Monthly Archives: May 2023

The practice problem that I discussed in weeks 1 and 2 was alcohol abuse. Alcohol abuse is a major problem globally and locally for my home state as well. Common barriers in addressing this problem are lack of treatment facilities, patient’s reluctance to seek help, treatment compliance, high potential for relapses, perceived treatment efficacy, and perceived treatment need (Pinedo, Zemore, & Rogers, 2018). Alcohol use has continued to increase over the past decades and is predicted to continue increasing as well worldwide (Shield, Manthey, Rylett, Probst, Wettlaufer, Parry, & Rehm, 2020). This expected increase is even a bigger problem than the barriers for treatment. The real question in battling this practice problem should be why is this practice problem expected to increase and what can we to do prevent this? Yes, that sounds simple in theory, however alcohol abuse has been a problem for many decades and we still yet don’t have an answer to this or a solution.

                Strategies to adopt awareness of new evidence for this practice problem would be educating the public on the dangers of alcohol and how it can lead to alcohol abuse. I think this is the first step for primary prevention of the problem. Regarding patient’s that this is already a problem in, strategies that might help to overcome some of the issues that we face as barriers might include opening more treatment facilities and doing our best to remove the stigma that is associated with addiction. I think as primary care providers it is also useful to implement questionnaires that could lead to the identification of alcohol abuse such as the cage questionnaire. By being able to identify alcohol abuse in our patient’s we are able to talk to them about alcohol abuse, options for treatment, and potential complications for the future (Taylor Jr, El-Sabawi, & Cangin, 2016).

                I think the regarding alcohol use it is important to be implement all of these strategies. Alcohol abuse is a problem that affects people both physically and mentally. It also affects not only the patient themselves but the family members and friends of this patient. It is important to implement all of this evidence because this practice problem needs to include prevention and treatment. Prevention is necessary to hopefully decrease this problem or prevent it from getting worse. Treatment is needed for the already high numbers of patient’s that are suffering from this problem. As far as the continuation or sustainability of these changes that can be difficult to ensure. By providing more treatment facilities, this does ensure that we have more places for people to be seen for this practice problem. By implementing the cage questionnaires, this also helps to identify problems early on or problems in people that don’t see their alcohol use as a problem. However, alcohol abuse is a problem that requires the patient to be ready as well for this to be successful. We can aid the patient in success by encouraging them, being positive, and not ever putting blame or guilt on them. Relapses are common in this population and is necessary that we are able to identify this as part of the disease process and not noncompliance or failure.

Angelina

Pinedo, M., Zemore, S., & Rogers, S. (2018). Understanding barriers to specialty substance abuse treatment among Latinos. Journal of substance abuse treatment, 94, 1-8.

Shield, K., Manthey, J., Rylett, M., Probst, C., Wettlaufer, A., Parry, C. D., & Rehm, J. (2020). National, regional, and global burdens of disease from 2000 to 2016 attributable to alcohol use: a comparative risk assessment study. The Lancet Public Health, 5(1), e51-e61.

Taylor Jr, P., El-Sabawi, T., & Cangin, C. (2016). Improving alcohol screening for college students: screening for alcohol misuse amongst college students with a simple modification to the CAGE questionnaire. Journal of American college health, 64(5), 397-403.

Module 06 Discussion – Multidimensional Care for Sarah

Sarah is a 69-year old female that presented to the emergency department with shortness of breath. Her past medical history includes heart failure and COPD. Her pulse oximetry on room air is 82%. You notify the provider, and he orders oxygen at 4 L via nasal canula NC. Sarah’s chest x-ray reveals bilateral pneumonia. Her arterial blood gas result are below:

pH

7.30

PaCO2

58 mm Hg

PaO2

78 mm Hg

HCO3

26 mEq/L

Sarah is admitted to a general medical floor. You are the nurse assigned to Sarah.

1. What potential problems can occur based on the above findings?
2. How would you provide multidimensional care for Sarah?
3. Describe the roles of other departments in Sarah’s treatment plan.

