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Week 4 Discussion Question: Chapter 13, Comfort and Pain Management

With the realization that pain is highly prevalent among older adults, please answer the following questions:  

Part One: What are some ways you as the nurse can utilize to determine pain in the older adult?

                  : What are some of the potential barriers related   to self-reporting of pain in the older adult?

 

• Incorporate professional values, attitudes, and expectations regarding ageism when caring for the older adult.
• Outline the importance of advocating for older adults in management of their care.

Your supervisor provided some valuable feedback in response to your outline! They are excited to see the PowerPoint slideshow you are creating for your topic’s in-service training. Having developed a number of presentations for in-services, your supervisor offered the following advice:

“When developing a slideshow, it’s important to be mindful of how you layout your content. For an in-service presentation, the slides should present key points, be arranged logically, without extraneous information contributing to a cluttered look. The audience should get a lot of the content from listening to what you say, not just from reading the slides. Using the Speaker Notes feature in PowerPoint is a great way to include relevant details that you want to provide without overloading the slides.”

Your supervisor wants you to work from your outline and prepare a visually appealing PowerPoint slideshow for the in-service presentation. They said it should:

1. Have a title slide.
2. Contain 6-10 content slides pertaining to the important content areas for your presentation topic.
3. Use the Speaker Notes feature in PowerPoint to reduce the amount of text that appears on the slides. (The Speaker Notes will contain the text that will guide what you say while presenting the slides.)
4. Be written using proper spelling/grammar.
5. Cite at least 2 credible references and present the sources in APA format on a References slide.

For information about creating PowerPoint presentations or adding Speaker Notes, consult the resources below.

• Writing Guide: PowerPoints
• PowerPoint FAQ
• PowerPoint & APA: citing sources and creating reference lists in PPT presentations
• How do I add Speaker Notes to my PowerPoint presentation slides?

  

Assignment:

Global Health, Policy, and the Future

This assignment will be a 5 to 7-minute video or audio embedded in a PowerPoint presentation.

In the Learning Materials under Additional Resources Review:

• National Academies of Sciences,      Engineering, and Medicine (2017). Global health and      the future role of the United States. Washington, DC:      The National Academies Press. (Click on the link to download Global      Health and the Future Role of the United States. You do not need to      purchase this book. Once you access the website, look on the far right and      click on “Download this PDF” for your free copy, or Click “Read Online” to      read without downloading).

• United Nations Developmental      Programme. (n.d.). Sustainable development goals. 

1. National Academies of Sciences, Engineering, and Medicine (2017). Global health and the future role of the United States. -> Review TABLE S-1 Committee Recommendations and Corresponding Actions on page 3 (these come from the global health report and are global recommendations) and the four Priority Areas for Action starting on page 4 that further explain the 14 Recommendations in TABLE S-1.

2. The Sustainable Development Goals (SDG) *Select and review ONE of the 14 Recommendations OR an SDG that align with your interests or one you feel passionate about that could significantly improve global health. Consider what steps healthcare professionals can take to advocate for vulnerable people at a global level. 

This assignment will require you to create a 5 to 7-minute video or audio recording in a PowerPoint presentation.

Reflect on global issues in healthcare and address the following in your presentation:

Briefly describe the selected global recommendation or SDG and the identified vulnerable population

Analyze current healthcare policies that impact your selected global recommendation or SDG

Explain the reason you selected the global recommendation or SDG and why it is relevant to the vulnerable population.

Discuss why the global recommendation you selected should be implemented or the SDG you selected should be achieved, including why there should be funding to implement the global recommendation or SDG. 

Assignment Expectations

Length: 5 to 7 minute video presentation (mp4 format) with slide presentation

Structure: Include a title, objectives, and reference slides in APA format. Your presentation must include an introduction and a conclusion.

References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of three (3) scholarly sources are required for this assignment.

 

Soap Note 1 Acute Conditions

Follow the MRU Soap Note Rubric as a guide:

Use APA format and must include minimum of 2 Scholarly Citations.

Soap notes will be uploaded to Moodle and put through TURN-It-In (anti-Plagiarism program)

Turn it in Score must be less than 50% or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 50%. Copy paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement.

Must use the sample templates for your soap note, keep this template for when you start clinicals. 

The use of tempates is ok with regards of Turn it in, but the Patient History, CC, HPI, The Assessment and Plan should be of your own work and individualized to your made up patient.  

Pathologies that could select:

 Guillain-Barré Syndrome • HIV/AIDS • HodgkinLymphoma • Leukemia • Lupus • MultipleMyeloma 

  Acute Coronary Syndrome • Anemia • Aneurysm of the Abdominal Aorta (Triple A) • AtrialFibrillation&Flutter • Carotid Stenosis • Deep VeinThrombosis • Endocarditis • Heart Failure • Hemophilia • Heparin-Induced  

  All work must be original 

Part one 

Health topic in health informatics –  integrated health records system.

