REPLY1

NIH means, National Institute of Health while CAM means, Complimentary and Alternative Medicine Complementary and alternative medicine (CAM) are health care approaches that are used outside the typical western practice. These two approaches are different, complementary is referred to when conventional medicine and another approach is used together, while alternative does not use conventional medicine. (NIH, 2017)Complementary practice includes the use of natural products and mind/body practices. Natural products that are used include herbs, probiotics, vitamins, and minerals. Mind and body practices include yoga, meditation, acupuncture, relaxation techniques chi, hypnotherapy, chiropractic, and osteopathic manipulation therapy. (NIH, 2017). The typical person who uses CAM balances their health through equalization of mind, body, and spirit. (Falvo, 2011). The users of CAM aim in preventing or treating illness and promoting health. Health care professionals who hold degrees in D.O. (doctor of osteopathy) or M.D. (medical doctors) with alliance with other professionals such as psychologists, registered nurses and physical therapists practices conventional medicine. CAM describes a wide range of ambiguous modalities such as herb, meditation which users can administer alone, such as massage, homeopathy and acupuncture that requires involving a practitioner.

CAM is used by people of all backgrounds according to NIH website. However, among adults’ women with higher incomes and level of education tend to use CAM more than men. High usage rates in female is due to nature of being more health conscious and are more likely to take part in preventive health care. Furthermore, in most families, women act as head of healthcare thus leading high usage rates of CAM among families. Majority of CAM users tend to be 35 years and above though its popular among all age groups. In most research studies, a positive association is observed between the CAM use, education and income as well. Einsberg study reported the CAM usage rate as 14% for those lacking high school educations, 37% for the high school graduates and 49% for college, degree and higher levels (Mackenzie et al., 2003).

References:

Falvo, D. R. (2011). Effective patient education: A guide to increased adherence (4th ed.). Sudbury (Massachusetts): Jones and Bartlett.

NIH. (2017). The Use of Complementary and Alternative Medicine in the United States. Retrieved from https://nccih.nih.gov/research/statistics/2007/camsurvey_fs1.htm

Mackenzie, E. R., Taylor, L., Bloom, B. S., Hufford, D. J., & Johnson, J. C. (2003). Ethnic minority use of complementary and alternative medicine (CAM): a national probability survey of CAM utilizers. Alternative therapies in health and medicine, 9(4), 50-57.

Wai Fan, K. (2005). National center for complementary and alternative medicine website. Journal of the Medical Library Association, 93(3), 410.

REPLY2

Complementary and alternative medicine (CAM) are health care approaches that are used outside the typical western practice. These two approaches are different, complementary is referred to when conventional medicine and another approach is used together, while alternative does not use conventional medicine. (NIH, 2017)Complementary practice includes the use of natural products and mind/body practices. Natural products that are used include herbs, probiotics, vitamins, and minerals. Mind and body practices include yoga, meditation, acupuncture, relaxation techniques chi, hypnotherapy, chiropractic, and osteopathic manipulation therapy. (NIH, 2017) The typical person who uses CAM balances their health through equalization of mind, body, and spirit. (Falvo, 2011)

According to, American nurse today, a study was conducted that found aromatherapy helpful in reducing nurse stress in the workplace. (Reynolds, 2018) Aromatherapy uses extracted aromatic essences from plants to balance, complement, and promote the health of body and mind. Nurses participated in a stress test in which stress levels were measured before, during and after diffusing essential oils. Stress was measured using a perceived stress scale(PSS), in which was tested 2 weeks before the intervention, and then over the next 4 weeks during (nebulized diffusers placed at the nurse’s station), and then after 4 weeks after the diffusers were removed. A reduction of stress levels was revealed compared to baseline to during and after aromatherapy. (Reynolds, 2018)

Falvo, D. R. (2011). Effective patient education: A guide to increased adherence (4th ed.). Sudbury (Massachusetts): Jones and Bartlett.

NIH. (2017). The Use of Complementary and Alternative Medicine in the United States. Retrieved from https://nccih.nih.gov/research/statistics/2007/camsurvey_fs1.htm

Reynolds, J. (2018). Using aromatherapy in the clinical setting: Making sense of scents. American Nurse Today, 13(6). Retrieved from https://www.americannursetoday.com/aromatherapy-clinical-setting/.