Required Resources
Read/review the following resources for this activity:

• Textbook: Chapter 3, 6, 7
• Lesson 1, 2
• Link (Word doc): Outline Template
• Minimum of 4 scholarly sources

Instructions
For the final outline, continue conducting research for your presentation, locating specific scholarly sources to include on your references page.

Include and submit the following components:

• Title page (title of speech, name of presenter, audience prepared for – school or institution, date)
  • You can use this information to create your first slide in PowerPoint.
• General goal, specific goal, thesis statement, introduction paragraph (written out), body in outline format using complete sentences, summary paragraph (written out) (approximately 4 pages)
• Visuals and their description plan (1-2 pages)
  • This section should include a minimum of 5 images you will use for your PowerPoint slides with a description of how and why you will be using each image. Paste the images onto the document (Do not simply provide a URL for each image).
• Reference page with minimum of 4 authoritative, outside scholarly sources
  • These sources can include the sources referenced during Weeks 2 and 3.
  • Anonymous authors or web pages are not acceptable.
  • References must be written in APA format with hanging indents, in alphabetical order, and with everything double spaced.
  • The word references should be centered.
  • Include copyrighted image resources in this list.
  • You can copy and paste this to use as the last slide in your PowerPoint.

Presentation Note: Do not copy and paste your table of contents, final outline, or visuals description plan into your PowerPoint slides. Your speech slides must be created as a meaningful presentation.

• Use a few bullets for each slide with one phrase or one sentence for each bullet.
• Do not put any paragraphs into the slides.

Any questions about this assignment may be discussed in the Course Q & A Forum.

Optional: Team Editing
This is not required or graded. Complete the following steps for team support on your outline. This is not a group project:

• Early in the week (Day 1, 2, or 3), post in your group homepage a completed first or second outline draft with your team to ask for feedback. If you do not share I added this your first draft early in the week, you cannot expect other people to have time to review it for you. Provide good concrete constructive comments.
• During the week (Days 1-5), respond to team members who have asked for your suggestions, comments, and corrections on their outlines. Try to respond as early as you can, or at least within 2 days. If you can’t review an outline or provide any comment within 2 days of receiving a team member’s outline, notify your team member about when to expect your comments. Day 5 should be your latest date to respond to other people, or Day 6 for emergency last-minute reviews. Remember that other people need time to use your ideas and revise their outlines!
• Review the suggestions, comments, and corrections that you receive from your team and incorporate the best ideas into your first draft outline.
• Save the end of your week (Days 6 and 7) for revising and updating your own outline and preparing the final outline version, completing the description of visuals (PowerPoint images plan) page, and checking the references page.

Writing Requirements (APA format)

• Length: 3-4 pages (not including title page or references page)
• 1-inch margins
• Double spaced
• 12-point Times New Roman font
• Title page
• References page (minimum of 4 scholarly sources)

Grading

This activity will be graded based on W5 Presentation Outline Grading Rubric.

Course Outcomes (CO): 3

Due Date: By 11:59 p.m. MT on Sunday

  As a team, select a current public health topic, such as: 

  Complete the following in your presentation: (Use headings in this paper and make sure there is a heading for each of the bulleted items below) 

Mental health and suicide prevention

• Explain the legal and ethical issues related to your public health topic.-250 words

Select and watch a movie that depicts difficult or different methods of communication between individuals with a disability or with other special needs.  An example of this would be the 2003 movie Radio with Cuba Gooding Jr. There are many ways to view this movie on Netflix, HBO, Amazon, etc.

First, provide a short summary of the movie, and include the background on the main characters. As discussed in the previous module, utilize person-first language to describe individuals from specialized populations (example: “child with autism,” rather than “autistic child”). 

Discuss the communication difficulties or barriers between the individuals in the movie. What misunderstandings or obstacles did you observe that prevented clear communication between the characters?

Lastly, apply this information directly to healthcare. Why does communication often breakdown between healthcare providers, and patients with special needs? What circumstances from the movie could also be applied to healthcare provider and patients? 