200 words- Provide a detailed history of health integrated technology systems. 

200 words- What support does this system have?

200 words- Any evaluation that has been carried out regarding integrated health records system. 

200 words- Full assessment of integrated health records system and its importance. 

200 words- What impact does integrated hospital records system have on healthcare and client outcome?

200 words – How can nurses and physicians use this system to improve care for clients? 

200 words- Future direction of integrated health systems.

200 words- Provide details of at least 3 different example of integrated health records systems. 

200 words- Research an evidence-based practice that related integrated health records system what does this article show? 

Paper must be in APA 7th edition format. At least 10 reference must be included as well as the attached textbook. 

Part two power point

Construct a power point presentation about integrated health records system. PowerPoint should be in short bullet points and pictures must be included. 

Slide 1- Introduction/ overview of integrated health records system.

Slide 2- History of integrated health records system.

Slide 3- What support does the systems have? Provide example.

Slide 4- Any evaluations that have been conducted regarding integrated health records system. 

Slide 5- What impact does integrated hospital records system have on healthcare and client outcome.

Slide 6- How can nurses and physicians use this system to improve care for clients?

Slide 7- Future direction of integrated health systems.

Slide 8- 3 different example of integrated health records systems.

Slide 9- Research an evidence-based practice that related integrated health records system what does this article show?

PowerPoint must have a title and reference page. 

 In the Journal 3 area of the document, write a 500-word entry in which you do the following:

• Document specific objective(s) for the specific time frame.
• Describe a problem, issue, or situation that you have observed during your practicum experience (no more than a half-page).
• Using no fewer than three peer-reviewed sources of evidence, analyze what you have observed within the context of your specialty using appropriate concepts, principles, and theories. Give special attention to observed events that vary from scholarly literature.
• Explain the degree to which the problem, situation, or issue was addressed in a manner that is consistent with the theory, concepts, and principles detailed in the evidence.
• Given the various evidence-based approaches that can be used in addressing the problem, situation, or issue, formulate a plan for approaching the matter differently.
• Explain how this problem, issue, or situation relates to, or helps you work toward, your professional aspirations and/or how it helps you enhance your performance.
• Include APA-formatted references immediately following the content.

 

From BBC News on the San Bernardino, CA December 2015 killings: “President Obama says the U.S. ‘will not be terrorized’ by the deadly San Bernardino shootings, which the FBI is treating as an act of terrorism.”   Inspired by the aims and ideology of ISIS (Islamic State of Iraq and Syria) which has claimed the two killers as supporters, “Syed Rizwan Farook, 28, and his wife Tashfeen Malik, 29, killed 14 people before being shot dead by police” (bbc.com/news 12/5/15).

In Paris on November 13, 2015, 130 people were killed by coordinated terrorist attacks in three different locations at the same time.   The French President Francois Hollande subsequently declared “France is at war.  We are in a war against terrorism, jihadism, which threatens the whole world.  Terrorism will not destroy France because France will destroy it” (cnn.com 11/16/15).

And you also know about more recent terrorist killings this year such as the terrorist who used a truck to mow down innocent people, including children, in Nice, France, and more than 80 people were killed.

For our week discussion forum, please answer two of the following three questions but be sure you answer question three as one of the two you’re answering:

[1] In your view, are the terrorists winning?  If yes, then what does that mean and how do you know?  If no, then what does that mean and how do you know?

[2] In the face of today’s terrorism, does the warning of the 19th century German Philosopher apply to us?  How might it relate to just war principles?  Explain.  “Whoever fights monsters should be careful that he does not become a monster.  When you stare into an abyss, the abyss stares back into you” (Beyond Good and Evil, #146).

[3] On her 16th birthday, the youngest recipient of the Nobel Peace Prize, Malala Yousafzi addressed the U.N. as a devout Muslim who had been shot in the head by the Taliban in Pakistan in 2012.  Listen to her speech and then share your response to her views on terrorists and how she has chosen to respond.  Is Malala a pacifist?  Is she arguing against just war theory? [LINK (Links to an external site.)]

PLEASE CAREFULLY REVIEW MY QUESTION BEFORE ASKING ME QUESTIONS, ALSO PLEASE EXPLAIN TO ME THAT YOU FULLY UNDERSTAND THE ASSIGNMENT. I ALSO NEED A TURN IT IN REPORT BEFORE SECOND PAYMENT, THANK YOU SO MUCH!

Example patient: 27-year-old female that is actively suicidal on a 5150 within the last 5hours sent to the hospital after being taken in by the LAPD and placed on a hold. She was standing in front of the traffic in the 405N trying to kill herself. 5150 DTS. She is currently in the hospital with a 1:1 sitter.  

