts of the interviews with the participants from the group in the appendix of your paper.
  • Finally, compare the projected effectiveness of your plan before implementation with the actual effectiveness after implementation.
  • You may want to use the responses to the above two criteria to measure the actual effectiveness of the intervention.

On a separate references page, cite all sources using APA format. Please notethat the title and reference pages should not be included in the total page count of your paper.

Read Chapter on Davis Plus: Discussion of Triaxial of action: Policy, Politics,and Nursing

1- What is Policy?

2- Explain each of them:  

Public policy—

Private policy—

Health policy—

Social policy—

Organizational policy?

3- Who was Florence Nightingale, and what was her contribution to the Nursing Field? 

4- Who was Lillian Wald?

5- Who was Margaret Sanger, and in what way she helped to the developments of Nursing Field?

   (NLCA) and they do?

Jeanne Blum, RN, is a nurse on a LDRP unit. Recently, the policy and procedures manual for Jeanne’s unit included the premature rupturing of membranes of a laboring patient as a practice acceptable for nurses to perform. Jeanne and some of her coworkers shared their concern over lunch about this new responsibility.They felt uncomfortable with the possibility of cord prolapse and other potential medical complications resulting from this practice. Jeanne gathered data from her state and many others states and noted that her hospital was not in compliance with her professional organization practice standards. Jeanne shared this information with her coworkers. She volunteered to contact the state board of nursing on their behalf to request a declaratory statement on the nurse’s role in the initiation of premature rupturing of uterine membranes. Her state board’s clinical practice committee reviewed her request for a declaratory statement and gathered information from other states. A formal declaratory statement was drafted by the board and made it available on its Web site. A letter from the board was sent to Jeanne’s institution, informing it of the declaratory statement, which stated that the task nurses were requested to perform was beyond their scope of practice based on the Nurse Practice Act.

8-Which stage of the policy model does above scenario represent?  

reply1

Complementary medicine refers to non-mainstream practice used together with conventional medicine while alternative medicine refers to a non-standardized practice used in place of conventional medicine. (NIH, 2018). Complementary and alternative medicine are often used to describe a wide variety of products or practices that are used outside standard Western Medical practice for treating disease and incorporates a wide variety of beliefs. A physician prescribing biofeedback in addition to standard medicines to treat symptoms of chronic headache would be using a complementary approach while another physician who uses only herbal preparation to treat these headaches rather than use conventional means would be using an alternative approach. (Falvo,2011). 

Integrative Medicine, on the other hand, is holistic care that addresses the full range of influences that affect the patient’s health such as physical, emotional, mental, social, spiritual, and environmental factors. Complementary medicine includes two main groups, namely; natural products and mind and body practices. Natural products include botanical herbs, vitamins, minerals, and probiotics. Mind and body practices refer to yoga, biofeedback, hypnosis, meditation, deep breathing exercises, guided imagery, therapeutic touch, Tai Chi, massage therapy, music therapy, chiropractic, and osteopathic manipulation. Mind-body therapies affect the mind’s ability to influence physiological functions, improve feelings of well-being, and are used increasingly in cancer care settings because of recent evidence that they enhance the quality of life of these patients. (University of Manitoba, 2020). The use of herbal medicines is much more controversial because there is inadequate knowledge regarding their mode of action, efficacy, side effects, contraindications, and adverse interactions, particularly when used with conventional drugs. Public safety is a major concern with the use of herbal drugs.

According to Bishop and Lewith, (2010) there is reasonably consistent research evidence that CAM users tend to be educated, middle-aged females with more than one medical condition as indicated by a number of bivariate tests based on whether gender and or education is associated with CAM use. However, people across all aspects of society, gender and socioeconomic status use CAM for a wide range of physical and psychological conditions, and some without any specific conditions use it for health maintenance. The use of vitamins and mineral supplements have become commonplace in many households. Massage has also become a popular therapy recognized by health professionals and patients as beneficial for reducing anxiety, stress, depression, and fatigue.

References

Bishop, F., Lewith, G. (2010). Who uses cam? A narrative review of demographic characteristics and health factors associated with cam use. https://www.ncbi.nlm.nih.gov/articles/PMC2816378/

Falvo, D. (2011). Effective patient education. A guide to increased adherence. https://viewer.gcu.edu/RQBKXW

National Center for Complementary and Integrative Health, (2012). Complementary alternative or integrative health. What’s in a name? https://nccih.nih.gov/health/complementary-alternative-or-integrative-health-whats-ln-a-name

University of Manitoba. ( 2020). Complementary alternative and integrative medicine. https://www.cameoprogram.org/about-cam/

reply2

CAM stands for complementary and alternative medicines. These are medicines, treatments, or health practices that are not traditional in health care or utilized as a first choice treatment for an illness (Bishop & Lewith, 2010). CAM is usually used instead of the standard treatment offered. Some examples of CAM options includes meditation, yoga, massage, acupuncture, prayer group, biofeedback, herbalism, etc. Evidence has shown that the typical person that uses CAM is usually middle age females, that might have more than one medical condition (Bishop & Lewith, 2010). However, thinking about my personal practice and experience with patients, CAM has become more popular and used by a variety of individuals, regardless of their gender, age, or medical conditions. I have seen that some providers hesitate to offer or talk about CAM because it still isn’t considered traditional or conventional health care. I am a psych and addiction medicine nurse that has experience working in facilities where they offer these type of services and it is actually a part of the treatment plan. CAM is not commonly used in health care because it seems to be most effective for side effects of illnesses or treatments like radiation or chemotherapy. It is not for every patient, but I personally think everyone should have the option or education provided about CAM.