For this Assignment, select a local or state health care policy or legislation that was enacted in the last 5 years. Then:

1. Summarize the policy or legislation.
2. Analyze at least one strength and one weakness of the policy or legislation.
3. Discuss the impact of the policy or legislation for all stakeholders, both providers and consumers.

Page length: 3-4 pages exclusive of cover page and references.

Support your paper with a minimum of three scholarly references.

1) Minimum 7 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

               Part 1: Minimum 1 page

              Part 2: minimum 1 page

              Part 3: minimum 1 page

              Part 4: minimum 1 page 

              Part 5: Minimum 1 page

              Part 6: minimum 1 page

              Part 7: minimum 1 page

Submit 1 document per part

2)¨******APA norms, please use headers

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

         Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references per part not older than 5 years

5) Identify your answer with the numbers, according to the question.

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc 

__________________________________________________________________________________

Part 1:

1. Explain the planning process of community health improvement. 

2. Choose one of the models / tools for community health planning discussed in your book and explain it. (Please, mention which model / tool you chose).  (See chapter 1 and 2).

Part 2:  

1. Mention at least three benefits of massage physical level and explain them

2. Mention at least 3 contraindications of massage and explain them

2. Have you ever had a massage? 

a. What type of massage? Please, tell about your experience. 

 Part 3:  

1. To best understand the concepts of ethics, define the following terms:

• Utilitarianism
• Egoism
• Relativism
• Absolutism

2.List two of the functions of a gerontological nurse regardless of practice setting.

 Part 4:  

1. Complete the following Quiz:

http://www.educationplanner.org/students/self-assessments/learning-styles-quiz.shtml

and check this page:

https://serc.carleton.edu/NAGTWorkshops/certop/vignettes.html

2.  How does your learning style compare to your teaching style? 

 Part 5:  

Using the hierarchical order of Bloom’s taxonomy for the cognitive domain, 

1. develop a learning objective related to a selected nursing course for each of the six categories of cognitive skills: knowledge, comprehension, application, analysis, synthesis, and evaluation. 

Part 6:  

Research topic: Nursing professional care in the prevention of infections associated with health care in intensive care units.

Problem question: What is the nursing professional’s care in preventing infections associated with health care in an adult Intensive Care Unit, according to the scientific literature review?

Appropriate data collection is a critical component in obtaining useful data for your research. Using your proposed research topic and research questions, 

1. Explain your plan for data collection (See image data collection ). 

2. Discuss potential issues in your data collection plan and your plans to overcome these challenges. 

Part 7:  

Watch the interactive video on ethical research from the nurse’s perspective using the directions below. Conducting research with strong ethical principles is a critical component of being an effective nurse researcher. 

1. What did you learn from participating in the interactive lessons on ethical principles in research? 

2. Are ethics in research clear cut, or do you think there are some gray areas? Explain your answer. 

3. How will you ensure that your research is conducted in an ethical manner? What potential challenges might you face?

Part 7:  

Evidence-based practice (EBP) is an important topic in healthcare organizations. 

1. How do you think you could apply EBP in your current nursing practice? Please provide 2 examples.

Case Study: Urinary Tract Infection

You are working in an extended care facility when M.Z.’s daughter brings her mother in for a week’s stay while she goes on a planned vacation. M.Z. is an 89-year-old widow with a 4-day history of non- localized abdominal pain, incontinence, new-onset mental confusion, and loose stools. Her most current vital signs are 118/60, 88, 18, 98.4° F (37.4° C). The medical director ordered a post void catheterization, which yielded 100mL of cloudy urine that had a strong odor, and several lab tests on admission. Urine culture and sensitivity results are pending; the other results are shown in the chart.

Chart View Laboratory Test Results:

Complete metabolic panel: Within normal limits except for the following results:

 BUN 25mg/dL Sodium 131mEq/L

 Potassium 3.2mEq/L

White blood cell count 11,000/mm3

Urinalysis Appearance Cloudy Odor Foul

 pH 6.9

 Protein Negative

 Nitrites Positive

 Crystals Negative

WBCs 6 per low-power field

 RBCs 3

1. What condition do the lab reports point toward?
2. Which assessment findings are typical of an older adult with the condition in Question 1?
3. Considering her history and laboratory results, what other condition is a possibility?

4.The medical director makes rounds and writes orders to start an IV of D5 ½NS at 75mL/hr. and insert a Foley catheter to gravity drainage. Because M.Z. is unable to take oral medications, the medical director orders ciprofloxacin (Cipro) 400mg q12h IV piggyback (IVPB). Are the type of fluid and rate appropriate for M.Z.’s age and condition? Explain.