 Describe professionalism in the context of public health. What skills, attributes, and behaviors are expected of the public health professional? What distinctive characteristics of public health would be necessary to implement in order to fully support your community? 

The Op-Ed must be your original work.  Develop an Op-Ed to a newspaper of your choice based on the information below.

Topic

For a country of your choice:  (Africa)

1. Select the key nutrition issues faced by the country.

2. Determine who they most affect.

3. List key risk factors.

4. Describe their link with health and economic development.

5. Discuss the impact that globalization has had on these issues.

6. Discuss what might be done to address the nutrition issues in cost-effective ways.

Format

1. Your Op-Ed should be written as you are the expert on the subject.

2. It should be a minimum of 300 words to a maximum of 700 words.

3. Use Times Roman 12-point font.

4. Use a 1-inch margin.

5. No figures or tables.

6. Include resources. Opinions necessitate evidence and support. Whatever your statistics, numbers and data have to say about your issue, work them into the article in an interesting and compelling way. You can’t just be good with words. You need to back up your words.

7. Use professional language.

8. Submit via Turnitin

NO Plagiarism 

Textbook : Global Health 101

4thEdition

Author: Richard Skolnik

Publisher: Jones and Bartlett Learning

Year: 2019

“Mrs. Walsh, a woman in her 70s, was in critical condition after repeat coronary artery bypass graft (CABG) surgery. Her family lived nearby when Mrs. Walsh had her first CABG surgery. They had moved out of town but returned to our institution, where the first surgery had been performed successfully. Mrs. Walsh remained critically ill and unstable for several weeks before her death. Her family was very anxious because of Mrs. Walsh’s unstable and deteriorating condition, and a family member was always with her 24 hours a day for the first few weeks.
The nurse became involved with this family while Mrs. Walsh was still in surgery, because family members were very anxious that the procedure was taking longer than it had the first time and made repeated calls to the critical care unit to ask about the patient. The nurse met with the family and offered to go into the operating room to talk with the cardiac surgeon to better inform the family of their mother’s status.
One of the helpful things the nurse did to assist this family was to establish a consistent group of nurses to work with Mrs. Walsh, so that family members could establish trust and feel more confident about the care their mother was receiving. This eventually enabled family members to leave the hospital for intervals to get some rest. The nurse related that this was a family whose members were affluent, educated, and well informed, and that they came in prepared with lists of questions. A consistent group of nurses who were familiar with Mrs. Walsh’s particular situation helped both family members and nurses to be more satisfied and less anxious. The family developed a close relationship with the three nurses who consistently cared for Mrs. Walsh and shared with them details about Mrs. Walsh and her life.
The nurse related that there was a tradition in this particular critical care unit not to involve family members in care. She broke that tradition when she responded to the son’s and the daughter’s helpless feelings by teaching them some simple things that they could do for their mother. They learned to give some basic care, such as bathing her. The nurse acknowledged that involving family members in direct patient care with a critically ill patient is complex and requires knowledge and sensitivity. She believes that a developmental process is involved when nurses learn to work with families.
She noted that after a nurse has lots of experience and feels very comfortable with highly technical skills, it becomes okay for family members to be in the room when care is provided. She pointed out that direct observation by anxious family members can be disconcerting to those who are insecure with their skills when family members ask things like, “Why are you doing this? Nurse ‘So and So’ does it differently.” She commented that nurses learn to be flexible and to reset priorities. They should be able to let some things wait that do not need to be done right away to give the family some time with the patient. One of the things that the nurse did to coordinate care was to meet with the family to see what times worked best for them; then she posted family time on the patient’s activity schedule outside her cubicle to communicate the plan to others involved in Mrs. Walsh’s care.
When Mrs. Walsh died, the son and daughter wanted to participate in preparing her body. This had never been done in this unit, but after checking to see that there was no policy forbidding it, the nurse invited them to participate. They turned down the lights, closed the doors, and put music on; the nurse, the patient’s daughter, and the patient’s son all cried together while they prepared Mrs. Walsh to be taken to the morgue. The nurse took care of all intravenous lines and tubes while the children bathed her. The nurse provided evidence of how finely tuned her skill of involvement was with this family when she explained that she felt uncomfortable at first because she thought that the son and daughter should be sharing this time alone with their mother. Then she realized that they really wanted her to be there with them. This situation taught her that families of critically ill patients need care as well. The nurse explained that this was a paradigm case that motivated her to move into a CNS role, with expansion of her sphere of influence from her patients during her shift to other shifts, other patients and their families, and other disciplines”
Critical thinking activities
1. Discuss the clinical narrative provided here using the unfolding case study format to promote situated learning of clinical reasoning (Benner, Hooper-Kyriakidis, & Stannard, 2011).
2. Regarding the various aspects of the case as they unfold over time, consider questions that encourage thinking, increase understanding, and promote dialogue, such as: What are your concerns in this situation? What aspects stand out as salient? What would you say to the family at given points in time? How would you respond to your nursing colleagues who may question your inclusion of the family in care?
3. Using Benner’s approach, describe the five levels of competency and identify the characteristic intentions and meanings inherent at each level of practice.