Topic will be SAFETY related to depression/suicide USING THE the Adaptation model by Sister Callista Roy and the Jean Watson theory of human caring Please compare two nursing theories. 

you will discuss Safety using these two theories. 

must have turn it.com plagairsm report.

APA format at least 2 references. 

  

Assessing Clients With Addictive Disorders

Episode 1

Mr. Levy considers his problem to be sickness and does not have any problem with the children seeing him the way he is. This makes him sleeps anywhere and does not seem to have any respect for her wife. In one instance, he even superposes that the wife had claimed to be with him for better or for worse. This is an indication that he has given up in life and does not seem to have any intention of changing since he tells his wife to leave home alone.

On the other hand, Mrs. Levy has the urge is supporting her husband and has the opinion that the husband drinks too much and does not have respect or courtesy in doing many things. The parents are arguing and the wife indicates that the husband drinks too much as that he needs to change. Engel et al. (2016) opine that one of the implications of the issue of depression of the arguing and the cases where the families are breaking. This is the issue that is seen in the family of Mr. Levy since the wife has indicated that the issue will end up breaking them if the husband does not change his ways. 

Episode 2

Mr. Levy’s social worker is seen to be reliable and has a succinct urge to meet the client. The ideas that he has is that he should meet the client and establish the needs of the client and what the client needs. As pointed out by Mays (2015) healthcare providers are supposed to consider making use of patient-centered treatment methods for the satisfaction of patients. The idea that he will get to learn of many ways that could be useful for the management of the issue of patient care is as well important. 

The thoughts that the supervisor has is that there will be a need for the healthcare providers to help in the process of enhancement of patient care strategies of managing the issue of the patient is to help in satisfying herself. The supervisor should consider getting the information on the patient first for each in the diagnosis if the patient has post-traumatic stress disorder caused by the trip that he made to Iraq. In my view, there is a need for further research to be carried out on the strategies before the application is made. 

Episode 3

The response that is given by her post are professional allows the client to relax and have an easy time explaining his situation. Typically, I have the opinion that the therapist has done the best in the provision of a listening effort to the client. As such, the process of listening is important as it allows the patient to have a chance of improving their effort of good health. The therapist who should get to help the patient is supposed to ensure that they listen more and talk less and allow the patient to express what they are feeling. 

My impression on the way that the therapist has worked with the client is good and I have the view that the therapist has been able to gain the trust of the patient and hence the patients are free to share his ordeal. The therapy session as a whole has succeeded in getting the background information of the patient since Mr. Levy has been in a position to describe the occurrence that he had in Iraq and he has been thought of how to manage his thought by having deep breaths. 

The process of deep breathing allows for the client to be able to get relaxed and hence their issue of anxiety is managed with the adrenaline that creates anxiety being reduced in the release (Steenkamp et al., 2015). The therapeutic approach that has been selected by the therapist is called exposure therapy. According to Najavits (2015), this is an important therapy that allows one to take control of their feelings in relation to a certain traumatic condition. This is an important therapy for use for the case of the client since he is challenged by the thoughts that he has from his trip to Iraq. 

Episode 4

The best way to approach the issue is to allow the patient to present his issues of concern and offer a listening ear for them to talk too. In turn, the patient is supposed to get therapy on the actions that he was intending to take and the blame that he has on himself. He is supposed to be educated on the importance of the fact that he tried his best and that he had the best inters of Kurt in mind. This information could play a critical role in informing for the therapeutic approach in that it will allow for the management of the issues of concern that one may only have challenges on the things that the things about but the issue is as well a feeling that he did not do his best in offering his services to the sergeant. 

Episode 5

The response to the concern could be that in the next conversation, it could be preferable if there is a consideration of the talks that are made on the family part. It will be important that there is a critical method of concern and get an understanding of the reasons behavior the early PSTD that the patient has. This will allow for getting information on the issue of the child being on the way and the fact that the patient may be scared of the coming child. 

References

Engel, C. C., Jaycox, L. H., Freed, M. C., Bray, R. M., Brambilla, D., Zatzick, D., … & Belsher, B. E. (2016). Centrally assisted collaborative telecare for posttraumatic stress disorder and depression among military personnel attending primary care: a randomized clinical trial. JAMA internal medicine, 176(7), 948-956.

Mays, G. (2015). Estimating Patient-Centered and Community-Centered Treatment Effects.

Najavits, L. M. (2015). The problem of dropout from “gold standard” PTSD therapies. F1000prime reports, 7.

Steenkamp, M. M., Litz, B. T., Hoge, C. W., & Marmar, C. R. (2015). Psychotherapy for military-related PTSD: a review of randomized clinical trials. Jama, 314(5), 489-500.