 5. While the IVPB ciprofloxacin is being administered, which adverse effects might occur?

6. You enter the room to start the IV infusion and insert the Foley catheter and find that the nursing assistive personnel (NAP) has taken M.Z. to the bathroom for a bowel movement. M.Z. asks you to help her, and, as you open the door, you observe her wiping herself from back to front. What do you need to do at this time?

7. Because M.Z. has been having diarrhea, what special instructions should you give the NAP assigned to give basic care to M.Z.?

Case Study Progress:

 The next day, you are the nurse assigned to M.Z.’s care. You notice that the NAP emptying the gravity drain is not wearing personal protection devices. You also observe that the drainage port of the drainage bag was contaminated during the process because the NAP allowed it to touch the floor.

8. What issues need to be considered in protecting M.Z.’s safety? Describe your actions in working with the nursing assistant.

9. As you assess M.Z., you notice that her catheter tubing is not secured. Why does the tubing need to be secured, and where is the correct place for the catheter tubing?

10. What changes, if any, will be made to the antibiotic therapy?

 Nursing Philosophy/QEP Writing Assignment The personal philosophy must include the following domains: Nursing, Environment, Health and Person. You should include your personal definition of each domain and how these fit into your philosophy of nursing. In preparing your philosophy the faculty require that you review the philosophies of Miami Dade College, Benjamin Leon School of Nursing and at least one hospital. A limit of 1 to 2 pages is acceptable in APA format. The guidance of the assignment rubric should be utilized to achieve maximum points. 

Review your problem or issue and the study materials to formulate a PICOT question for your capstone project change proposal. A PICOT question starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention used to address the problem must be a nursing practice intervention. Include a comparison of the nursing intervention to a patient population not currently receiving the nursing intervention, and specify the timeframe needed to implement the change process.  Formulate a PICOT question using the PICOT format (provided in the assigned readings) that addresses the clinical nursing problem.

The PICOT question will provide a framework for your capstone project change proposal.

In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome.

Describe the problem in the PICOT question as it relates to the following:

1. Evidence-based solution
2. Nursing intervention
3. Patient care
4. Health care agency
5. Nursing practice

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.

1.)  Read the monologue regarding patient Jenny Brown’s PTSD case study.

Monologue:  

“Jenny is a patient in a short stay, emergency psychiatric facility.  She voluntarily agreed to admission yesterday following an acute episode of agitation and anxiety that occurred after she was told that her ultrasound revealed that her fetus has a cleft lip and palate.  When the nurse comes to Jenny’s room, Jenny provides important details about her life and reveals some of her experiences in Iraq that suggest she may have Post-Traumatic Stress Disorder (PTSD)” (National League for Nursing, 2020). 

listen to the attached video

Answer the questions below regarding Jenny’s case. 

• What is Jenny’s history?
• What are Jenny’s PTSD symptoms? 
• How is Jenny coping with her symptoms? 
• What interventions would you recommend for Jenny? 

Developing a Culture of Evidence-Based Practice

As your EBP skills grow, you may be called upon to share your expertise with others. While EBP practice is often conducted with unique outcomes in mind, EBP practitioners who share their results can both add to the general body of knowledge and serve as an advocate for the application of EBP.

In this Discussion, you will explore strategies for disseminating EBP within your organization, community, or industry.

To Prepare:

• Review the Resources and reflect on the various strategies presented throughout the course that may be helpful in disseminating effective and widely cited EBP.
  • This may include: unit-level or organizational-level presentations, poster presentations, and podium presentations at organizational, local, regional, state, and national levels, as well as publication in peer-reviewed journals.
• Reflect on which type of dissemination strategy you might use to communicate EBP.

Post at least two dissemination strategies you would be most inclined to use and explain why. Explain which dissemination strategies you would be least inclined to use and explain why. Identify at least two barriers you might encounter when using the dissemination strategies you are most inclined to use. Be specific and provide examples. Explain how you might overcome the barriers you identified.

1) Minimum 2  full pages (Follow the 3 x 3 rule: minimum three paragraphs per page)

2)¨******APA norms, please use headers

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 4 references not older than 5 years

5) Identify your answer with the numbers, according to the question.

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

__________________________________________________________________________________

You must  use the information from the

Complete the Sociologic Sciences Interactive Case Study (See file 1). 

