Posts in category: Uncategorized

Over the next two decades, 78 million Americans will grow old.  That’s the largest number ever in the US. 

At present, there are around 16,000 nursing homes with 1.7 million beds and about a 15 percent vacancy rate. (See: CDC – Resources on Nursing Home Care). 

Clearly, unless the nation undertook a massive building program, there will be many, many more old people than the number of available LTC beds.  

So what are we going to do with all the geezers like me? 

Are LTC beds the only place to put us?  Are there other alternatives that are more cost-efficient?  Given issues of quality  — either perceived or actual —  in many LTCs, do we really even want to keep traditional nursing homes as an option?  What might old people really want?   What are younger people willing to support financially?  What role might pharmaceutical products have in managing age-related issues? What would be the best way for people to age out into death?  

What role does culture play in this discussion?  How do other nations address this issue?

As we think about answers to those questions, there is another level of analysis that looks at the ethics of old age. For example, do you think that everyone has the right to use all the Medicare services they want – regardless of the decisions made about their health when they were younger? In other words, should all old people share an equal right to Federally supported healthcare even if they did not share the same level of responsibility in their earlier choices regarding food, exercise, drugs, and alcohol? 

A second question to consider is whether or not the Government should have any voice in restricting one’s personal choices about dying.  Should everyone have the right to die when they want to, regardless of the situation or reasons?  (Consider researching Compassion and Choices Organization for more insight) Who and how should an end-of-life decision be made when the person is not in possession of their full faculties? 

Lots to ponder this week…

Consideration: This is a repeated story but still useful for this discussion. In the late 1800’s statisticians estimated based on population growth the US would be completely covered, inches deep in horse manure. They did not anticipate the automobile. Similarly, if you went back 120 years and asked farmers what they needed most they would likely say; “a bigger horse that ate fewer oats” they did not account for new technology like a tractor or combine.

When thinking critically about the need for services for the growth in the elderly population perhaps “building more beds” is as fallacious as assuming more horses. What new innovation on the horizon will change the demand forecasting? 

Step 1 Read the article in Appendix A “Example of a Randomized Clinical Trial” (Nyamathi et al.,2015),

Step 2 Discuss the following questions related to the article found on ~p. 162 under Critical Appraisal Criteria:

1. Is the type of design used appropriate? Your rationale?

2. What are the threats to internal and external validity?

3. Is the design appropriately linked to the evidence hierarchy?

Discuss the historical application of statistics in the field of health care. Describe an example, other than Florence Nightingale’s contributions, where statistical application has greatly influenced or changed health care operations or practice. Must include at least 2 references with an in-text citation for each reference. 

Must be 200 words

No plagiarism

APA format

Adolescent pregnancy is viewed as a high-risk situation because it poses serious health risks for the mother and the baby. Describe various risk factors or precursors to adolescent pregnancy. Research community and state resources devoted in adolescent pregnancy and describe at least two of these resources. Research the teen pregnancy rates for the last 10 years for florida. Has this rate increased or decreased? Discuss possible reasons for an increase or decrease.

1) Minimum 10 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

Parts 1, 2, 8 and 9 must be different. Different writing and perspective, but always answering questions objectively

              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

              Part 8: minimum 1 page

              Part 9: minimum 1 page

              Part 10: minimum 1 page

Submit 1 document per part

2)¨******APA norms

          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. Start your answer on the same line, not the next

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: Community Nursing

1. How do you anticipate the legalization of cannabis in some states?

2. It will impact the prevalence of cannabis use among children and adolescents? 

3. Discuss 2 effects there may be on development, academic attainment, and behavioral health

Part 2: Complementary nursing

Find a peer review journal article (Mandatory) about dream work or the correlation of dreaming and healing. 

Please provide a link to the article or full reference or added it. 

1. Briefly discuss how dreaming impacts our physical a emotional health.

Part 3: Nursing and aging

Chapter 19: Circulation

1. Identify two of the normal common changes of aging related to the heart 

 a. list one appropriate nursing intervention for each of the changes noted.

Chapter 20:  Digestion and Bowel Elimination

1. Describe one normal age-related changes of digestion and elimination in the older adult 

a. Describe the impact on health functions related to your choice in point 1.

Part 4: Crisis Case Handling

Suppose you are faced with a terminally ill client with AIDS who is in a great deal of pain. The

client indicates to you in a calm, reasonable way that he/she is going to drive out to an isolated

spot in a state park, drink a thermos of margaritas, take out her 9 mm automatic, make an

audio tape telling her family how much she loves them and how she doesn’t want to be a burden

on them, and then kill herself. 

(Being objective)

1. What do you think will happen? 

2. Do you think that the client will actually do it?

3. What is your own moral view of AIDS and suicide?

4. What is your duty in this case following Tarasoff?

Part 5: Telephone and Online Crisis Counseling

 1. Choose 2 typical personality disorders of regular callers. Please, briefly describe them.

Part 6: Pharmacology

Jordan is a 35-year-old woman who presents with intermittent diarrhea with cramping that is relieved by defecation. The diarrhea is not bloody or accompanied by nausea and vomiting. Review of past medical history includes some childhood “stomach issues”, HTN, and a recent cholecystectomy. She works in the environmental department of a large hotel. . She denies alcohol and cigarette.

