Considering that communication with a single patient, a family, a group, professionals, or an organization will vary based upon context and severity of the information, describe different tools that may be used to deescalate fear or mitigate confusion in an emergency situation. Discuss why these types of tools are used, including three different emergency situations with different stakeholders that would benefit from these types of tools. Provide supporting references in your response. PLEASE ADD IN-TEXT CITATION AND REFERNCE

Reflect on the need to improve outcomes in healthcare and consider the following.

• How might a large cadre of nursing practice and research scholars’ impact change?
• How might the work of this cadre translate evidence to change practice?
• How might this cadre lead clinical innovation?
• In influencing improvement outcomes at your workplace, what strategies can you implement to inspire others to embrace change?   

Instructions:

Use an APA style and a minimum of 200 words. Provide support from a minimum of at least three (3) scholarly sources. The scholarly source needs to be: 1) evidence-based, 2) scholarly in nature, 3) Sources should be no more than five years old (published within the last 5 years), and 4) an in-text citation. citations and references are included when information is summarized/synthesized and/or direct quotes are used, in which APA style standards apply. 

• Textbooks are not considered scholarly sources. 

• Wikipedia, Wikis, .com website or blogs should not be used.

CASE STUDY : M.T. is a nurse practitioner in a busy OBGYN clinic. Her clients include women from various socioeconomic and cultural backgrounds. M.T. spends her time educating women about interventions for a healthy pregnancy.

She promotes the physical, mental, and spiritual health of her clients throughout the childbearing years. Although she primarily works with the pregnant woman, her ultimate goal is to assist each family to have a healthy pregnancy and birth outcome and lay the foundation for satisfactory parenting and family life.

—QUESTION: M.T. participates in community health fairs educating childbearing-age women about healthy lifestyles that can improve chances for a healthy pregnancy. Women should be made aware that certain preconception interventions may improve not only the outcomes of pregnancy but their overall health as well. Design a plan that fits the needs for the health fair that M.T. is participating. List the recommendations and the rationales.

—-Then, continue to discuss the 2 topics listed below for your case:

1. Describe the relationship between culture and growth and development. Assess whether all growth and development milestones should be applied to all children regardless of cultural background.
2. Design a teaching plan for parents regarding injury prevention during infancy. In your teaching plan you must include the home of an infant injury proof.

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

1. As a nurse, how would you establish trust and rapport with an adolescent?

2. List 5 reasons why adolescents are high risk for suicide.

3. What evidence-based screening tools are available to screen for suicide in adolescents?

4. If you could develop a resource for adolescent suicide prevention, what would it be?

5.  What are safety concerns you need to consider while caring for a patient with an anxiety/trauma related disorder? 

6. What are the priorities when conducting your nursing assessment for a patient who has a mental illness and pregnant?

7. Which classification of medications are considered safe for pregnancy to treat an anxiety disorder?

Discussion: Cognitive Behavioral Therapy: Family Settings Versus Individual Settings

Whether used with individuals or families, the goal of cognitive-behavioral therapy (CBT) is to modify client behavior. Although CBT for families is similar to CBT for individuals, there are significant differences in their applications. As you develop treatment plans, it is important that you recognize these differences and how they may impact your therapeutic approach with families. For this Discussion, as you compare the use of CBT for families and individuals, consider the challenges of applying this therapeutic approach to your own client families.

Learning Objectives

Students will:

• Compare the use of cognitive-behavioral therapy for families to cognitive behavioral therapy for individuals
• Analyze challenges of using cognitive behavioral therapy for families
• Recommend effective cognitive-behavioral therapy strategies for families

To prepare:

• Review the media, Johnson Family Session 3, in this week’s Learning Resources and consider the insights provided on CBT in family therapy.
• Reflect on your practicum experiences with CBT in family and individual settings.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the Post to Discussion Question link and then select Create Thread to complete your initial post. Remember, once you click submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking Submit!

By Day 3

Post an explanation of how the use of CBT in families compares to CBT in individual settings. Provide specific examples from your own practicum experiences. Then, explain the challenges counselors might encounter when using CBT in the family setting. Support your position with specific examples from this week’s media.

The first step of the evidence-based practice process is to evaluate a nursing practice environment to identify a nursing problem in the clinical area. When a nursing problem is discovered, the nurse researcher develops a clinical guiding question to address that nursing practice problem.

For this assignment, you will create a clinical guiding question know as a PICOT question. The PICOT question must be relevant to a nursing practice problem. To support your PICOT question, identify six supporting peer-revised research articles, as indicated below. The PICOT question and six peer-reviewed research articles you choose will be utilized for subsequent assignments.