1. Associate what you have learned about the theories to this case study. 

2. A comparison of what you have learned from the case study to related theories you have studied. Make sure to cite these theories in APA format.

3. A comparison of the case study to your nursing practice, giving one or two examples from your nursing experience in which you might have applied a particular theory covered.

Develop a solution to a specific ethical dilemma faced by a health care professional by applying ethical principles. Describe the issues and a possible solution in a 3-5-page paper.

Introduction

Whether you are a nurse, a public health professional, a health care administrator, or in another role in the health care field, you must base your decisions on a set of ethical principles and values. Your decisions must be fair, equitable, and defensible. Each discipline has established a professional code of ethics to guide ethical behavior. In this assessment, you will practice working through an ethical dilemma as described in a case study. Your practice will help you develop a method for formulating ethical decisions.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

• Competency 1: Apply information literacy and library research skills to obtain scholarly information in the field of health care.
  • Apply academic peer-reviewed journal articles relevant to an ethical problem or issue as evidence to support an analysis of the case.
• Competency 3: Apply ethical principles and academic standards to the study of health care.
  • Summarize the facts in a case study and use the three components of an ethical decision-making model to analyze an ethical problem or issue and the factors that contributed to it.
  • Discuss the effectiveness of the communication approaches present in a case study.
  • Discuss the effectiveness of the approach used by a professional to deal with problems or issues involving ethical practice in a case study.
  • Apply ethical principles to a possible solution to an ethical problem or issue described in a case study.
• Competency 4: Write for a specific audience, in appropriate tone and style, in accordance with Capella’s writing standards.
  • Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
  • Write following APA style for in-text citations, quotes, and references.

Instructions

Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance-level descriptions for each criterion to see how your work will be assessed.

For this assessment, develop a solution to a specific ethical dilemma faced by a health care professional. In your assessment:

1. Access the Ethical Case Studies media piece to review the case studies you will be using for this assessment.
   • Select the case most closely related to your area of interest and use it to complete the assessment.
     • Note: The case study may not supply all of the information you need. In such cases, you should consider a variety of possibilities and infer potential conclusions. However, please be sure to identify any assumptions or speculations you make.
   • Include the selected case study in your reference list, using proper APA Style and Format.
2. Summarize the facts in a case study and use the three components of an ethical decision-making model to analyze an ethical problem or issue and the factors that contributed to it.
   • Identify which case study you selected and briefly summarize the facts surrounding it. Identify the problem or issue that presents an ethical dilemma or challenge and describe that dilemma or challenge.
   • Identify who is involved or affected by the ethical problem or issue.
   • Access the Ethical Decision-Making Model media piece and use the three components of the ethical decision-making model (moral awareness, moral judgment, and ethical behavior) to analyze the ethical issues.
     • Apply the three components outlined in the Ethical Decision-Making Model media.
   • Analyze the factors that contributed to the ethical problem or issue identified in the case study.
     • Describe the factors that contributed to the problem or issue and explain how they contributed.
3. Apply academic peer-reviewed journal articles relevant to an ethical problem or issue as evidence to support an analysis of the case.
   • In addition to the readings provided, use the Capella library to locate at least one academic peer-reviewed journal article relevant to the problem or issue that you can use to support your analysis of the situation. The How Do I Find Peer-Reviewed Articles? library guide will help you locate appropriate references.
     • Cite and apply key principles from the journal article as evidence to support your critical thinking and analysis of the ethical problem or issue.
     • Review the Think Critically About Source Quality resource.
       • Assess the credibility of the information source.
       • Assess the relevance of the information source.
4. Discuss the effectiveness of the communication approaches present in a case study.
   • Describe how the health care professional in the case study communicated with others.
   • Assess instances where the professional communicated effectively or ineffectively.
   • Explain which communication approaches should be used and which ones should be avoided.
   • Describe the consequences of using effective and non-effective communication approaches.
5. Discuss the effectiveness of the approach used by a professional to deal with problems or issues involving ethical practice in a case study.
   • Describe the actions taken in response to the ethical dilemma or issue presented in the case study.
   • Summarize how well the professional managed professional responsibilities and priorities to resolve the problem or issue in the case.
   • Discuss the key lessons this case provides for health care professionals.
6. Apply ethical principles to a possible solution to an ethical problem or issue described in a case study.
   • Describe the proposed solution.
   • Discuss how the approach makes this professional more effective or less effective in building relationships across disciplines within his or her organization.
   • Discuss how likely it is the proposed solution will foster professional collaboration.
7. Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
   • Apply the principles of effective composition.
   • Determine the proper application of the rules of grammar and mechanics.
8. Write using APA style for in-text citations, quotes, and references.
   • Determine the proper application of APA formatting requirements and scholarly writing standards.
   • Integrate information from outside sources into academic writing by appropriately quoting, paraphrasing, and summarizing, following APA style.

Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:

• Assessment 1 Example [PDF].

Additional Requirements

Your assessment should also meet the following requirements:

• Length: 3–5 typed, double-spaced pages, not including the title page and reference page.
• Font and font size: Times New Roman, 12 point.
• APA template: Use the APA Style Paper Template [DOCX] as the paper format and use the APA Style Paper Tutorial [DOCX] for guidance.
• Written communication: Use correct spelling, grammar, and punctuation.
• References: Integrate information from outside sources to include at least two references (the case study and an academic peer-reviewed journal article) and three in-text citations within the paper.
• APA format: Follow current APA guidelines for in-text citation of outside sources in the body of your paper and also on the reference page.

If you would like assistance in organizing your assessment, or if you simply have a question about your assessment, do not hesitate to ask faculty or the teaching assistants in the NHS Learner Success Lab for guidance and suggestions.

case study

Jenna and Chris Smith are the proud parents of Ana, a 5–day–old baby girl born without complications at Community Hospital. Since delivery, the parents have bonded well with Ana and express their desire to raise her as naturally as possible. For the Smiths, this means breastfeeding exclusively for the first six months, making their own baby food using pureed organic foods, and not allowing Ana to be vaccinated.

The Smiths are college educated and explain they have researched vaccines and decided the potential harms caused by them far outweigh any benefits. They point to the rise in autism rates as proof of the unforeseen risk of vaccines. Their new pediatrician, Dr. Angela Kerr, listens intently to the Smiths’ description of their research, including online mommy–blogs that detail how vaccines may have caused autism in many children. The Smiths conclude by resolutely stating they’ve decided not to vaccinate Ana, despite the recommendations of the medical community.

Dr. Kerr begins by stating that while vaccines have certainly sparked controversy in recent years, she strongly recommends that Ana become fully vaccinated. Dr. Kerr explains that vaccines have saved the lives of millions of children worldwide and have been largely responsible for decreases in child mortality over the past century. For example, the decreased incidence of infection with the potentially fatal Haemophilus influenzae type b, has resulted from routine immunization against that bacterium. Similarly, epidemics such as the recent outbreak of measles are usually associated with individuals who have not been vaccinated against that pathogen.

Dr. Kerr goes on to endorse the general safety of vaccines by informing Ana’s parents that safety profiles of vaccines are updated regularly through data sources such as the federal government’s Vaccine Adverse Event Reporting System (VAERS). The VAERS, a nationwide vaccine safety surveillance program sponsored by the Food and Drug Administration and the Centers for Disease Control and Prevention, is accessible to the public at https://vaers.hhs.gov/index. This system allows transparency for vaccine safety by encouraging the public and healthcare providers to report adverse reactions to vaccines and enables the federal government to monitor their safety. No vaccine has been proven casual for autism spectrum disorder (ASD), or any developmental disorder. On the contrary, many studies have shown that vaccines containing thimerasol, an ingredient once thought to cause autism, do not increase the risk of ASD.

Finally, Dr. Kerr reminds the Smiths that some children in the general population have weakened immune systems because of genetic diseases or cancer treatment, for example. It may not be medically feasible to vaccinate such children. Other children are too young to receive certain immunizations. Instead, these children are protected because almost all other children (and adults) have been vaccinated and this decreases their exposure to vaccine–preventable illnesses (VPIs). This epidemiological concept is known as “herd immunity.” As more parents refuse immunization for their healthy children, however, the rate of VPIs will increase. This puts vulnerable children at significant risk of morbidity and mortality. Routine childhood immunization contributes significantly to the health of the general public, both by providing a direct benefit to those who are vaccinated and by protecting others via herd immunity. Dr. Kerr concludes by stating that after considering the risks versus the benefits of immunization, most states require vaccinations before children can attend school. Parents may decide not to vaccinate under specific circumstances, however, which vary by state.

Jenna and Chris Smith confirm their understanding of what Dr. Kerr has explained, but restate that they do not want Ana vaccinated at this time. Dr. Kerr is perplexed as to what to do.