Diagnosis: Irritable Bowel Syndrome (IBS): Please address the following questions in APA format: 

I.     Discuss the epidemiology of IBS?

II.   What is your treatment goals for this patient?

III.  Discuss First line and second line drug therapy for IBS. Please include pharmacotherapeutic information.

Part 7: Practicum

We will review the APRN prescriptive authority. Once certified APRN, you must apply for for DEA number which will grant you authorization to prescribed controlled substance. You must meet the education hours required and pay for your educational hour and DEA. Refer to the following website and review the Florida controlled substance law for us as APRN.

https://floridasnursing.gov/new-legislation-impacting-your-profession/

https://www.flmedical.org/Florida/Florida_Public/Docs/FMA-Opioid-HB21.pdf

https://fnpn.enpnetwork.com/nurse-practitioner-news/133651-dea-licensure-information-for-florida-

https://www.cdc.gov/drugoverdose/prescribing/guideline.html

https://www.cdc.gov/drugoverdose/data/index.html

1. WHEN WAS PRESCRIPTION AUTHORITY FOR APRN APPROVED, SPECIFICALLY IN FLORIDA?

2. WHICH ARE THE REQUIREMENTS FOR THE APRN BE GRANTED AUTHORIZATION/PRIVILAGES TO PRESCRIBED CONTROLLED SUBSTANCE?

3. WHAT IS CONSIDERED CONTROLLED SUBSTANCE?

4. HOW TO APPLY FOR DEA NUMBER?

5. VISIT THE CDC WEBSITE, AND ELABORATE ON THE CURRENT ISSUE WITH CONTROLLED SUBSTANCE ABUSE IN THE USA AND FLORIDA?

Part 8: Community Nursing

1. How do you anticipate the legalization of cannabis in some states?

2. It will impact the prevalence of cannabis use among children and adolescents? 

3. Discuss 2 effects there may be on development, academic attainment, and behavioral health

Part 9: Complementary nursing

Find a peer review journal article (Mandatory) about dream work or the correlation of dreaming and healing. 

Please provide a link to the article or full reference or added it. 

1. Briefly discuss how dreaming impacts our physical a emotional health.

Part 10: Nursing Role and Scope

1. What are your beliefs about the major concepts in nursing- person, environment, health, nursing?

1-Suppose you were planning to conduct a statewide study of the work plans and intentions of nonemployed registered nurses in your state. Would you ask mostly open-ended questions or closed-ended questions? Defend your answer. 

2-APA style

3- 3 paragraphs of 3 sentences each

4- 2 references not older than 2015

 https://www.osha.gov/SLTC/healthcarefacilities/safetyculture.html

• Review the website and read about Culture of Safety. Also click on the suggested websites listed when you scroll down to the bottom of the page to research the topic further.

 Write a paper reflecting on what you learned about patient safety culture. Include examples that you’ve seen in the field (both at your place of employment and in clinical experiences you’ve completed). The paper should be 2 pages in length, not including the cover or reference pages, and be in APA format . 

what strategies would you recommend encouraging culturally competent care of African Americans?

Submission Instructions:

• Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

Your assignment will be graded according to the grading rubric.

Discussion RubricCriteriaRatingsPoints

Identification of Main Issues, Problems, and Concepts

5 points
Distinguished

Identify and demonstrate a sophisticated understanding of the issues, problems, and concepts.

4 points
Excellent

Identifies and demonstrate an accomplished understanding of most of issues, problems, and concepts.

2 points
Fair

Identifies and demonstrate an acceptable understanding of most of issues, problems, and concepts.

1 points
Poor

Identifies and demonstrate an unacceptable understanding of most of issues, problems, and concepts.

5 points

Use of Citations, Writing Mechanics and APA Formatting Guidelines

3 points
Distinguished

Effectively uses the literature and other resources to inform their work. Exceptional use of citations and extended referencing. High level of APA precision and free of grammar and spelling errors.

2 points
Excellent

Effectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. Moderate level of APA precision and free of grammar and spelling errors.

1 point
Fair

Ineffectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. APA style and writing mechanics need more precision and attention to detail.

0 point
Poor

Ineffectively uses the literature and other resources to inform their work. An unacceptable use of citations and extended referencing. APA style and writing mechanics need serious attention.

3 points 

Ethics in Nursing

End of Life—Reflection 

Assignment: Write an essay of a minimum of 500 words that include the responses to the following questions. The rubric below instructs how this assignment will be graded. You are to use at one professional journal reference to substantiate your thoughts on the end of life care or any of the ethical principles that were in operation (or not) during the end of life simulation experience.

1. How will you use this end-of-life experience to inform your nursing practice? What specific changes will you make?

2. What communication skills did you learn and how can you use them in applying these in your profession?

3. Did you see a satisfactory resolution to the ethical dilemmas presented? What would you have done differently if you had participated in this experience?

4. Has this end-of-life simulation experience changed or deepened your opinion/beliefs about death and dying? Please elaborate.

End of Life Journal Rubric

EOL Journal Assignment 

Points Available

Points Earned

Essay of minimum of 500-word response including:

4

4

Ethical Principles/Standards Noted in Simulation

2

2

Professional journal (not more than 5 yrs old)—used to   substantiate ethical principles or other aspects of end of life care

2

2

APA format/proper citation/grammar

2

2

Ticket to Enter 

(Late submissions will result in 2 lost participation   points per day)

0

0

Please read comments in the document

10 points

10 points

Time management is a common challenge for students at any level, but especially for those who are returning to school, working, raising families, and taking care of all of the things life throws our way. This assignment is intended to help you examine your time management process and explore strategies to help you be successful as an online student. For this discussion post, please share with us the following:

• Describe how you spend most of your time. Is this what you expected? Why or why not?
• How will you rearrange these items to dedicate enough time to your schoolwork?
• What changes do you want to make? What professional resources are available to help with those changes?
• Include 3 references please