To Prepare:

• Review the Resources and reflect on the mission of state/regional boards of nursing as the protection of the public through the regulation of nursing practice.
• Consider how key regulations may impact nursing practice.
• Review key regulations for nursing practice of your state’s/region’s board of nursing and those of at least one other state/region and select at least two APRN regulations to focus on for this Discussion.

Post a comparison of at least two APRN board of nursing regulations in your state/region with those of at least one other state/region. Describe how they may differ. Be specific and provide examples. Then, explain how the regulations you selected may apply to Advanced Practice Registered Nurses (APRNs) who have legal authority to practice within the full scope of their education and experience. Provide at least one example of how APRNs may adhere to the two regulations you selected.

This assignment focuses on the importance of self-assessment and reflection.

Self-Assessment

Self-awareness is essential for developing leadership skills. Recognizing your own strengths, weaknesses, and values, and understanding emotional intelligence and learning styles can help you to be a more effective nurse leader.

For this assignment, you have the opportunity to take a variety of self-assessments to learn more about yourself and identify your assets and weaknesses as a leader. This will assist you in discovering how you can improve your own self-leadership skills. You will be asked to think critically about your results and submit a reflection as directed below.

Select three of the following self-assessments and complete them. Be sure to document the results of each assessment to assist you in completing the reflection portion of the assignment below.

1. Emotional Intelligence Assessment: “Emotional Intelligence Test”: https://www.psychologytoday.com/us/tests/personality/emotional-intelligence-test 
2. Personality Assessment: “Free Personality Test”: https://www.16personalities.com/free-personality-test 
3. Learning Styles Assessment: “Values Profile”: http://vark-learn.com/the-vark-questionnaire/ 
4. Values Assessment: “Values Profile”: https://www.psychologytoday.com/us/tests/personality/values-profile 
5. Values Assessment: “Rokeach Values Survey”: http://faculty.wwu.edu/tyrank/Rokeach%20Value%20Survey.pdf
6. Diversity Assessment: “Cultural Competence Self-Test”: https://www.oregon.gov/DHS/SENIORS-DISABILITIES/DD/PROVIDERS-PARTNERS/SCPAconference/Cultural%20Competence%20Self-Test.pdf 

Self-Assessment Reflection

Becoming self-aware is an ongoing process requiring introspection. The more often people practice self-reflection, the more opportunities they have to understand their own behaviors and adapt their approaches to working with other people, which can improve both your own and other’s abilities to meet their professional goals.

In a 750-1,000 word reflective essay, address the following:

1. Briefly summarize why you selected each self-assessment and the results you obtained on each assessment.
2. Identify the leadership style that closely aligns to your philosophy of care, and explain what appeals to you about that style.
3. Reflect on how you might incorporate elements of that particular style as you exercise leadership in a practice or health care organization setting.
4. Discuss any particular areas for improvement the assessments helped you identify and some steps for improving your leadership capabilities.

You are required to cite three to five sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.