Monthly Archives: May 2023

due 11/29/2020 Sunday @7pm EST

4-6 pages

APA format

Submit through Turnitin and provide the report (must be less than 10%)

minimum of 5 scholarly article or journal with links to the FULL article or journal

Assignment Description

Infographic

Choose one older adult community population and create an infographic on a topic of preventative screenings or vaccines for this population. You may choose to focus on one specific preventative screening (like colonoscopy) or one specific vaccine (like pneumovax).  You will create a one page infographic and then write an essay on the topic you chose.  

View websites on How to create Infographics: 

*http://blog.hubspot.com/blog/tabid/6307/bid/34223/5-Infographics-to-Teach-You-How-to-Easily-Create-Infographics-in-PowerPoint-TEMPLATES.aspx

*http://blog.hubspot.com/marketing/free-ppt-infographic-templates-designs-ht

• Submit an 8 X 11.5 color (one page Word or pdf. document) infographic on the importance of one of the concepts found in one of the assigned websites.
• Include a detailed description of the infographic and the APA references in an APA-formatted essay.

The description part of the essay assignment should be written in an APA-formatted essay. The essay should be at least 750 words in length and include at least two scholarly sources other than provided materials.

Assignment Expectations:

Length: One-page infographic PLUS essay of 750 to 1000 words in length

Structure: Infographic: One-page. Essay: Include a title page and reference page in APA format. These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of two (2) scholarly sources are required for this assignment

My Community: 50-65yrs old women

Preventive screening: Mammogram

It is a group work. My portion of the work is asterisk on the rubric I will attached for you to see everything needed. It is to be in a PowerPoint format and a paper is needed to explain the PowerPoint. 

• Think      about the evidence, concepts, and/or theories learned throughout this      program and your nurse executive specialization.
• Analyze      a problem, issue, or situation that you have observed during your      practicum experience.
• Using      a minimum of three peer-reviewed sources of evidence, consider what you      have observed within the context of your specialty using appropriate      concepts, principles, and theories. Give special attention to observed      events that vary from the scholarly literature.
• Including      personal communications from leaders in healthcare administration is      acceptable; however, this does not replace the requirement for three      peer-reviewed sources of evidence.
• Determine      the degree to which the problem, situation, or issue was addressed in a      manner consistent with the theory, concepts, and principles detailed in      the evidence.
• Given      the various evidence-based approaches that can be used in addressing the      observed problem, situation, or issue, think about a plan for approaching      the matter differently.

Week 2 Discussion Questions

· From a local perspective, how does the practice problem impact nurses, nursing care, healthcare organizations, and the quality of care being provided?

· Identify the local key stakeholders related to the selected practice problem.

· Describe one approach used at your unique setting to address this problem. From your perspective, is this intervention effective in addressing the problem? Why or why not? If this practice problem is not addressed at your workplace, propose an intervention that could be implemented on a local scale to address the problem.

In Skagit County, WA, where I live and work, the prevalence of obesity is on the rise. According to the Institute for Health Metrics and Evaluation (2020), in 2012, the prevalence of obesity was 36.48% for women in Skagit county, 34.81% in Washington, and 33.85% in the U.S. For males, in Skagit county, the prevalence was 33.79%, 33.6% for Washington, and 33.85% for the U.S. This means that more than 1/3 of the population in my area is obese. This is not just a health problem felt by the individual, but repercussions are noted within the entire realm of health care.

Obesity itself is an epidemic. But there are many co-morbidities that accompany obesity such as cardiovascular disease, diabetes, kidney disease, cancer, and respiratory illnesses. In obstetrics, obesity often leads to pregnancy-induced hypertension, gestational diabetes, preeclampsia/eclampsia, and thromboembolisms. The risks are higher for cesarean section, failed induction, and other delivery complications such as shoulder dystocia (Cochrane, 2019). These threaten the lives of both mother and baby. Because care for obese patients is more complex, they are at a very high risk of developing pressure ulcers and wound infections (Hahler, 2002). Simple acts of getting out of bed, mobilization, and even changing the bed linens require the help of at least 2 or more nurses. This is not just to protect the nurses from physical injury, but to also avoid adverse events such as patient falls. In a recent study, it was concluded that there must be an increase in nursing staff in order to provide adequate care to the ever-increasing obese patient population (Carrara, et al., 2016). Therefore, the nursing staff is overworked, especially on Med/Surg units where nurse-to-patient ratios are 1:6. In addition, if one of those 6 patients requires 70% of the nurse’s time, patient care for the other 5 will suffer. This will lead to adverse events such as falls, medication errors, and death which can end up costing the hospital large amounts of money in litigation. Morale in the nursing unit will decrease leaving many unhappy nurses who are burnt out. It is important that more nurses be hired to accommodate the growing numbers of obese patients. This will also cost money for the health care organization as the amount of reimbursement will not increase.

