Monthly Archives: May 2023

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

 Respectfully agree and disagree with your peers’ responses and explain your reasoning by including your rationales in your explanation. Atleast 2 APA refernces each

Response 1

The purpose of this week’s discussion is to create a treatment plan for V.S. based off the given case study information. V.S. has conjunctivitis of the left eye. The specific goals of treatment for conjunctivitis is to relieve symptoms and to clear the infection (Woo & Robinson, 2020). There are numerous forms of conjunctivitis but given the information the symptoms this is more than likely a form on bacterial conjunctivitis. The discharge color, age of the patient, being immunocompromised with a cold prior, and only one eye being infected suggests this is a bacterial infection (Watson et al., 2018). Treatment therefore would be a broad spectrum ophthalmic antibiotic. I would suggest bacitracin which should not affect the patient’s sulfa allergy (Nguyen, 2020). To monitor success the patient should be seen by his pediatrician within a week to see if symptoms have resolved.
Education to include for this patient would be that the ointment can cause blurred vision directly after administration but should clear soon after (Woo & Robinson, 2020). If symptoms worsen in the affected eye or spread to the unaffected eye the patient should contact his pediatrician for reassessment to see if this condition is viral. If this occurs treatment should be stopped due to risk for a drug resistance (Nguyen, 2020). Another adverse reaction that would cause me to change treatment would be any sign of hypersensitivity such as swelling, hives, nausea, or vomiting. If this occurs I would recommend a medication such as erythromycin in ophthalmic form.
An over the counter method for treating bacterial conjunctivitis would be artificial tears for relief of dryness symptoms and saline flushes to wash out the pus (CDC, 2019). Lifestyle changes would include proper hand hygiene, avoiding touching the eye in general, not sharing things such as glasses, and not rubbing the eye. This is the medication I would choose for this patient due to its low risk of interactions to other drugs and/or foods. 

Response 2

V.S., age 12 Hispanic male, presents with a feeling that there is sand in his eye. He had a cold a week ago and woke up this morning with his left eye crusted with yellowish drainage. On physical examination, he has injected conjunctiva on the left side, no adenopathy, and no vision changes. His vision is 20/20. Fluorescein staining reveals no abrasion. He is allergic to sulfa.

Diagnosis: Conjunctivitis

        The goal of treatment for V.S. would be to clear his infection and make sure he doesn’t rub his eyes because that can cause the infection to get worse and spread to other individuals. According to Azari and Arabi (2020), “bacterial conjunctivitis can spread from person to person, from hand-to-eye contact or via eye contact with contaminated objects. Alternatively, changes in the usual bacteria that live on the conjunctiva can cause conjunctivitis. Bacteria can also spread by large respiratory tract droplets” (p. 374). Bacterial conjunctivitis is most often treated with  ophthalmic antibiotic eyedrops and ointments. Since V.S. is allergic to sulfa, Bleph or antibiotics with similar derivatives would not be utilized because they are sulfacetamide sodium. Ophthalmic fluoroquinolones can be prescribed such as Moxeza (moxifloxacin), Zymar (gatifloxacin), or Romycin (erythromycin).

     The parameters for monitoring success would be to see the alleviation of redness and itchiness in the patient’s eyes. According to Saher et al. (2016), most cases of viral or bacterial conjunctivitis are mild. The infection will usually clear up in 7 to 14 days without treatment and without any long-term consequences. However, in some cases, viral conjunctivitis can take 2 to 3 weeks or more to clear up. I would educate the parents to administer the drug as prescribed. I would urge the parents to continue giving the antibiotics even if the infection seems to subside. According to Shetty et al. (2020), it has been widely accepted that stopping antibiotic treatment early encourages bacteria to develop antibiotic resistance. As a result, current medical advice is to finish taking a prescribed course of antibiotics as recommended by a healthcare professional, even if you start to feel better. 

      I would educate the parents to assist in alleviating some discomfort V.S. can take ibuprofen or another over-the-counter pain killer. He can also use over-the-counter lubricating eye drops (artificial tears) if his eyes feel excessively dry. In addition, a warm, damp washcloth over your eyes for a few minutes. Nausea, diarrhea, and headaches can be adverse effects seen in the agents mentioned above. A second line treatment would be Bacticin (bacitracin). V.S. should be encouraged to drink plenty of water and take his antibiotics with water. According to Azari and Arabi (2020), moxifloxacin should not be taken with dairy products such as milk or yogurt, or with calcium-fortified juice.  They could make the medication less effective.

A nurse is caring for a client who is in active labor and has gonorrhea for which of the following patient complication of gonorrhea  should the nurse monitor. 

Discussion Question:

In general, what findings in the physical assessment of a healthy older adult do you expect to be different than that of a healthy 35-year-old?

