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Assignment and questions attached below! 

APA Format

Think of an example you’ve seen in practice that exemplifies some of the principles of chaos theory, complexity science or paradexity?  How does the theory explain what happened? 

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1 Discussion 

The patient’s mother expressed her cultural and spiritual practices in her daughter’s room singing as she entered the room, sprinkled tobacco around the patient’s bed, and decorating a hospital room with eagle feathers and crystals. The mother also performed a cultural ritual by moving her hands back and forth above her daughter. Another issue is the patient’s nurse behaving terse, dismissive, and disrespectful of the mother’s actions.

A culturally competent action in this case would have notify the patient’s mother of hospital’s visiting hours ending, letting her know the earliest she can arrive the next day when visiting hours open, and if any of the items the mother laid in her daughter’s room are valuable. The patient’s nurse should also communicate to the mother a chance to collect the items she’s distributed in the hospital room because the tobacco, feathers, and crystals create obstacles for the health care providers to treat her daughter.

The patient’s mother practiced a combination of holistic, aromatherapy, and energy therapies. The eagle feather and crystal employed holistic and natural therapy by unblocking, focusing, and directing energy. Forming a circle of tobacco around the patient supposedly creates an energy allowing the healer to connect with the patient. Singing and hand movements to and fro the girl’s body is another form of energy therapy.

As a future nurse, communicating to the patient’s mother for any spiritual preferences the nurse could accommodate for the patient. I would provide what I can to accommodate both the mother and her daughter, within the healthcare facility’s abilities. I’d offer the mother if there were any religious group or leader that would be helpful to the patient. I would lean on building a safe, respectful relationship aiming to accomplish high expectations and respect for equality and diversity as my guiding principles in this situation.

Brandenberger, Julia, et al. “A Systematic Literature Review of Reported Challenges in Health Care Delivery to Migrants and Refugees in High-Income Countries – the 3C Model.” BMC Public Health, vol. 19, no. 1, 14 June 2019, bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-019-7049-x, 10.1186/s12889-019-7049-x. Accessed 11 Nov. 2020.

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Search for current positions in your prospective job field. 

Review several positions paying particular attention to the job description and requirements.

Use the job description and requirements of one position researched to create a resume you could use to apply for the position.

Note: Position to search for is Patient Service Liaisons 

 Note: If you do not already have a resume or resume template, you can search for resume templates using your internet browser. 

 An 89-year-old female complains of a “stabbing chest pain” and points to the area just below her scapula at the right mid-clavicular line. She states that she had an upper respiratory infection last week that “just seems to hang on.” She has no other complaints. 

• In order of importance, describe three (3) questions that you would like to ask this patient and give a brief explanation of why.

 Course reflection assignment is part of the portfolio that students must complete during last class of the program. This assignment is due on week #15. Course reflection assignment has a value of 100 points. It accounts for 20% of the final grade. 

There are similarities and differences in doing a physical assessment between an adult and child.  Doing a head-to-toe between an adult and a child is similar in many ways except that the nurse should take into account changes related to puberty and developmental issues related with adolescence (Falkner, A., 2020).  The nurse should explain to the patient the normalcy of those physical development.  During this time there will also be an influx of hormonal changes, making the patient develop curiosity towards sex as a whole (Curtis, 2015).  It will be the duty for the nurse to provide education for this too.  The more information they get the more likely they will make an informed decision about their bodies (Falkner, A., 2020).  In any assessment wether adult or child, the nurse should always practice standard precautions to protect both the nurse and the patient.  The rationale for this is to prevent exchange of blood and bodily fluids and the use of hand hygiene, personal protective equipments and disinfecting potentially contaminated equipment and surface (Nelson, L., 2020).  Before any physical assessment the nurse should prepare the things she will be using.  Although the list of equipment for both adult and child are basically similar, there will be some differences.  For example, the pediatric client may need a neonatal, infant, or pediatric blood pressure cuff.  The techniques used to assess the vital signs also vary among the age group (Registered Nursing, 2020).  During assessment, the nurse should also be aware of developmental milestones for children.  The nurse should reassure parents or caregivers that there are variances, although any extended delay in achieving the milestones should be reported to the pediatrician (Falkner, A., 2020).  

 Children are dependent upon adults for their welfare, Teaching and communication should involve the parents and caregivers for a family-centered care.  Often direct communication and recommendation to other community sources provides the best advice (Falkner, A., 2020).  Knowledge of Erikson’s psychosocial stage of development is essential for the nurse to be able to make a working plan on how to assess and communicate with the child depending on the child’s stage of development (Falkner, A., 2020).  The initial encounger with the nurse is the best opportunity to build trust with the nurse.  Use of open-ended questions will provide information and build upon that trust (Falkner, A., 2020).  The nurse should include the children in the communication.  Using of understandable vocabulary and avoiding medical jargons, active listening, being aware of verbal and non-verbal cues and be culturally aware of the child and family’s needs (Burks, J., 2016).  Providing anticipatory guidance and a walkthrough on what you will be doing will usually gain cooperation.  If the procedure will cause discomfort be honest.  Tell them how long the assessment will last (Burks, J., 2016).  Use of age-appropriate toys and questions will foster cooperation and communication.  Showing interest to the child and what the child has to say should be encouraged.  Mke the child feel important.  This will help the child feel comfortable and establish rapport (Belleza, M., 2017).      When dealing with teenagers, the nurse should be aware that they need to be treated with respect.  The nurse should communicate with them with privacy, away from their parents or siblings.  This will allow the teenager to provide answers pertaining to sexuality, drugs and alcohol use, and other topics they might not feel comfortable discussing when others are around (Falkner, A., 2020).  

Resources:

Decision-making is a constant process for those in leadership roles. An effective leader must be able to understand the daily problems that arise and present solutions beneficial to the organization, employees, and associated community or stakeholders. In a health care organization, this includes patients and their families. In a 1,000-1,250-word paper, discuss the aspects that help leaders make effective and ethical decisions in health care.

1. Discuss the importance of sound decision making in health care. Describe the potential consequences of poor or uniformed decision making as a leader.
2. Define evidence-based decision making. Explain how this is applied in health care and why it is important.
3. Explain what the term data driven decision making Discuss what types of data are used for making decisions in health care and why it is important for a leader to use data when making a decision.
4. Discuss how regulatory or organizational guidelines help shape how leaders make decision in health care.
5. Describe the role of ethics in decision making. Explain steps a leader can take to promote ethical decision making. How can a leader address ethical conflicts that arise during the decision-making process?

A minimum of three academic references from credible sources are required for this assignment.

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.