Choose and explain two current National Patient Safety Goals and reflect on how they are impacting or affecting your current practice.

 Assignment: Global Healthcare Comparison Matrix and Narrative Statement

Note: This Assignment is due on Day 5 of Week 11.

If you talk about a possible poor health outcome, do you believe that
outcome will occur? Do you believe eye contact and personal contact
should be avoided?

You would have a difficult time practicing as a nurse if you believed
these to be true. But they are very real beliefs in some cultures.

Differences in cultural beliefs, subcultures, religion, ethnic
customs, dietary customs, language, and a host of other factors
contribute to the complex environment that surrounds global healthcare
issues. Failure to understand and account for these differences can
create a gulf between practitioners and the public they serve.

In this Assignment, you will examine a global health issue and
consider the approach to this issue by the United States and by one
other country.

To Prepare:

Review the World Health Organization’s (WHO) global health agenda and
select one global health issue to focus on for this Assignment.
Select at least one additional country to compare to the U.S. for this
Assignment.
Reflect on how the global health issue you selected is approached in
the U.S. and in the additional country you selected.
Review and download the Global Health Comparison Matrix provided in
the Resources.

The Assignment: (1- to 2-page Global Health Comparison Matrix; 1-page
Plan for Social Change)

Part 1: Global Health Comparison Matrix

Focusing on the country you selected and the U.S., complete the Global
Health Comparison Matrix. Be sure to address the following:

Consider the U.S. national/federal health policies that have been
adapted for the global health issue you selected from the WHO global
health agenda. Compare these policies to the additional country you
selected for study.
Explain the strengths and weaknesses of each policy.
Explain how the social determinants of health may impact the global
health issue you selected. Be specific and provide examples.
Using the WHO’s Organization’s global health agenda as well as the
results of your own research, analyze how each country’s government
addresses cost, quality, and access to the global health issue
selected.
Explain how the health policy you selected might impact the health of
the global population. Be specific and provide examples.
Explain how the health policy you selected might impact the role of
the nurse in each country.
Explain how global health issues impact local healthcare organizations
and policies in both countries. Be specific and provide examples.

Part 2: A Plan for Social Change

Reflect on the global health policy comparison and analysis you
conducted in Part 1 of the Assignment and the impact that global
health issues may have on the world, the U.S., your community, as well
as your practice as a nurse leader.

In a 1-page response, create a plan for social change that
incorporates a global perspective or lens into your local practice and
role as a nurse leader.

Explain how you would advocate for the incorporation of a global
perspective or lens into your local practice and role as a nurse
leader.
Explain how the incorporation of a global perspective or lens might
impact your local practice and role as a nurse leader.
Explain how the incorporation of a global perspective or lens into
your local practice as a nurse leader represents and contributes to
social change. Be specific and provide examples 

Instructions for Discussion Replies to 3 DQS

DO NOT JUST REPEAT SAME INFORMATION, DO NOT JUST SAY I AGREE OR THINGS LIKE THAT. YOU NEED TO ADD NEW INFORMATION TO DISCUSSION.

1- Each reply should be at least 200 words.

2- Minimum One Peer reviewed/scholarly reference ( NO MAYO CLINIC/ AHA)

3- APA 6th edition style needs to be followed.

4- Each response should have reference at the end of each reply

5- Reference should be within last 4 years

 Write a paragraph summary about the history and epidemiology of the HIV/AIDS epidemic. Include the origin, spread, introduction into the United States and its current state in our society.  

• Discussion posts must be a minimum of 250 words in length, not including citations
• Use at least 1 citation from the peer-reviewed literature other than the textbooks from our class.
• Use APA format for all citations. 
• Discussion posts must be insightful, unique, and in relation to the weekly content.

  Watch the film “A Road to Home”  and complete a movie review. 

Respond to each question below in 100 words. 

1. State the title of the film and the year it was released. Then briefly describe what the film is about.

2.  Identify the people, places, events, that are the focus of this film. Describe and clarify the significance of each

3. List six facts described in the film that impressed you and explain how each fact relates to the film’s premise or theme.

4. Stay or Go? What are the pros and cons of an LGBTQ individual leaving home?

5. Describe an aspect of the film that showed you something you had not seen before, caused you to think in a new way, or helped you understand something more thoroughly than before. In addition, describe how it changed your thinking as a nurse.

6. Identify at least two community resources in you’re the state of Illinois to provide homeless health care. Describe them briefly.

7. Would you recommend this film to other nursing students about the plight of the LGBTQ community and homelessness? Explain.