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook. 

Reply1

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This week we are researching the interest-based approach to conflict and identifying concepts or principles for approaching a successful integrative negotiation. “Integration is an active search for information about facts and interests – motivated by a willingness to find mutually satisfactory agreements – and is usually necessary for creating high-quality settlements in conflicts” (Rognes, 2010). To be able to understand how to avoid win-lose outcomes or impasses, we need knowledge about factors that relate to and promote, integration. In order for that to happen, we need to understand that sometimes it can be explained by someone’s individual differences, their upbringing, and their group differences which can cause high-quality conflicts. I know for me, handling constructive conflicts has been a challenge. for me, sometimes when conflicts get really intense and it escalates, we may hurt each other in the process since there are so many emotions at the moment. Sometimes points aren’t being taken correctly and we get frustrated when that happens. I know when my partner and a conflict it is best to listen and to pay attention and also acknowledge their feelings as we are listening. Help them understand that we are paying attention and that they matter to us. If they didn’t matter then I don’t think you would care to pay attention to anything they had to say.

reply2

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One approach that can be used to resolve conflict is the interest-based approach. The interest-based approach focuses on needs, wants, values, and goals and not on the individuals, thus enabling the persons to listen to each other’s point of view (Overton & Lowry, 2013). This approach outlines steps that can be taken to resolve conflict by helping the parties involved in conflict better understand each other’s position by behaving courteously and consensually. This approach can be applied to a situation in which there is conflict between persons who have different needs. 

In the case of a manager who needs to order a new machine for his department to run more efficiently, the manager is looking to order one and may not consider the cost of the machine. On the other hand, the person who is the purchasing manager may not be looking to make any new purchases as there is no money in the budget and may argue that the machine is not essential. This can pose a conflict. In this scenario, both parties have different needs and values. By applying this approach, both parties can listen to each other and be able to identify problems. 

 2 Pages within 24 hrs

Use the SWOT Analysis worksheet provided to complete this assignment.

Review the SWOT Analysis PowerPoint® prior to completing this assignment.

Based on the review of the Stevens District Hospital Strategic Planning Scenario, conduct a SWOT analysis to generate a list of perceived strengths, weaknesses, opportunities, and threats for the hospital.

• Strengths and weaknesses are traits internal to the hospital (i.e., strong physician loyalty to hospital, aging building, and availability of financial resources).
• Opportunities and threats are external to the hospital, such as a mall facility available for lease or a competitor hospital opening two physician practices in your market.

Write a 700- to 1,050-word analysis that incorporates the key components of a SWOT analysis for the scenario described in Week 1 to generate a list of perceived strengths, weaknesses, opportunities, and threats. The analysis will include the following:

• Analyze the purpose of conducting the analysis in the context of the scenario.
• Analyze the limitations and advantages of conducting a SWOT analysis on your own (vs. with a group of stakeholders).
• Use the table provided to record your analysis of the information from the strategic planning scenario and generate two factors for each of the SWOT categories (strengths, weaknesses, opportunities, and threats).

Cite at least 1 peer-reviewed, scholarly, or similar reference to support your assignment.

Format your assignment according to APA guidelines.

Topic 3:  Healthy People 2020 set a goal that 80% of the people in the U.S. have an optimal amount of fluoridated water available in their community’s water. Today, about 72% of Americans have access to optimally fluoridated water.  Do you know if your community water supply is fluoridated? To find the answer, check with your local water department.  Is the water naturally rich in fluoride, or is this mineral added to the water supply? What amount of fluoride is in the drinking water? If it is added to the water supply, how long has this procedure been in operation? If the water does not provide fluoride, how can you obtain sufficient fluoride?

must be at least 250 words and two references 

no more than 21% plagiarims

Complete this assignment according to the following:

1. Design a class that you would like to teach someday. The class must be at least 4 hours in length and must be multiple sessions. It can be four sessions of 1 hour each, or two sessions of 2 hours each, depending on your topic and target audience.
2. Begin by describing the institution that is sponsoring the class (e.g., academic, hospital, or community agency). Include the philosophy of the sponsoring organization and how that will affect the course you are developing.
3. Explain how you determined a need for this class (needs assessment).
4. Write a one-paragraph description of the class.
5. Identify the target audience.
6. Identify the learning resources you will use for the class (textbooks or other resources).
7. Write the program outcomes for the course and the learner objectives for each class session. Indicate which domains of learning are represented by each learner objective.

1500 words. It is intended that each student will develop a class that they can use in their selected area of education. You will complete this project in your next course, NUR-649E.

APA format is not required, but solid academic writing is expected.

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 not required to submit this assignment to LopesWrite.