Use the “Literature Evaluation Table” to complete this assignment.

1. Select a nursing practice problem of interest to use as the focus of your research. Start with the patient population and identify a clinical problem or issue that arises from the patient population. In 200–250 words, provide a summary of the clinical issue.
2. Following the PICOT format, write a PICOT question in your selected nursing practice problem area of interest. The PICOT question should be applicable to your proposed capstone project (the project students must complete during their final course in the RN-BSN program of study).
3. The PICOT question will provide a framework for your capstone project.
4. Conduct a literature search to locate six research articles focused on your selected nursing practice problem of interest. This literature search should include three quantitative and three qualitative peer-reviewed research articles to support your nursing practice problem.

Note: To assist in your search, remove the words qualitative and quantitative and include words that narrow or broaden your main topic. For example: Search for diabetes and pediatric and dialysis. To determine what research design was used in the articles the search produced, review the abstract and the methods section of the article. The author will provide a description of data collection using qualitative or quantitative methods. Systematic Reviews, Literature Reviews, and Metanalysis articles are good resources and provide a strong level of evidence but are not considered primary research articles.  Therefore, they should not be included in this assignment.

As you finish this course, your philosophy of nursing has probably changed. As a final review, polish your philosophy of nursing based on your newly acquired knowledge.

Also, write a summary reflection answering the following questions based on the readings and discussions throughout the course: 

• As an art and a science, how has your personal nursing philosophy unfolded?
• Have there been ideas that have challenged your personal values or assumptions?
• Have there been ideas that have caused you personal conflict and may lead to deconstructing those dispositions in a critical manner?
• What actions have you taken that illustrate your personal nursing philosophy?
• Describe your own definition of the concepts involving the meta-paradigm of nursing.
• Has your first written philosophy of nursing changed? In what ways? 

Your paper that includes both your philosophy and reflection together should be 2–3 pages in length, in APA format, typed in Times New Roman with 12-point font, and double-spaced with 1″ margins. If outside sources are used, they must be cited appropriately.

Health Promotion and Disease Prevention in Older AdultsNurse’s Role in Health Promotion and Disease Prevention in Older AdultsMany countries experience rapid aging throughout their population. As aging comes with declining psychological and physiological functions, an older population is more vulnerable to various acute and chronic health conditions. Regardless of health status, healthy aging is critical and promotes the wellbeing of the aging population. Nurses have a pivotal role in promoting aging health which involves enabling people to take control and improve their health (Hanssen & Alpers, 2010). Nurses also play a central role in disease prevention efforts that focuses on measures aimed at reducing the development of chronic illnesses.Nurses are the central pillar of a nation’s healthcare. The nurses operate in different settings to provide health promotion and disease prevention throughout a lifespan. As the nurses’ knowledge scope expands and disease spectrums change, the role of nurses is increasing from the traditional role of following physicians leads to a more diverse role with responsibilities for preventive care (Meiner & Yeager, 2018). Nurses are positioned to pay special attention to health promotion efforts, provide lifestyle counseling, enforce educational programs, and provide strategic intervention to prevent exacerbation or complications for elderly persons.Nurses in preventive care are engaged in activities that enhance the health of older adults through evidence-based interventions while encouraging them to adopt preventive measures such as counseling, precautionary medication, and screening. Nurses can use public health education to inspire an aging population to embrace healthy living and ultimately improve their quality of life (Meiner & Yeager, 2018). Nurses are involved in continuous efforts to equip people with knowledge to prevent the emergence of targeted conditions. The nurses assume the role of health educators to educate older adults on the benefits of healthy behaviors.As a Registered Nurse at home healthcare, I have always encouraged and educated older adults in effective weight management interventions and fall prevention. Controlling and maintaining weight through physical exercises and observing healthy habits is a form of preventive care that averts disorders such as cardiovascular diseases, obesity, and osteoarthritis. At the beginning of my practice as a new graduate I  visited one of my patients, when I got there was really sad, she was on the floor since 5:00 am because she was unable to reach the cellphone and call her son or the rescue, but all the time she had the hope that I would be there at any moment before 8:00 am as usual, after multiple teachings she now how to identify hypoglycemia and techniques to avoid any falls or other kind of complications; from that moment I realized that we are their hope, voice and guide and those who daily can help them to move forward and improve.  Three Screening Procedures that must be done in Older AdultsHigh Blood Pressure ScreeningAging increases the risks of developing high blood pressure which affects over thirty percent of the adult population, and it is one of the commonly diagnosed conditions at outpatient visits. Routine screening is essential as the condition acts as a catalyst to other conditions such as stroke, heart attack, and chronic kidney diseases.Cholesterol ScreeningHigh cholesterol levels increase the risks of heart diseases and strokes. Older adults should have their cholesterol levels checked regularly. Checking cholesterol levels is a critical aspect of staying healthy.Diabetes ScreeningDiabetes is a prevalent disorder in the elderly population. It is associated with morbidity and the elderly are at an elevated risk of pre-diabetes and diabetes. Therefore, it is recommended that they seek diabetes screening regularly.Common End-of-Life documentsNurses must be familiar with the various documents to help educate older adults on their options. Four of these documents are a living will, medical power of attorney, Do Not Resuscitate, and the last will. The contents of these documents help older adults prepare for the inevitable, and nurses should familiarize themselves with these documents to be able to educate the patient and their relatives.