8. Discuss 3 health educational needs for a member of the homeless LGBTQ community. Chose one of the educational needs and write a paragraph explaining how you could implement the health education as a community nurse.

9. View the following website about the AliForneyCenter.org. What services do they provide and benefits?

Read the following article and write a 200 words summary. “Legal Issues with Sexual and Gender Minority Patients in the Emergency Department” Edie Brous RN, BSN, MS, MPH, JD (2019)

Gina is the charge nurse of the 3:00 PM to 11:00 PM shift on the acute care unit where you have worked for 18 months since your graduation. Your supervisor has asked you if you would like to learn the duties of the relief charge nurse. You were thrilled that she approached you for this position. Because it was a relief position, it was permissible for your supervisor to appoint you and not necessary for you to formally apply for the position. One day each week, for the last 2 weeks, you have been working with Gina about the responsibilities of the position. There are several things Gina does that bother you, and you are not sure what you should do. For example, if used supplies were inadvertently not charged to patients at the time of service, Gina admitted she would just charge them to whoever patients she thought were likely to have used them. When you questioned Gina about this, she said, “Well, at the end of the day, the unit needs to make sure that all supplies have been charged for, or the CFO will be after all of us. It is one of the charge nurses’ responsibilities, and I don’t have time to chase everyone down to find the correct patient to charge and besides everyone has insurance and so it does not come out of the patient’s pocket. Most importantly, we must make sure the hospital gets reimbursed or we won’t have our jobs.” In addition, when Gina does the staffing correlation for the upcoming shift, you notice that she fudges a bit and makes sure the night shift is given credit for needing more staff than they need. When questioned, she said, “Oh, we have to take care of each other, better too much staff than not enough.” You think Gina’s actions are unethical, but you do not know what to do about it. It does not directly harm a patient, but you feel uncomfortable about what she is doing and feel it is not the ethical thing to do. 

ASSIGNMENT:   You have many options here including doing nothing. Using the MORAL ethical problem-solving model, solve this case and compare your solution with others in your class.

Making Sound Staffing Decisions 

You are the staffing coordinator for a small community hospital. It is now 12:30 PM, and your staffing plan for the 3:00 PM to 11:00 PM shift must be completed no later than 1:00 PM. (The union contract stipulates that any “call offs” that must be done for low census must be done at least 2 hours before the shift begins; otherwise, employees will receive a minimum of 4 hours of pay.) You do, however, have the prerogative to call off staff for only half a shift (4 hours). If they are needed for the last half of the shift (7:00 PM to 11:00 PM), you must notify them by 5:00 PM tonight. A local outside registry is available for supplemental staff; however, their cost is two and a half times that of your regular staff, so you must use this resource sparingly. Mandatory overtime is also used but only as a last resort. The current hospital census is 52 patients, although the emergency department (ED) is very busy and has four possible patient admissions. There are also two patients with confirmed discharge orders and three additional potential discharges on the 3:00 PM to 11:00 PM shift. All units have just submitted their patient classification system (PCS) calculations for that shift. You have five units to staff: the intensive care unit (ICU), pediatrics, obstetrics (includes labor, delivery, and postpartum), medical, and surgical departments. The ICU must be staffed with a minimum of a 1:2 nurse–patient ratio. The pediatric unit is generally staffed at a 1:4 nurse–patient ratio and the medical and surgical departments at a 1:6 ratio. In obstetrics, a 1:2 ratio is used for labor and delivery, and a 1:6 ratio is used in postpartum. On reviewing the staffing, you note the following: 

Intensive Care Unit Census = 6. Unit capacity = 8. The PCS shows a current patient acuity level requiring 3.2 staff. One of the potential admissions in the ED is a patient who will need cardiac monitoring. One patient, however, will likely be transferred to the medical unit on 3:00 PM to 11:00 PM shift. Four registered nurses (RNs) are assigned for that shift. 

Pediatrics Census = 8. Unit capacity = 10. The PCS shows a current acuity level requiring 2.4 staff. There are two RNs and one certified nursing assistant assigned for the 3:00 PM to 11:00 PM shift. There are no anticipated discharges or transfers. 

Obstetrics Census = 6. Unit capacity = 8. Three women are in active labor, and three women are in the postpartum unit with their babies. Two RNs are assigned to the obstetrics department for the 3:00 PM to 11:00 PM shift. There are no in-house staff on that shift who have been cross trained for this unit. 