The key stakeholders in all this are first and foremost the patient and family. The poor health of yourself or a loved one can cause great stress to all those involved. And it is important that they receive high-quality health care. Those participants in the micro-, meso-, and macrosystems are all stakeholders. This includes nurses and other clinicians who work at the bedside, middle management, upper management and administration, and board of directors of the health care organization. Even further, leaders at the local level, such as politicians, lobbyists, clergy, and public health officials can help create and support local health initiatives in the community (Folta, et al., 2015).

As discussed earlier, obesity has many negative implications in pregnancy. Therefore, it is important, that as providers, we address this problem during the first intake visit and at every subsequent prenatal visit. When the patient meets with the nurse at approximately 8 weeks gestation, they discuss BMI and appropriate weight gain throughout the pregnancy. If the patient is obese, a referral to the nutritionist is ordered along with first-trimester glucose screening and TSH. The nurse also informs the provider to update the problem list to indicate a high-risk pregnancy. Whether or not this is an effective means to control obesity in pregnancy remains to be seen. Most women welcome the referral to nutrition because they want to take an active part in the health of the pregnancy. Also, they usually adopt a more nutritious diet when pregnant. There are still those women who refuse to follow up appropriately or, follow provider recommendations. And because I practice in a rural setting, transportation issues are prominent.

Carrara, F., Zanei, S., Cremasco, M., & Whitaker, I. (2016). Outcomes and Nursing Workload Related to Obese Patients in the Intensive Care Unit. Intensive and Critical Care Nursing 35, pp 45-51.

Cochrane, L., Brumpton, K., Winter, S., Bell, K., Brunham, H., Wadwell, K., & Kitchener, S. (2019). Prevalence and Outcomes of Overweight and Obesity among Pregnant Women in Rural Queensland. Australian Journal of Rural Health, 27, pp 164-169.

Folta, S., Koomas, A., Metayer, N., Fullerton, K., Hubbard, K., Anzman-Frasca, S., Hofer, T., Nelson, M., Newman, M., Sacheck, J., & Economos, C. (2015). Engaging Stakeholders from Volunteer-Leg Out-of-School Time Programs in the Dissemination of Guiding Principles for Healthy Snacking and Physical Activity. Preventing Chronic Disease, 12, pp 1-7.

Hahler, B. (2002). Morbid Obesity: A Nursing Care Challenge. Dermatology Nursing, 14(4), pp 249-256.

Institute for Health Metrics and Evaluation. (2020). US health. http://www.healthdata.org/us-health

I NEED A COMMENT FOR THIS POST WITH AT LEAST TWO-THREE  PARAGRAPH AND TWO SOURCES NO LATER THAN FIVE YEARS

a power point presentation with this information 

pathiphysiology 

prevention 

treatment 

medication 

test to confirm the disease 

person more vulnerable 

Read the scenario in the Case Study below. Discuss using the questions below, and analyze using the ETHICAL model presented in Chapter 5.

CASE STUDY: Post your original response to the topic by day 4; post responses to two (2) peers no later than day 7

Scenario:

Sue T. is the nurse manager for medical-surgical units at a community hospital.  She is currently enrolled in a nursing master’s degree program at the local university.  As part of the requirements for a Nursing Management course, Sue proposes to conduct a study linking nursing interventions and nursing outcomes.  She returns to her place of employment at night for two weeks to audit patient charts and collect the data she needs for her assignment.  She makes copies of the patient records that are particularly helpful and takes them home to write the final paper.  

As Sue is developing her paper, she realizes that the information she has collected may be helpful in completing her nursing staff performance evaluations due next month.   She decides to collect further patient outcome data for individual nurses to monitor their performance.

Consider the following 

1. Has Sue violated ethical principles by collecting data for a college assignment? Why or Why not? 
2. Has Sue violated ethical principles by collecting patient data for employee performance evaluations? Why or Why not? 
3. What, if anything, should Sue have done differently in completing her college assignment? 
4. What, if anything, should Sue have done differently in completing her employee performance evaluations? 

Minimum 350 words and 3 references.

Write a  2- 3 page paper with double spaced text about OB delivery with shoulder dystocia. Write about the experience of this delivery. Doctors nurses, how were they acting and doing their stuff. Find One “Aha” moment in the experience.

Actual work where 2 students given their post on this:

Discuss in 500 words or more best practices for incident response in the cloud. Refer to at least one incidence response framework.

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. 

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’.   

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 find the attachment. 

 Synthesis of Findings        

· Describe the Rationale   for how/why Finding of each intervention/factor helps your Research Question   (i.e. how/what mechanism does music   therapy help pain, how does sucking stimulation increase oral intake for   pre-term infants)

· Should NOT  repeat same contents you had on Findings section and/or article

· Should have citation of analyzed article(s)

· May include  citations from other sources for above described rationale and mechanism   (i.e. textbooks, CDC…etc)

  Nursing Implication 

· How the nurses can implement the research findings into nursing practice?

Assignment relates to article attach(content 111)