ReferencesHanssen, I., & Alpers, L.-M. (2010). Utilitarian and common-sense morality discussions in intercultural nursing practice. Nursing Ethics, 17(2), 201–211. https://doi.org/10.1177/0969733009355544 (Links to an external site.).Meiner, S. E., & Yeager, J. J. (2018). Gerontologic Nursing – E-Book (6th ed.). Mosby.Edited by Machin Triguero, Tania on Oct 26 at 9:41pm

REPLY 2

Health promotion refers to the science and art of assisting the population to improve on their lifestyle, so that they can move towards optimum health. Disease prevention entails activities that enable people to reduce the risk of contracting various illnesses. Nurses have a role to play in health promotion and disease prevention in older adults. For example, nurses help geriatrics to improve on health literacy through education to them (Meiner & Yeager, 2019). Health illiteracy is one of the barriers that older people face in their health promotion. Nurses also advocate for them to access health insurance coverage, so that they can access health services easily and meet the associated costs.

            At the same time, some of the geriatrics suffer from language barriers. In such instances, the problem is solvable through nurses interpreting for them the information which they need to understand as far as health promotion is concerned. Geriatrics are prone to health problems as they advance in age (Meiner & Yeager, 2019). Nurses play a role in bone health for the older people as a way of disease prevention. They also recommend that the geriatrics may attend annual screenings to enable them to check on their health statuses. Through the screenings, secondary disease prevention is possible as it enables them to prevent the disease before it progresses to advanced levels. Nurses further help the patients to manage the long term impact of diseases such as cancers and chronic pain.

From my experience as a RN, I have come across several cases of health promotion. An example is where one patient of Chinese descent came to the hospital with chronic pain. She could not understand English, and so understanding her was a challenge. The nurses handling her used an interpreter to address her case and she was assisted accordingly.

Screening Procedures that must be Performed on Older Adults

Geriatrics require screenings for blood pressure, colonoscopy, and mammogram. Blood pressure screening enables the doctors to address the hypertension problem, which is common among the geriatrics. Mammogram helps in identifying the early signs of breast cancer among the older women. It is important for them to undergo this screening, so that they can prevent the onset of the disease early enough. Colonoscopy helps in early detection of colon cancer, which is common among aged people (Mori et al. 2017). This screening is helpful because it helps to check for abnormalities existing in the colon and rectum.

Common End-of-Life Documents

Nurses need to be familiar with the end-of-life documents that are commonly used among the elder people. Understanding the documents is essential because it enables the nurses to educate the elderly accordingly. As a nurse I need to be familiar with documents such as the Last Will, durable power of attorney, and advance directive. The Last Will contains details such as the people to inherit the property upon the demise of the patient. I would use this document to educate the patient on the importance of the document to his psychological health. The durable power of attorney and advanced directives are essential in determining the care that is appropriate for the elder person. The documents would help me to advise the patient on the type of treatments available for them.

References

Meiner, S.E., Yeager, J.J. (2019) Gerontologic Nursing 6th Ed. Elsevier. St. Louis. MO. ISBN: 9780323498111

Mori, Y., Kudo, S. E., Berzin, T. M., Misawa, M., & Takeda, K. (2017). Computer-aided diagnosis for colonoscopy. Endoscopy, 49(8), 813.

All replies must be constructive and use literature where possible.

Your assignment will be graded according to the grading rubric.

 Review the legal, ethical, or regulatory issues of telehealth’s virtual nursing practice from non-traditional work settings (i.e., home). Provide examples to illustrate your points. 

The state is FLORIDA. Base the assignment of prescribing authority for nurse practitioners in Florida.

Please include a minimal of 3 apa in text citations within the last 5 years.