Medical Floor Census = 19. Unit capacity = 24. The PCS shows a current acuity level requiring 4.4 staff. There are two RNs, one licensed vocational nurse, and two certified nursing assistants assigned for the 3:00 PM to 11:00 PM shift. Three of the potential ED admissions will come to this floor. Two of the potential patient discharges are on this unit. 

Surgical Floor Census = 13. Unit capacity = 18. The PCS shows a current acuity level requiring 3.6 staff. Because of sick calls, you have only one RN and two certified nursing assistants assigned for the 3:00 PM to 11:00 PM shift. Both confirmed patient discharges as well as one of the potential discharges are from this unit. 

ASSIGNMENT:   Answer the following questions: 

1.  Which units are overstaffed, and which are understaffed? 

2.  Of those units that are overstaffed, what will you do with the unneeded staff?

3.  How will you staff units that are understaffed? Will outside registry or mandatory overtime methods be used?

4.  How did staffing mix and PCS acuity levels factor into your decisions, if at all?

5.  What safeguards can you build into the staffing plan for unanticipated admissions or changes in patient acuity during the shift?

Write a 5 page research paper (not including title and reference pages) about the topic provided. Answer the following questions:

– Is ADHD a lifelong condition?

– Can ADHD be cured?

– Can adults get ADHD?

Paper should include:

– Title page

– Literature review

– Issue Overview

– Statistics

– Nurse Role

– Conclusion

– References

The paper needs to be in APA style.

2 references within the last 5 years required. 

  Develop a nursing CARE PLAN for an older adult at risk for pressure injury using wellness and North American Nursing Diagnosis Association (NANDA) diagnoses. Be prepared to discuss in class. 

 (Outcome 1,2,3,)  

• Reflect on your decision to pursue a specialty within the MSN program, including your professional and academic goals as they relate to your program/specialization.

 Post an explanation of your choice of a nursing specialty within the program. Describe any difficulties you had (or are having) in making your choice, and the factors that drove/are driving your decision. Identify at least one professional organization affiliated with your chosen specialty and provide details on becoming a member. 

My specialty is pschiatry- PMHNP

Scenario: 

An 83-year-old resident of a skilled nursing facility presents to the emergency department with generalized edema of extremities and abdomen. History obtained from staff reveals the patient has a history of malabsorption syndrome and difficulty eating due to lack of dentures. The patient has been diagnosed with protein malnutrition.

By Day 3 of Week 1

Post an explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation, usually a paragraph with citation(s) should suffice to cover each point. Citations would reflect classroom textbook, primary, current peer-reviewed journal articles (published in last 5 yr) usually, 3 will support your points.

• The role genetics plays in the disease.
• Why the patient is presenting with the specific symptoms described.
• The physiologic response to the stimulus presented in the scenario and why you think this response occurred.
• The cells that are involved in this process.
• How another characteristic (e.g., gender, genetics) would change your response.

Learning Resources

Required Readings (click to expand/reduce) 

McCance, K. L. & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier.
Chapter 1: Cellular Biology; Summary Review
Chapter 2: Altered Cellular and Tissue Biology: Environmental Agents (pp. 46-61; begin again with Manifestations of Cellular Injury pp. 83-97); Summary Review
Chapter 3: The Cellular Environment: Fluids and Electrolytes, Acids, and Bases
Chapter 4: Genes and Genetic Diseases (stop at Elements of formal genetics); Summary Review
Chapter 5: Genes, Environment-Lifestyle, and Common Diseases (stop at Genetics of common diseases); Summary Review
Chapter 7: Innate Immunity: Inflammation and Wound Healing
Chapter 8: Adaptive Immunity (stop at Generation of clonal diversity); Summary Review
Chapter 9: Alterations in Immunity and Inflammation (stop at Deficiencies in immunity); Summary Review
Chapter 10: Infection (pp. 289–303; stop at Infectious parasites and protozoans); (start at HIV); Summary Review
Chapter 11: Stress and Disease (stop at Stress, illness & coping); Summary Review
Chapter 12: Cancer Biology (stop at Resistance to destruction); Summary Review
Chapter 13: Cancer Epidemiology (stop at Environmental-Lifestyle factors); Summary Review 

Justiz-Vaillant, A. A., & Zito, P. M. (2019). Immediate hypersensitivity reactions. In StatPearls. Treasure Island, FL: StatPearls Publishing. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK513315/
Credit Line: Immediate Hypersensitivity Reactions – StatPearls – NCBI Bookshelf. (2019, June 18). Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK513315/. Used with permission of Stat Pearls