References:

Bishop, F. L., & Lewith, G. T. (2010). Who Uses CAM? A Narrative Review of Demographic Characteristics and Health Factors Associated with CAM Use. Evidence-based complementary and alternative medicine : eCAM, 7(1), 11–28. https://doi.org/10.1093/ecam/nen023

The Use of Complementary and Alternative Medicine in the United States: Cost data [PDF].

(2007). National Institutes of Health. https://files.nccih.nih.gov/s3fs-public/NHIS_costdata.pdf

Radhakrishnan, R.(2009).Prayer and healing: A medical and scientific perspective on randomized control trials. https://ncbi.nlm.nih.gov/pmc/articles/PMC2802370/

Tippens, K., Marsman, K., Kwickey, h, (2010). Is prayer cam? Journal of Alternative and Complementary Medicine. https:// www.ncbi.nlm.nih.gov/pmc/articles/PMC3004781/

Attention Wizard Kim. 

Week 6 Discussion: Practicum professional Development Objectives/ Progress Appraisal  3 pages. 

Rubrics 

Work #1:

Describe in 500 words the shared security responsibility model that a dba must be aware of  when moving to the cloud.

Use at least three sources. Use the Research Databases available from the Danforth Library not Google. Include at least 3 quotes from your sources enclosed in quotation marks and cited in-line by reference to your reference list.  Example: “words you copied” (citation) These quotes should be one full sentence not altered or paraphrased. Cite your sources using APA format. Use the quotes in your paragaphs.  Stand alone quotes will not count toward the 3 required quotes.

Copying without attribution or the use of spinbot or other word substitution software will result in a grade of 0. 

Write in essay format not in bulleted, numbered or other list format. 

Do not use attachments as a submission. 

Reply to two classmates’ posting in a paragraph of at least five sentences by asking questions, reflecting on your own experience, challenging assumptions, pointing out something new you learned, offering suggestions. These peer responses are not ‘attaboys’.   You should make your initial post by Thursday evening so your classmates have an opportunity to respond before Sunday.at midnight when all three posts are due. 

It is important that you use your own words, that you cite your sources, that you comply with the instructions regarding length of your post and that you reply to two classmates in a substantive way (not ‘nice post’ or the like).  Your goal is to help your colleagues write better. Do not use spinbot or other word replacement software. It usually results in nonsense and is not a good way to learn anything. . I will not spend a lot of my time trying to decipher nonsense. Proof read your work or have it edited. Find something interesting and/or relevant to your work to write about.  Please do not submit attachments unless requested.

Work #2:

 1) How do investors measure the risk of individual common stocks? Please describe one of these methods in detail. 

Work #3:

Dear, below are the tasks we need to do for the project. Right now for this week, we need to do the first task (week #9)

Project schedule:

Week 9:  Submit your company selection with the stock exchange by posting to the discussion board thread under the title “Course Project (select/post company in week 9 for approval)”.  I will approve each student’s selection of a company for this project.

Week 13:    Use the tools and techniques presented in this course to analyze the company’s profitability, liquidity, leverage and the common stock as an investment.  The length of the paper should be 4 to 5 typewritten pages.  The paper will be due by day 7, 11:59pm EST. 

Week 14 & 15:   Prepare a presentation (5 minutes) for a Zoom meeting call.

Read chapters 18 and 19 of the class textbooks and review the PowerPoint presentations located in the PowerPoint folder. Once done answer the following questions.

1. Identified and explain situations that make populations underserved and apply the recommendations from Healthy People 2020 initiatives to meet individual, family, and population health needs.

2. Are there legal obligations that you can identify in relation to rural, correctional, LGBTQ, or homeless health? Give specific examples and what your resource would be to address these issues.

3.  Explain the different types of disasters and how they may vary, the primary goal of simulation in disaster preparedness and the phases involved in disaster planning

A minimum of 3 evidence-based references no older than 5 years must be used 

APA format (intext citations and references)

800 words

Plagiarism FREE

1. Often in practice, we connect the concept of spirituality with religion, but according to the readings in the text, (chap 15) there are differences.

• How can nurses incorporate these two concepts into your practice? Give at least two examples.

2. Write one of the North American Nursing Diagnosis Association (NANDA) nursing diagnoses related to Sexuality

and Intimacy and develop two patient-specific interventions for the client.

Please use the following 3 x 3 rule: when writing your weekly discussions: – A minimum of three paragraphs per DQ. Each paragraph should have a minimum of three sentences.

All answers or discussions comments submitted must be in APA format according to Publication Manual American Psychological Association (APA) (6th ed.) 2009 ISBN: 978-1-4338-0561-5

Discussions must have a minimum of two references, not older than 2015.

help fill out the concept map worksheet on Josephine Morrow ( Clinical Simulation Packet)

This assignment builds on your first assignment.  We are going to investigate the food you ate in greater detail focusing on energy and the micronutrients.  For this assignment, you will complete the attached worksheet using your food record and your Food Daily Report from Assignment 1.

Download the worksheet to your computer.  Answer the questions using your food record and Food Detail Report from Assignment 1

Please see all attachments 

Post a draft of your final paper’s abstract, introduction, and conclusion for peer review. Be sure to include the problem you are addressing. Identify any questions or challenges you are facing with the assignment, or mention something new that you have learned. Pose specific questions you would like your peers to address.

of these two combined papers uploaded bow